Clinical Research Directory

Effects of Concurrent Irrelevant Visual Stimuli on Learning Outcomes in Midwifery Education

This randomized controlled trial was designed to evaluate the effects of concurrent instructionally irrelevant visual stimuli on learning-related outcomes among third-year midwifery students. Participants were assigned to either a split-screen educational condition or a standard instructional condition. Both groups received the same 45-minute theoretical session on delivery-room management of the newborn. The intervention group was exposed to an unrelated soap-cutting video displayed concurrently with the educational presentation, whereas the control group received standard PowerPoint-supported instruction. The primary outcome was attitude toward learning. Secondary outcomes included theoretical knowledge, state anxiety, academic motivation, and satisfaction with the teaching method. Outcomes were assessed immediately after the educational session.

Amigurumi-based Breastfeeding Education Trial

This study was planned in a randomized controlled quasi-experimental design to determine the effect of breastfeeding education using a doll during pregnancy on newborn feeding. Necessary institutional and ethics committee permissions will be obtained before the study. Before data collection, the consent form will be read to the pregnant women who meet the inclusion criteria and volunteer to participate in the study and their written and verbal consent will be obtained. The information in the participant information form will be questioned before the training. In the prenatal period of the study, the Control group will be given the standard breastfeeding education applied by the institution verbally. In the intervention group, breastfeeding education prepared in line with the relevant literature will be given by the researchers. Individual breastfeeding training will be given to each participant by a researcher.

The Effect of Web-Based Simulation and Flipped Learning on Blood Pressure Education

The aim is to evaluate the impact of web-based simulation and flipped learning on nursing students' knowledge levels regarding blood pressure measurement and their self-directed learning skills.

The Effect of Dyadic Self-Care Education Provided to Breast Cancer Patient-Caregiver Dyads on Patient and Caregiver Outcomes

This randomized controlled trial aims to evaluate the effect of dyadic self-care education provided to breast cancer patient-caregiver dyads receiving outpatient chemotherapy on patient self-care behaviors, anxiety levels, and caregiver anxiety levels and caregiver burden. Participants will be randomly assigned to either a dyadic self-care education intervention or routine care. Outcomes will be assessed at baseline and follow-up using validated instruments.

Impact of Generative AI on University Students' Learning Processes and Critical Thinking

This study is a randomized, controlled trial with a pre-test/post-test design, conducted to determine the effects of Generative AI (GenAI)-supported learning on academic achievement, learning efficiency, and critical thinking within a university setting. The study population consists of students from the Dialysis Program at Bingöl University's Vocational School of Health Services; the sample comprises 100 volunteer students who met the inclusion criteria and were randomly assigned to either an experimental group (n=50) or a control group (n=50). The experimental group will participate in a "Generative AI-Supported Learning Program" over the course of one month-meeting two days a week for a total of eight 60-minute sessions-covering topics ranging from effective prompting techniques to case analysis and academic ethics; meanwhile, the control group will continue with their routine educational activities. Data will be collected using a Demographic Information Form, the Academic Achievement Inventory, the Critical Thinking Disposition Scale, and the Artificial Intelligence Dependency Scale, and will be analyzed using biostatistical methods (t-tests, ANCOVA, and effect size calculations).

The Effect of Education on Pregnant Women Perception of Traumatic Childbirth

During pregnancy, women are exposed to physical, psychological and social changes and may experience anxiety and fears about childbirth. Traumatic birth perception is defined as perceiving birth as a threat to oneself and one\'s baby. This perception can negatively affect women\'s lives in the postpartum period. Midwives are the primary health professionals in preventing traumatic birth perception. In this context, it is envisaged to create an important basis for preventing traumatic birth perception in pregnant women through the training to be given.

Generative AI-Assisted Teaching and Clinical Reasoning Among TCM Interns

This study evaluated the effects of generative artificial intelligence (GAI)-assisted education on clinical reasoning performance among traditional Chinese medicine (TCM) interns. An assessor-blinded, nonrandomized, cluster-controlled educational intervention study was conducted at three hospital branches in Taiwan. Participants were assigned to either a GAI-assisted education group or a conventional education group according to their clinical training sites. The intervention group received a three-hour introductory training session on ChatGPT and was encouraged to use the tool independently for clinical case analysis during subsequent clinical rotations. The control group received conventional clinical education without structured GAI-assisted training. The primary outcome was clinical reasoning performance, assessed through clinical case reports independently evaluated by two blinded TCM educators. Secondary outcomes included perceptions of the four-element TCM diagnostic framework and perceptions of GAI-assisted learning.

