The Effect of Cooperative Learning Based Simulation Practice on Sustainability in Care

NCT ID: NCT05504421

Last Updated: 2024-02-22

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 70 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-10-10
• Study Completion Date: 2023-12-30

Brief Summary

Nurses, who are an individual interacting with their environment, a professional member of the nursing profession providing uninterrupted care to people, and a part of society, are in a very important position in terms of reshaping the interaction of people with environment.

For this, they should be supported to gain cognitive and affective competence on issues such as holistic health understanding and relationship between sustainability and nursing care during nursing education.

The planned study aims to evaluate the effect of simulation practice based on cooperative learning on developing knowledge, skills and attitudes in nursing students about sustainability in nursing care.

The universe of the study, which was planned as a randomized controlled study in an experimental design, will consist of 3rd year nursing students at Düzce University, Department of Nursing.

Data will be collected using the Descriptive Characteristics Form, Nursing Sustainability Information Form, the Debriefing Session Form, Sustainability Attitudes in Nursing Survey (SANS-2), and Ecocentric, Anthropocentric and Antipathic Attitude Toward Environment Scale.

Detailed Description

Introduction: Human health should be considered together with the living and non-living environment in which it interacts in the ecosystem. Nurses, who are an individual interacting with their environment, a professional member of the nursing profession providing uninterrupted care to people, and a part of society, are in a very important position in terms of reshaping the interaction of people with environment. At the same time, the nursing ethics codes updated by ICN in 2021 reveal the responsibilities of nurses in the protection and development of global health as a necessity.

However, in order to be able to fulfill their roles and responsibilities, they must first be aware of the necessity of being sustainable in the interaction beings with their environment and understand the impact of their care practices on environmental sustainability. For this, they should be supported to gain cognitive and affective competence on issues such as holistic health understanding, sustainability, the relationship between sustainability and nursing care during nursing education.

Aim:The planned study aims to evaluate the effect of simulation practice based on cooperative learning on developing knowledge, skills and attitudes in nursing students about sustainability in nursing care.

Theoretical framework: In line with the purpose determined within the scope of the study, the simulation practice will be structured in line with the cooperative learning process. Cooperative learning, which is based on the Social Constructivism Theory, founded by John Dewey and Vygotsky, attaches importance to social and individual differences in learning and sees learning as a product of the social interaction process.

Method: The universe of the study, which was planned as a randomized controlled study in an experimental design, will consist of 212 nursing students studying at the 3rd grade level at Düzce University, Department of Nursing in the Fall Semester of the 2022-2023 Academic Year. The number of students to be included in the study sample was calculated as 64 students based on power analysis, and 70 students will form the study sample, taking into account the losses that may occur during the study. Simple random sampling method will be used to determine the students to be included in the study.

Data will be collected using the Descriptive Characteristics Form (10 questions such as age, gender), Nursing Sustainability Information Form (5 open-ended questions), the Debriefing Session Form (the form shaped by the PEARLS depriefing method will be used after simulation), the Sustainability Attitudes in Nursing Survey (SANS-2) (7-point Likert scale containing 9 items), and Ecocentric, Anthropocentric and Antipathic Attitude Toward Environment Scale (7-point Likert scale containing 26 items). The permission to use scales has been obtained from authors via e-mail.

The first measurement will be made in both the experimental and control groups using data collection forms (Descriptive Characteristics Form, Nursing Sustainability Information Form, Sustainability Attitudes in Nursing Survey (SANS-2) and Ecocentric, Anthropocentric and Antipathic Attitude Toward Environment Scale). Then, both groups will be informed in the same session with a 90-minute lecture on sustainability in nursing prepared in line with the NurSus Project resources (http://nursus.eu/home). After this stage, the experimental group students will experience 4-weeks cooperative learning process (will be used the Group Research Technique) that aims to analysis cases related to sustainability in nursing (cases were shaped in line with the resources in the NurSus Project). The control group will work individually on the subject and share their weekly individual study time with the researcher. After the case analysis process, simulation practice will be carried out in line with the a scenario with both groups. Simulation practice aims to develop the students' ability to transfer their sustainability knowledge and attitudes on nursing skills. And the second measurement will be carried out immediately after the simulation practice (Nursing Sustainability Information Form, Sustainability Attitudes in Nursing Survey (SANS-2), Ecocentric, Anthropocentric and Antipathic Attitude Toward Environment Scale and Debriefing Session Form).

In the analysis of the data, within and between group comparisons will be conducted. So, the effect of two different teaching methods (cooperative learning and traditional learning) on gaining nursing students sustainability knowledge, attitudes and skills will be compared.

Conditions

Nursing Education Research; Nursing Students

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: OTHER
• Blinding Strategy: TRIPLE

Study Groups

Control group

Students will receive theoretical training on sustainability in nursing, given by the narrative technique, and then students will work individually on the subject and share their weekly individual study time with the researcher. When individual work is completed, a simulation application will be performed with the scenario.

Group Type: ACTIVE_COMPARATOR

Sustainability education in nursing to be given with two different teaching methods

Intervention Type: OTHER

Sustainability education in nursing to be given with two different teaching methods (cooperative learning versus traditional learning) and the effects of two different teaching methods on the sustainability knowledge, attitude and skill acquisition of nursing students will be compared.

Experimental group

Students will receive theoretical training on sustainability in nursing, given by the narrative technique, and then analyze the some structured cases in groups structured in line with the cooperative learning process. When the case analysis is finished, a simulation application will be performed with the scenario.

Group Type: EXPERIMENTAL

Sustainability education in nursing to be given with two different teaching methods

Intervention Type: OTHER

Sustainability education in nursing to be given with two different teaching methods (cooperative learning versus traditional learning) and the effects of two different teaching methods on the sustainability knowledge, attitude and skill acquisition of nursing students will be compared.

Interventions

Sustainability education in nursing to be given with two different teaching methods

Sustainability education in nursing to be given with two different teaching methods (cooperative learning versus traditional learning) and the effects of two different teaching methods on the sustainability knowledge, attitude and skill acquisition of nursing students will be compared.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• 3rd year nursing student
• Volunteering to participate in the study

Exclusion Criteria

-Not wanting to participate in the study

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Duzce University

OTHER

Sponsor Role: lead

Responsible Party

Nagihan Ilaslan

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Nagihan İlaslan, MSc

Role: PRINCIPAL_INVESTIGATOR

Duzce University

Nuray Şahin Orak, PhD

Role: PRINCIPAL_INVESTIGATOR

Istanbul Nisantasi University

Locations

Duzce University

Düzce, Center, Turkey (Türkiye)

Countries

Turkey (Türkiye)

References

Ilaslan N, Sahin Orak N. Sustainable healthcare education using cooperative simulation in developing nursing students' knowledge, attitude and skills: A randomized controlled study. Nurse Educ Today. 2025 Aug;151:106706. doi: 10.1016/j.nedt.2025.106706. Epub 2025 Mar 20.

Reference Type: DERIVED

PMID: 40139038 (View on PubMed)

Other Identifiers

DuzceU-Ilaslan-001

Identifier Type: -

Identifier Source: org_study_id