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Integrating AI-Assisted Design Thinking Into Nursing Education

14 de agosto de 2026 actualizado por: 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.

Descripción general del estudio

Estado

Aún no reclutando

Descripción detallada

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.

Tipo de estudio

Intervencionista

Inscripción (Estimado)

80

Fase

  • No aplica

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Estudio Contacto

  • Nombre: Carmen WH Chan, PhD
  • Número de teléfono: +852 39436218
  • Correo electrónico: whchan@cuhk.edu.hk

Copia de seguridad de contactos de estudio

Ubicaciones de estudio

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

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

  • Niño
  • Adulto
  • Adulto Mayor

Acepta Voluntarios Saludables

Sí

Descripción

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.

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Otro
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Único

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: 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.
Otro: 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.

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Empathy
Periodo de tiempo: 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.

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Creativity, collaboration, problem-solving
Periodo de tiempo: 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
Periodo de tiempo: 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
Periodo de tiempo: After intervention, at 12 weeks from enrollment.
Evaluate by semi-structured interviews on the Intervention group
After intervention, at 12 weeks from enrollment.

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Investigadores

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

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Estimado)

25 de agosto de 2026

Finalización primaria (Estimado)

24 de mayo de 2027

Finalización del estudio (Estimado)

24 de agosto de 2027

Fechas de registro del estudio

Enviado por primera vez

1 de agosto de 2026

Primero enviado que cumplió con los criterios de control de calidad

14 de agosto de 2026

Publicado por primera vez (Actual)

17 de agosto de 2026

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

17 de agosto de 2026

Última actualización enviada que cumplió con los criterios de control de calidad

14 de agosto de 2026

Última verificación

1 de agosto de 2026

Más información

Términos relacionados con este estudio

Otros números de identificación del estudio

  • TDLEG_496_PR
  • SBRE-25-1206 (Otro identificador: Survey and Behavioral Research Ethics)

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

NO

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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