Clinical Research Directory

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 Relationship Between Nursing Students' Perceptions of the Clinical Learning Environment and Their Person-Centered Care Competency"

This study aims to examine the relationship between nursing students' perceptions of the clinical learning environment and their person-centered care competencies. The research will be conducted as a descriptive and cross-sectional study with undergraduate nursing students at Yalova University Faculty of Health Sciences between September 2026 and September 2027. Data will be collected using a Personal Information Form, the Clinical Learning Environment Scale for Nursing Students, and the Person-Centered Care Competency Scale via an online questionnaire. The findings are expected to contribute to improving clinical nursing education and enhancing students' person-centered care skills.

Mobilization of Emotions and Empathy During Communication Training in Nursing Students

Effective communication in healthcare is vital for patient satisfaction, safety, outcomes, and ethical practice, supporting shared decision-making and informed consent. Simulation-based training is widely used to strengthen communication skills and foster empathy through emotionally engaging experiences. This is a pilot study aimed (1) to assess changes in emotional state and empathy in nursing students after a simulation-based workshop (SBW) on delivering bad news, and (2) to evaluate the sensitivity of standardized scales in detecting these changes.

Artificial Intelligence Assisted Teaching of Structured Nursing Care According to ERAS Protocol

This study evaluates an AI-supported case-based educational approach for teaching nursing care of gynecologic oncology patients according to the Enhanced Recovery After Surgery (ERAS) protocol. This single-center, parallel-group randomized controlled trial was conducted during the second semester of the 2024-2025 academic year with third-year undergraduate nursing students who had successfully completed the Obstetrics and Gynecology Nursing course and its related clinical practice at a public university in western Türkiye. A total of 76 students were randomized in equal proportions to the AI-supported case-simulation group or the control group using block randomization. Six participants were lost to follow-up because of withdrawal or incomplete data collection forms, and the final analyses included 70 students (35 in each group). Data were collected before and after the intervention using the researcher-developed ERAS Protocol Nursing Care Knowledge Test and the Multidimensional 21st Century Skills Scale. Descriptive statistics, including frequencies, percentages, means, and standard deviations, were used to summarize participant characteristics and study variables. Baseline characteristics were examined using independent-samples t-tests for continuous variables and chi-square tests for categorical variables. Intervention effects were evaluated using 2 × 2 mixed-design analysis of variance (ANOVA), with time (pretest and posttest) as the within-subjects factor and group (AI-supported intervention and control) as the between-subjects factor. The principal effect of interest was the Time × Group interaction, indicating whether changes from pretest to posttest differed between groups. The same analytical approach was applied to ERAS knowledge, the total 21st-century skills score, and its subdimensions. Effect sizes were reported using partial eta squared (partial η²), and statistical significance was set at p \< .05.

Exploring the Effectiveness of Multimodal Interactive Chatbot-Assisted Learning on Nursing Documentation Competence Among Novice Nurses

This study aims to investigate the effects of using a chatbot as a supplementary learning tool on the nursing documentation competence of novice nurses.

VIDEO LEARNING FOR EMPATHY, ETHICS AND FAMILY WITNESSED RESUSCITATION

This clinical trial (randomized controlled experimental study) aims to learn about the effects of presenting the family-witnessed CPR process from a patient's perspective through 360° virtual reality and 2D video within second-year nursing students. The primary question(s) / hypotheses it aims to answer are: * H1: Will the content validity ratio of the developed scenario be above 0.80? * H2: Is the increase in empathy scores (pre-test/post-test difference) of students in the 360° VR group significantly higher compared to the 2D video and control groups? * H3: Is the increase in ethical sensitivity scores of students in the 360° VR group significantly higher compared to the 2D video and control groups? * H4: Is the change in perception scores toward family-witnessed CPR more positive in the 360° VR group compared to the other groups, and is their mean SUS (System Usability Scale) score at or above the acceptability threshold of 70? * H5: Is the VES (Video Engagement Skale) score of students in the 360° VR group significantly higher than that of the 2D video group? Researchers will compare the 360° immersive video (360° VR) group, the 2-dimensional (2D) video group, and the control group to see if there are effects on empathy, ethical sensitivity, perception of risks-benefits of family presence, self-confidence regarding family presence, video engagement, and system usability. Participants will be asked to: * Watch the scenario reenactment involving a family-witnessed CPR process, recorded via a 360° camera (in either 360° VR or 2D format, depending on their assigned group). * Complete data collection tools consisting of the Introductory Information Form, "Jefferson Scale of Empathy", "Ethical Sensitivity Questionnaire", "Family Presence Risk-Benefit Scale and Family Presence Self-Confidence Scale", "System Usability Scale (SUS-TR)", and "Video Engagement Skale(VES)".