Muscle Activation Learning Techniques

The aim of this study was to evaluate the effects of different muscle activation learning techniques-taught to university students with no prior training in this area-on academic achievement and perceived learning. Male and female first-year university students who volunteered to participate were included in the study. A sociodemographic assessment form, an academic achievement inventory, and a perceived learning scale were administered to the volunteers as pre-tests. The volunteers were randomly assigned to three groups. Muscle contraction methods were to be taught to the first group via verbal instruction; to the second group via verbal instruction combined with palpation; and to the third group via verbal instruction combined with palpation and surface EMG. The training was designed to last approximately two months, with pre- and post-training assessments to be repeated.

Digital Flashcards for Fluid and Electrolyte Education in Surgical Nursing: A Solomon Four-Group Study

This study aims to investigate the effect of the digital flashcard method, compared to traditional lecturing, on students' knowledge levels and self-efficacy perceptions regarding fluid-electrolyte balance in the surgical nursing course, within a Solomon four-group experimental design framework.

Musicians' Health Education in D-A-CH

Professional musicians are often exposed to significant physical and psychological strain. Long hours of playing, high muscle tension in the head and neck area, and performance-related stress can lead to problems such as musculoskeletal pain, jaw joint disorders, facial pain, and reduced oral health. Although these health issues are common, preventive strategies and structured health education are often insufficiently integrated into music training programs. This study aims to assess how topics related to musicians' health and performing arts medicine are currently included in the curricula of music universities in Germany, Austria, and the German-speaking part of Switzerland (D-A-CH region). Professors and lecturers responsible for musicians' health or curriculum planning at 39 music universities will be invited to complete a short questionnaire (approximately 10 minutes). The survey collects information about whether and how health-related topics are taught, including whether they are mandatory or elective, their duration, and the specific subjects covered. This is a non-interventional survey study. No medical examinations or treatments will be performed. Participation consists solely of completing the questionnaire. The results will help identify gaps in health education for professional musicians and support the future development of preventive and educational programs.

Effect of Gamified Sun Protection Education Provided to Chemotherapy Patients

Chemotherapy may cause photosensitivity and other skin reactions that can negatively affect patients' comfort, quality of life, and adherence to treatment. Appropriate sun protection behaviors are therefore important for patients receiving chemotherapy. This randomized controlled trial aims to evaluate the effect of gamified sun protection education on sun protection self-efficacy and sun protection behaviors in patients receiving chemotherapy. A total of 54 patients will be randomly assigned to two groups, with 27 participants in each group. Participants in the intervention group will receive gamified sun protection education, while participants in the control group will receive usual care. The educational intervention will be delivered over a two-week period. Sun protection self-efficacy and sun protection behaviors will be assessed at baseline and after completion of the two-week intervention.

The Effect of Basic Life Support Training Given by the Escape Room Method on the Knowledge and Skills of Nursing Students

Today, nursing education is not only about the transfer of theoretical information, but also includes the acquisition of multidimensional skills such as clinical decision making, critical thinking and teamwork. In this context, educational escape room games stand out as an effective teaching strategy, especially in basic life support (BLS) applications that require emergency management (Adams, Burger, Crawford \& Setter, 2018; Gómez-Urquiza et al., 2019). Escape room games are team-based, interactive and gamified learning environments in which participants solve puzzles by cooperating within a certain scenario in a limited time and try to achieve the specified goal (Nicholson, 2015; Wiemker, Elumir \& Clare, 2015; Clarke et al., 2017). In the teaching of emergency interventions such as cpr, which require time management, quick decision making and coordinated teamwork, this game structure enables students to develop both knowledge and skills (Tassemeyer, Glover \& Steve

Effect of Mosaic Art on Episiotomy Repair Skills, Anxiety, and Learning Attitudes in Midwifery Students

Objective: The aim of this study is to evaluate the effect of mosaic art in midwifery education on episiotomy repair performance, self-efficacy, and anxiety: a randomized controlled trial. Method/Data Collection Techniques: The study was planned in a two-parallel-group randomized controlled experimental design including pre-test and post-test measurements. The study will be conducted with third-year students studying in the Midwifery Department of the Faculty of Health Sciences at Kahramanmaraş Sütçü İmam University during the fall semester of the 2026-2027 academic year. The sample size was calculated using the G\*Power 3.1.9.7 program, and based on Cohen's effect size d=0.55, α=0.05, and 80% power, a total of 106 students were planned to be included in the study, with 53 students in each group. Participants will be assigned to intervention and control groups using a simple randomization method. The intervention group will receive structured mosaic art training for six weeks, with two sessions per week, while the control group will not receive any art-based application during this period. Following the intervention, both groups will receive theoretical and practical training in standard episiotomy repair. Data will be collected using the Participant Information Form, State Anxiety Scale (STAI-TX I), Episiotomy Self-Efficacy Scale, Attitudes Towards Learning Scale, and Episiotomy Repair Skill Assessment Form. Appropriate descriptive statistics and parametric or non-parametric comparison tests will be used in the analysis of the data, with a statistical significance level of p\<0.05. Expected Results: This research is expected to provide scientific evidence regarding the use of art-based teaching methods in midwifery education by revealing the effect of mosaic art application on midwifery students' episiotomy repair skills, self-efficacy, attitudes towards learning, and state anxiety levels. It is anticipated that the research results will contribute to the development of effective teaching strategies in psychomotor skills training and the strengthening of midwifery education programs.

