The Effect of Digital Games on Ethical Sensitivity and Decision Making in Nursing Students
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-40
SponsorIstanbul Medeniyet University
About this trial
The study was planned using a randomised controlled experimental design to determine the effectiveness of digital game-based teaching in the development of ethical sensitivity and ethical decision-making processes among nursing students.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Have taken and successfully completed the Nursing Ethics course,
Be a fourth-year nursing student who has successfully completed all professional courses and is undertaking the 'Professional Training in the Workplace' placement.
Disqualifiers
Students who have not taken the Nursing Ethics course or have failed the course before taking the Professional Training in the Workplace course.
Having a conditional grade point average (CGPA <2.00) up to the period when the data was collected.
Trial design
Design model
Parallel
Treatments tested in this trial
Digital game
Other interventionDigital Game: The developed digital game aims to enhance medical students' ethical awareness and decision-making skills. The digital game first provides students with reminders about ethical principles. The game covers a four-week process, focusing on a specific ethical principle each week. Each weekly module presents two cases supported by animated visuals written by the researcher, reviewed by experts, and created by the software company. After watching and reading the cases, students answer related questions. The modules and principles covered are as follows: Week 1 (Do No Harm/Beneficence): Cases related to treatment refusal and palliative care compliance. Week 2 (Autonomy/Respect): Cases related to organ donation decisions and chemotherapy refusal. Week 3 (Justice/Equity): Cases related to resource (air mattress) allocation and patient prioritisation. Week 4 (Confidentiality/Privacy): Cases related to HIV diagnosis confidentiality and psychiatric service confidentiality.
In-class group work
Other interventionFace-to-face case analysis will be conducted over 4 weeks. These sessions are scheduled outside the course programme, once a week for 40 minutes. A total of 4 cases, each relating to an ethical principle, will be given to students in printed form at the beginning of each session, and they will be asked to analyse them simultaneously. Before the exercises, students will be explained how to analyse the cases.
Treatment groups
60 Participants
are divided into 2 treatment groupsGroup A: Experimental groupExperimental treatment 2 interventions
Group B: ComparisonOther 1 intervention
Trial outcomes
Primary outcomes
1
Adapted Ethical Sensitivity Scale for Nursing Students
This scale determines the ethical sensitivity levels of nursing students. The 7-point Likert-type scale (1=Strongly disagree, 7=Strongly agree) consists of 30 items and six subscales. Items 8, 24, and 29 are reverse-scored. The total score ranges from 30 to 210; a high score indicates high ethical sensitivity. Item averages are evaluated as 7-5.9 (very important), 5.8-5 (important), 4.9-3.1 (neutral), and below 3.1 (unimportant).
Time frame
3 times; a week before implementation, a week after implementation, 2 months after implementation2
The Ethical Dilemma Test in Nursing
The scale developed under the name 'Nursing Dilemma Test' aims to identify ethical issues in nursing and consists of six scenarios. Each scenario has three sections (A, B, C): Section A (Action): Measures the decision to be made in the face of an ethical dilemma (to act/not to act/to be undecided). Section B (Thinking Style): Determines the 'Principled Thinking' (NPT - importance given to ethical principles) and 'Practical Thinking' (PT - importance given to environmental factors) scores by ranking six statements based on Kohlberg's theory. Section C (Familiarity): Calculates the 'familiarity' score by questioning the case experience. Scoring: NPT Score: ranges from 18 to 66. PT Score: ranges from 6 to 36. Familiarity Score: 6-17 (familiar), 18-30 (unfamiliar). Reliability (Turkish Version): Cronbach's Alpha: NPT (0.59), PT (0.50). Test-Retest: NPT (0.77), PT (0.73).
Time frame
3 times; a week before implementation, a week after implementation, 2 months after implementationSecondary outcomes
1
Student Satisfaction and Self-Confidence in Learning Scale
This scale assesses students' satisfaction with education and their attitudes towards self-confidence in learning. The 5-point Likert-type scale (1=Strongly disagree, 5=Strongly agree), consisting of 13 items in total, has two subscales: Satisfaction with Learning (5 items) Self-Confidence (8 items) Items are reverse-coded. The total score ranges from 13 to 65; a high score indicates high satisfaction and self-confidence. The Cronbach's alpha coefficients of the original scale were found to be Satisfaction (0.94) and Self-Confidence (0.87). The Cronbach's alpha values for the Turkish form were found to be Satisfaction (0.89), Self-Confidence (0.83), and Scale Total (0.90).
Time frame
Once; a week after implementationLocations
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Source ClinicalTrials.gov
This trial is not recruiting at the moment. You can still explore other options: