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Effects of Structured Clinical Teaching on Nursing Students' Motivation, Learning Strategies, and Attitudes Toward Clinical Practice (SCTN)

7 september 2026 uppdaterad av: Melike ERTEM, Izmir Katip Celebi University

The Effect of a Structured Educational Intervention in Clinical Teaching on Nursing Students' Motivation, Learning Strategies, and Clinical Attitudes

This study will evaluate whether a structured clinical teaching approach improves nursing students' motivation, learning strategies, and attitudes toward clinical practice. A total of 137 second-year nursing students will be randomly assigned to either a structured clinical teaching group or a routine clinical teaching group.

The structured clinical teaching group will take part in interactive learning activities such as question-and-answer sessions, discussions, microteaching, concept mapping, structured feedback, and teach-back during a 7-week clinical education period. The control group will continue with the routine clinical teaching process. Participants will complete questionnaires before and after the intervention to assess changes in motivation, learning strategies, and attitudes toward clinical practice.

Studieöversikt

Detaljerad beskrivning

This randomized controlled educational intervention study will be conducted with second-year undergraduate nursing students enrolled in the Nursing Education course and participating in clinical practice. Participants who provide informed consent will complete baseline assessments and will then be randomly assigned to either the structured clinical teaching group or the routine clinical teaching group.

The structured clinical teaching intervention will be implemented over 7 weeks. The intervention will include clarification of clinical learning goals, interactive question-and-answer activities, guided discussions, microteaching sessions, structured feedback, concept mapping, use of teaching materials, case-based discussion, reflective sharing, and teach-back during patient education. The control group will continue the routine clinical teaching process according to the standard course implementation.

Motivation and learning strategies will be assessed using the Turkish version of the Motivated Strategies for Learning Questionnaire, and attitudes toward clinical practice will be assessed using the Attitude Toward Clinical Practice Scale for Nursing Students. These measures will be administered before the intervention and again at the end of the 7-week period. The main analyses will compare post-intervention outcomes between groups while accounting for baseline measurements.

Studietyp

Interventionell

Inskrivning (Beräknad)

137

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Vuxen
  • Äldre vuxen

Tar emot friska volontärer

Ja

Beskrivning

Inclusion Criteria:

  • Second-year undergraduate nursing student at Izmir Katip Celebi University
  • Enrolled in the Nursing Education course
  • Participating in the clinical practice component of the course
  • Willing to participate voluntarily in the study
  • Providing informed consent

Exclusion Criteria:

  • Incomplete completion of the data collection forms
  • Failure to participate in either the pre-intervention or post-intervention assessment

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Övrig
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Enda

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: Structured Clinical Teaching Group
Participants assigned to this arm will receive a 7-week structured clinical teaching intervention in addition to the routine clinical course activities. The intervention will include clarification of clinical learning goals, interactive question-and-answer sessions, guided discussions, microteaching activities, structured feedback, concept mapping, use of teaching materials, case-based discussion, reflective sharing, and teach-back during patient education.
The structured clinical teaching intervention is a 7-week educational program delivered during clinical practice. It combines predefined clinical learning goals with interactive question-and-answer sessions, guided discussions, three microteaching activities, structured feedback from peers and the instructor, concept mapping, use of teaching materials, case-based discussion, reflective sharing, and teach-back during patient education. The intervention is implemented in addition to the routine clinical course activities and is designed to promote active participation, motivation, use of learning strategies, and positive attitudes toward clinical practice.
Aktiv komparator: Routine Clinical Teaching Group
Participants assigned to this arm will receive the routine clinical teaching process provided within the Nursing Education course. Clinical teaching activities will continue according to the standard course implementation without the additional structured teaching components provided to the experimental group.
Routine clinical teaching provided within the Nursing Education course according to the standard course implementation. Participants receive the usual clinical teaching activities without the additional structured components used in the experimental group, such as planned microteaching sessions, structured feedback, concept mapping, and teach-back.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Change in Motivation Score on the Motivated Strategies for Learning Questionnaire
Tidsram: At baseline, during Week 1 before randomization and intervention, and at the end of Week 7
Motivation will be assessed using the 31-item motivation section of the Turkish version of the Motivated Strategies for Learning Questionnaire (MSLQ). Each item is rated on a 7-point Likert scale from 1 to 7. The scale assesses students' motivational orientations toward learning. Higher scores indicate a higher level of learning motivation.
At baseline, during Week 1 before randomization and intervention, and at the end of Week 7
Change in Learning Strategies Score on the Motivated Strategies for Learning Questionnaire
Tidsram: At baseline, during Week 1 before randomization and intervention, and at the end of Week 7 immediately after completion of the intervention
Learning strategies will be assessed using the 50-item learning strategies section of the Turkish version of the Motivated Strategies for Learning Questionnaire (MSLQ). Each item is rated on a 7-point Likert scale from 1 to 7. The learning strategies section comprises nine subscales assessing students' cognitive, metacognitive, and resource management strategies used during learning. Subscale scores will be calculated according to the validated scoring procedure.
At baseline, during Week 1 before randomization and intervention, and at the end of Week 7 immediately after completion of the intervention

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Change in Attitude Toward Clinical Practice Score
Tidsram: At baseline, during Week 1 before randomization and intervention, and at the end of Week 7 immediately after completion of the intervention
Attitudes toward clinical practice will be assessed using the 26-item Attitude Toward Clinical Practice Scale for Nursing Students. Each item is rated on a 5-point Likert scale from 1 to 5. The scale comprises four subscales: beliefs and expectations toward clinical practice, positive approach toward clinical practice, negative approach toward clinical practice, and personal development. Items 9-12, 22, 24, and 25 are reverse scored. Higher overall scores indicate more positive attitudes toward clinical practice.
At baseline, during Week 1 before randomization and intervention, and at the end of Week 7 immediately after completion of the intervention

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Beräknad)

14 september 2026

Primärt slutförande (Beräknad)

26 oktober 2026

Avslutad studie (Beräknad)

26 oktober 2026

Studieregistreringsdatum

Först inskickad

7 september 2026

Först inskickad som uppfyllde QC-kriterierna

7 september 2026

Första postat (Faktisk)

11 september 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

11 september 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

7 september 2026

Senast verifierad

1 september 2026

Mer information

Termer relaterade till denna studie

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

JA

IPD-planbeskrivning

De-identified individual participant data underlying the published results may be shared upon reasonable request to the corresponding investigator, subject to ethical approval, institutional policies, and applicable data protection requirements.

Tidsram för IPD-delning

Beginning 6 months after publication of the study results and available for 5 years thereafter.

Kriterier för IPD Sharing Access

De-identified individual participant data and the selected supporting documents will be available to qualified researchers upon reasonable request to the corresponding investigator. Requests should include a brief research proposal describing the purpose of the analysis. Access will be considered subject to ethical approval, institutional policies, and applicable data protection requirements. Data will be shared only for scientifically valid research purposes and only after approval of the request.

IPD-delning som stöder informationstyp

  • STUDY_PROTOCOL
  • ICF

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

Nej

Studerar en amerikansk FDA-reglerad produktprodukt

Nej

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