The Effectiveness of Situation Awareness Approach on Nursing Competencies in Obstetric Practicum: A Multimodal Teaching
1 other identifier
interventional
455
1 country
1
Brief Summary
The declining birth rate and the complex and unpredictable nature of obstetric clinical situations have limited nursing students' opportunities to gain authentic clinical experience and increased the challenges and stress associated with obstetric practicum. Therefore, undergraduate nursing students preparing for obstetric clinical practice require adequate pre-clinical preparation to develop essential competencies in situation awareness, communication, clinical reasoning, and decision-making. However, traditional teaching approaches may not adequately replicate authentic obstetric situations or provide sufficient opportunities for students to integrate knowledge and respond appropriately to dynamic clinical conditions. This study aims to develop a Situation Awareness-Based Multimodal Instructional (SAMI) program for undergraduate nursing students. The program integrates situation awareness theory, multimodal learning, virtual simulation, and game-based learning, incorporating visual, auditory, tactile, movement, and spatial experiences to create immersive and context-based obstetric learning environments. The SAMI program is designed to prepare nursing students for clinical practice by enhancing their ability to recognize relevant clinical cues, understand patient conditions, anticipate potential changes, and make appropriate clinical judgments and decisions. First, the feasibility, usability, and learner experiences of the SAMI program will be examined. Approximately 28 undergraduate nursing students who initail their obstetric clinical practicum will be recruited. They are allocated into 4 groups and randomly be assigned experimental groups or control groups. The experimental group will received SAMI program teaching; while control group will receive usual teaching. Subsequently, to evaluate the effectiveness of the program, undergraduate nursing students across different educational institutions will be cruited during their obstetric practicum. The research outcomes will include situation awareness, obstetric communication, clinical reasoning, and confidence in clinical decision-making. Finally, this study will examine a model including educational background, obstetric practicum stress, situation awareness, and core competencies in maternal nursing care. We plan to recruite 300 nursing students to test the model. Ultimately, this study aims to establish an evidence-based, context-based, and multimodal pre-clinical preparation model that bridges the gap between classroom learning and obstetric clinical practice. The findings will provide empirical evidence on the effectiveness of the SAMI program in enhancing nursing students' clinical readiness and core competencies for obstetric practicum.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Sep 2026
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 18, 2026
CompletedStudy Start
First participant enrolled
September 25, 2026
CompletedFirst Posted
Study publicly available on registry
September 28, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2028
September 28, 2026
September 1, 2026
2.3 years
September 18, 2026
September 24, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Outcome Measures
Situation Awareness Global Assessment Technique (SAGAT) will be used to assess situation awareness based on Endsley's theory. Each item is scored according to response accuracy, with 1 point for a correct response and 0 points for an incorrect. Maternal Nursing Practicum Stress Scale (MNPSS) will be used to assess practicum stress, containing 30 items. Each item is rated on a 5-point Likert scale from 1 (none) to 5 (very high). Critical Thinking Disposition Scale assesses the frequency of critical thinking, each item scored on a 6-point Likert scale from 1 (never) to 6 (always).Communication Self-Confidence in Maternity Scale assesses confidence in nurse-patient communication. Each item is scored on a 5-point Likert scale from 1 (very low confidence) to 5 (very high confidence). Clinical Decision-Making Self-Confidence Scale measures confidence in decision-making. Items are rated on a 5-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree).
Three time points: T0, the first week of the practicum as the baseline assessment; T1, two weeks after the teaching intervention as the first post-test; and T2, within one week after completion of the practicum as the second post-test.
Study Arms (2)
Situation Awareness-Based Multimodal Instructional
EXPERIMENTALAn immersive, multisensory teaching approach that integrates clinical scenarios to enhance students' situation awareness and decision-making skills.
Usual-video instruction.
PLACEBO COMPARATORThe control group receives video-based instruction on obstetric nursing care.
Interventions
An immersive, multisensory teaching approach that integrates clinical scenarios to enhance students' situation awareness and decision-making skills.
The control group receives video-based instruction on obstetric nursing care.
Eligibility Criteria
You may qualify if:
- Undergraduate nursing students aged 18 years or older.
- Students who are about to begin their obstetric nursing practicum.
- Full-time nursing students.
You may not qualify if:
- Students who have already completed an obstetric nursing practicum.
- Students who are repeating an obstetric nursing practicum.
- Students with previous obstetric clinical work experience or who are currently working in an obstetric clinical setting.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Department of Nursing, National Cheng Kung University
Tainan, 701, Taiwan
Central Study Contacts
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
- Professor
Study Record Dates
First Submitted
September 18, 2026
First Posted
September 28, 2026
Study Start
September 25, 2026
Primary Completion (Estimated)
December 31, 2028
Study Completion (Estimated)
December 31, 2028
Last Updated
September 28, 2026
Record last verified: 2026-09
Data Sharing
- IPD Sharing
- Will not share
Individual participant data will not be shared with other researchers to protect participants' privacy, confidentiality, and rights.