Investıgatıon Of The Effect Of Intravenous Peripheral Catheterızatıon Objectıve Structured Clınıcal Examınatıon Applıcatıon On The Stress And Skıll Levels Of Nursıng Students
Phase: NA
Conditions: OSCE (Objective Structured Clinical Examination), Stress, Nursing Education
Sponsor: Cukurova University

Each page of the application form must be signed by all researchers (must be a wet signature). 
 
TC 
BLACK SEA TECHNICAL UNIVERSITY 
HEALTH SCIENCES SCIENTIFIC RESEARCH ETHICS COMMITTEE 
APPLICATION FORM 
  
Application Date 
10/10/2025 
Academic staff and students working at Karadeniz Technical University , directly or electronically, as individuals or legal 
entities, in the field of health sciences. For scientific research and studies to be conducted with the participation of 
representatives, using data collection methods such as surveys, tests, scales, interviews, observations, pictures, drawings, 
video films and audio recordings, it is mandatory to apply to the Karadeniz Technical University Health Sciences Scientific 
Research Ethics Committee. 
 
A. APPLICATION INFORMATION 
 
1- The application Quality 
 
New Application 
X 
Revised Done Application  
One Former The project 
Continued 
Other 
 
2- If the application is a continuation of a previous project, the work being carried out must not differ from 
any previously approved work . difference Does it show? 
 
Yes 
No 
X 
 
 
3- Responsible The researcher 
Title , Name-Surname 
Unit / Section 
phone ( Work / Pocket) 
Address 
Email address 
Signature 
4- Other The researcher / Researchers (Row count can be increased if necessary) 
No 
 
Title , 
Name-
Surname 
Unit / Section 
phone ( Work / 
Pocket) 
Address 
Email address 
Signature  
 
 
 
 
 
 
 
INVEST IGATION OF THE EFFECT OF IV PERIPHERAL CATHETERIZATION OSCE 
APPLICATION ON THE STRESS AND SKILL LEVELS OF NURSING STUDENTS 

Each page of the application form must be signed by all researchers (must be a wet signature). 
 
5- (If any) The consultant 
Title , Name-Surname 
Unit / Section 
phone ( Work / Pocket) 
Address 
Email address 
Signature 
 
 
B. RESEARCH/PROJECT 
1- Turkish Title of the Project/Research 
IV Peripheral Catheterization OSCE Application Nursing Students Stress and Skills To the level Its effect 
Examination 
 
2- English Title of the Project/Research 
Investigation of the Effect of IV Peripheral Catheterization Osce Application on the Stress and Skill Levels of 
Nursing Students 
 
3- Project/Research Topic : Health Sciences Field (Suitable The one which The box (Please mark) 
 
Nutrition And Dietetics  
 
Child Development 
 
Midwifery 
 
Physiotherapy and Rehabilitation 
 
Nursing 
X 
Health Management 
 
Other ( Please (Please specify ) 
 
  
4- The research Its purpose 
this study IV peripheral catheterization OSCE procedure students stress And skill to the level its effect to 
examine is intended . 
 
5- The research Subject and Scope 
Nursing students clinical application before starting before skill their competencies evaluation big importance It 
carries . This purpose towards students sufficiency their situations evaluated Lens  Structured Clinical 
Examination (OSCE), today's nursing programs in most of them official One evaluation method aspect 
acceptance is being done And It is used ( Al Khalidi et al., 2022 ). This evaluation method , each of them different 
qualifications to evaluate on designed suddenly more from the station is formed And all participants clear One 
in time at the station skill to do expected . Students skill while observers by is watched And necessary tasks in 
its place bringing The situations are noted . At each station . One observer is found And to students intervention 
without And back in the notification without being found observation He does . From the students expected skill 

Each page of the application form must be signed by all researchers (must be a wet signature). 
 
