NCT06285266

Brief Summary

This cross-sectional study investigates the perceptions of nursing students regarding the clinical learning environment (CLE) in surgical services and their participation in clinical practices. Surgical services present a complex, dynamic, and intense learning environment crucial for the development of nursing students' professional competencies. The study explores the challenges nursing students face in these settings, including limited opportunities for participation in intraoperative processes and intensive care units, and the impact of these challenges on their learning outcomes and professional development. Previous research has highlighted various factors that can either facilitate or hinder nursing students' ability to engage effectively in clinical practices, such as the learning atmosphere, support from nurse educators, peer support, and effective communication. However, there is a noted gap in understanding the specific difficulties encountered in surgical services, the adequacy of students' clinical skills and knowledge, and their ability to apply theoretical knowledge in practice. By examining nursing students' experiences, this study aims to shed light on the suitability and quality of CLEs in surgical services, contributing valuable insights for optimizing clinical learning and enhancing nursing education programs. The hypotheses tested whether nursing students' perceptions of CLEs in surgical services and their participation in clinical practices are influenced by their descriptive characteristics. Keywords: Nursing Student, Surgical Services, Clinical Practice, Clinical Learning Environment

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
100

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Mar 2024

Shorter than P25 for all trials

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 22, 2024

Completed
7 days until next milestone

First Posted

Study publicly available on registry

February 29, 2024

Completed
15 days until next milestone

Study Start

First participant enrolled

March 15, 2024

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 30, 2024

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2024

Completed
Last Updated

February 29, 2024

Status Verified

February 1, 2024

Enrollment Period

2 months

First QC Date

February 22, 2024

Last Update Submit

February 22, 2024

Conditions

Keywords

Nursing StudentSurgical ServicesClinical PracticeClinical Learning Environment

Outcome Measures

Primary Outcomes (3)

  • Descriptive Characteristics Form

    The Descriptive Characteristics Form includes questions aimed at determining students' age, gender, high school from which they graduated, and their perceptions regarding the adequacy of their participation in clinical practices in surgical services.

    up to 18 weeks

  • Clinical Learning Environment Scale (CLES):

    The scale was developed by Dunn and Burnett in 1995 (Dunn \& Burnett, 1995) and was adapted into Turkish by Sarı in 2001 (Sarı, 2001). The scale consists of 22 items across 5 sub-dimensions: "Staff-Student Relationships" (items 7, 8, 15, 19, 20, and 21), "Roles of Teaching Staff" (items 3, 5, 11, and 12), "Patient Relationships" (items 2, 10, 14, and 22), "Student Satisfaction" (items 9, 16, 17, and 18), and "Hierarchy and Routines" (items 1, 4, 6, and 13). The lowest possible score on the scale is 22, and the highest is 110, with higher scores indicating a more positive evaluation of the clinical learning environment. The original scale's Cronbach's alpha reliability coefficient was calculated as and the Turkish adaptation's Cronbach's alpha reliability coefficient was calculated as The Cronbach's alpha reliability coefficient for this study was calculated as

    up to 18 weeks

  • Clinical Practice Participation Determination Form:

    The Clinical Practice Participation Determination Form was created by the researchers following a review of sources. It contains 30 multiple-choice questions aimed at determining nursing students' ability to participate in clinical practices. To establish the form's content validity, expert opinions were obtained from 5 nursing academics. The Content Validity Index (CVI) was calculated to be 0.98, and the form was deemed suitable for the research. Since the CVI is 0.98 \> 0.80, it was decided that the data collection forms are appropriate for this research (Davis and Grant, 1993). The Cronbach's alpha reliability coefficient for the Clinical Practice Participation Determination Form was calculated as Clinical Practice Participation Facilitators and Barriers The Content Validity Index (CVI) was calculated to be 0.98, and the form was deemed suitable for the research.

    up to 18 weeks

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

The study population consists of nursing students enrolled in a surgical nursing course for the first time, excluding those with a vocational health high school background or current healthcare professionals. This selection aims to ensure participants have similar educational experiences and are in a critical phase of integrating theoretical knowledge with practical skills. Focusing on students not yet working in health services allows for a clearer assessment of educational impacts without professional biases. Participation is voluntary, emphasizing engaged learners likely to provide insightful feedback on their clinical learning environment in surgical settings. This approach aims to identify educational facilitators and barriers within a specific, challenging clinical context.

You may qualify if:

  • Nursing students taking a surgical course for the first time,
  • Those who are not graduates of a vocational health high school,
  • Those not working as health professionals,
  • Nursing students willing to participate in the study were included.

You may not qualify if:

  • Students who wished to withdraw from the sample at any stage of the research were excluded from the study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Officials

  • islam elagöz, MsC

    devlet hastanesi

    STUDY CHAIR

Central Study Contacts

islam RA ELAGÖZ, MsC

CONTACT

Aynur Dr KOYUNCU, PhD

CONTACT

Study Design

Study Type
observational
Observational Model
OTHER
Time Perspective
CROSS SECTIONAL
Target Duration
1 Year
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
PhD

Study Record Dates

First Submitted

February 22, 2024

First Posted

February 29, 2024

Study Start

March 15, 2024

Primary Completion

April 30, 2024

Study Completion

June 1, 2024

Last Updated

February 29, 2024

Record last verified: 2024-02

Data Sharing

IPD Sharing
Will not share

Yes, there is a plan to make individual participant data (IPD) available to other researchers. This will include de-identified participant data that underpinned the study's findings, such as responses to surveys or questionnaires, clinical practice participation details, and any additional collected metrics relevant to the study's objectives. Access to this data will be provided upon reasonable request to the principal investigator, following the completion of the study and publication of its primary outcomes. The data sharing plan is designed to ensure that participant confidentiality is maintained, in compliance with ethical guidelines and regulations governing research data. Researchers interested in accessing the IPD will be required to submit a proposal outlining their intended use of the data, which will be reviewed for alignment with the original study's ethical approval and objectives.