Mobile Application Developed Based on the Thompson &Thompson Bioethical Decision-Making

May 18, 2026 updated by: Asude GÜNEY, Necmettin Erbakan University

The Effect of a Mobile Application Developed Based on the Thompson &Thompson Bioethical Decision-Making Model on Nursing Students' Ethical Decision-Making and Ethical Sensitivity: A Randomized Controlled Study

Aim: The aim of this study is to examine the effect of a mobile application, developed based on the Thompson & Thompson bioethical decision-making model, on the ethical decision-making and ethical sensitivity of nursing students. Method: This randomized controlled trial, planned with pre-, post-, and followup tests, will be conducted at Necmettin Erbakan University Faculty of Nursing during the 2026-2027 academic year. The study population will consist of 4th-year students enrolled in the Necmettin Erbakan University Faculty of Nursing during the 2026-2027 academic year. The sample size was statistically calculated using the G Power 3.1.9.7 software package. The total sample size was calculated as 82. To prevent data loss, the sample size was increased by 10%, resulting in a sample size of 90 students. Students in the intervention group will use the mobile application. Students in the control group will conduct face-toface case analysis. The research data will be collected using the "Introductory Information Form", "Ethical Dilemma Test in Nursing" and "Adapted Ethical Sensitivity Scale for Nursing Students". The data will be analyzed using the IBM SPSS 22 software package. Conclusion: As a result of the research, it is predicted that the mobile application developed based on the Thompson & Thompson bioethical decision-making model will have a positive effect on the ethical decision-making and sensitivity levels of nursing students.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

90

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

Yes

Description

Inclusion Criteria:

  • Being a 4th-year nursing student.
  • Having taken and successfully passed the Professional Ethics course.
  • Having a mobile device and internet access.
  • Willing to volunteer to participate in the research.

Exclusion Criteria:

  • Difficulty understanding and speaking Turkish
  • Having a Cumulative Grade Point Average (CGPA) below 2.00

Exclusion criteria from the study:

  • Experiencing problems with internet access
  • Completing data collection forms incompletely/incorrectly
  • Not attending any of the case study or case analysis sessions
  • Wishing to withdraw from 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: Other
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Experimental
Mobile Application Developed Based on the Thompson & Thompson Bioethical Decision-Making Model
Other: Mobile Application Developed Based on the Thompson & Thompson Bioethical Decision-Making Model
The application content is a mobile application created by researchers and developed by a computer engineer. The application will be compatible with both iOS and Android software. Once the application is ready, it will be made available for download to the phones of the students in the intervention group. The mobile application will have student and faculty login options. Students will be able to register and log in to the application with their student numbers and a password they have chosen. The application interface will include case studies, ethical statements, an ethics information library, and online support areas. Six ethical case scenarios created by the researcher will be acted out with a patient and a nurse, and videos will be recorded. Each of the recorded videos will be uploaded to the mobile application.
Other: Control
Ethical case discussions
Other: Ethical case discussions
For case discussions with students in the control group, ethical cases from the book Ethical Decision Making in Nursing will be used.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Ethical decision-making
Time Frame: 3 months
Ethical decision-making will be assessed using the Nursing Ethical Dilemma Test. The lowest possible Principled Thinking score is 18, and the highest is 66; the lowest Practical Thinking score is 6, and the highest is 36. The sum of the scores for each dilemma constitutes an A score. Accordingly, scores between 6 and 17 indicate that students are familiar with a similar dilemma, while scores between 18 and 30 indicate that they are not familiar with a similar dilemma.
3 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Ethical sensitivity
Time Frame: 3 months
Ethical sensitivity will be assessed using the Ethical Sensitivity Scale Adapted for Nursing Students. The total score of the scale ranges from 30 to 210. Higher scores indicate higher ethical sensitivity.
3 months

Collaborators and Investigators

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

Sponsor

Necmettin Erbakan 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 (Estimated)

January 11, 2027

Primary Completion (Estimated)

March 5, 2027

Study Completion (Estimated)

June 11, 2027

Study Registration Dates

First Submitted

May 12, 2026

First Submitted That Met QC Criteria

May 18, 2026

First Posted (Actual)

May 22, 2026

Study Record Updates

Last Update Posted (Actual)

May 22, 2026

Last Update Submitted That Met QC Criteria

May 18, 2026

Last Verified

May 1, 2026

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • NecmettinErbakanUU

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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