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Integrating AI-Assisted Design Thinking Into Nursing Education

14. srpna 2026 aktualizováno: Carmen Chan Yip Wing-han, Chinese University of Hong Kong

Integrating Design Thinking Into Undergraduate Nursing Education to Nurture Empathy and Enhance Empathetic Communication: a Wait List RCT

The goal of this randomized controlled trial is to test whether an AI-assisted design thinking workshop can improve empathetic communication in undergraduate nursing students at The Chinese University of Hong Kong. The main questions it aims to answer are:

Does the workshop improve students' empathy, creativity, collaboration, problem-solving, and patient-centred care attitudes?

How do students experience the design thinking and AI-supported learning activities?

Researchers will compare the intervention group with a wait-list control group to see whether the workshop leads to better outcomes.

Participants will:

complete a baseline questionnaire before the workshop;

be randomly assigned to receive the workshop now or later;

attend two tutorials in the intervention group, including design thinking activities and AI-simulated clinical scenarios;

complete a follow-up questionnaire after the workshop;

and, for some participants, join a short interview about their learning experience.

Přehled studie

Postavení

Zatím nenabíráme

Detailní popis

The study uses a mixed-methods, wait-list randomized controlled trial to evaluate an AI-assisted design thinking workshop for undergraduate nursing students. First, an AI chatbot is co-designed in Phase 1 with 8 nursing faculty members and 8-10 students through a 3-hour workshop, followed by 4-6 weeks of chatbot development and validation. The workshop uses design thinking activities including empathy mapping, patient journey mapping, "How Might We" framing, prototyping, and feedback gathering to define learning needs and chatbot functions. The IT team then builds the chatbot using the workshop outputs, including scenario scripts, response frameworks, assessment criteria, and bilingual English/Cantonese requirements. In Phase 2, 80 eligible Year 2 nursing students are randomly assigned to an intervention group or a wait-list control group. All participants complete baseline and post-intervention questionnaires measuring empathy, creativity, collaboration, problem-solving, and patient-centred care attitudes. The intervention group receives two 90-minute tutorials: one on design thinking fundamentals and one on AI-simulated clinical scenarios. During the second tutorial, students rotate through different scenarios while tutors provide small-group guidance. Participants in the intervention group may also take part in semi-structured interviews to describe their experiences. Quantitative data will be summarized descriptively, and qualitative data from interviews, open-ended responses, and workshop observations will be analyzed using content analysis.

Typ studie

Intervenční

Zápis (Odhadovaný)

80

Fáze

  • Nelze použít

Kontakty a umístění

Tato část poskytuje kontaktní údaje pro ty, kteří studii provádějí, a informace o tom, kde se tato studie provádí.

Studijní kontakt

  • Jméno: Carmen WH Chan, PhD
  • Telefonní číslo: +852 39436218
  • E-mail: whchan@cuhk.edu.hk

Studijní záloha kontaktů

Studijní místa

      • Hong Kong, Hongkong
        • The Nethersole School of Nursing, The Chinese University of Hong Kong

Kritéria účasti

Výzkumníci hledají lidi, kteří odpovídají určitému popisu, kterému se říká kritéria způsobilosti. Některé příklady těchto kritérií jsou celkový zdravotní stav osoby nebo předchozí léčba.

Kritéria způsobilosti

Věk způsobilý ke studiu

  • Dítě
  • Dospělý
  • Starší dospělý

Přijímá zdravé dobrovolníky

Ano

Popis

Inclusion Criteria:

  • Undergraduate nursing students enrolled in the Bachelor of Nursing programme at CUHK Nethersole School of Nursing.
  • Enrolled in the NURS 3127 course during the 2026-27 academic year.
  • Willing and able to provide verbal informed consent and participate voluntarily in the study.

Exclusion Criteria:

  • Students with prior participation in design-thinking workshops.

Studijní plán

Tato část poskytuje podrobnosti o studijním plánu, včetně toho, jak je studie navržena a co studie měří.

Jak je studie koncipována?

Detaily designu

  • Primární účel: Jiný
  • Přidělení: Randomizované
  • Intervenční model: Paralelní přiřazení
  • Maskování: Singl

