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ChatGPT-Supported Metacognitive Feedback in Nursing Students

15. august 2026 oppdatert av: Devrim Özge YILMAZ, Izmir Katip Celebi University

Effects of ChatGPT-Supported Metacognitive Feedback on Nursing Students' Clinical Reasoning and Self-Regulated Learning

This randomized controlled study aims to evaluate the effects of ChatGPT-supported metacognitive feedback on nursing students' metacognitive awareness and self-regulated learning during clinical nursing practice. A total of 140 fourth-year nursing students will be randomly assigned in a 1:1 ratio to an intervention group or a control group. Students in the intervention group will receive structured ChatGPT-supported metacognitive feedback based on reflective learning prompts, while students in the control group will continue routine clinical education and receive traditional verbal and written feedback from clinical instructors. Data will be collected before and after the intervention using a demographic information form, the Metacognitive Awareness Inventory, and the Self-Regulated Learning Scale in Clinical Nursing Practice. The study is designed as a pretest-posttest parallel-group randomized controlled trial.

Studieoversikt

Studietype

Intervensjonell

Registrering (Antatt)

106

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

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

  • Voksen
  • Eldre voksen

Tar imot friske frivillige

Ja

Beskrivelse

Inclusion Criteria:

  • Age 18 years or older
  • Being a fourth-year nursing student at Ege University Faculty of Nursing during the 2025-2026 academic year
  • Actively participating in clinical practice during the study period
  • Voluntarily agreeing to participate in the study and providing informed consent
  • Agreeing to participate in the ChatGPT-supported metacognitive feedback process if assigned to the intervention group

Exclusion Criteria:

  • Withdrawing from the study at any time
  • Incomplete or incorrectly completed pretest or posttest assessments
  • Failure to participate regularly in the intervention process, including failure to complete the learning plan and reflective evaluations in the intervention group
  • Having a serious health, psychological, or cognitive condition that may affect clinical practice or learning behaviors, based on self-report

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: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: ChatGPT-Supported Metacognitive Feedback
Participants in this arm will receive ChatGPT-supported metacognitive feedback during clinical nursing practice. Students will prepare brief reflective texts about their learning processes, and these reflections will be evaluated through a structured metacognitive feedback framework using ChatGPT. The feedback will focus on planning, monitoring, and evaluating learning strategies and will not provide clinical decisions, treatment recommendations, or judgments about the correctness of patient care.
Participants assigned to the experimental group will receive ChatGPT-supported metacognitive feedback during clinical nursing practice for up to six weeks. Students will prepare structured reflective texts focusing on their learning goals, strategies, monitoring, and self-evaluation. These reflections will be processed using a researcher-developed metacognitive feedback framework with ChatGPT. ChatGPT will generate metacognitive and Socratic prompts intended to support students' awareness and regulation of their learning processes. No patient-identifying information will be entered into ChatGPT, and ChatGPT will not provide clinical decisions, treatment recommendations, or judgments regarding the correctness of patient care.
Aktiv komparator: Routine Clinical Education
Participants in this arm will continue routine clinical nursing education. They will prepare patient education plans as part of their usual clinical practice and will receive traditional verbal and written feedback from clinical instructors and faculty members. No ChatGPT-supported metacognitive feedback will be provided during the study period.
Participants assigned to the control group will continue routine clinical nursing education during the study period. Students will participate in their usual clinical practice and prepare patient education plans as part of their standard educational activities. They will receive traditional verbal and written feedback from clinical instructors and faculty members. No ChatGPT-supported metacognitive feedback will be provided to the control group during the intervention period.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Change in Metacognitive Awareness
Tidsramme: Baseline and immediately after the 6-week intervention
Metacognitive awareness will be assessed using the Metacognitive Awareness Inventory. The inventory evaluates metacognitive knowledge and metacognitive regulation. Higher scores indicate higher levels of metacognitive awareness. Changes in scores from baseline to post-intervention will be compared between the intervention and control groups.
Baseline and immediately after the 6-week intervention
Change in Self-Regulated Learning in Clinical Nursing Practice
Tidsramme: Baseline and immediately after the 6-week intervention
Self-regulated learning will be assessed using the Self-Regulated Learning Scale in Clinical Nursing Practice. The 16-item scale includes motivation and learning strategies domains. Higher scores indicate higher levels of self-regulated learning. Changes in scores from baseline to post-intervention will be compared between the intervention and control groups.
Baseline and immediately after the 6-week intervention

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

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)

24. august 2026

Primær fullføring (Antatt)

1. oktober 2026

Studiet fullført (Antatt)

1. oktober 2026

Datoer for studieregistrering

Først innsendt

12. august 2026

Først innsendt som oppfylte QC-kriteriene

12. august 2026

Først lagt ut (Faktiske)

17. august 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

18. august 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

15. august 2026

Sist bekreftet

1. august 2026

Mer informasjon

Begreper knyttet til denne studien

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

NEI

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

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