Integrating AI-Assisted Design Thinking Into Nursing Education
14. august 2026 oppdatert av: 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.
Studieoversikt
Status
Har ikke rekruttert ennå
Forhold
Intervensjon / Behandling
Detaljert beskrivelse
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.
Studietype
Intervensjonell
Registrering (Antatt)
80
Fase
- Ikke aktuelt
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiekontakt
- Navn: Carmen WH Chan, PhD
- Telefonnummer: +852 39436218
- E-post: whchan@cuhk.edu.hk
Studer Kontakt Backup
- Navn: Khanh Thi Nguyen, PhD
- Telefonnummer: +852 39435120
- E-post: khanhnguyen@cuhk.edu.hk
Studiesteder
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-
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Hong Kong, Hong Kong
- The Nethersole School of Nursing, The Chinese University of Hong Kong
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Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Barn
- Voksen
- Eldre voksen
Tar imot friske frivillige
Ja
Beskrivelse
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.
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Annen
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Enkelt
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
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Eksperimentell: 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.
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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.
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Annen: 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.
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Empathy
Tidsramme: 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.
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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.
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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.
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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Creativity, collaboration, problem-solving
Tidsramme: 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.
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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.
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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.
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Patient-centred care attitudes
Tidsramme: 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. .
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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.
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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. .
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Experiences and views on the workshop
Tidsramme: After intervention, at 12 weeks from enrollment.
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Evaluate by semi-structured interviews on the Intervention group
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After intervention, at 12 weeks from enrollment.
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Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Sponsor
Etterforskere
- Hovedetterforsker: Carmen WH Chan, PhD, The Nethersole School of Nursing, The Chinese University of Hong Kong
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart (Antatt)
25. august 2026
Primær fullføring (Antatt)
24. mai 2027
Studiet fullført (Antatt)
24. august 2027
Datoer for studieregistrering
Først innsendt
1. august 2026
Først innsendt som oppfylte QC-kriteriene
14. august 2026
Først lagt ut (Faktiske)
17. august 2026
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
17. august 2026
Siste oppdatering sendt inn som oppfylte QC-kriteriene
14. august 2026
Sist bekreftet
1. august 2026
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Andre studie-ID-numre
- TDLEG_496_PR
- SBRE-25-1206 (Annen identifikator: Survey and Behavioral Research Ethics)
Plan for individuelle deltakerdata (IPD)
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