Effect of "RECAST-H" (REverse CAses STudies Based on Heutagogy Approach) on Professional Readiness (RECAST-H)

April 20, 2026 updated by: YILDIZ ERDAT, Hacettepe University

Examining the Effect of "RECAST-H" (REverse CAses STudies Based on Heutagogy Approach) on Professional Readiness Among Final-Year Nursing Students:Randomized Controlled Trial

The goal of this study is to examine the effect of reverse case studies based on the heutagogical approach on the level of readiness for the profession among final-year nursing students.

The hypotheses are:

H0-1: There is no difference in the level of professional readiness between the control group and the intervention group that underwent reverse case studies based on the heutagogy approach.

H0-2: There is no difference in career adaptability between the control group and the intervention group that underwent reverse case studies based on the heutagogy approach.

H0-3: There is no difference in professional socialization between the control group and the intervention group that underwent reverse case studies based on the heutagogy approach.

Secondary Hypothesis:

H0-4: There is no difference in psychological capital levels between the control group and the intervention group that underwent reverse case studies based on the heutagogy approach.

Researchers will compare the heutagogy-based reverse case studies program group with the waiting-list control group to evaluate its effects on professional readiness, career adaptability, professional socialization, and psychological capital.

Participants will:

  • complete baseline assessments
  • be randomly assigned to either the intervention group or the waiting-list control group
  • receive reverse case studies program based on the heutagogy approach (intervention group)
  • complete post-intervention assessments after the educational program

Study Overview

Detailed Description

Background: Newly graduated nurses may experience various difficulties during the first 12 months of their professional careers. Many interventions are implemented after recruitment to help newly graduated nurses overcome these challenges and ease their transition. Orientation training, internships, and nurse guidance or mentoring programs are among these interventions. Despite these interventions, new graduates continue to face various difficulties. Moreover, managers and experienced nurses often consider them inadequate. This situation raises questions about the readiness of new graduates for the profession. Therefore, equipping students with certain competencies during nursing education will help them cope more effectively with the disadvantages that may arise during the transition to professional practice. The current literature emphasizes that soft skills are more important than technical knowledge and abilities. Soft skills such as flexibility, self-awareness, problem-solving, interpersonal communication, cooperation, and coping with changing conditions and difficulties contribute to professional readiness and support positive coping with workplace challenges.

Objective: To examine the effect of reverse case studies based on the heutagogy approach on the level of readiness for the profession among final-year nursing students.

Method: The study design is a prospective, pre-test, post-test, parallel-group, single-masked, explanatory randomized controlled trial. The study will take place at the Hacettepe University Faculty of Nursing in Ankara. All final-year students enrolled at Hacettepe University School of Nursing during the 2025-2026 academic year will constitute the study population. The total sample size was determined to be 84, accounting for losses. Participants will be randomly assigned to either an intervention group that receives the educational program or to a waiting-list control group. The study will include a five-session reverse case study intervention based on a heutagogy approach. The primary outcomes are professional readiness, career adaptability, and professional socialization, and the secondary outcome is psychological capital. Data will be collected at the beginning of the study and again after the intervention has been completed. In addition, participants' feedback regarding the educational program will be collected using an evaluation form. The results of this study aim to enhance nursing education by offering an innovative and effective strategy to facilitate the transition of nursing students into their professional roles.

Study Type

Interventional

Enrollment (Estimated)

84

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

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

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Being a final-year nursing student
  • Enrolled in "Education in Nursing" course
  • Willing to participate in the study

Exclusion Criteria:

  • Graduated from vocational high school specializing in health services
  • Working full-time in any institution providing health services

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: Other
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Intervention Group
Participants in this arm will receive the heutagogy-based reverse case study educational program during the study period.
A structured educational program based on the heutagogy approach and reverse case study method, designed to improve professional readiness among final-year nursing students.
No Intervention: Waiting-list control Group
Participants in this arm will not receive the educational program during the study period. They will receive the same educational program after completion of the study.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Professional socialization
Time Frame: Baseline and immediately after completion of the educational program
Professional socialization will be assessed using a researcher-developed questionnaire based on the literature and expert validation.
Baseline and immediately after completion of the educational program
Professional Readiness
Time Frame: Baseline and immediately after completion of the educational program
Professional readiness will be assessed using the Casey-Fink Readiness for Practice Scale (CFRPS). Scores range from 15 to 60, with higher scores indicating greater readiness for professional practice.
Baseline and immediately after completion of the educational program
Career Adapt-Ability
Time Frame: Baseline and immediately after completion of the educational program
Career adaptability will be assessed using the validated Career Adapt-Abilities Scale Short Form (CAAS-SF). Scores range from 12 to 60, with higher scores indicating greater career adaptability.
Baseline and immediately after completion of the educational program

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Psychological Capital
Time Frame: Baseline and immediately after completion of the educational program
Psychological capital will be measured using the Psychological Capital Perception scale. Scores range from 17 to 85, with higher scores indicating greater perception of psychological capital.
Baseline and immediately after completion of the educational program

Collaborators and Investigators

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

Investigators

  • Study Director: SERGÜL DUYGULU, Hacettepe University

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 (Actual)

April 9, 2026

Primary Completion (Estimated)

June 1, 2026

Study Completion (Estimated)

June 1, 2026

Study Registration Dates

First Submitted

April 13, 2026

First Submitted That Met QC Criteria

April 13, 2026

First Posted (Actual)

April 20, 2026

Study Record Updates

Last Update Posted (Actual)

April 23, 2026

Last Update Submitted That Met QC Criteria

April 20, 2026

Last Verified

April 1, 2026

More Information

Terms related to this study

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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