The Effects of Documentary and Psychiatric Interviewing Methods in Psychiatric Nursing Education

NCT06808893 | Active Not Recruiting

• 1 other identifier: 28-01-2025-SK
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

Negative attitudes towards mental illnesses are an important problem that negatively affects both the social lives of individuals and the effectiveness of health services. Addressing these prejudices, developing empathy and promoting a patient-centred care approach are key goals that can be achieved through clinical experiences and structured educational programmes for nursing students. This single-centre, single-blind, randomised controlled trial aims to examine the effects of documentaries and psychiatric interviews on nursing students' implicit associations, discriminatory attitudes and empathy skills towards mental illnesses. Within the scope of the study, nursing students working in a psychiatric ward will be divided into two groups: one group will work with documentaries including psychiatric interviews and patient narratives, while the other group will only conduct psychiatric interviews. The Implicit Association Test (IAT) and the Attitudes Towards Mental Patients Scale will be used to assess students' implicit associations and attitudes towards psychiatric patients, and the Jefferson Empathy Scale will assess their level of empathy. Data analysis will be performed using SPSS 25.0 software. Given the widespread stigmatisation of psychiatric patients, this study is expected to make a significant contribution to improving the quality of care provided by nursing students in psychiatric settings.

Conditions

Mental Disorder; Stigma of Mental Illness; Nursing Education; Implicit Association Test

Keywords

Baccalaureate Nursing Education; Documentaries and Factual Films; Implicit Bias; Nursing Students; Mentally Ill

Outcome Measures

Primary Outcomes (2)

• The Implicit Association Test (IAT)

  The Implicit Association Test (IAT), part of Harvard University's Project Implicit, is designed to measure whether psychiatric patients are perceived as dangerous. This test aims to reveal associations that individuals have at an automatic and unconscious level that they do not consciously express. This test, which is especially used for stigmatization studies related to mental health, implicitly measures how dangerous or harmless the participants find psychiatric patients. It examines how quickly participants mentally associate psychiatric patients with positive or negative concepts such as danger or trust. The concepts that are matched faster reflect the implicit attitudes of the person, revealing their unconscious perceptions towards individuals with mental illness.

  Within 24 hours after 3 psychiatric interviews and documentary for the experimental group and after 3 psychiatric interviews for the control group

• The Attitudes Towards Mental Patients Scale

  The Attitude Towards Mental Patients Scale, developed by Sedat Işıklı in 1998, was prepared to measure a specific psychological construct. The scale consists of 22 items and includes two factors: 'short-term relationships' and 'long-term relationships'. The short-term relationship factors include items 2, 6, 7, 8, 9, 15, 17, 18, 20, 21, and 22. These items reflect attitudes towards shorter-term social relationships in general and towards situations that do not threaten the respondent's personal space. The Long-Term Relationships Factor includes items 1, 3, 4, 5, 10, 11, 12, 13, 14, 16, and 19 and assesses attitudes towards longer-term and closer relationships. The scale is scored on a 5-point Likert scale: 5=Strongly agree, 4=Agree, 3=No opinion, 2=Disagree, and 1=Strongly disagree. High scores indicate a positive attitude.

  Within 24 hours after 3 psychiatric interviews and documentary for the experimental group and after 3 psychiatric interviews for the control group

Secondary Outcomes (1)

• Jefferson Empathy Scale

  Within 24 hours after 3 psychiatric interviews and documentary for the experimental group and after 3 psychiatric interviews for the control group

Study Arms (2)

Control group (psychiatric interview)

ACTIVE COMPARATOR

Nursing students who interview psychiatric patients will be provided with an "Interaction Form" to systematically evaluate and record their interviews. The form is designed to help students analyze their communication processes and document their clinical practice. Before the clinical practice, training on the use of the form will be provided and the points that students should pay attention to in the interviews will be explained. This form consists of the following columns: date and duration of the interview, purpose of the interview, verbal/non-verbal statements of the nurse and patient, effective communication technique and evaluation. During the 6-week psychiatric service practice, students are expected to conduct three psychiatric interviews. After the interviews, students will document the process in detail and will be evaluated by the mentor nurses. Guiding nurses will give feedback to the students, indicating their strengths and areas to improve, and guidance will be provid

