Peer-Supported Clinical Orientation Training

NCT07441473 | Not Yet Recruiting

• 1 other identifier: 162252
• Study Type: interventional
• Target: 90
• Locations: 0 countries
• Sites: N/A

Brief Summary

This randomized controlled study will aim to evaluate the effect of a peer-supported video and interaction-based clinical orientation program on reality shock and adaptation during the first clinical experience. The study will be conducted with nursing students who will start their first clinical practice. Participants will be randomized into intervention and control groups. The intervention group will receive a peer-led orientation program including videos recorded in real clinical settings by senior students, interactive question-answer sessions, a structured hospital tour, and ongoing digital communication support. The control group will receive the routine clinical orientation. Data will be collected at two different time points. The first measurement will be performed at the end of the second week of clinical practice to allow students to experience the clinical adaptation process. The second measurement will be conducted four weeks after the first assessment. Reality shock and clinical adaptation levels will be evaluated using valid and reliable scales. This study is expected to provide evidence on the effectiveness of peer-supported and technology-enhanced orientation strategies in facilitating students' adaptation to clinical environments and contribute to the development of innovative practices in nursing education.

Conditions

Healthy

Keywords

Clinical Adaptation; Clinical Orientation; Nursing Students; Peer Support; Reality Shock

Outcome Measures

Primary Outcomes (6)

• Reality Shock Scale for Nursing Students

  The Reality Shock Scale for Nursing Students is a 31-item Likert-type instrument developed to evaluate the mismatch experienced by student nurses between their clinical practice and their expectations regarding clinical procedures, communication, role responsibilities, and professional expectations. Each item is rated on a 5-point scale ranging from 1 (strongly disagree) to 5 (strongly agree). Higher scores indicate greater levels of reality shock. The scale consists of four subdimensions: interpersonal relationships in the workplace, perception of professional competence, professional commitment, and role overload with psychosocial outcomes. The information regarding the scale was obtained from the form provided for the present study.

  Week 2

• Clinical Adjustment Scale for Student Nurses

  The Clinical Adjustment Scale for Student Nurses (CAS-SN), Turkish version is a 15-item, 5-point Likert-type instrument designed to evaluate the level of clinical adaptation among nursing students. The scale consists of three subdimensions: professional development and interpersonal interaction, clinical competence and confidence, and coping and support strategies. The total score ranges from 15 to 75, with higher scores indicating better clinical adaptation to the clinical environment. The total Cronbach's alpha coefficient of the Turkish version has been reported as 0.918. Information regarding the content of the scale was obtained from the scale file provided for the present study

  Week 2

• Satisfaction survey

  The Satisfaction Questionnaire was used to evaluate students' satisfaction with the orientation education using a visual analog scale (VAS). Students were asked to rate their level of satisfaction on a scale from 0 to 10, where 0 indicated "not satisfied at all" and 10 indicated "extremely satisfied." The total score ranged from 0 to 10, with higher scores reflecting greater levels of satisfaction. This questionnaire was used to assess students' overall satisfaction with either the routine or peer-supported orientation methods, as well as their perceived effectiveness in enhancing learning experiences and reinforcing clinical skills.

  Week 1

• Student Feedback Form

  An open-ended feedback form will be administered to the students in the experimental group who participate in the peer-supported clinical orientation program. Students will be invited to share their opinions about the aspects of the peer-supported orientation that they found beneficial, the challenges they experienced, and areas they believe could be improved. This form will be used to explore students' experiences, perceptions, and suggestions regarding the effectiveness of the peer-supported orientation approach.

  Week 1

• Reality Shock Scale for Nursing Students

  The Reality Shock Scale for Nursing Students is a 31-item Likert-type instrument developed to evaluate the mismatch experienced by student nurses between their clinical practice and their expectations regarding clinical procedures, communication, role responsibilities, and professional expectations. Each item is rated on a 5-point scale ranging from 1 (strongly disagree) to 5 (strongly agree). Higher scores indicate greater levels of reality shock. The scale consists of four subdimensions: interpersonal relationships in the workplace, perception of professional competence, professional commitment, and role overload with psychosocial outcomes. The information regarding the scale was obtained from the form provided for the present study.

  Week 6 (follow-up).

• Clinical Adjustment Scale for Student Nurses

  The Clinical Adjustment Scale for Student Nurses (CAS-SN), Turkish version is a 15-item, 5-point Likert-type instrument designed to evaluate the level of clinical adaptation among nursing students. The scale consists of three subdimensions: professional development and interpersonal interaction, clinical competence and confidence, and coping and support strategies. The total score ranges from 15 to 75, with higher scores indicating better clinical adaptation to the clinical environment. The total Cronbach's alpha coefficient of the Turkish version has been reported as 0.918. Information regarding the content of the scale was obtained from the scale file provided for the present study

  Week 6 (follow-up).

Study Arms (2)

Peer-Supported Video and Interactive Clinical Orientation

EXPERIMENTAL

Participants in the experimental group will receive a multi-component peer-supported clinical orientation program prior to their first clinical placement. The intervention will include video-based orientation recorded in real clinical settings by senior nursing students, interactive question-answer sessions, and a structured hospital tour. In addition, peer mentors will provide on-site guidance during the initial clinical days and ongoing support through a digital communication platform. The program aims to reduce uncertainty, enhance clinical readiness, and facilitate adaptation to the clinical environment

Other: Peer-Supported Video and Interactive Clinical Orientation

Routine Clinical Orientation

ACTIVE COMPARATOR

Participants in the control group will receive the routine clinical orientation provided by the institution before their first clinical placement. This orientation will consist of a standard PowerPoint-based educational session covering hospital rules, clinical procedures, student roles and responsibilities, and basic safety and communication principles. No peer support, video-based education, or additional digital mentoring will be provided to this group.

