Web-based Program for Nurse PreceptorsNCT03456297
Web-based Clinical Pedagogy Program to Enhance Nurse Preceptors' Teaching Competency
A study testing Web-based clinical pedagogy program (WCP) in people with Web-based Program for Nurse Preceptors, run by National University of Singapore at 1 site in Singapore.
Trial 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'… Read more about this study
- Who is it for?
- Ages 21 years and olderHealthy volunteers can take part
- Conditions the study is for
- Web-based Program for Nurse Preceptors
- What is being tested?
- Web-based clinical pedagogy program (WCP)
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 300 participants
- Where
- 1 siteSingapore
- Study dates
- 1 Sep 2018to 2 Dec 2020
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 21 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- 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.
Who cannot join
- nurse preceptors who do not know how to use the smart mobile devices.
Trial locations and contacts
1 site in 1 country.
Singapore1 site
National University of Singapore
Singapore, Singapore, 117597
About this study
Official title: Web-based Clinical Pedagogy Program to Enhance Nurse Preceptors' Teaching Competency and Nursing Students' Learning Outcomes in Clinical Competency
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.
Read the 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.
- Conditions
- Web-based Program for Nurse Preceptors
- Being tested
- Web-based clinical pedagogy program (WCP)
- Keywords
- Web-based clinical pedagogy program, nurse preceptors, teaching competency
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Web-based clinical pedagogy program (WCP)Other
The nurse preceptors in the experimental cluster will be given access to download the WCP on mobile devices. The unique interactive features provide continuous support and allow preceptors to discuss the clinical encounters with their peers and consult experts for advice.
| Study group | Role | What they receive |
|---|---|---|
| Experimental cluster | Experimental | The Web-based clinical pedagogy program (WCP) will be provided to the participants in the experimental cluster. Receives: Other: Web-based clinical pedagogy program (WCP) |
| Control cluster | No intervention | The participants in the control cluster will receive the current face-to-face preceptorship course. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Preceptor Self-efficacy Questionnaire (PSEQ)
The PSEQ (Parsons, 2007) consists of 21 items, and assesses the confidence in preceptor skills using a four-point Likert scale
Measured: Change from Baseline PSEQ at 6 months
Secondary outcomes (2)
Clinical Teaching Competence Inventory (CTCI)
The CTCI consists of four domains of teaching and assessment competencies and 31 items on a five-point Likert scale. The four domains are: student evaluation (assessment), goal setting and individual teaching, teaching strategies, and demonstration of organized knowledge.
Measured: Change from Baseline CTCI at 6 months
Attitudes toward Web-based Continuing Learning Survey (AWCLS)
There are four dimensions and 18 items using a 7-point Likert scale in the survey. The four dimensions are the perceived usefulness scale assesses the nurses' perceptions of the extent to which they perceive that the influence of web-based continuing learning is useful; the perceived ease of use scale evaluates the nurses' perceptions of the extent to which web-based continuing learning is easy to use; the behaviour scale measures the nurses' willingness to take up web-based continuing learning; and the affection scale assesses the nurses' perceptions regarding positive feelings about web-based continuing learning.
Measured: Change from Baseline AWCLS at 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Mar 2018
- Study start1 Sep 2018
- Primary completion1 Dec 2020
- Study completion2 Dec 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Web-based Program for Nurse PreceptorsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- 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.
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 300 participants (actual)
Sponsor and investigators
- Lead sponsor
- National University of Singapore
- Sponsor type
- University, hospital or other
- Collaborators
- Tan Tock Seng Hospital
- Responsible party
- Principal investigator, Vivien Xi WU, PhD, National University of Singapore
- Investigators
- Vivien Xi Wu, PhD, Principal investigator, National University of Singapore
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03456297
- Sponsor's protocol ID
- MOE2017-TRF-009
- Status last verified
- Nov 2024
- First submitted
- 20 Feb 2018
- Last updated
- 14 Nov 2024
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: study protocol and final report will be submitted to peer-reviewed journal for possible publication.
Publications
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.
PubMed 26956057Wu 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.
PubMed 28987893Wu 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.
PubMed 28371304Wu 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.
PubMed 27100137
Study at a glance
From the registry record, last updated by the sponsor on 14 Nov 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Web-based Clinical Pedagogy Program to Enhance Nurse Preceptors' Teaching Competency and Nursing Students' Learning Outcomes in Clinical Competency
- ClinicalTrials.gov ID
- NCT03456297
- Acronym / sponsor ID
- MOE2017-TRF-009
- Conditions
- Web-based Program for Nurse Preceptors
- Keywords
- Web-based clinical pedagogy program, nurse preceptors, teaching competency
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 300 participants (actual)
- Lead sponsor
- National University of SingaporeUniversity, hospital or other
- Collaborators
- Tan Tock Seng Hospital
- Study start
- 1 Sep 2018 (actual)
- Primary completion
- 1 Dec 2020 (actual)
- Study completion
- 2 Dec 2020 (actual)
- First posted
- 7 Mar 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
- 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.
| Arm | Type | Receives |
|---|---|---|
| Experimental cluster | Experimental | Other: Web-based clinical pedagogy program (WCP)The Web-based clinical pedagogy program (WCP) will be provided to the participants in the experimental cluster. |
| Control cluster | No intervention | –The participants in the control cluster will receive the current face-to-face preceptorship course. |
Who may qualify
- Ages
- 21 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- 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.
Key exclusion criteria (1 listed)
- nurse preceptors who do not know how to use the smart mobile devices.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Web-based clinical pedagogy program (WCP)The nurse preceptors in the experimental cluster will be given access to download the WCP on mobile devices. The unique interactive features provide continuous support and allow preceptors to discuss the clinical encounters with their peers and consult experts for advice. | Other | Experimental cluster |
Primary outcome
Preceptor Self-efficacy Questionnaire (PSEQ)
Time frame: Change from Baseline PSEQ at 6 months
The PSEQ (Parsons, 2007) consists of 21 items, and assesses the confidence in preceptor skills using a four-point Likert scale
2 secondary outcomes
Clinical Teaching Competence Inventory (CTCI)
Time frame: Change from Baseline CTCI at 6 months
Attitudes toward Web-based Continuing Learning Survey (AWCLS)
Time frame: Change from Baseline AWCLS at 6 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Nov 2024.
- Background: PubMed 26956057Wu 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.
- Results publication: PubMed 28987893Wu 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.
- Results publication: PubMed 28371304Wu 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.
- Results publication: PubMed 27100137Wu 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.
- Individual participant dataSharing planned: No. study protocol and final report will be submitted to peer-reviewed journal for possible publication.
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Vivien Xi Wu, PhD principal investigator
National University of Singapore
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Web-based clinical pedagogy program (WCP) in people with Web-based Program for Nurse Preceptors, run by National University of Singapore at 1 site in Singapore.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 14 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Singapore. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Preceptor Self-efficacy Questionnaire (PSEQ) (time frame: Change from Baseline PSEQ at 6 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03456297, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Nov 2024.