Other: Psychiatric interview

Experimental group (psychiatric interview and documentary)

EXPERIMENTAL

The experimental group was expected to conduct three psychiatric interviews and watch the documentary "Biz,Siz,Onlar" during the 6-week psychiatric service practice. Psychiatric interviews will be carried out with the "Interaction Form" consisting of interview date and duration, purpose of the interview, verbal/nonverbal expressions of the nurse and the patient, effective communication technique and evaluation columns. In addition, students will be shown the documentary "Biz,Siz,Onlar" prepared by the Federation of Schizophrenia Associations of Turkey, which deals with the life stories of schizophrenia patients. The guide nurse will inform the students about the content of the documentary and the viewing process, and students will be encouraged to take notes during the viewing. The documentary, which lasts 56 minutes, will be watched in a quiet environment and then an interactive discussion session will be organized on the themes in the documentary on the clinical practice day.

Other: Psychiatric interview and documentary

Interventions

Psychiatric interview and documentary OTHER

Nursing students who interview psychiatric patients will be provided with an "Interaction Form" to systematically evaluate and record their interviews. This form consists of the following columns: date of interview, duration of interview, duration of interview, verbal/non-verbal statements of the nurse and patient, effective communication technique and evaluation. The duration of the interview is expected to be between 30 and 45 minutes. Another component of the combination is the documentary "Us, You, Them" prepared by the Federation of Schizophrenia Associations of Turkey, which deals with the life stories of schizophrenia patients and lasts approximately 56 minutes.

Experimental group (psychiatric interview and documentary)

Psychiatric interview OTHER

Nursing students who interview psychiatric patients will be provided with an "Interaction Form" to systematically evaluate and record their interviews. This form consists of the following columns: date of interview, duration of interview, duration of interview, verbal/non-verbal statements of the nurse and patient, effective communication technique and evaluation. The duration of the interview is expected to be between 30 and 45 minutes.

Control group (psychiatric interview)

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• (1) being a third-year undergraduate student; (2) doing clinical practice in an adult inpatient psychiatric ward; (3) showing normal cognitive functions; (4) having the ability to make sense of visual materials

You may not qualify if:

• (1) being in clinical practice in community mental health centers and addiction treatment centers; (2) being in clinical practice in special education institutions; (3) having 80% or more absenteeism from clinical practice in adult inpatient psychiatric ward; (4) having 75% or more absenteeism from mental health and psychiatric nursing course; (5) having a psychiatric diagnosis and receiving active treatment

Sponsors & Collaborators

• Sakarya University: lead

Study Sites (1)

Sakarya University

Sakarya, 54050, Turkey (Türkiye)

Location

Related Publications (17)

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• Koroglu Gokbel S, Durat G. The Effects of Documentary and Psychiatric Interviewing Methods on Empathy, Attitude, and Implicit Association in Psychiatric Nursing Education: A Randomized Controlled Study. West J Nurs Res. 2026 Feb;48(2):162-174. doi: 10.1177/01939459251392988. Epub 2025 Dec 17.

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MeSH Terms

Conditions

Mental Disorders; Bias, Implicit

Condition Hierarchy (Ancestors)

Prejudice; Social Behavior; Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: The psychiatric interview group, which is the control group, will have at least one psychiatric interview and will be evaluated with the counselling nurse. The experimental group will have at least one psychiatric interview and the documentary 'Us, You, Them' with patient narratives will be evaluated with a counselling nurse.

Study Record Dates

• First Submitted: January 30, 2025
• First Posted: February 5, 2025
• Study Start: November 18, 2024
• Primary Completion: January 5, 2025
• Study Completion: February 2, 2025
• Last Updated: February 5, 2025

Record last verified: 2025-01

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)