targets prior to OSCE with students It is shared . To each student . how much at the stations duration will stay 
and what to do about informed directive is given And explanation It is done . Evaluation criteria And students 
will receive points previously set standard One chart / process step over  It is done (Turan Miral et al ., 2024). 
Traditional clinical evaluation techniques compared final One evaluation for   OSCE's more impartial , effective 
And Trustworthy One evaluation technique offers (Al Hamed, 2021). However, OSCE students clinical 
application to reality by preparing clinical their performances while increasing in students stress like situations 
It can create . Therefore students real their performances is unable to show ( Conde and Clemente-Suárez, 2021 
; Hosseini et al ., 2025 ) . 
OSCE's especially corrective action opportunity without directly observation And evaluation under to be done 
And with this together only one trip , return irreversible in the structure being other evaluation methods compared 
students stress levels more more is increasing (Alizadeh et al ., 2024; Al Khalidi et al ., 2022 ). El- Sharkawy and 
by Hassan done One in the study nursing Over 86% of students during OSCE serious stress that he/she ( El- 
Sharkawy) shows and Hassan, 2024 ). Stress students perform well to show for   necessary the one which... 
mental processes that he ruined showing studies even though ( Mojarrab) etc. , 2020 ) little in quantity stress One 
motivation source task what he saw , his performance increased And student more A lot to work incentive to 
what he did related in studies ( Al -Hamed 2021 , Fawaz and Alsalamah , 2021 ). At this point stress level 
important is It can be said that students during OSCE -lived is stress with skill levels between the relationship 
examination important will be It is thought . 
In the literature, during OSCE student lived stress level measured study examples It exists . In these studies stress 
level , essence notification based on scales , saliva from the example cortisol measurement And heart shot speed 
waves tracking like different methods by using measured ( Alhawari) et al., 2023; Bellido-Esteban et al ., 2021; 
Ferreira et al ., 2020; Hebel et al ., 2025a; Martínez-Pascual et al ., 2022; Sánchez-Conde et al .,., 2021 ). Some 
in studies self-report questionnaire results with physically measurement parameter with each other related not 
And Generally students stress what they reported at heart shot speed or  cortisol level significant degree 
unchanged This has been stated ( Ferreira et al ., 2020; Sommerfeldt et al ., 2019; Vaessen et al ., 2021) . OSCE 
simulation together application real OSCE stress reduced And skill performance results positive affected related 
evidence present studies in the literature available ( Behrendt et al., 2019; Foladovandi ( et al., 2024). Reached 
other experimental OSCE experience in studies number stress on it effect (Hebel et al ., 2025) and different 
content owner OSCE scenarios in students created stress level (Bellido-Esteban et al ., 2021 ) topics examined It 
is seen . All This  studies big One in part measurement vehicle aspect students self notification based on surveys 
used It has been determined . However in studies especially stress in measurement lens measurement methods 
usage , practical measurements to be done And randomized controlled trials aspect strong literature on planning 
evidence present in terms of effective will be It is thought so . At this point stress in measurement non-invasive 
aspect physiological parameters measurement providing And momentary notification giving And nowadays 
technology with prepared clever bracelets This  requirement can meet . In this context planned In the study , 
students stress level self notification surveys And clever hours with together by measuring They will be compared 

Each page of the application form must be signed by all researchers (must be a wet signature). 
 
. 
All This  known in the light of in the study ,  The study as a result in hand done findings to the literature 
contribution will provide It is thought . 
Sources    
 
 
Al Khalidi, D. et al . (2022). “ Nursing Students To OSCE Towards Perceptions and Stress On it Impact : A Cross-
Sectional Study ” BMC, (1), 345. https://doi.org/10.1186/s12912-022-01034-9 
 
Turan Miral, M. et al ., (2024). “ Student Nurses Traditional Exam and Objective Structured Clinical Examination 
Anxiety "Comparison of Levels " Journal of Intensive Care Nursing , 28 (1), 75–83. 
 
Al-Hamed, AA (2021). “ Nursing In his education OSCEs Usage : A Review His article is " Saudi " Arabia 
Journal , (7), 183–188. 
 
Conde, P. S. and Clemente-Suárez, V. J. (2021). “ Nursing Lens Students and Professors in the Structured Clinical 
Examination (OSCE) Between them Challenge , Stress , and Performance Differences ” Physiotherapists , 113502. 
https://doi.org/10.1016/j.physbeh.2021.113502 
 
Hosseini, FA et al ., (2025). “ Nursing Students' OSCE Exam With his/her stress Relating to Their Challenges and 
Needs 
Review 
: 
A 
Qualitative 
Study 
” 
PLOS 
ONE, 
20 
(7), 
e0327898. 
https://doi.org/10.1371/journal.pone.0327898 
 
Alizadeh, M. et al ., (2024). “ Nursing Students Objective Occupational Health and Safety with Structured Clinical 
Examination Method Sufficiency To his evaluation Related Experiences : Qualitative Content Analysis His study 
was published in BMC Medical , 1302. https://doi.org/10.1186/s12909-024-06292-3 
 