PULSE - Patient Understanding and Learning Through Structured Education - Effectiveness and Implementation of Patient Education Videos in a New Pediatric Cardiology Clinic

This study is looking at whether short educational videos shown during pediatric cardiology visits can help families better understand their child's condition while also making clinic visits run more efficiently. Families coming to a pediatric cardiology clinic may watch short videos related to why they are there (for example: chest pain, heart murmurs, fainting, sports clearance, or Kawasaki disease). The videos are meant to explain common heart-related conditions and answer questions before the doctor comes into the room. Researchers want to see if this: * helps parents and patients learn more, * improves satisfaction with the visit, * helps families feel more involved in decisions, * and reduces the amount of time doctors spend repeating the same explanations. How the study works: One clinic site in San Antonio, TX will start using the videos at different times. Researchers will compare clinic visits before and after the videos are introduced. Who is included: Children being seen in pediatric cardiology clinics and their caregivers. Pregnant women referred for fetal heart evaluations may also be included. What information is collected: Clinic timing information (such as wait times and doctor visit length), Satisfaction surveys, Optional knowledge questionnaires, Basic medical record information needed for the study. Risk level: The study is considered "minimal risk." Patients are still getting normal medical care. No drugs, devices, or experimental treatments are being tested. Privacy protections: Data will be stored on secure hospital systems. Researchers plan to remove identifying information when analyzing results. Medical record numbers are only temporarily used to connect survey data with clinic data. Why the study matters: The clinic hopes the videos can make visits less stressful, improve understanding for families, and help doctors spend more time on personalized care instead of repeating the same explanations over and over. It may also help clinics work more efficiently and reduce delays.

TEAM-BASED LEARNING WITH FLASHCARDS IN ANATOMY EDUCATION

a randomized controlled trial

Jigsaw Technique and Stroke Patient Care

In the literature, problem-based learning, case discussions and case scenarios, and simulation applications are used in stroke patient care nursing education. However, the use of the jigsaw technique is quite limited. Based on this information, it is anticipated that stroke patient care education provided with the Jigsaw technique can increase nursing students' cooperation and communication skills, allowing them to acquire more effective and comprehensive knowledge in clinical care.

Simulation-based Training in the Anaesthesia Residency Curriculum

This study aims to describe the current implementation and structure of simulation-based education and training in anaesthesiology and intensive care residency programmes across countries affiliated with the World Federation of Societies of Anesthesiologists.

Virtual Reality to Reduce Pre-procedure Anxiety Prior ECT

Lack of patient knowledge about ECT (electroconvulsive therapy) is a leading cause of treatment fear with 60% of ECT patients reporting high levels of anxiety. The purpose of this study is to determine if using Virtual Reality (VR) to allow patients' to experience a virtual ECT education session before treatment is useful in lowering treatment anxiety and increasing knowledge about ECT if compared to standard treatment. In addition, measuring heart rate and blood pressure levels before ECT treatment will allow us to assess changes in anxiety levels. Individuals who choose to participate will be placed (participant will have a 50% chance to be placed in either group) to view either a virtual reality video to experience a virtual ECT session, or to receive standard preparation, i.e. a discussion with a psychiatrist. Before and after this session participants will be asked to complete a measurement of their anxiety level and knowledge about ECT (ECT Attitude \& Knowledge Questionnaire). Just before ECT treatment, blood pressure, heart rate and anxiety level will be measured. Participants will also complete cognitive and depression assessments. This study will help to develop a relationship between healthcare providers and patients and their families to help with education before ECT treatment.

Evaluation of the Effectiveness of Self Management Program on Changes in Physical Activity Level of Knee Osteoarthritis Patients in Spa Therapy

The primary purpose is to evaluate the benefit of an education action of exercise on the level of physical activity in patients with knee osteoarthritis with the waning of a spa treatment for three weeks, three months after the start of the cure.

