The Effect of the Flipped Learning Model on Spiritual Care Perception and Competence in Nursing Students

NCT07338253 | Enrolling By Invitation

• 1 other identifier: KKU-SBE-KA-01
• Study Type: interventional
• Target: 112
• Locations: 1 country
• Sites: 1

Brief Summary

The Effect of the Flipped Learning Model on Nursing Students' Perception of Spiritual Care and Competence This study was designed as a randomised controlled trial to determine the effect of the flipped learning model on nursing students' perception of spiritual care and their competence in spiritual care. The study will be conducted between 08.12.2025 and 09.02.2026 on 112 fourth-year nursing students. Students meeting the inclusion criteria will be randomised and divided into two random groups: the experimental group (n=50) and the control group (n=50). All participating students will be administered the 'Descriptive Characteristics Form', the 'Spirituality and Spiritual Care Rating Scale (MMBÖ)' and the 'Spirituality Scale Spiritual Care Competence Scale (MBYÖ)' and (pre-test). Students in the experimental group will undergo reverse application for 1 month. All students in the control group will be administered the 'Descriptive Characteristics Form,' the 'Spirituality and Spiritual Care Rating Scale (MMBÖ),' the 'Spiritual Care Competence Scale (MBYÖ),' and a pre-test. No intervention will be administered to students in the control group. After the reverse application is completed, the 'Descriptive Characteristics Form,' the 'Spirituality and Spiritual Care Rating Scale (MMBÖ),' the 'Spiritual Care Competence Scale (MBYÖ),' and the 'post-test' will be administered to the students in the experimental and control groups. The collected data will be analysed using SPSS 22 software.

Conditions

Spiritual Care; Flipped Learning Model

Keywords

spiritual care; Flipped Learning Model

Outcome Measures

Primary Outcomes (1)

• Determining the effect of the flipped learning model on nursing students' perception level of spiritual care

  Spirituality and Spiritual Care Rating Scale (SCRS); The scale consists of 17 items and has 3 sub-dimensions. The scale is scored using a 5-point Likert type (1 = Strongly Disagree, 2 = Disagree, 3 = Undecided, 4 = Agree, 5 = Strongly Agree). Thirteen items (1, 2, 5, 6, 7, 8, 9, 10, 11, 12, 14, 15, and 17) are scored normally, while four items (3, 4, 13, and 16) are scored in reverse. The total score is obtained by dividing the item scores by the number of questions. The maximum score that can be obtained from the scale is 85, and the minimum is 17. A high total score indicates a good level of perception of spirituality and spiritual care concepts. The Spiritual Care Competence Scale (SCCS) consists of three areas of nursing competence related to spiritual care and a total of 27 items. The scale is a five-point Likert-type scale. The lowest possible score on the scale is 27, and the highest possible score is 135. A high score indicates nursing competence related to spiritual care.

  Baseline and post-intervention (8th week)]

Secondary Outcomes (1)

• Determining the effect of the flipped learning model on nursing students' their spiritual care competencies

  Baseline and post-intervention (8th week)]

Study Arms (2)

Flipped Learning Model

EXPERIMENTAL

Receiving Spiritual Care Training in Nursing with the Reverse Education Model

Other: flipped learning model

TRADITIONAL EDUCATION MODEL

NO INTERVENTION

Receiving spiritual care training in nursing with the traditional education model

Interventions

flipped learning model OTHER

All participating students will be administered the 'Introductory Characteristics Form', the 'Spirituality and Spiritual Care Rating Scale (MMBÖ)' and the 'Spiritual Care Competence Scale (MBYÖ)' and a pre-test. Students in the experimental group will undergo reverse application for one month. All students in the control group will be administered the 'Descriptive Characteristics Form,' the 'Spirituality and Spiritual Care Rating Scale (MMBÖ),' the 'Spiritual Care Competence Scale (MBYÖ),' and the pre-test. No intervention will be administered to students in the control group. After the reverse application is completed, the 'Descriptive Characteristics Form', the 'Spirituality and Spiritual Care Rating Scale (MMBÖ)' and the 'Spiritual Care Competence Scale (MBYÖ)' and the 'post-test' will be administered to the students in the experimental and control groups.

Flipped Learning Model

Eligibility Criteria

• Age: 20 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Students who volunteer to participate in the study, who have smartphones/computers and continuous Internet access, will be included in the study.

You may not qualify if:

• Students who have previously studied a health-related subject and who have previously taken a course related to spiritual care will be excluded from the study.

Sponsors & Collaborators

• Kırıkkale University: lead

Study Sites (1)

Kirikkale University

Kırıkkale, Kırıkkale, 71450, Turkey (Türkiye)

Location

Study Officials

• Kağan ARSLANDOĞMUŞ

  Kırıkkale University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: In this study, data will be entered by someone other than the researcher, and statistical analysis will be performed by someone other than the researcher. In the study, the reverse learning model will be applied to participants in the experimental group. As the Flipped Learning Model is an intervention that is clearly noticeable to participants, participants will be aware of which group they are in. This means that blinding participants is not possible. Furthermore, as the researcher is the person implementing the intervention, both participants and the researcher will be aware of the intervention. Therefore, blinding will not be performed in this study.
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: A randomized controlled trial

Study Record Dates

• First Submitted: December 8, 2025
• First Posted: January 13, 2026
• Study Start: November 28, 2025
• Primary Completion: December 28, 2025
• Study Completion: February 17, 2026
• Last Updated: January 13, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)