Motivational Interviewing and Nursing Students' Clinical Practice Outcomes

March 17, 2026 updated by: Cemal

The Effect of Motivational Interviewing on Nursing Students' Attitudes, Anxiety, and Self-Efficacy Regarding Clinical Practice: A Randomized Controlled Trial

Motivational interviewing is a collaborative and person-centered counseling approach aimed at enhancing individuals' intrinsic motivation. Nursing students often experience stress, anxiety, and low self-efficacy during clinical practice. The aim of this study is to examine the effect of motivational interviewing on nursing students' attitudes toward clinical practice, anxiety levels, and perceptions of self-efficacy. The study will be conducted using a randomized controlled design, and the potential of motivational interviewing as an effective psychological intervention in nursing education will be evaluated.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

66

Phase

  • Not Applicable

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Being a first-year student in the Nursing Program
  • Enrolled in the Fall semester of the 2025-2026 academic year
  • Voluntarily agreeing to participate in the Motivational Interviewing programAble to attend face-to-face data collection sessions

Exclusion Criteria:

  • Students with prior experience in Motivational Interviewing
  • Students unable to attend skills laboratory training
  • Students with prior clinical practice experience that could bias study outcomes
  • Students who do not consent to participate in the study

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Basic Science
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
No Intervention: control
Nursing students in the control group will receive only the standard nursing curriculum without any additional intervention.
Experimental: Experimental
Nursing students in the intervention group will receive motivational interviewing (MI) sessions integrated into their skills laboratory training.
Other: motivational interviewing
A structured motivational interviewing program delivered by certified researchers during skills laboratory sessions to enhance students' attitudes, reduce anxiety, and improve self-efficacy in clinical practice.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Self-Efficacy in Clinical Performance Scale
Time Frame: Baseline (pre-test) and 4 weeks after intervention (post-test)
Originally developed by Cheraghi et al. (2009), this scale consists of 37 items divided into four sub-dimensions: data collection (items 1-12), diagnosis and planning (items 13-21), implementation (items 22-31), and evaluation (items 32-37). Each item is scored from 0% ("not confident at all") to 100% ("completely confident"). The scale measures nursing students' self-efficacy in clinical performance.
Baseline (pre-test) and 4 weeks after intervention (post-test)
Attitude Toward Clinical Practice Scale for Nursing Students
Time Frame: Baseline (pre-test) and 4 weeks post-intervention
Developed by Akdeniz Uysal and Yeliş Bayülgen (2022), this scale measures nursing students' attitudes toward clinical practice. It consists of items scored on a 5-point Likert scale: 1 = "Strongly Disagree", 2 = "Disagree", 3 = "Undecided", 4 = "Agree", 5 = "Strongly Agree".
Baseline (pre-test) and 4 weeks post-intervention
Spielberger State-Trait Anxiety Inventory (STAI)
Time Frame: Baseline (pre-test) and 4 weeks post-intervention
Developed by Spielberger, Gorsuch, and Lushene (1970), the STAI consists of two 20-item subscales measuring state anxiety and trait anxiety. The Turkish adaptation has been validated and shown to be reliable for assessing anxiety levels in nursing students.
Baseline (pre-test) and 4 weeks post-intervention

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Cemal

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

March 23, 2026

Primary Completion (Estimated)

March 23, 2026

Study Completion (Estimated)

April 24, 2026

Study Registration Dates

First Submitted

September 26, 2025

First Submitted That Met QC Criteria

March 17, 2026

First Posted (Actual)

March 20, 2026

Study Record Updates

Last Update Posted (Actual)

March 20, 2026

Last Update Submitted That Met QC Criteria

March 17, 2026

Last Verified

March 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • MUS-HEM-CO-02

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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