The Effect of Puzzle Activity on Nursing Students' Willingness to Work With Older Adults and Gerontological Nursing Competence

NCT06903533 | Completed

• 1 other identifier: 2025 -397
• Study Type: interventional
• Target: 102
• Locations: 1 country
• Sites: 1

Brief Summary

The study will be conducted using a parallel-group randomized controlled experimental design to determine the effect of a puzzle activity on nursing students' willingness to work with older adults and their competence in gerontological nursing. The study population will consist of second-year students (N=243) enrolled in the Faculty of Nursing at a university. The sample of the study will include at least 86 nursing students, with 43 students in the puzzle group and 43 students in the control group. The research will be carried out between March 2025 and June 2025. In this study, data will be collected using the "Descriptive Information Form," the "Willingness to Work with Older People Scale," and the "Gerontological Nursing Competence Scale."

Conditions

Puzzle Activity

Keywords

Puzzle Activity, Nursing Students, Nursing

Outcome Measures

Primary Outcomes (4)

• Willingness to Work with Older People Scale

  The scale was developed by Fadayevatan and colleagues (2018) to determine medical students' willingness to work with older adults. The Turkish validity and reliability of the scale were conducted by Akpınar Söylemez and colleagues (2022) with nursing and medical students The scale consists of 4 sub-dimensions and 20 items. The scale is a six-point Likert-type scale, where items are scored from 1 = strongly disagree to 6 = strongly agree. The minimum score that can be obtained from the scale is 20, and the maximum score is 120. Scores for each sub-dimension and a total score are calculated. Higher scores indicate a greater willingness to work with older adults

  Baseline

• Willingness to Work with Older People Scale

  The scale was developed by Fadayevatan and colleagues (2018) to determine medical students' willingness to work with older adults. The Turkish validity and reliability of the scale were conducted by Akpınar Söylemez and colleagues (2022) with nursing and medical students The scale consists of 4 sub-dimensions and 20 items. The scale is a six-point Likert-type scale, where items are scored from 1 = strongly disagree to 6 = strongly agree. The minimum score that can be obtained from the scale is 20, and the maximum score is 120. Scores for each sub-dimension and a total score are calculated. Higher scores indicate a greater willingness to work with older adults

  At the end of the third week,

• Gerontological Nursing Competence Scale

  The scale was developed by Tohmola et al. (2021) to measure nursing students' competencies in geriatric care. The Turkish validity and reliability study was conducted by Aslan et al. (2024). The scale consists of 53 items and 11 subdimensions. The scale is a 4-point Likert-type scale and is rated as follows:1 = Strongly Disagree, 2 = Partially Disagree, 3 = Partially Agree, 4 = Strongly Agree. The minimum score that can be obtained from the scale is 53, and the maximum score is 212. As the level of competence increases, the score obtained from the scale also increases

  Baseline

• Gerontological Nursing Competence Scale

  The scale was developed by Tohmola et al. (2021) to measure nursing students' competencies in geriatric care. The Turkish validity and reliability study was conducted by Aslan et al. (2024). The scale consists of 53 items and 11 subdimensions. The scale is a 4-point Likert-type scale and is rated as follows:1 = Strongly Disagree, 2 = Partially Disagree, 3 = Partially Agree, 4 = Strongly Agree. The minimum score that can be obtained from the scale is 53, and the maximum score is 212. As the level of competence increases, the score obtained from the scale also increases

  At the end of the third week,

Study Arms (2)

Puzzle Activity Group

EXPERIMENTAL

The puzzles, which include questions related to basic knowledge and concepts of gerontological nursing competence, are required to be solved over a period of three weeks.

Other: Puzzle Activity

Control group

NO INTERVENTION

After explaining the purpose and implementation of the study to the nursing students in the control group, the "Descriptive Information Form," the "Willingness to Work with Older People Scale," and the "Gerontological Nursing Competence Scale" will be administered. No intervention will be applied to the control group. At the end of the third week, the "Willingness to Work with Older People Scale" and the "Gerontological Nursing Competence Scale" will be re-administered.

Interventions

Puzzle Activity OTHER

After assigning the students to the intervention and control groups, a puzzle activity will be conducted with the intervention group following a lecture. In preparing the puzzles, the researchers will use free online puzzle-making tools (e.g., https://crosswordlabs.com/). The puzzles will include questions related to basic knowledge and concepts concerning gerontological nursing competence. During the puzzle-solving process, the researcher will be present in the classroom and provide guidance to students when needed. After students complete the puzzles, the researcher will project the puzzle on the presentation screen and evaluate the answers through interactive discussion with the students. Upon completion of each puzzle, the researcher will collect the puzzles from the students to prevent contamination between the intervention and control groups. A post-test will be administered to students at the end of the puzzle activity.

Puzzle Activity Group

Eligibility Criteria

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

You may qualify if:

• Being a second-year nursing student
• Volunteering to participate in the study

You may not qualify if:

• Not taking the Geriatric Health Nursing course
• Having difficulty in understanding and speaking Turkish
• Incomplete or incorrectly answered data collection tools
• Willingness to withdraw from the study voluntarily

Sponsors & Collaborators

• Gazi University: lead

Study Sites (1)

Gazi University

Ankara, Turkey (Türkiye)

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: RN, PhD

Model Details: Parallel Assignment

Study Record Dates

• First Submitted: March 28, 2025
• First Posted: March 30, 2025
• Study Start: March 28, 2025
• Primary Completion: May 15, 2025
• Study Completion: May 15, 2025
• Last Updated: September 17, 2025

Record last verified: 2025-07

Locations

TU (1)