Effects of Structured Clinical Teaching on Nursing Students' Motivation, Learning Strategies, and Attitudes Toward Clinical Practice

The Effect of a Structured Educational Intervention in Clinical Teaching on Nursing Students' Motivation, Learning Strategies, and Clinical Attitudes

This study will evaluate whether a structured clinical teaching approach improves nursing students' motivation, learning strategies, and attitudes toward clinical practice. A total of 137 second-year nursing students will be randomly assigned to either a structured clinical teaching group or a routine clinical teaching group.

The structured clinical teaching group will take part in interactive learning activities such as question-and-answer sessions, discussions, microteaching, concept mapping, structured feedback, and teach-back during a 7-week clinical education period. The control group will continue with the routine clinical teaching process. Participants will complete questionnaires before and after the intervention to assess changes in motivation, learning strategies, and attitudes toward clinical practice.

This randomized controlled educational intervention study will be conducted with second-year undergraduate nursing students enrolled in the Nursing Education course and participating in clinical practice. Participants who provide informed consent will complete baseline assessments and will then be randomly assigned to either the structured clinical teaching group or the routine clinical teaching group.

The structured clinical teaching intervention will be implemented over 7 weeks. The intervention will include clarification of clinical learning goals, interactive question-and-answer activities, guided discussions, microteaching sessions, structured feedback, concept mapping, use of teaching materials, case-based discussion, reflective sharing, and teach-back during patient education. The control group will continue the routine clinical teaching process according to the standard course implementation.

Motivation and learning strategies will be assessed using the Turkish version of the Motivated Strategies for Learning Questionnaire, and attitudes toward clinical practice will be assessed using the Attitude Toward Clinical Practice Scale for Nursing Students. These measures will be administered before the intervention and again at the end of the 7-week period. The main analyses will compare post-intervention outcomes between groups while accounting for baseline measurements.

Inclusion Criteria:

• Second-year undergraduate nursing student at Izmir Katip Celebi University
• Enrolled in the Nursing Education course
• Participating in the clinical practice component of the course
• Willing to participate voluntarily in the study
• Providing informed consent

Exclusion Criteria:

• Incomplete completion of the data collection forms
• Failure to participate in either the pre-intervention or post-intervention assessment