Mojarrab , S. et al ., (2020). “ The Effect of “A Stress And Anxiety Coping Program On Objective Structured 
Clinical Examination Performance Among Nursing Students In Shiraz, Iran” BMC Medical Education , 20, 301. 
https://doi.org/10.1186/s12909-020-02228-9 
 
Fawaz, M., and Alsalamah , Y. (2021). “ Perceptions Of Lebanese Nursing Students And Examiners Regarding 
The Objective Structured Clinical Examination Method (OSCE) In Nursing Fundamentals: A Mixed Method 
Study” International Journal of African Nursing Sciences, 15, 100373 
 
Alhawari, FS. et al ., (2023). “ Physiological Stress Response in Medical Students During OSCE: A Comparative 
Study” BMC Medical Education, 23(1), 681. https://doi.org/10.1186/s12909-023-04447-3 
 
Bellido-Esteban, A. et al ., (2021). “ University Students During OSCE Complexity and Anxiety at the Heartbeat 
Speed variability On it Its impact ” Frontiers in Psych. , 622102. https://doi.org/10.3389/fpsyg.2021.622102 
 
Ferreira, J.J.A. (2020). “ OSCE Physiotherapy In your students Saliva Cortisol Its Effect on Levels Advances in 
Medical Education and Practice, 11, 807–813. https://doi.org/10.2147/AMEP.S266210  
 
Sommerfeldt, S. L. et al ., (2019). “ Individual Differences The Association Between Subjective Stress And Heart 
Rate Are Related To Psychological And Physical Well-Being ” Madison, WI: MIDUS Project. 
https://midus.wisc.edu/findings/pdfs/1941.pdf 
 
Vaessen, T. et al ., (2021). “ The Association Between Self-Reported Stress and Cardiovascular Measures in Daily 
Life: A Systematic Review . ” PLOS ONE, 16(11), e0259557. https://doi.org/10.1371/journal.pone.0259557 

Each page of the application form must be signed by all researchers (must be a wet signature). 
 
 
Behrendt, H. et al ., (2019). “ Using An Ungraded Interprofessional Clinical Examination To Decrease Student 
Stress And Anxiety For A Skill-Based Exam . Journal of Interprofessional Education & Practice, 15, 1–5. 
https://doi.org/10.1016/j.xjep.2018.10.002 
 
Foladovandi , M. et al ., (2024). “ Examining the Impact of MOCK OSCE on Test Anxiety and Clinical 
Performance of First-Term Nursing Students in the OSCE Exam” Future Journal of Nursing and Health 
Sciences. 
 
Hebel, K. et al ., (2025). “ Simulated Learning, Real Emotions: The Impact Of Simulation-Based Education On 
Nursing Students' Stress Levels During The Objective Structured Clinical Examination (OSCE): A Longitudinal 
Observational Cohort Study” Nursing Reports, 15(8). https://doi.org/10.3390/nursrep15080307 
 
Bellido-Esteban, A. et al ., (2021). “ The Effect of Psychology Objective Structured Clinical Examination Scenario 
Presentation Order on Students' Autonomic Stress Response ” Frontiers in Psychology, 12, 622102. 
https://doi.org/10.3389/fpsyg.2021.622102 
 
Yalçın BM. Et ., (2024) “The Effect Of A Stress And Anxiety Coping Program On Objective Structured Clinical 
Exam Performance In Medical Students, A Randomized Clinical Trial” Educational Psychology , 44, 8, 911-924, 
doi : 10.1080/01443410.2015.1050355 
 
6- Method (Write this section considering the following headings) 
This study is a randomized controlled trial . And experimental of the type will be done . 
The research will be carried out Location : Research Center , Black Sea Technical University Health Sciences 
Faculty It will be conducted in the Nursing Department . 
The research time ( Beginning) And finish (dates ): Research December 2025 - September 2026 between will be 
done . 
The research universe And Sample : The research its universe in the spring semester of 2025-2026 nursing section 
first to the class record 160 students had it done It constitutes its sample . whereas research genius done criteria wake 
up And to work to participate acceptance 64 students will create . Sample width by Yalçın et al. (2024) made to 
work according to OSCE during students the ones they lived stress levels average values via G*power 3.1.9.4 
program with It has been determined . As a result of the analysis. According to 95% power , 0.05 significance . 
situation and 0.91 effect width with a minimum of 52 students reaching as needed It has been determined (Yalçın et 
al ., 2024). In our study casualties possible by thinking to work 10% more than the sample 64 students to be taken 
It is planned . 
Participants vote Method : Research participation criteria welcoming And research to participate acceptance eden 
all students (64 students ) experiment or  control from the group to someone block randomization method by using 
will be assigned . Students block randomization method in line with ; information test to their scores according to 
experiment And control to their groups will leave .  
To the research including done criteria : Students Nursing First time in the Fundamentals II Course record He 
had it done , for the first time to the OSCE. will experience being And research to participate voluntarily That is the 
case . 

