Sequential Case Triangle-Based Learning and Psychosocial Care Competency in Nursing Students

NCT07737002 | Completed

• 1 other identifier: E-10840098-50.04-1698
• Study Type: interventional
• Target: 179
• Locations: 1 country
• Sites: 1

Brief Summary

This study will look at whether a teaching method called "Sequential Case Triangle-Based Project-Based Learning" helps nursing students learn psychosocial care skills better. The study will take place during a Psychosocial Nursing course for fourth-year nursing students. Students will be divided into groups. Each group will work on one part of a patient case (creating the case, assessing it, or planning nursing care) using short role-play videos, building on the work of the group before them. Before and after the course, students will complete surveys measuring their psychosocial care competency, teamwork (cooperative learning) skills, and clinical reasoning skills. The study will compare students' scores before and after the course to see if this teaching method improved these skills.

Conditions

Psychosocial Care Competency in Nursing Students

Keywords

Psychosocial Nursing; Nursing Education; Cooperative Learning; Clinical Reasoning; Project-Based Learning; Case-Based Learning; Case Triangle

Outcome Measures

Primary Outcomes (2)

• Psychosocial Care Competency Self-Assessment

  The Psychosocial Care Competency Self-Assessment Scale is an 18-item, 5-point Likert-type self-report scale with four subscales (symptom identification, use of knowledge, intervention, and diagnosis). Total scores range from 18 (minimum) to 90 (maximum), with higher scores indicating better self-assessed psychosocial care competency.

  Baseline (course week 1) and post-intervention (course week 15)

• Clinical Reasoning

  The Clinical Reasoning Scale for Nursing Students is a 16-item, 5-point Likert-type self-report scale with four subscales (awareness of clinical clues, verification of clinical problems, action determination and implementation, and evaluation and reflection). Total scores range from 16 (minimum) to 80 (maximum), with higher scores indicating a higher level of clinical reasoning.

  Baseline (course week 1) and post-intervention (course week 15)

Secondary Outcomes (1)

• Cooperative Learning

  Baseline (course week 1) and post-intervention (course week 15)

Study Arms (1)

Experimental Group

EXPERIMENTAL

Behavioral: Sequential Case Triangle Based Project

Interventions

Sequential Case Triangle Based Project BEHAVIORAL

Intervention: Over the 15-week course, the class was divided into 20 main groups of 9 to 12 students each and every main group was split into three subgroups responsible for a sequential stage of the nursing process: case creation (depicting psychosocial responses to illness), psychosocial assessment, and planning/implementing psychosocial nursing interventions. Each subgroup prepared a short role-play video for its stage and submitted it to the course instructor, who forwarded it unedited to the next subgroup. Subgroups had no access to or prior knowledge of the case content created by the preceding subgroup; each stage was developed solely on the basis of the video received, without the ability to view or revise earlier work. In the final stage, the three videos were combined into one case narrative and discussed in class.

Also known as: Sequential Case Triangle-Based Project-Based Learning Approach

Experimental Group

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Enrolled in the "Psychosocial Nursing" elective course
• Willing to voluntarily participate in the study and sign the Informed Consent Form

You may not qualify if:

• Unable to complete the course (e.g., more than five absences, failure to submit the project assignment, or withdrawal from the course)

Sponsors & Collaborators

• Medipol University: lead

Study Sites (1)

Istanbul Medipol University

Istanbul, Kavacık, 34810, Turkey (Türkiye)

Location

Related Publications (1)

• Thought process Thought process 2,000 karakter sınırına uyacak şekilde sadece ölçeklerin geçerlik/uyarlama kaynaklarını seçtim (arka plan/literatür atıflarını çıkardım): Karataş, H., Kelleci, M.; Psikososyal Bakım Yetkinliği Öz Değerlendirme Ölçeği'nin geliştirilmesi geçerlik ve güvenirlik çalışması; Psikiyatri Hemşireliği Dergisi; 2021; 12(3); 263-271. Fernandez-Rio, J., Cecchini, J. A., Morgan, K., Mendez-Gimenez, A., Lloyd, R.; Validation of the cooperative learning scale and cooperation global factor using bifactor structural equation modelling; Psicología Educativa; 2022; 28(2); 91-97. Güngör, P., Kaya Uyanık, G., Yeşil, R.; İşbirlikli Öğrenme Ölçeği: Türkçeye Uyarlama Çalışması; MANAS Sosyal Araştırmalar Dergisi; 2025; 14(Eğitim Bilimleri Ek Sayısı); 31-49. Huang, H. M., Huang, C. Y., Lin, K. C., Yu, C. H., Cheng, S. F.; Development and psychometric testing of the clinical reasoning scale among nursing students enrolled in three types of programs in Taiwan; Journal of Nursing Research; 2023; 31(2); e263. Bal, B., Kaba, N. K., Öztürk, H.; Hemşirelik Öğrencileri için Klinik Muhakeme Ölçeğinin Türkçe Geçerliği ve Güvenirliği: Bir Metodolojik Çalışma; Journal of Nursology; 2024; 27(2); 129-135.

  RESULT

Study Officials

• Seda Er

  Medipol University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Masking Details: All participants received the same intervention (Sequential Case Triangle-based project-based learning) with no control or comparison group; outcomes were assessed pre- and post-intervention within the same group.
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assist. Prof.

Model Details: All participants received the same intervention (Sequential Case Triangle-based project-based learning) with no control or comparison group; outcomes were assessed pre- and post-intervention within the same group.

Study Record Dates

• First Submitted: July 26, 2026
• First Posted: July 30, 2026
• Study Start: February 9, 2026
• Primary Completion: May 18, 2026
• Study Completion: May 18, 2026
• Last Updated: July 31, 2026

Record last verified: 2026-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)