Effect of a Chatbot-Supported Clinical Training on Nursing Students' Self-Efficacy in Pediatric Medication Administration: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 106
- 试验地点
- 1
- 主要终点
- Self-efficacy in pediatric medication administration
研究概览
简要总结
This study looked at whether a chatbot can help nursing students feel more confident about giving medicines to children. Giving medicines to children is difficult because doses depend on the child's weight, and mistakes can be harmful. Third-year nursing students starting their pediatric clinical placement took part. They were divided by chance into two groups. Both groups received the usual training. One group also used a chatbot that helped with medicine dose calculations and answered questions about giving medicines to children, based on a trusted nursing textbook. The other group used only the usual references. Students' confidence in giving medicines to children was measured with a questionnaire before and after the placement. The study compared how much each group's confidence changed to see whether the chatbot added a benefit beyond the usual training.
详细描述
This was a two-group, parallel, pre-test-post-test randomized controlled trial evaluating the effect of a chatbot-supported clinical training on nursing students' self-efficacy in pediatric medication administration. The trial was reported in accordance with the CONSORT statement.
All eligible third-year nursing students entering the pediatric clinical placement were invited (complete enumeration), and 106 students who consented were enrolled. Participants were allocated to an experimental group (n=53) and a control group (n=53) using fixed block randomization (block size = 6).
Both groups received the routine curriculum. The experimental group additionally used a web-based chatbot before and during the placement. The chatbot contained two modules: a dose calculator (computing required drug amount and volume from the child's weight, prescribed dose, and drug concentration) and a question-answer assistant. The chatbot's content was drawn solely from a validated pediatric nursing reference textbook rather than free AI-generated responses. The control group accessed standard clinical references only. After the study, the control group was also offered access to the chatbot.
Data were analyzed using independent- and paired-samples t-tests and analysis of covariance (ANCOVA) with the pre-test score as a covariate.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Third-year nursing student
- •Entering the pediatric (child health and diseases) clinical placement for the first time
- •Owning a smartphone or computer
- •Providing voluntary informed consent to participate
排除标准
- •Previous completion of a pediatric clinical placement
- •Prior participation in a similar educational intervention
研究组 & 干预措施
Experimental group
Participants received the routine curriculum and additionally used a web-based chatbot (a dose calculator and a book-based question-answer assistant) before and during the pediatric clinical placement.
干预措施: Chatbot-supported training (Behavioral)
Control group
Participants received the routine curriculum and accessed standard clinical references only, without the chatbot.
结局指标
主要结局
Self-efficacy in pediatric medication administration
时间窗: Baseline (before the pediatric clinical placement) and post-intervention (after completion of the placement, approximately at the end of the clinical rotation). Baseline (Day 1) and post-intervention (Week 8)
Self-efficacy measured with the Medication Administration Self-Efficacy Scale in Children for Nursing Students (MASSCNS), a 16-item, 5-point Likert scale with total scores ranging from 16 to 80. Higher scores indicate greater self-efficacy. Change from pre-test to post-test was compared between groups.
次要结局
未报告次要终点
研究者
Tugba KARAKUS TURKER
Principal Investigator
Uskudar University