Each page of the application form must be signed by all researchers (must be a wet signature). 
 
To the research including not being done criteria : Students health job high school graduate or  health with 
relating to One section read being , more previously basis nursing to your skills related any One experience owner 
being lesson in the scope of performed lab to their studies not participating And students tests missing is filling 
Data collection vehicles ( Validity-reliability) studies in the scope of to be used vehicles for   necessary permissions 
(must be presented ) : 
The research data " Student Introductory "Specification Form", " IV Catheter" Application Knowledge Test ”, “IV 
Catheter Application Skill Control List ”, “ Contextual” Anxiety Inventory “ and “ Huawei Watch Fit 2 ( smart 
clock )” with will be collected . 
Student Introductory Features In the form student age , gender And nursing his profession willingly preference do 
not situation.with relating to A total of 3 questions It is located . This section students by will be filled in (Appendix 
1). 
IV Catheter Application Knowledge Test current to the literature suitable aspect researchers by ( Akbıyık , 2021; 
Berman et al ., 2016; Craven et al ., 2013; DeLaune ) ( Lander, 2011; Lynn, 2015; Potter and Perry, 2017). Tests 
each one inside question five optional already multiple choice test question aspect prepared and every problem only 
One TRUE answer There are . From the test can be obtained -most high The score is 20. Knowledge test . Nursing 
Fundamentals in the field expert five teaching member Experts have evaluated it . received all back notifications in 
line with lesson in it necessary regulations made and its final form It has been given . After the test was prepared ... 
later Expert opinion their compatibility with KGI It has been calculated . In the knowledge test . questions from the 
perspective of KGI sufficient It was found (KGI min. 0.60, max. 1.000). Preliminary application will be taken 
student number information in the test question The number will be 5 times (20 questions x 5) in this way to 100 
students It has been implemented ( Karip , 2015). Experts from their opinions later information test front Nursing 
practice Fundamentals lesson first in the classroom by taking success with complete second class nursing The study 
was conducted with students (n=100) . The preliminary stage of the test... application after it was done later article 
difficulty index And distinguish efficacy The indices have been tested . IV medication. The test results were 
KR20=0.77, KR21=0.70, and Chronbach alpha=0.77. found (Appendix 2). 
IV Catheter Application Skill Control List to the literature suitable aspect researchers by prepared by (Berman et al 
., 2016; Craven et al ., 2013; DeLaune ( Lander, 2006; Potter and Perry, 2016; Taylor et al ., 2011). Skill IV. control 
list A total of 27 transactions . from the step It consists of . The process steps " correct" did ” (1 point ) or “ did not / 
wrong” did it ” ( 0 points ) has been evaluated (Appendix 3).  
Contingency Anxiety Inventory  Charles D. Spielberger and friends by It has been developed . State-Continuous 
Anxiety The state subscale of the State-Trait Anxiety Inventory (STAI) expression It does . This subscale individuals 
clear One at what they felt anxiety level measuring Objectives . The scale original form 20 items is formed and each 
item is rated using a 4- level Likert scale ( e.g., “ none ”, “ somewhat ”, “ quite ”, “ very ”). It is scored . On the scale 
some substances opposite in the opposite direction These are the items that are scored ; substances scores opposite 
translated total score including It is done . Reversed . scored Items : Reverse scored The items are : 1, 2, 5, 8, 10, 11, 
15, 16, 19, and 20 . Scale scores theoretical between 20 and 80 It changes ; score as it rises the individual at that 

Each page of the application form must be signed by all researchers (must be a wet signature). 
 