Reflective Journaling on Affective Awareness Toward Learning and Academic Self-Efficacy

This study was conducted to evaluate the effect of reflective journaling on nursing students' affective awareness toward learning and academic self-efficacy.The study was conducted as a randomised controlled experimental study between April and June 2026 at the Faculty of Health Sciences of a university in eastern Turkey. The study population comprised first-year nursing students during the spring term of the 2026-2027 academic year, whilst the sample consisted of 113 students (reflective journal group = 56, control group = 57), determined by power analysis. The 'Affective Awareness Scale for Teaching' and the 'Academic Self-Efficacy Scale' were used to collect the data.

Virtual Reality and Lived-Experience Speakers in Homelessness Education: A Mixed-Methods Study of Medical Sciences Students' Empathy and Attitudes Toward People Experiencing Homelessness

The goal of this study is to learn whether a virtual reality experience about homelessness, used together with talks from people with lived experience of homelessness, can improve empathy and attitudes toward people experiencing homelessness in undergraduate medical sciences students. The main questions it aims to answer are: * Do students who complete a virtual reality experience before hearing from lived-experience speakers show greater improvement in attitudes toward people experiencing homelessness than students who hear from the speakers without prior virtual reality exposure? * Do students who complete a virtual reality experience before hearing from lived-experience speakers report greater engagement with the speaker talks than students who hear from the speakers without prior virtual reality exposure? * How do students describe the distinct value of virtual reality and lived-experience speakers in supporting empathy development and understanding of homelessness? * How does the order of virtual reality and lived-experience speaker activities influence student learning? The study hypothesis was that students who completed the virtual reality experience before hearing from the lived-experience speakers would show greater improvement in attitudes toward people experiencing homelessness, as measured by the Attitudes Toward Homelessness Inventory and the Health Professionals' Attitudes Toward the Homeless Inventory, than students who heard from the speakers without prior virtual reality exposure. The study also hypothesized that students who completed the virtual reality experience first would report greater engagement with the lived-experience speaker talks. Researchers compared two groups of undergraduate medical sciences students. One group completed the virtual reality experience before hearing from guest speakers with lived experience of homelessness. The other group heard from the guest speakers first and completed the virtual reality experience after the post-intervention survey. Researchers compared the groups to see whether completing virtual reality before the speaker session led to greater changes in students' empathy, perspective-taking, and attitudes toward people experiencing homelessness. Participants completed online surveys before and after the educational sessions. Students were invited to take part in focus group discussions about the virtual reality experience, guest speakers, empathy, and learning

Role-play Video Demonstrations in Teaching Communication Skills

This study aims to evaluate the effectiveness of role-play video demonstrations in teaching Doctor-Team Communication skills to fifth-year medical students at Ain Shams University. The study compares students who learn through online courses supplemented with role-play videos with students who received the traditional online course. Outcomes include student satisfaction and academic performance. The findings may help improve communication skills training in undergraduate medical education.

Childbirth Education Classes, Spousal Support, Birth Memory, Choice of the Birth Method, and Birth Satisfaction

The research questions of this study are listed below. 1. Is the mean spouse support score of pregnant women who attend childbirth preparation education with their spouses higher than that of women in the group with unique participation in childbirth preparation education and the control group who were left to usual care? 2. Is the mean birth satisfaction scale score of pregnant women who attend childbirth preparation education with their spouses higher than that of women in the group with unique participation in childbirth preparation education and the control group who were left to usual care? 3. Is the mean birth memory and recall scale score of pregnant women who attend childbirth preparation education with their spouses higher than that of women in the group with unique participation in childbirth preparation education and the control group who were left to usual care? 4. Are the birth preferences of pregnant women who attend childbirth preparation education with their spouses significantly different from those of women in the group with unique participation in childbirth prep

Flipped Learning in Physiotherapy Education

This study will evaluate the effectiveness of flipped learning in an undergraduate physiotherapy and rehabilitation course on urogenital and maternal health. In flipped learning, students review digital learning materials before class, while class time is used for case discussions, problem-solving activities, group work, and clinical reasoning exercises. Third-year physiotherapy and rehabilitation students enrolled in the Urogenital and Maternal Health in Physiotherapy and Rehabilitation course will be invited to participate. The study will compare students' clinical decision-making and academic performance after conventional teaching and after flipped learning activities. Student satisfaction with the flipped learning method will also be assessed. In addition, individual interviews will be conducted with a subgroup of volunteer students to explore their learning experiences. Participation in the research will be voluntary and will not affect course grades. The study involves educational activities, questionnaires, written assessments, and optional audio-recorded interviews; no medical intervention or biological sample collection will be performed. The findings may help improve student-centered teaching approaches in physiotherapy and rehabilitation education.