Digital mikroindlæring og patientsikkerhed blandt sygeplejestuderende (DigiM-2026)
Effekten af digital mikroindlæring på patient sikkerhedsbevidsthed og klinisk beslutningstagning blandt sygeplejerskestuderende før kirurgisk klinisk praksis: Et randomiseret kontrolleret forsøg
Denne randomiserede kontrollerede undersøgelse har til formål at evaluere effekten af et patientsikkerheds-fokuseret digitalt mikrolæringsprogram på sygeplejerskestuderende, før de begynder deres kirurgiske kliniske praksis.
Sygeplejerskestuderende står ofte over for udfordringer relateret til patientsikkerhed og klinisk beslutningstagning under overgangen fra klasseundervisning til kliniske omgivelser. Denne undersøgelse vil undersøge, om korte, strukturede digitale læringsmoduler kan forbedre bevidsthed om patientsikkerhed, genkendelse af kliniske fejl og beslutningstagningsevner.
Andetårs bachelorstuderende i sygepleje vil blive tilfældigt tildelt enten en digital mikrolæringsinterventionsgruppe eller en kontrolgruppe, der modtager standardundervisning. Resultaterne vil blive målt før interventionen, umiddelbart efter interventionen og i løbet af den første uge af den kliniske praksis.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Overgangen fra præklinisk uddannelse til klinisk praksis repræsenterer en kritisk periode for patientsikkerhed blandt sygeplejerskestuderende. Under denne fase kan begrænset klinisk erfaring kombineret med øget ansvar øge risikoen for fejl relateret til patientsikkerhed og klinisk beslutningstagning. Uddannelsesstrategier, der styrker patientsikkerhedsbevidsthed og kognitiv beredskab før klinisk eksponering, er derfor essentielle.
Denne undersøgelse er designet som et enkeltcenter, parallelgruppe, randomiseret kontrolleret forsøg. Den vil blive gennemført på Sundhedsvidenskabelige Fakultet, Institut for Sygepleje, Agri Ibrahim Cecen Universitet. Deltagerne vil bestå af andetårs bachelorstuderende i sygepleje, der forbereder sig på at påbegynde kirurgisk klinisk praksis for første gang.
Efter baselinevurdering vil kvalificerede deltagere blive tilfældigt tildelt enten en interventionsgruppe eller en kontrolgruppe ved hjælp af stratificeret randomisering baseret på køn og karaktergennemsnit. Interventionsgruppen vil modtage et patientsikkerhedsfokuseret digitalt mikrolæringsprogram leveret online i syv på hinanden følgende dage. Programmet består af korte, scenariebaserede moduler, der varer cirka 3-5 minutter hver og adresserer emner som patientsikkerhedsrisici, klinisk fejlgenkendelse, prioritering og beslutningstagning under stress. Deltagerne vil kunne tilgå modulerne fleksibelt inden for en daglig tidsbegrænsning.
Kontrollen vil modtage standard patientsikkerhedsundervisning som en del af bacheloruddannelsen i sygepleje uden yderligere intervention.
Resultatmålinger vil blive indsamlet på tre tidspunkter: baseline før interventionen (T0), umiddelbart efter afslutningen af interventionen (T1) og under den første uge af kirurgisk klinisk praksis (T2). Primære resultater inkluderer ændringer i patientsikkerhedsbevidsthed og klinisk fejlgenkendelsespræstation. Sekundære resultater inkluderer klinisk beslutningstagning under stress, opfattet beredskab til klinisk praksis, selvtillid og acceptabilitet af det digitale mikrolæringsprogram.
Denne undersøgelse involverer kun en uddannelsesmæssig intervention og inkluderer ikke invasive procedurer, lægemidler eller medicinsk udstyr. Deltagelse er frivillig, og skriftlig informeret samtykke vil blive indhentet fra alle deltagere. Undersøgelsen er blevet indsendt til etisk gennemgang og vil blive gennemført i overensstemmelse med etiske principper for forskning, der involverer menneskelige deltagere.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: VOLKAN GOKMEN, Assistant Professor
- Telefonnummer: +905327390938
- E-mail: vgokmen@agri.edu.tr
Studiesteder
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Merkez
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AĞRI, Merkez, Tyrkiet (Türkiye), 04100
- Agri Ibrahim Cecen University Faculty of Health Sciences
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inklusionskriterier:
- Sygeplejestuderende på andet år
- Indskrevet på Det Sundhedsvidenskabelige Fakultet, Institut for Sygepleje
- Forbereder sig på at påbegynde kirurgisk klinisk praksis for første gang
- 18 år eller ældre
- Villig til at deltage og i stand til at give skriftlig informeret samtykke
Eksklusionskriterier:
- Tidligere erfaring med kirurgisk klinisk praksis
- Tidligere erhvervserfaring inden for sygepleje eller sundhedspleje
- Ufuldstændig baselinevurdering
- Afviser at deltage eller tilbagetrækker samtykke
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Sundhedstjenesteforskning
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
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Eksperimentel: Digital Microlearning Intervention Group
Participants received a seven-day patient-safety-focused digital microlearning program in addition to standard education before surgical clinical practice.
