The transition from theoretical knowledge to clinical practice is a critical and challenging phase for nursing students. Limited opportunities for scenario-based learning before an clinical practicum impacts students' preparedness for practice and clinical competence. Consequently, this lack of preparation directly fuels stress, creating a a negative feedback loop where this stress inhibits cognitive processing and effective learning. Generative artificial intelligence (GenAI) has emerged as a novel educational technology capable of providing interactive, flexible, and learner-centred simulation experiences.
This waitlist randomised controlled trial aims to examine the effectiveness of incorporating the GenAI patient simulation in preparing the undergraduate nursing students for clinical practicum and enhancing the clinical competence compared to the current practice. Hypotheses of this study include:
1. Participants using the GenAI patient simulation will report higher preparedness for the first acute clinical practicum (CP) and higher clinical competence scores compared to the usual practice group at all time points. 2. The frequency of using the GenAI patient simulation will be positively correlated with preparedness for the CP and clinical competence. 3. Participants using the GenAI patient simulation will report lower perceived stress before and during the CP compared to the usual practice group. 4. The frequency of using of the GenAI patient simulation will negatively correlate with the levels of perceived stress before and during the CP.
of any nationality including non-local and non-Chinese students, and
able to read and understand English, and
completed the introduction of clinical nursing practicum in year 2, and
scheduled to undertake their first acute clinical practicum within the same academic year.
None
Parallel
GenAI Patient Simulation Platform
BehavioralThe intervention is a two-phase GenAI patient simulation platform. Phase 1 - a 2-hour facilitated face-to-face simulation exercise session using the scenarios in the GenAI platform. Phase 2 - a self-initiated, wall-free GenAI patient simulation scenario package. Participants is allowed to access the platform and do the exercises before and during clinical practicum.
GenAI Patient Simulation Platform
BehavioralSame intervention after completion of the study.
Preparedness for Clinical Practicum
Preparedness for clinical practicum will be measured using the Casey-Fink Readiness for Practice Survey, consists of 15 items in three domains: clinical problem solving (6 items), learning activities (5 items), and practice readiness (4 items). The minimum and maximum mean scores for each subscale are 1 and 4, respectively. A higher mean score indicates a higher level of agreement with each subscale.
Clinical Competence
Measured by the Clinical Competency Questionnaire, consists of 47 items divided into four domains: nursing professional behaviour, general performance, core nursing skills and advanced nursing skills. Total scores range from 47 to 235, with a higher score indicating a higher level of competence.
Perceived Stress
Measured by the Perceived Stress Scale-10. Total scores range from 0 to 40. The higher total scores indicate higher perceived stress level.
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