Effects of Structured Clinical Teaching on Nursing Students' Motivation, Learning Strategies, and Attitudes Toward Clinical Practice (SCTN)

September 7, 2026 updated by: Melike ERTEM, Izmir Katip Celebi University

The Effect of a Structured Educational Intervention in Clinical Teaching on Nursing Students' Motivation, Learning Strategies, and Clinical Attitudes

This study will evaluate whether a structured clinical teaching approach improves nursing students' motivation, learning strategies, and attitudes toward clinical practice. A total of 137 second-year nursing students will be randomly assigned to either a structured clinical teaching group or a routine clinical teaching group.

The structured clinical teaching group will take part in interactive learning activities such as question-and-answer sessions, discussions, microteaching, concept mapping, structured feedback, and teach-back during a 7-week clinical education period. The control group will continue with the routine clinical teaching process. Participants will complete questionnaires before and after the intervention to assess changes in motivation, learning strategies, and attitudes toward clinical practice.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Detailed Description

This randomized controlled educational intervention study will be conducted with second-year undergraduate nursing students enrolled in the Nursing Education course and participating in clinical practice. Participants who provide informed consent will complete baseline assessments and will then be randomly assigned to either the structured clinical teaching group or the routine clinical teaching group.

The structured clinical teaching intervention will be implemented over 7 weeks. The intervention will include clarification of clinical learning goals, interactive question-and-answer activities, guided discussions, microteaching sessions, structured feedback, concept mapping, use of teaching materials, case-based discussion, reflective sharing, and teach-back during patient education. The control group will continue the routine clinical teaching process according to the standard course implementation.

Motivation and learning strategies will be assessed using the Turkish version of the Motivated Strategies for Learning Questionnaire, and attitudes toward clinical practice will be assessed using the Attitude Toward Clinical Practice Scale for Nursing Students. These measures will be administered before the intervention and again at the end of the 7-week period. The main analyses will compare post-intervention outcomes between groups while accounting for baseline measurements.

Study Type

Interventional

Enrollment (Estimated)

137

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

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:

  • Second-year undergraduate nursing student at Izmir Katip Celebi University
  • Enrolled in the Nursing Education course
  • Participating in the clinical practice component of the course
  • Willing to participate voluntarily in the study
  • Providing informed consent

Exclusion Criteria:

  • Incomplete completion of the data collection forms
  • Failure to participate in either the pre-intervention or post-intervention assessment

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: Structured Clinical Teaching Group
Participants assigned to this arm will receive a 7-week structured clinical teaching intervention in addition to the routine clinical course activities. The intervention will include clarification of clinical learning goals, interactive question-and-answer sessions, guided discussions, microteaching activities, structured feedback, concept mapping, use of teaching materials, case-based discussion, reflective sharing, and teach-back during patient education.
Behavioral: Structured Clinical Teaching Intervention
The structured clinical teaching intervention is a 7-week educational program delivered during clinical practice. It combines predefined clinical learning goals with interactive question-and-answer sessions, guided discussions, three microteaching activities, structured feedback from peers and the instructor, concept mapping, use of teaching materials, case-based discussion, reflective sharing, and teach-back during patient education. The intervention is implemented in addition to the routine clinical course activities and is designed to promote active participation, motivation, use of learning strategies, and positive attitudes toward clinical practice.
Active Comparator: Routine Clinical Teaching Group
Participants assigned to this arm will receive the routine clinical teaching process provided within the Nursing Education course. Clinical teaching activities will continue according to the standard course implementation without the additional structured teaching components provided to the experimental group.
Behavioral: Routine Clinical Teaching
Routine clinical teaching provided within the Nursing Education course according to the standard course implementation. Participants receive the usual clinical teaching activities without the additional structured components used in the experimental group, such as planned microteaching sessions, structured feedback, concept mapping, and teach-back.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in Motivation Score on the Motivated Strategies for Learning Questionnaire
Time Frame: At baseline, during Week 1 before randomization and intervention, and at the end of Week 7
Motivation will be assessed using the 31-item motivation section of the Turkish version of the Motivated Strategies for Learning Questionnaire (MSLQ). Each item is rated on a 7-point Likert scale from 1 to 7. The scale assesses students' motivational orientations toward learning. Higher scores indicate a higher level of learning motivation.
At baseline, during Week 1 before randomization and intervention, and at the end of Week 7
Change in Learning Strategies Score on the Motivated Strategies for Learning Questionnaire
Time Frame: At baseline, during Week 1 before randomization and intervention, and at the end of Week 7 immediately after completion of the intervention
Learning strategies will be assessed using the 50-item learning strategies section of the Turkish version of the Motivated Strategies for Learning Questionnaire (MSLQ). Each item is rated on a 7-point Likert scale from 1 to 7. The learning strategies section comprises nine subscales assessing students' cognitive, metacognitive, and resource management strategies used during learning. Subscale scores will be calculated according to the validated scoring procedure.
At baseline, during Week 1 before randomization and intervention, and at the end of Week 7 immediately after completion of the intervention

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in Attitude Toward Clinical Practice Score
Time Frame: At baseline, during Week 1 before randomization and intervention, and at the end of Week 7 immediately after completion of the intervention
Attitudes toward clinical practice will be assessed using the 26-item Attitude Toward Clinical Practice Scale for Nursing Students. Each item is rated on a 5-point Likert scale from 1 to 5. The scale comprises four subscales: beliefs and expectations toward clinical practice, positive approach toward clinical practice, negative approach toward clinical practice, and personal development. Items 9-12, 22, 24, and 25 are reverse scored. Higher overall scores indicate more positive attitudes toward clinical practice.
At baseline, during Week 1 before randomization and intervention, and at the end of Week 7 immediately after completion of the intervention

Collaborators and Investigators

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

Sponsor

Izmir Katip Celebi 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)

September 14, 2026

Primary Completion (Estimated)

October 26, 2026

Study Completion (Estimated)

October 26, 2026

Study Registration Dates

First Submitted

September 7, 2026

First Submitted That Met QC Criteria

September 7, 2026

First Posted (Actual)

September 11, 2026

Study Record Updates

Last Update Posted (Actual)

September 11, 2026

Last Update Submitted That Met QC Criteria

September 7, 2026

Last Verified

September 1, 2026

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • SCTN-2026-01

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

IPD Plan Description

De-identified individual participant data underlying the published results may be shared upon reasonable request to the corresponding investigator, subject to ethical approval, institutional policies, and applicable data protection requirements.

IPD Sharing Time Frame

Beginning 6 months after publication of the study results and available for 5 years thereafter.

IPD Sharing Access Criteria

De-identified individual participant data and the selected supporting documents will be available to qualified researchers upon reasonable request to the corresponding investigator. Requests should include a brief research proposal describing the purpose of the analysis. Access will be considered subject to ethical approval, institutional policies, and applicable data protection requirements. Data will be shared only for scientifically valid research purposes and only after approval of the request.

IPD Sharing Supporting Information Type

  • STUDY_PROTOCOL
  • ICF

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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