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A structured, mobile-optimized digital microlearning program delivered asynchronously over seven consecutive days.
Participants completed one scenario-based module per day, lasting approximately 3-5 minutes.
Each module included a surgical patient-safety scenario, a pause to identify the risk, a forced-choice retrieval question, corrective feedback, and a cue-action takeaway.
Content covered patient identification, medication safety, documentation omissions, deterioration cues, falls and other safety risks, prioritization, escalation, and clinical decision-making under stress.
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Ingen indgriben: Control Group Standard Education
Participants received the existing undergraduate curriculum without additional digital microlearning.
Standard education consisted of two two-hour surgical patient-safety lectures and a written guideline.
Participants then completed seven weeks of routine surgical clinical practice, one day per week, with the same usual supervision as the intervention group.
The control condition was not attention matched.
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Clinical Error Recognition Performance at Clinical Week 7 (T3)
Tidsramme: Baseline before the program (T0), immediately after completion of the seven-day intervention (T1), end of the first week of surgical clinical practice (T2), and end of the seventh week of surgical clinical practice (T3; principal endpoint).
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Clinical error recognition was assessed using alternate scenario-based forms drawn from an expert-reviewed bank of 15 retained surgical patient-safety scenarios.
Each assessment form contained 10 scored scenarios covering patient identification, medication safety, documentation, deterioration, falls, and escalation.
Each response was scored 1 for correct identification of the safety error and 0 for an incorrect or absent identification.
The form score was converted to a 0-100 scale as (number correct/10) × 100, yielding scores in 10-point units; higher scores indicate better clinical error recognition.
Alternate forms used patients, clinical cues, and action sequences distinct from the intervention scenarios.
T3 was the principal endpoint; T0, T1, and T2 measurements described the outcome trajectory.
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Baseline before the program (T0), immediately after completion of the seven-day intervention (T1), end of the first week of surgical clinical practice (T2), and end of the seventh week of surgical clinical practice (T3; principal endpoint).
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Clinical Decision-Making Under Stress
Tidsramme: Baseline before the program (T0), immediately after completion of the seven-day intervention (T1), end of the first week of surgical clinical practice (T2), and end of the seventh week of surgical clinical practice (T3).
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Clinical decision-making under stress was assessed using scenario-based evaluations that required participants to recognize, prioritize, and respond to patient-safety problems in stressful surgical clinical situations.
Scores were converted to a 0-100 scale, with higher scores indicating better decision-making performance under stress.
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Baseline before the program (T0), immediately after completion of the seven-day intervention (T1), end of the first week of surgical clinical practice (T2), and end of the seventh week of surgical clinical practice (T3).
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Patient Safety Awareness
Tidsramme: Baseline before the program (T0), immediately after completion of the seven-day intervention (T1), end of the first week of surgical clinical practice (T2), and end of the seventh week of surgical clinical practice (T3).
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Patient-safety awareness was assessed using the Patient Safety Awareness Questionnaire, which evaluates understanding of patient-safety principles, recognition of safety risks, and safe practices relevant to surgical care.
Scores were converted to a 0-100 scale, with higher scores indicating greater patient-safety awareness.
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Baseline before the program (T0), immediately after completion of the seven-day intervention (T1), end of the first week of surgical clinical practice (T2), and end of the seventh week of surgical clinical practice (T3).
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Clinical Practice Readiness
Tidsramme: Baseline before the program (T0), immediately after completion of the seven-day intervention (T1), end of the first week of surgical clinical practice (T2), and end of the seventh week of surgical clinical practice (T3).
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Perceived readiness for surgical clinical practice was assessed using the 12-item Clinical Placement Readiness Scale.
Item responses were transformed to a 0-100 score for analysis, with higher scores indicating greater perceived readiness for clinical practice.
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Baseline before the program (T0), immediately after completion of the seven-day intervention (T1), end of the first week of surgical clinical practice (T2), and end of the seventh week of surgical clinical practice (T3).
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Clinical Self-Confidence
Tidsramme: Baseline before the program (T0), immediately after completion of the seven-day intervention (T1), end of the first week of surgical clinical practice (T2), and end of the seventh week of surgical clinical practice (T3).
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Clinical self-confidence was assessed using a structured self-confidence measure addressing preparedness and the performance of patient-safety actions within supervised surgical clinical practice.
Scores were converted to a 0-100 scale, with higher scores indicating greater clinical self-confidence.
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Baseline before the program (T0), immediately after completion of the seven-day intervention (T1), end of the first week of surgical clinical practice (T2), and end of the seventh week of surgical clinical practice (T3).
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Acceptability of the Digital Microlearning Program
Tidsramme: Immediately after completion of the seven-day intervention (T1).