moment anxiety level more high is comment It is done . The scale drink consistency the coefficient (Cronbach's alpha) 
is between 0.86 and 0.95. It is changing . Into Turkish adaptation by Öner and LeCompte (1985) made and the 
Cronbach alpha value in the Turkish sample was 0.83–0.87. It has been found . Nursing students on done current in 
studies whereas This  value It is generally in the range of 0.89–0.94 (Kaya & Şimşek, 2021; Aydın & Kızılkaya, 
2019). The scale in its interpretation , the individual in hand he total point other individuals with their scores compared 
; general groups for   averages And distributions eyelash in front by categorizing anxiety as " low ", " medium ", or " 
high ". level categories can be determined (Appendix 4). 
Smartwatch with in the study momentary physiological stress level will be measured . Smart measurement . for   from 
the wrist optical pulse sensor (HUAWEI TruSeen ™ 5.0) and HRV ( heart rate) shot variability ) based HUAWEI 
TruRelax ™ algorithm user Huawei Watch Fit 2 device will be used . This clock algorithm thanks to low level 
stress (1–29), normal level stress (30–59), moderate level stress (60–79) and high level stress (80–99) results on 
the researcher's cell phone found mobile application It transmits . 
Data collection Method : Research data face to face questionnaire And observation methods by using will be 
collected . 
The research Implementation  
To the research to participate acceptance eden And research including done criteria wake up to students research 
purpose about information will be given . Students will work participation about approval after giving then " Student 
Introductory They will fill out the " Characteristics Form" . To the students intravenous catheter  application 
theoretical section traditional methods with to be told And students lesson finally information test Students will fill it 
out . block randomization method with , information test to their scores according to experiment And control to their 
groups will leave . Next day , all students lab to his work will be taken . Teaching element process steps suitable 
aspect model on demonstration with IV catheter application One times will show And after students, 8 people groups 
in teaching element with together will work . Every student -most little One times model on application will try . 
Experiment group students OSCE application will be taken . OSCE students skill application what they did lab in the 
environment two station will be in a way will be prepared . Students will have an IV catheter inserted at the first 
station . application do will be requested . Second at the station students lottery with the ones they took One application 
Students will do it . second at the station desired skill study in the scope of evaluation will not be done . Each one at 
the station students skill do 5-minute intervals for It will happen . Every 5 minutes . bell will steal And students One 
from the station to the other It will pass . 
Experimental Group 
this group students First station at OSCE without entering former stress levels Contingency Anxiety Inventory And 
clever hour through It will be determined . Immediately afterwards .  student IV catheter at the station application 
while process steps Skill Control List by using teaching element by  will be evaluated . The application at the end 
students stress level Contingency Anxiety Inventory And clever hour through again It will be evaluated . 
Control Group  

Each page of the application form must be signed by all researchers (must be a wet signature). 
 
Control in the group Students OSCE application without 5 minutes duration within IV catheter application will do . 
This application immediately before students stress levels Contingency Anxiety Inventory And clever hour through 
will be determined . Application during process steps Skill Control List by using teaching element by will be 
evaluated . The application at the end students stress level Contingency Anxiety Inventory And clever hour through 
again It will be evaluated . 
Ethic aspects 
The research can be done for Black Sea Technical University Health Sciences Faculty Institution from the Nursing 
Department permission ( Date:… .. No:… …) and Health Sciences Scientific Research Ethic From the Board ethic 
approval will be taken (Date: …. No: ….). Application before starting before research within its scope received to 
students research purpose And research to your plan related information will be given , informed consent form with 
written consents will be taken . 
In the research to be used statistical methods : 
From the research in hand done data using SPSS (Statistical Package for Social Sciences) for Windows 25.0 program 
. by using analysis will be done . The data in the evaluation descriptive statistical methods aspect number (n), 
percentage (%), median and quartile ( Q1 , Q3 ) values will be given . Research normal distribution of variables show 
that he did not show to determine Kolmogorov - Smirnov test will be implemented . Groups with variables between 
relationship chi- square (X 2 ) analysis It has been tested with two independent studies . group between quantitative 
continually data Student-T or Mann Whitney-U test for comparison will be used . Also variables between 
relationship to look  for   correlation analysis will be used . obtained findings with 95% confidence. within the range 
, 0.05% significance at the level It will be evaluated . 
 
7- The research Type (Suitable The one which The box (Please mark) 
High Licence Thesis 
 
Doctorate Thesis 
 
Individual Research / Project 
X 
BAP Project 
 
TÜBİTAK Project 
 
Institutional Research Project 
 
Finishing Project  
 
Other ( Please (Please specify ) 
 
 
8- Support Information 
 Project for   any One support if received ; 
 Supporting organisation : 
☐ University 
☐ TÜBİTAK 
☐ International ( please specify 
)... 
☐ Other ( please specify 
)………….     

Each page of the application form must be signed by all researchers (must be a wet signature).