Blended Learning for Psychosocial Nursing Diagnoses

June 24, 2026 updated by: Esra Baysak, University of Yalova

The Effect of Blended Learning Approach on Psychosocial Nursing Diagnoses in Nursing Students: A Randomized Controlled Study

The nursing process is a systematic approach forming the basis of professional nursing care. Literature indicates that nursing students experience the most difficulty in determining nursing diagnoses, often focusing predominantly on physical needs while neglecting psychosocial, social, and spiritual dimensions. This situation limits the effective implementation of holistic care. The purpose of this study is to evaluate the effect of a case-based blended learning approach developed for nursing students on their knowledge levels and skills in differentiating, correlating, and accurately expressing psychosocial nursing diagnoses. It is anticipated that the findings obtained will contribute to enriching the content of nursing curricula and improving instructional methods.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

This randomized controlled trial is designed to determine the impact of a structured, model-based blended learning education program on nursing students' competencies in identifying psychosocial nursing diagnoses based on clinical data, prioritizing these diagnoses, and justifying them according to nursing terminology.

The educational content is planned as a total of three sessions. Utilizing a case-based approach, the curriculum will address:

  • Sexuality and body image based on the PLISSIT (The PLISSIT Model of Sex Therapy) model,
  • Spirituality and hopelessness based on the FICA (The FICA Spiritual History Tool) model,
  • Social isolation and role performance based on Gordon's Functional Health Patterns Model,
  • Loss, death, and the grieving process based on the Kübler-Ross model.

The educational process will be conducted in line with a blended learning approach, combining traditional face-to-face education methods with digital learning environments and interactive video-supported learning materials. This approach aims to provide students with flexibility in accessing information, support different learning styles, and reinforce the learning process through instant feedback. The study aims to strengthen students' competencies in analyzing underlying psychosocial needs from a holistic perspective and reflecting these assessments in care plans.

Study Type

Interventional

Enrollment (Estimated)

52

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

  • Turkey (Türkiye)
    • Yalova
      • Yalova, Yalova, Turkey (Türkiye), 77200
        • Recruiting
        • Yalova University, Faculty of Health Sciences
        • Contact:

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 enrolled as a nursing student at the institution where the research is conducted
  • Volunteering to participate in the study

Exclusion Criteria:

- Refusing 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: Health Services Research
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
No Intervention: Standard Education Group
Nursing students who follow the standard traditional nursing education curriculum without any additional blended learning intervention (n=26).
Experimental: Blended Learning Group
A educational program consisting of three sessions using interactive video-supported learning materials (H5P) and case studies focused on psychosocial nursing diagnoses.
Behavioral: Case-Based Blended Learning Module
A educational program consisting of three sessions using interactive video-supported learning materials (H5P) and case studies focused on psychosocial nursing diagnoses.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Psychosocial Nursing Diagnosis Information Form
Time Frame: Baseline (pre-test) and post-test upon completion of the 4-week education module
Knowledge levels will be evaluated using the "Psychosocial Nursing Diagnoses Knowledge Form" developed by the researchers. It consists of 20 questions regarding the definition, defining characteristics, and related factors of psychosocial nursing diagnoses. Higher scores indicate a higher level of theoretical knowledge.
Baseline (pre-test) and post-test upon completion of the 4-week education module
Psychosocial Nursing Diagnostic Skills Form
Time Frame: Baseline (pre-test) and post-test upon completion of the 4-week education module
Diagnostic skills will be evaluated using the "Psychosocial Nursing Diagnoses Skill Form" developed by the researchers. It consists of 4 case studies and 20 questions aimed at identifying specific psychosocial nursing diagnoses. Higher scores indicate a higher level of practical diagnostic skill and competency.
Baseline (pre-test) and post-test upon completion of the 4-week education module

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Perception of Nursing Diagnoses Scale Score
Time Frame: Baseline (pre-test) and post-test upon completion of the 4-week education module
Perceptions regarding nursing diagnoses will be evaluated using the "Perception of Nursing Diagnoses Scale". It consists of 30 items across four sub-dimensions, rated on a 5-point Likert scale (1=Strongly disagree, 5=Strongly agree). The final score is calculated by dividing the total score by the number of items, resulting in a score ranging from 1 to 5. Lower scores indicate a more positive perception of nursing diagnoses.
Baseline (pre-test) and post-test upon completion of the 4-week education module

Collaborators and Investigators

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

Sponsor

University of Yalova

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)

June 9, 2026

Primary Completion (Estimated)

October 1, 2026

Study Completion (Estimated)

February 1, 2027

Study Registration Dates

First Submitted

June 14, 2026

First Submitted That Met QC Criteria

June 24, 2026

First Posted (Actual)

June 26, 2026

Study Record Updates

Last Update Posted (Actual)

June 26, 2026

Last Update Submitted That Met QC Criteria

June 24, 2026

Last Verified

June 1, 2026

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 2026/196

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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