Zbraně a zásahy

Skupina účastníků / Arm
Intervence / Léčba
Experimentální: Intervention Group
The intervention arm will receive an AI-assisted design thinking workshop aimed at strengthening empathetic communication in nursing education. The workshop includes two structured tutorials: the first introduces the design thinking process through activities such as empathy mapping, patient journey mapping, "How Might We" framing, and rapid paper prototyping based on real clinical communication challenges. The second tutorial uses a customized conversational AI chatbot to simulate patient scenarios, allowing students to practice responses in a safe learning environment. During the session, tutors will rotate among groups to provide small-group guidance, feedback, and debriefing. The intervention is intended to help students build empathy, creative thinking, collaboration, and patient-centred communication skills.
This intervention is distinct because it combines design thinking with a conversational AI chatbot to teach empathy in undergraduate nursing education. Rather than using lectures or standard simulation alone, it places students in an active, human-centred learning process that begins with empathy mapping and patient journey mapping, then moves to ideation, prototyping, and reflection. The chatbot provides realistic, bilingual clinical communication scenarios and immediate tailored feedback, including difficult situations such as breaking bad news, managing non-compliance, and responding to emotional or culturally complex encounters. The workshop is also developed through co-design with faculty and students, making the intervention closely aligned with actual learning needs and course context. In addition, the study uses a wait-list randomized controlled design, allowing comparison with usual learning while ensuring all students can eventually receive the workshop.
Jiný: Wait-list control group
The wait-list control group will complete the same baseline and follow-up questionnaires as the intervention group but will not receive the workshop during the main study period. Instead, they will continue with their usual learning activities and will be offered the AI-assisted design thinking workshop after the study data collection is completed.
This intervention is distinct because it combines design thinking with a conversational AI chatbot to teach empathy in undergraduate nursing education. Rather than using lectures or standard simulation alone, it places students in an active, human-centred learning process that begins with empathy mapping and patient journey mapping, then moves to ideation, prototyping, and reflection. The chatbot provides realistic, bilingual clinical communication scenarios and immediate tailored feedback, including difficult situations such as breaking bad news, managing non-compliance, and responding to emotional or culturally complex encounters. The workshop is also developed through co-design with faculty and students, making the intervention closely aligned with actual learning needs and course context. In addition, the study uses a wait-list randomized controlled design, allowing comparison with usual learning while ensuring all students can eventually receive the workshop.

Co je měření studie?

Primární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Empathy
Časové okno: The baseline assessment will be completed one week before the workshop. The post-intervention assessment will be completed within one week after the second tutorial at 12 weeks from enrollment.
Empathy will be measured with the Jefferson Scale of Empathy-Health Professions Student Version (JSE-HPS) which yields total scores ranging from 20 to 140; higher scores indicate greater empathy.
The baseline assessment will be completed one week before the workshop. The post-intervention assessment will be completed within one week after the second tutorial at 12 weeks from enrollment.

Sekundární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Creativity, collaboration, problem-solving
Časové okno: The baseline assessment will be completed one week before the workshop. The post-intervention assessment will be completed within one week after the second tutorial at 12 weeks from enrollment.
Creativity, collaboration, and problem-solving will be measured with the Student Engagement Questionnaire (SEQ). Each domain comprises two items rated on a 5-point Likert scale. The mean score for each domain will range from 1 to 5, with higher scores indicating greater perceived creativity, collaboration, and problem-solving ability.
The baseline assessment will be completed one week before the workshop. The post-intervention assessment will be completed within one week after the second tutorial at 12 weeks from enrollment.
Patient-centred care attitudes
Časové okno: The baseline assessment will be completed one week before the workshop. The post-intervention assessment will be completed within one week after the second tutorial at 12 weeks from enrollment. .
Patient-centred care attitudes will be measured using the Patient-Practitioner Orientation Scale (PPOS), an 18-item instrument comprising the sharing and caring subscales. Items are rated on a 6-point Likert scale, and the overall score will be calculated as the mean of all item scores, ranging from 1 to 6. Higher scores indicate more patient-centred care attitudes.
The baseline assessment will be completed one week before the workshop. The post-intervention assessment will be completed within one week after the second tutorial at 12 weeks from enrollment. .
Experiences and views on the workshop
Časové okno: After intervention, at 12 weeks from enrollment.
Evaluate by semi-structured interviews on the Intervention group
After intervention, at 12 weeks from enrollment.

Spolupracovníci a vyšetřovatelé

Zde najdete lidi a organizace zapojené do této studie.

Vyšetřovatelé

  • Vrchní vyšetřovatel: Carmen WH Chan, PhD, The Nethersole School of Nursing, The Chinese University of Hong Kong

Termíny studijních záznamů

Tato data sledují průběh záznamů studie a předkládání souhrnných výsledků na ClinicalTrials.gov. Záznamy ze studií a hlášené výsledky jsou před zveřejněním na veřejné webové stránce přezkoumány Národní lékařskou knihovnou (NLM), aby se ujistily, že splňují specifické standardy kontroly kvality.

Hlavní termíny studia

Začátek studia (Odhadovaný)

25. srpna 2026

Primární dokončení (Odhadovaný)

24. května 2027

Dokončení studie (Odhadovaný)

24. srpna 2027

Termíny zápisu do studia

První předloženo

1. srpna 2026

První předloženo, které splnilo kritéria kontroly kvality

14. srpna 2026

První zveřejněno (Aktuální)

17. srpna 2026

Aktualizace studijních záznamů

Poslední zveřejněná aktualizace (Aktuální)

17. srpna 2026

Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality

14. srpna 2026

Naposledy ověřeno

1. srpna 2026

Více informací

Termíny související s touto studií

Další identifikační čísla studie

  • TDLEG_496_PR
  • SBRE-25-1206 (Jiný identifikátor: Survey and Behavioral Research Ethics)

Plán pro data jednotlivých účastníků (IPD)

Plánujete sdílet data jednotlivých účastníků (IPD)?

NE

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Studuje lékový produkt regulovaný americkým FDA

Ne

Studuje produkt zařízení regulovaný americkým úřadem FDA

Ne

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