Clinical trial NCT03456297: Web-based Clinical Pedagogy Program to Enhance Nurse Preceptors' Teaching Competency
Official title: Web-based Clinical Pedagogy Program to Enhance Nurse Preceptors' Teaching Competency and Nursing Students' Learning Outcomes in Clinical Competency
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Web-based Program for Nurse Preceptors
Keywords: Web-based clinical pedagogy program
nurse preceptors
teaching competency
Lead sponsor: National University of Singapore
Sponsor class: OTHER
Collaborators: name: Tan Tock Seng Hospital
First posted: 2018-03-07
Enrollment: 300
Sex: ALL
Minimum age (years): 21
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: A prospective cluster randomisation trial will be used for this study. The Web-based Clinical Pedagogy Program will be provided to the participants in the experimental cluster, while the participants in the control cluster will receive the current preceptorship course.
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The study aims to develop a Web-based clinical pedagogy program (WCP) for nurse preceptors; compare the WCP with the current preceptorship course on clinical teaching competence, assessment techniques and self-efficacy; examine nurse preceptors' attitudes toward Web-based learning; and explore the preceptors' perspectives of WCP.

Detailed description: Clinical nursing education provides opportunities for students to learn in multiple patient care settings, receive appropriate guidance, and foster the development of clinical competence and professionalism. Nurse preceptors guide students to integrate theory into practice, teach clinical skills, assess clinical competency, and enhance problem solving and critical thinking skills. Previous researches have indicated that the teaching competency of the nurse preceptors can be transferred to the students' clinical learning to enhance their clinical competencies. Web-based learning is recognised as an effective learning approach for enhancing nursing knowledge and skills. The flexible and resource-rich nature of Web-based learning may encourage nurses to use it as a platform for continuing education.

The present study aims to develop a Web-based clinical pedagogy program (WCP) for nurse preceptors; compare the WCP with the current preceptorship course on clinical teaching competence, assessment techniques and self-efficacy; examine nurse preceptors' attitudes toward Web-based learning, and explore the preceptors' perspectives of WCP .

The design of the components in WCP is grounded on Bandura's self-efficacy theory. The WCP is an evidence-based program which provides a comprehensive coverage on clinical teaching pedagogy and assessment strategies. The unique web-based technology and interactive features provide a platform to allow the nurse preceptors to discuss the clinical encounters with their peers, and consult the experts. The WCP provides flexibility in learning, which may match the tight work schedule of the preceptors and aligns with the initiative of Singapore government to encourage leveraging on technology and continuing education for citizens.

A prospective cluster randomisation trial will be used for this study. The WCP will be provided to the preceptors in the experimental cluster, while the preceptors in the controlled cluster will receive the current preceptorship course. A follow-up qualitative study using focus group will be conducted to further explore the preceptors' perspectives of WCP.

Clinical teaching competence inventory (CTCI), preceptor self-efficacy assessment instrument (PSAI), attitudes towards web-based continuing learning survey (AWCLS) will be used to evaluate preceptors' learning outcomes. Socio-demographic data will be collected for both groups at baseline. Nurse preceptors will be invited to complete questionnaires on CTCI, PSAI, and AWCLS at three time points, before the learning program (baseline), after the learning program (post-test 1), and after clinical teaching experience (post-test 2). In addition, 16 preceptors will be invited to participate in the focus group discussions.

Ministry of Health, Singapore encourages strategies that are innovative and promote professional development of healthcare professionals, who feel more motivated and dignified to care for the health of the population. It is paramount that continuing education courses integrate with technology, increase the flexibility and responsiveness of the nursing workforce, and offer alternative means to take up courses.

Eligibility criteria: Inclusion Criteria:

* nurse preceptors and clinical nurse leaders;
* guiding the nursing students for clinical teaching and assessment;
* 21 years old and above;
* have not completed the clinical teaching course provided by the hospital; and
* possess and able to use smart mobile devices (Smart phone, tablet, or laptop) in daily lives.

Exclusion Criteria:

* nurse preceptors who do not know how to use the smart mobile devices.

Primary outcomes:
measure: Preceptor Self-efficacy Questionnaire (PSEQ)
timeFrame: Change from Baseline PSEQ at 6 months
Secondary outcomes:
measure: Clinical Teaching Competence Inventory (CTCI)
timeFrame: Change from Baseline CTCI at 6 months
measure: Attitudes toward Web-based Continuing Learning Survey (AWCLS)
timeFrame: Change from Baseline AWCLS at 6 months
Other outcomes:
Locations:
city: Singapore
country: Singapore
facility: National University of Singapore
Study officials:
affiliation: National University of Singapore
name: Vivien Xi Wu, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Wu XV, Chan YS, Tan KHS, Wang W. A systematic review of online learning programs for nurse preceptors. Nurse Educ Today. 2018 Jan;60:11-22. doi: 10.1016/j.nedt.2017.09.010. Epub 2017 Sep 28.
citation: Wu XV, Enskar K, Pua LH, Heng DGN, Wang W. Clinical nurse leaders' and academics' perspectives in clinical assessment of final-year nursing students: A qualitative study. Nurs Health Sci. 2017 Sep;19(3):287-293. doi: 10.1111/nhs.12342. Epub 2017 Mar 30.
citation: Wu XV, Enskar K, Heng DG, Pua LH, Wang W. The perspectives of preceptors regarding clinical assessment for undergraduate nursing students. Int Nurs Rev. 2016 Sep;63(3):473-81. doi: 10.1111/inr.12272. Epub 2016 Apr 21.
citation: Wu XV, Wang W, Pua LH, Heng DG, Enskar K. Undergraduate nursing students' perspectives on clinical assessment at transition to practice. Contemp Nurse. 2015 Oct-Dec;51(2-3):272-85. doi: 10.1080/10376178.2016.1163232. Epub 2016 Mar 30.