Enhancing Clinical Judgment Competence in Nursing Education: A Mixed-Methods Study in the Philippines

NCT06646068 | Completed

• 1 other identifier: 2024-CON-Faculty-002
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this mixed-methods study is to assess the impact of the Philips 66 brainstorming technique integrated with case-based learning (CBL) on refining clinical judgment competence in senior nursing students in the Philippines. The main question it aims to answer is: Does the Philips 66 technique improve clinical judgment competence among nursing students more effectively than traditional CBL methods? Participants will be senior nursing students, randomly assigned to an intervention group using the Philips 66-CBL and a control group using standard CBL. Clinical judgment competence will be evaluated through pre- and post-test assessments using the Lasater Clinical Judgment Rubric (LCJR) and confidence questionnaires. A subset of participants from the intervention group will take part in focus group discussions to explore their experiences with the Philips 66 technique. Data will be collected over a short-term period for quantitative and qualitative analysis.

Conditions

Clinical Competence; Nursing Education

Keywords

Clinical Judgment Competence in Nursing

Outcome Measures

Primary Outcomes (1)

• Change in Clinical Judgment Competence

  The measure will assess the change in clinical judgment competence using the Lasater Clinical Judgment Rubric (LCJR) pre-intervention and immediately post-intervention.

  Assessment of clinical judgment competence will occur at baseline (pre-intervention) and immediately after the intervention using the Lasater Clinical Judgment Rubric (LCJR) over a one-month period.

Secondary Outcomes (1)

• Change in Teamwork and Collaborative Learning

  Focus group interviews to assess teamwork and collaborative learning will be conducted immediately following the intervention, with each interview expected to last approximately 30-60 minutes.

Study Arms (1)

Philips 66 Brainstorming Technique Group (Intervention Group)

OTHER

Participants in this group will engage in the Philips 66 Brainstorming Technique as part of their case-based learning sessions. This structured method involves dividing participants into smaller groups of 6, with each group discussing a topic for 6 minutes, aimed at enhancing critical thinking and clinical judgment skills in nursing students.

Other: Philips 66 with CBL

Interventions

Philips 66 with CBL OTHER

Each team is given six minutes to brainstorm ideas or solutions to specific clinical cases. This technique is applied during case-based learning sessions to enhance clinical judgment and critical thinking skills among nursing students.

Also known as: Brainstorming Technique

Philips 66 Brainstorming Technique Group (Intervention Group)

Eligibility Criteria

• Age: 20 Years - 25 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• BSN students enrolled in their fourth year at a Higher Education Institution in Angeles City, Philippines.
• At least 20 years old.
• Willing to participate in both pre- and post-intervention assessments.

You may not qualify if:

• Undergraduate nursing students who do not meet the criteria and refuse to join the study
• Students with anticipated absences exceeding a certain threshold (e.g., more than two sessions)

Sponsors & Collaborators

• Angeles University Foundation: lead

Study Sites (1)

Angeles University Foundation, Mac Arthur Highway

Angeles City, Pampanga, 2009, Philippines

Location

Related Publications (1)

• Madayag RA, Bautista EC, Pineda JPC, Geanga AS, Agustin RMS, Roque ML, Apostol AP, Ramirez DQ. Refining clinical judgment competence in nursing education in the Philippines: A mixed-methods study on the impact of the Philips 66 brainstorming technique in case-based learning. Belitung Nurs J. 2024 Nov 24;10(6):680-694. doi: 10.33546/bnj.3560. eCollection 2024.

  PMID: 39601025 DERIVED

Study Officials

• Rudena A Madayag, MAN

  Angeles University Foundation

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: The study evaluated the effectiveness of the Philips 66 brainstorming technique integrated with case-based learning to enhance clinical judgment competence in nursing students. Using a true experimental pre-test/post-test design, 60 students were randomly assigned to intervention and control groups. Both groups were exposed to the same clinical case scenarios, but the intervention group participated in Philips 66 sessions. The process included individual reflection (6 minutes) on clinical judgment and disaster triage protocols, followed by 6-minute group brainstorming sessions to collaboratively refine ideas. Group leaders then presented their nursing care plans within a 6-minute timeframe. The model aimed to foster critical thinking, collaboration, and clinical decision-making skills. The Lasater Clinical Judgment Rubric (LCJR) was used for evaluation.

Study Record Dates

• First Submitted: October 11, 2024
• First Posted: October 17, 2024
• Study Start: March 12, 2024
• Primary Completion: May 15, 2024
• Study Completion: May 29, 2024
• Last Updated: October 17, 2024

Record last verified: 2024-10

Data Sharing

• IPD Sharing: Will share
• Shared Documents: SAP
• Time Frame: Beginning 1 year after publication with no end date
• Access Criteria: Access Criteria for Sharing IPD and Supporting Information: With Whom: IPD and supporting information will be shared with researchers, academic institutions, and healthcare professionals who are engaged in scientific, clinical, or educational research relevant to nursing education and clinical judgment competence. Requests from individuals or organizations with a valid research purpose will be considered. Types of Analyses: The shared data can be used for secondary analyses, including but not limited to meta-analyses, replication studies, and the exploration of interventions to improve clinical judgment and reasoning in nursing students. The data can also be used for educational purposes in developing innovative teaching strategies or curricula. Mechanism of Access: Requests for access to the data must be submitted in writing to the study's principal investigator. The requests should detail the intended use of the data, the scope of the analyses, and any related publication plans.

Locations

PH (1)