Video-based Training About Infant Urine Collection

Aim: To evaluate the effectiveness of video-based training on nursing students' knowledge and clinical skill performance in infant urine collection. Background: Accurate urine collection in infants is a critical nursing procedure influencing diagnostic accuracy and infection management. Traditional teaching methods may be insufficient for developing both knowledge and psychomotor skills. Design: A Pre-Post test Randomized Controlled Trial. Methods: A total of 69 nursing students were assigned to intervention (n=33) and control (n=36) groups. The intervention group received video-assisted training, while the control group received standard instruction. Knowledge and skill performance were assessed using structured tools. Statistical analyses included t-tests, effect size calculations, and weighted kappa.

High-Fidelity Simulation in Vaccination Training

This study compared the impact of high-fidelity simulation (HFS) versus standart laboratory practice (SLP) on nursing students' knowledge, psychomotor skills, learning satisfaction, and self-confidence within a childhood vaccination training.

A Novel Interruption Management Intervention for New Graduate Nurses During Medication Administration

The objective of this study was to evaluate the effect of education in the Stay S.A.F.E. interruption management strategy on nurses' responses to interruptions during simulated medication administration. Primary outcomes included 1) response to the interrupter, including adherence to Stay S.A.F.E. behaviors, and 2) time away from the primary task. Secondary outcomes included 1) medication administration errors and 2) perceived workload as measured by the NASA Task Load Index.

Virtual Reality to Reduce Stress Among Nursing Students Before Final Exams

The goal of this clinical trial is to evaluate whether a brief virtual reality (VR) relaxation session can reduce pre-exam stress levels among undergraduate nursing students enrolled in nursing courses. The participant population includes male and female nursing students, aged 20-26 years, who are preparing to take their final practical exam. The main questions it aims to answer are: 1. Does a 10-minute, self-selected VR relaxation session significantly reduce stress levels immediately before a high-stakes clinical exam? 2. Are certain types of virtual environments (e.g., beach, island, space, ocean) more effective than others in promoting relaxation? Researchers will compare pre- and post-intervention stress scores to see if the VR experience results in a statistically significant reduction in perceived stress. Participants will: * Complete a brief pre-intervention stress survey (e.g., using a validated scale such as the State-Trait Anxiety Inventory). * Explore several calming VR environments (e.g., tropical beaches, islands, deep ocean, space, savanna, and tourist destinations). * Choose one preferred scene based on personal relaxation preference. * Engage in a 10-minute immersive VR relaxation session. * Complete a post-intervention stress survey to assess any changes.

Nurse vs Physician Artery Cannulation

This prospective controlled clinical trial evaluates the effectiveness and safety of radial artery cannulation using the Seldinger technique under ultrasound guidance when performed by two different operator groups: experienced physicians and trained registered nurses. The study aims to determine whether a structured, competency-based training program enables nurses without prior experience in arterial cannulation to achieve comparable outcomes to physicians in terms of first-attempt success rate, procedural efficiency, and complication rates.

The Effect of Animation-Based Education on Menopausal Women's Attitudes, Behaviors, and Screening Test Participation Regarding Breast Cancer

The aim of this study was to determine the effect of education provided to women in menopause through animation on their attitudes toward breast cancer, behaviors, and screening test participation. The study will include a total of 136 women in the menopausal period, comprising 68 experimental group participants and 68 control group participants who have applied to the Orduyeri and Kırtepe Family Health Centers affiliated with the Bartın Public Health Institution. Women who agree to participate in the project, which will run from January to August 2025, will receive 40-45 minute training sessions in a suitable room at the ASM. The training sessions will be conducted in groups of 8-12 people. The training content will include information about the purpose, duration, and rules of the training. After providing information about the project, a pre-test will be administered. Through face-to-face interviews, researchers assigned to the project will show animated videos enriched with sound and images via an online program they have prepared. These videos will be 10-12 minutes long, and an interim test will be conducted. Three months after the pre-test, the women participating in the study will be contacted, and a final test will be administered in their own homes. Project data will be collected using the Personal Information Form, Champion Health Belief Scale, and Breast Cancer Awareness Scale. Descriptive statistics, independent sample t-tests, chi-square tests, and repeated measures analysis of variance (ANOVA) tests will be used in the statistical analysis of the project.