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The Effect of the Flipped Learning Model on Nursing Students' Perception of Spiritual Care and Competence This study was designed as a randomised controlled trial to determine the effect of the flipped learning model on nursing students' perception of spiritual care and their competence in spiritual care.
The study will be conducted between 08.12.2025 and 09.02.2026 on 112 fourth-year nursing students. Students meeting the inclusion criteria will be randomised and divided into two random groups: the experimental group (n=50) and the control group (n=50). All participating students will be administered the 'Descriptive Characteristics Form', the 'Spirituality and Spiritual Care Rating Scale (MMBÖ)' and the 'Spirituality Scale Spiritual Care Competence Scale (MBYÖ)' and (pre-test). Students in the experimental group will undergo reverse application for 1 month.
All students in the control group will be administered the 'Descriptive Characteristics Form,' the 'Spirituality and Spiritual Care Rating Scale (MMBÖ),' the 'Spiritual Care Competence Scale (MBYÖ),' and a pre-test. No intervention will be administered to students in the control group.
After the reverse application is completed, the 'Descriptive Characteristics Form,' the 'Spirituality and Spiritual Care Rating Scale (MMBÖ),' the 'Spiritual Care Competence Scale (MBYÖ),' and the 'post-test' will be administered to the students in the experimental and control groups.
The collected data will be analysed using SPSS 22 software.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Flipped Learning Model | Experimental | Receiving Spiritual Care Training in Nursing with the Reverse Education Model |
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| TRADITIONAL EDUCATION MODEL | No Intervention | Receiving spiritual care training in nursing with the traditional education model |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| flipped learning model | Other | All participating students will be administered the 'Introductory Characteristics Form', the 'Spirituality and Spiritual Care Rating Scale (MMBÖ)' and the 'Spiritual Care Competence Scale (MBYÖ)' and a pre-test. Students in the experimental group will undergo reverse application for one month. All students in the control group will be administered the 'Descriptive Characteristics Form,' the 'Spirituality and Spiritual Care Rating Scale (MMBÖ),' the 'Spiritual Care Competence Scale (MBYÖ),' and the pre-test. No intervention will be administered to students in the control group. After the reverse application is completed, the 'Descriptive Characteristics Form', the 'Spirituality and Spiritual Care Rating Scale (MMBÖ)' and the 'Spiritual Care Competence Scale (MBYÖ)' and the 'post-test' will be administered to the students in the experimental and control groups. |
| Measure | Description | Time Frame |
|---|---|---|
| Determining the effect of the flipped learning model on nursing students' perception level of spiritual care | Spirituality and Spiritual Care Rating Scale (SCRS); The scale consists of 17 items and has 3 sub-dimensions. The scale is scored using a 5-point Likert type (1 = Strongly Disagree, 2 = Disagree, 3 = Undecided, 4 = Agree, 5 = Strongly Agree). Thirteen items (1, 2, 5, 6, 7, 8, 9, 10, 11, 12, 14, 15, and 17) are scored normally, while four items (3, 4, 13, and 16) are scored in reverse. The total score is obtained by dividing the item scores by the number of questions. The maximum score that can be obtained from the scale is 85, and the minimum is 17. A high total score indicates a good level of perception of spirituality and spiritual care concepts. The Spiritual Care Competence Scale (SCCS) consists of three areas of nursing competence related to spiritual care and a total of 27 items. The scale is a five-point Likert-type scale. The lowest possible score on the scale is 27, and the highest possible score is 135. A high score indicates nursing competence related to spiritual care. | Baseline and post-intervention (8th week)] |
| Measure | Description | Time Frame |
|---|---|---|
| Determining the effect of the flipped learning model on nursing students' their spiritual care competencies | Spirituality and Spiritual Care Rating Scale (SCRS); The scale consists of 17 items and has 3 sub-dimensions. The scale is scored using a 5-point Likert type (1 = Strongly Disagree, 2 = Disagree, 3 = Undecided, 4 = Agree, 5 = Strongly Agree). Thirteen items (1, 2, 5, 6, 7, 8, 9, 10, 11, 12, 14, 15, and 17) are scored normally, while four items (3, 4, 13, and 16) are scored in reverse. The total score is obtained by dividing the item scores by the number of questions. The maximum score that can be obtained from the scale is 85, and the minimum is 17. A high total score indicates a good level of perception of spirituality and spiritual care concepts. The Spiritual Care Competence Scale (SCCS) consists of three areas of nursing competence related to spiritual care and a total of 27 items. The scale is a five-point Likert-type scale. The lowest possible score on the scale is 27, and the highest possible score is 135. A high score indicates nursing competence related to spiritual care. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Kağan ARSLANDOĞMUŞ | Kırıkkale University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kirikkale University | Kirikkale | Kırıkkale | 71450 | Turkey (Türkiye) |
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A randomized controlled trial
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In this study, data will be entered by someone other than the researcher, and statistical analysis will be performed by someone other than the researcher. In the study, the reverse learning model will be applied to participants in the experimental group. As the Flipped Learning Model is an intervention that is clearly noticeable to participants, participants will be aware of which group they are in. This means that blinding participants is not possible. Furthermore, as the researcher is the person implementing the intervention, both participants and the researcher will be aware of the intervention. Therefore, blinding will not be performed in this study.
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| Baseline and post-intervention (8th week)] |