Jigsaw Cooperative Learning for Pediatric Pain Education in Undergraduate Nursing Students

NCT07735299 | Not Yet Recruiting DMC

• 1 other identifier: UNIPG-JIGSAW-PAIN-RCT-2026-01
• Study Type: interventional
• Target: 151
• Locations: 1 country
• Sites: 1

Brief Summary

Background Despite growing evidence supporting active learning methodologies in nursing education, limited evidence is available regarding the effectiveness of the Jigsaw cooperative learning technique in improving undergraduate nursing students' competencies in pediatric pain management. Objective To evaluate whether the Jigsaw cooperative learning method improves nursing students' knowledge and attitudes regarding pediatric pain management compared with traditional lecture-based education. Methods This multicenter, parallel-group randomized controlled trial will be conducted among third-year undergraduate nursing students from the University of Perugia and Unilink University (Italy). Participants will be randomly allocated (1:1) to either a Jigsaw-based educational intervention or traditional lecture-based teaching. Knowledge and attitudes will be assessed using the Italian validated Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS) at baseline (T0), immediately after the intervention (T1), and 30 days later (T2). Student satisfaction will also be evaluated using a Visual Analogue Scale (VAS).

Conditions

Pediatric Pain Education

Keywords

Cooperative Learning; Jigsaw; Nursing Education; Pediatric Pain; Undergraduate Nursing Students

Outcome Measures

Primary Outcomes (1)

• Total Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS) score.

  Total score on the Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS). The PNKAS consists of 42 items with a total score ranging from 0 to 42, where higher scores indicate greater knowledge and more appropriate attitudes toward pediatric pain management.

  Immediately after intervention (T1)

Secondary Outcomes (5)

• Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS) score change from baseline (T0) to T1

  Immediately after intervention

• Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS) score at 30-day follow-up

  30 days

• Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS) score change from T1 to T2

  30 days

• Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS) score change from T0 to T2

  30 days

• Student satisfaction assessed by Visual Analogue Scale (0-10)

  Immediately after intervention

Study Arms (2)

Jigsaw Cooperative Learning

EXPERIMENTAL

Educational intervention based on the Jigsaw cooperative learning technique.

Other: Jigsaw cooperative learning

Traditional Lecture-Based Education

ACTIVE COMPARATOR

Conventional lecture-based teaching covering identical educational content.

Other: Traditional Lecture-Based Education

Interventions

Jigsaw cooperative learning OTHER

Educational intervention based on the Jigsaw cooperative learning technique

Jigsaw Cooperative Learning

Traditional Lecture-Based Education OTHER

Conventional lecture-based teaching covering identical educational content

Traditional Lecture-Based Education

Eligibility Criteria

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

You may qualify if:

• Third-year undergraduate nursing student.
• Attendance of the pediatric nursing course.
• Written informed consent.

You may not qualify if:

• Previous advanced education in pediatric pain management.
• Failure to complete baseline assessment.

Sponsors & Collaborators

• University of Rome Tor Vergata: lead

Study Sites (1)

UNIVERSITY OF PERUGIA - Degree Course in Nursing

Perugia, Italy

Location

Central Study Contacts

FABRIZIO FAINA, RN, MSN

CONTACT

+393472651617; fabrizio.faina@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: Participants will be randomly assigned in a 1:1 ratio to either Jigsaw cooperative learning or traditional lecture-based education. Randomization will be stratified by study site.

Study Record Dates

• First Submitted: July 22, 2026
• First Posted: July 29, 2026
• Study Start (Estimated): November 1, 2026
• Primary Completion (Estimated): April 1, 2027
• Study Completion (Estimated): September 1, 2027
• Last Updated: July 29, 2026

Record last verified: 2026-07

Data Sharing

• IPD Sharing: Will not share

Locations

IT (1)