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Acceptability was assessed in the intervention group using a post-intervention questionnaire covering satisfaction, perceived usefulness, usability, and relevance to surgical clinical practice.
The total score ranged from 1 to 5, with higher scores indicating greater acceptability and perceived usefulness.
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Immediately after completion of the seven-day intervention (T1).
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Blinded Objective Transfer Composite
Tidsramme: End of the seventh week of surgical clinical practice (T3).
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Objective transfer at T3 was assessed using three independently administered performance tasks: an Objective Structured Clinical Examination safety station, a transfer vignette containing scenarios not used in the intervention, and a standardized escalation task.
Each component was z-standardized across the full randomized sample and assigned equal weight.
The mean of the three standardized components was transformed as 50 + 10 x mean(z).
Higher scores indicate better objective transfer of patient-safety learning.
Supervisor ratings were not included in this composite.
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End of the seventh week of surgical clinical practice (T3).
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EMA Behavioral Transfer Index
Tidsramme: Weekly during surgical clinical practice, weeks 1 through 7.
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Safety-oriented behavioral transfer during surgical clinical practice was assessed using one ecological momentary assessment prompt at the end of each scheduled clinical practice day.
The index comprised three binary actions: noticing a patient-safety risk, making an appropriate response, and escalating or discussing the concern with a supervisor.
The index was calculated as the mean of the three binary actions multiplied by 100, producing a score from 0 to 100.
Higher scores indicate stronger safety-oriented behavioral transfer.
EMA confidence, stress, reflective depth, and the contemporaneous note were separate contextual items and were not included in the index.
Free-text notes were not used in quantitative group-effect estimates or interview-derived qualitative themes.
Potentially identifying patient information was removed during data cleaning and was not retained in the analytical dataset.
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Weekly during surgical clinical practice, weeks 1 through 7.
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Andre resultatmål
Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Intervention Fidelity
Tidsramme: Throughout the seven-day intervention and summarized immediately after intervention completion (T1).
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Intervention fidelity was assessed from platform-recorded module completion (0-7 modules), completion percentage (0-100%), total time on task in minutes, retrieval-question accuracy (0-100%), proportion of corrective feedback viewed (0-100%), reminder-opening percentage (0-100%), and platform uptime (0-100%).
These measures described exposure and delivery fidelity and were not interpreted as clinical outcomes.
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Throughout the seven-day intervention and summarized immediately after intervention completion (T1).
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Unintended Effects and Access Burdens
Tidsramme: Weekly during surgical clinical practice, weeks 1 through 7, and at the end of the seventh clinical week (T3).
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Unintended effects and access burdens were prospectively elicited through weekly study prompts and a T3 assessment.
Each report was coded by event category (notification fatigue, temporary pre-placement anxiety, technical access frustration, minor extra stress, or data/connectivity barrier), severity, relatedness, action taken, resolution, and whether it led to discontinuation.
The outcome was summarized for each arm as the number of event reports by category and the number and percentage of participants reporting at least one event.
This was a count-based outcome, not a scale; no composite score or score range was used, and lower counts indicated fewer reported burdens.
Reports included both intervention-related experiences and burdens arising from the study's ecological momentary assessment and reminder procedures.
Notification or access reports in the control arm were not attributed to digital microlearning exposure.
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Weekly during surgical clinical practice, weeks 1 through 7, and at the end of the seventh clinical week (T3).
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Publikationer og nyttige links
Generelle publikationer
- World Health Organization. Patient safety curriculum guide: Multi-professional edition. Geneva: WHO; 2011.
- Lee SE, Morse BL, Kim NW. Patient safety educational interventions: A systematic review with recommendations for nurse educators. Nurs Open. 2022 Jul;9(4):1967-1979. doi: 10.1002/nop2.955. Epub 2021 May 28.
- De Gagne JC, Park HK, Hall K, Woodward A, Yamane S, Kim SS. Microlearning in Health Professions Education: Scoping Review. JMIR Med Educ. 2019 Jul 23;5(2):e13997. doi: 10.2196/13997.
- Hopewell S, Chan AW, Collins GS, Hrobjartsson A, Moher D, Schulz KF, Tunn R, Aggarwal R, Berkwits M, Berlin JA, Bhandari N, Butcher NJ, Campbell MK, Chidebe RCW, Elbourne D, Farmer A, Fergusson DA, Golub RM, Goodman SN, Hoffmann TC, Ioannidis JPA, Kahan BC, Knowles RL, Lamb SE, Lewis S, Loder E, Offringa M, Ravaud P, Richards DP, Rockhold FW, Schriger DL, Siegfried NL, Staniszewska S, Taylor RS, Thabane L, Torgerson D, Vohra S, White IR, Boutron I. CONSORT 2025 explanation and elaboration: updated guideline for reporting randomised trials. BMJ. 2025 Apr 14;389:e081124. doi: 10.1136/bmj-2024-081124.
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- Digital Microlearning-2026
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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