Other: Routine Clinical Orientation

Interventions

Peer-Supported Video and Interactive Clinical Orientation OTHER

Participants in the experimental group will receive a multi-component peer-supported clinical orientation program prior to their first clinical placement. The intervention will include video-based orientation recorded in real clinical settings by senior nursing students, interactive question-answer sessions, and a structured hospital tour. In addition, peer mentors will provide on-site guidance during the initial clinical days and ongoing support through a digital communication platform. The program aims to reduce uncertainty, enhance clinical readiness, and facilitate adaptation to the clinical environment.

Peer-Supported Video and Interactive Clinical Orientation

Routine Clinical Orientation OTHER

Participants in the control group will receive the routine clinical orientation provided by the institution before their first clinical placement. This orientation will consist of a standard PowerPoint-based educational session covering hospital rules, clinical procedures, student roles and responsibilities, and basic safety and communication principles. No peer support, video-based education, or additional digital mentoring will be provided to this group.

Routine Clinical Orientation

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Being a first-year nursing student,
• Participating in clinical practice for the first time,
• Being 18 years of age or older,
• Being a citizen of the Republic of Türkiye and having the ability to read and understand Turkish,
• Providing voluntary informed consent to participate in the stud

You may not qualify if:

• Having previous clinical practice, internship, or healthcare-related experience,
• Being under 18 years of age,
• Being a foreign national,
• Refusing to participate or withdrawing from the study,
• Inability to attend the orientation program or the data collection process

Sponsors & Collaborators

• Siirt University: lead

Related Publications (10)

• McCloughen A, Levy D, Johnson A, Nguyen H, McKenzie H. Nursing students' socialisation to emotion management during early clinical placement experiences: A qualitative study. J Clin Nurs. 2020 Jul;29(13-14):2508-2520. doi: 10.1111/jocn.15270. Epub 2020 Apr 13.

  PMID: 32242999 BACKGROUND

• Ma H, Zou JM, Zhong Y, Li J, He JQ. Perceived stress, coping style and burnout of Chinese nursing students in late-stage clinical practice: A cross-sectional study. Nurse Educ Pract. 2022 Jul;62:103385. doi: 10.1016/j.nepr.2022.103385. Epub 2022 Jun 22.

  PMID: 35780686 BACKGROUND

• Loureiro F, Pecas D, Neves AC, Antunes AV. Coping strategies and social support in nursing students during clinical practice: A scoping review. Nurs Open. 2024 Feb;11(2):e2112. doi: 10.1002/nop2.2112.

  PMID: 38379350 BACKGROUND

• Lee T, Damiran D, Konlan KD, Ji Y, Yoon YS, Ji H. Factors related to readiness for practice among undergraduate nursing students: A systematic review. Nurse Educ Pract. 2023 May;69:103614. doi: 10.1016/j.nepr.2023.103614. Epub 2023 Mar 22.

  PMID: 37002991 BACKGROUND

• Baharum H, Ismail A, McKenna L, Mohamed Z, Ibrahim R, Hassan NH. Success factors in adaptation of newly graduated nurses: a scoping review. BMC Nurs. 2023 Apr 18;22(1):125. doi: 10.1186/s12912-023-01300-1.

  PMID: 37069647 BACKGROUND

• Ciris Yildiz C, Ergun Y. Development and psychometric testing of the Reality Shock Scale for newly graduated nurses. J Adv Nurs. 2021 Dec;77(12):4950-4962. doi: 10.1111/jan.15056. Epub 2021 Sep 30.

  PMID: 34590733 BACKGROUND

• Admi H, Moshe-Eilon Y, Sharon D, Mann M. Nursing students' stress and satisfaction in clinical practice along different stages: A cross-sectional study. Nurse Educ Today. 2018 Sep;68:86-92. doi: 10.1016/j.nedt.2018.05.027. Epub 2018 Jun 5.

  PMID: 29894915 BACKGROUND

• Acea-Lopez L, Pastor-Bravo MDM, Rubinat-Arnaldo E, Bellon F, Blanco-Blanco J, Gea-Sanchez M, Briones-Vozmediano E. Job expectations and intolerance to uncertainty of nursing students: Results from a multicentre, mixed-methods study in Spain. Nurse Educ Pract. 2022 Jul;62:103337. doi: 10.1016/j.nepr.2022.103337. Epub 2022 Apr 1.

  PMID: 35430534 BACKGROUND

• Yildiz CC, Ceylan BK, Ergun Y, Mete M. Development and psychometric testing of the reality shock scale for nursing students. Nurse Educ Today. 2025 Oct;153:106795. doi: 10.1016/j.nedt.2025.106795. Epub 2025 Jun 2.

  PMID: 40479956 BACKGROUND

• Liu L, Dallakoti N, Cui W, Li X, Ding S, Zhang S. Development and Validation of a Nurse-Specific Scale to Assess Influencing Factors in Clinical Practice Guideline Implementation: An i-PARIHS-Based Study. J Nurs Manag. 2026 Feb 1;2026:4584848. doi: 10.1155/jonm/4584848. eCollection 2026.

  PMID: 41635895 BACKGROUND

Central Study Contacts

MEYREME AKSOY, Associate Professor

CONTACT

05065003384; meyreme.aksoy@siirt.edu.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: February 17, 2026
• First Posted: March 2, 2026
• Study Start: March 5, 2026
• Primary Completion: March 20, 2026
• Study Completion: April 20, 2026
• Last Updated: March 2, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share