Jigsaw Cooperative Learning for Pediatric Pain Education in Undergraduate Nursing Students
Effectiveness of the Jigsaw Cooperative Learning Method on Undergraduate Nursing Students' Competencies in Pediatric Pain Management: A Multicenter Randomized Controlled Trial
Background
Despite growing evidence supporting active learning methodologies in nursing education, limited evidence is available regarding the effectiveness of the Jigsaw cooperative learning technique in improving undergraduate nursing students' competencies in pediatric pain management.
Objective
To evaluate whether the Jigsaw cooperative learning method improves nursing students' knowledge and attitudes regarding pediatric pain management compared with traditional lecture-based education.
Methods
This multicenter, parallel-group randomized controlled trial will be conducted among third-year undergraduate nursing students from the University of Perugia and Unilink University (Italy). Participants will be randomly allocated (1:1) to either a Jigsaw-based educational intervention or traditional lecture-based teaching. Knowledge and attitudes will be assessed using the Italian validated Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS) at baseline (T0), immediately after the intervention (T1), and 30 days later (T2). Student satisfaction will also be evaluated using a Visual Analogue Scale (VAS).
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This multicenter randomized controlled trial aims to evaluate the effectiveness of the Jigsaw cooperative learning technique in undergraduate nursing education.
Participants will be recruited from two Italian universities offering undergraduate nursing programs.
Following written informed consent, eligible participants will complete baseline assessment using the Italian validated Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS).
Participants will then be randomized (1:1), using computer-generated block randomization stratified by study site, to either:
Jigsaw cooperative learning Traditional lecture-based education
Both groups will receive identical educational content concerning pediatric pain management.
The intervention will last two weeks with approximately five hours of structured educational activities.
Outcome assessments will be performed immediately after the intervention (T1) and at 30-day follow-up (T2).
The primary endpoint will be the total PNKAS score immediately after the intervention.
Secondary outcomes include knowledge retention, longitudinal score changes, effect size estimation, and student satisfaction.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: FABRIZIO FAINA, RN, MSN
- Phone Number: +393472651617
- Email: fabrizio.faina@gmail.com
Study Locations
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Perugia, Italy
- UNIVERSITY OF PERUGIA - Degree Course in Nursing
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Contact:
- GIANDOMENICO GIUSTI, RN,MSN
- Phone Number: +390755858021
- Email: GIANDOMENICO.GIUSTI@UNIPG.IT
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Third-year undergraduate nursing student.
- Attendance of the pediatric nursing course.
- Written informed consent.
Exclusion Criteria:
- Previous advanced education in pediatric pain management.
- Failure to complete baseline assessment.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Jigsaw Cooperative Learning
Educational intervention based on the Jigsaw cooperative learning technique.
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Educational intervention based on the Jigsaw cooperative learning technique
|
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Active Comparator: Traditional Lecture-Based Education
Conventional lecture-based teaching covering identical educational content.
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Conventional lecture-based teaching covering identical educational content
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Total Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS) score.
Time Frame: Immediately after intervention (T1)
|
Total score on the Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS).
The PNKAS consists of 42 items with a total score ranging from 0 to 42, where higher scores indicate greater knowledge and more appropriate attitudes toward pediatric pain management.
|
Immediately after intervention (T1)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS) score change from baseline (T0) to T1
Time Frame: Immediately after intervention
|
Change in the total score on the Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS) from baseline (T0) to immediately after the intervention (T1).
The total score ranges from 0 to 42.
Higher scores indicate better knowledge and attitudes regarding pediatric pain management.
|
Immediately after intervention
|
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Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS) score at 30-day follow-up
Time Frame: 30 days
|
Total score on the Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS) at 30-day follow-up (T2).
The total score ranges from 0 to 42.
Higher scores indicate better knowledge and attitudes regarding pediatric pain management.
|
30 days
|
|
Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS) score change from T1 to T2
Time Frame: 30 days
|
Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS) score change from T1 to T2
|
30 days
|
|
Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS) score change from T0 to T2
Time Frame: 30 days
|
Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS) score change from T0 to T2
|
30 days
|
|
Student satisfaction assessed by Visual Analogue Scale (0-10)
Time Frame: Immediately after intervention
|
Student satisfaction measured using a 10-cm Visual Analogue Scale (VAS), ranging from 0 to 10, where 0 indicates "not satisfied at all" and 10 indicates "extremely satisfied."
Higher scores indicate greater satisfaction with the educational intervention.
|
Immediately after intervention
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- UNIPG-JIGSAW-PAIN-RCT-2026-01
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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