Clinical trial NCT06646068: Enhancing Clinical Judgment Competence in Nursing Education: A Mixed-Methods Study in the Philippines
Official title: Refining Clinical Judgment Competence in Nursing Education: The Impact of the Philips 66 Brainstorming Technique in Case-Based Learning
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Clinical Competence
Nursing Education
Keywords: Clinical Judgment Competence in Nursing
Lead sponsor: Angeles University Foundation
Sponsor class: OTHER
First posted: 2024-10-17
Enrollment: 30
Sex: ALL
Minimum age (years): 20
Maximum age (years): 25
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SEQUENTIAL
Intervention model description: The study evaluated the effectiveness of the Philips 66 brainstorming technique integrated with case-based learning to enhance clinical judgment competence in nursing students. Using a true experimental pre-test/post-test design, 60 students were randomly assigned to intervention and control groups. Both groups were exposed to the same clinical case scenarios, but the intervention group participated in Philips 66 sessions. The process included individual reflection (6 minutes) on clinical judgment and disaster triage protocols, followed by 6-minute group brainstorming sessions to collaboratively refine ideas. Group leaders then presented their nursing care plans within a 6-minute timeframe. The model aimed to foster critical thinking, collaboration, and clinical decision-making skills. The Lasater Clinical Judgment Rubric (LCJR) was used for evaluation.
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The goal of this mixed-methods study is to assess the impact of the Philips 66 brainstorming technique integrated with case-based learning (CBL) on refining clinical judgment competence in senior nursing students in the Philippines.

The main question it aims to answer is:

Does the Philips 66 technique improve clinical judgment competence among nursing students more effectively than traditional CBL methods?

Participants will be senior nursing students, randomly assigned to an intervention group using the Philips 66-CBL and a control group using standard CBL. Clinical judgment competence will be evaluated through pre- and post-test assessments using the Lasater Clinical Judgment Rubric (LCJR) and confidence questionnaires. A subset of participants from the intervention group will take part in focus group discussions to explore their experiences with the Philips 66 technique. Data will be collected over a short-term period for quantitative and qualitative analysis.

Detailed description: This study utilizes an explanatory sequential mixed-methods design to evaluate the effectiveness of the Philips 66 brainstorming technique, integrated with case-based learning (CBL), in enhancing clinical judgment competence among senior nursing students in the Philippines. The study consists of two phases: a quantitative experimental phase and a qualitative exploratory phase.

The quantitative phase adopts a true experimental pre-test/post-test design, involving 60 senior nursing students who will be randomly assigned to either the intervention group (n=30) or the control group (n=30). The intervention group will undergo CBL sessions facilitated by the Philips 66 technique, while the control group will follow the standard CBL approach. The Philips 66 technique is a structured form of small group brainstorming where participants collaborate in smaller teams, fostering idea generation and peer learning in a timed setting. Clinical judgment competence will be assessed before and after the intervention using the Lasater Clinical Judgment Rubric (LCJR), which measures four dimensions of clinical judgment: noticing, interpreting, responding, and reflecting. Additionally, a researcher-designed questionnaire will be used to measure students' confidence levels in their clinical decision-making abilities.

The qualitative phase will involve focus group discussions (FGDs) with a subset of participants from the intervention group to gain deeper insights into their experiences with the Philips 66 technique. These discussions will aim to explore how the technique influences their critical thinking, decision-making, and collaborative learning processes. Thematic analysis will be applied to identify recurring themes and key experiences.

Statistical analysis for the quantitative component will include descriptive statistics, non-parametric tests (such as the Mann-Whitney U test), and Wilcoxon signed-rank tests to analyze differences in clinical judgment competence and confidence levels between the two groups. For the qualitative component, data from FGDs will be analyzed thematically to provide contextual understanding and support for the quantitative findings.

The study aims to determine whether the integration of the Philips 66 technique with CBL can significantly enhance the development of clinical judgment competence in nursing students, preparing them for the challenges of real-world clinical settings. Future studies may be conducted across different contexts to validate the long-term effects of this intervention.

Eligibility criteria: Inclusion Criteria:

* BSN students enrolled in their fourth year at a Higher Education Institution in Angeles City, Philippines.
* At least 20 years old.
* Willing to participate in both pre- and post-intervention assessments.

Exclusion Criteria:

* Undergraduate nursing students who do not meet the criteria and refuse to join the study
* Students with anticipated absences exceeding a certain threshold (e.g., more than two sessions)

Primary outcomes:
measure: Change in Clinical Judgment Competence
timeFrame: Assessment of clinical judgment competence will occur at baseline (pre-intervention) and immediately after the intervention using the Lasater Clinical Judgment Rubric (LCJR) over a one-month period.
Secondary outcomes:
measure: Change in Teamwork and Collaborative Learning
timeFrame: Focus group interviews to assess teamwork and collaborative learning will be conducted immediately following the intervention, with each interview expected to last approximately 30-60 minutes.
Other outcomes:
Locations:
city: Angeles City
country: Philippines
facility: Angeles University Foundation, Mac Arthur Highway
state: Pampanga
Study officials:
affiliation: Angeles University Foundation
name: Rudena A Madayag, MAN
role: PRINCIPAL_INVESTIGATOR
References: