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HealthyNCT07441473

Peer-Supported Clinical Orientation Training

A study testing Peer-Supported Video and Interactive Clinical Orientation and Routine Clinical Orientation in people with Healthy, run by Siirt University at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This randomized controlled study will aim to evaluate the effect of a peer-supported video and interaction-based clinical orientation program on reality shock and adaptation during the first clinical experience. The study will be conducted with nursing students who will start their first clinical practice. Read more about this study

Who is it for?
Ages 18 to 40 years
Conditions the study is for
Healthy
What is being tested?
Peer-Supported Video and Interactive Clinical Orientation and Routine Clinical Orientation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
90 participants
Where
1 siteTurkey (Türkiye)
Study dates
5 Mar 2026to 20 Apr 2026
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 18 to 40 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Being a first-year nursing student,
  • Participating in clinical practice for the first time,
  • Being 18 years of age or older,
  • Being a citizen of the Republic of Türkiye and having the ability to read and understand Turkish,
  • Providing voluntary informed consent to participate in the stud

Who cannot join

  • Having previous clinical practice, internship, or healthcare-related experience,
  • Being under 18 years of age,
  • Being a foreign national,
  • Refusing to participate or withdrawing from the study,
  • Inability to attend the orientation program or the data collection process

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Siirt University Faculty of Health Sciences

    Siirt, Siirt, 56500

Other trials in Turkey (Türkiye)

About this study

Official title: The Effect of a Peer-Supported Video- and Interaction-Based Clinical Orientation Program on Reality Shock and Adaptation During the First Clinical Experience

This randomized controlled study will aim to evaluate the effect of a peer-supported video and interaction-based clinical orientation program on reality shock and adaptation during the first clinical experience. The study will be conducted with nursing students who will start their first clinical practice. Participants will be randomized into intervention and control groups. The intervention group will receive a peer-led orientation program including videos recorded in real clinical settings by senior students, interactive question-answer sessions, a structured hospital tour, and ongoing digital communication support. The control group will receive the routine clinical orientation.

Data will be collected at two different time points. The first measurement will be performed at the end of the second week of clinical practice to allow students to experience the clinical adaptation process. The second measurement will be conducted four weeks after the first assessment. Reality shock and clinical adaptation levels will be evaluated using valid and reliable scales. This study is expected to provide evidence on the effectiveness of peer-supported and technology-enhanced orientation strategies in facilitating students' adaptation to clinical environments and contribute to the development of innovative practices in nursing education.

Read the detailed description

This randomized controlled study will aim to evaluate the effect of a peer-supported video and interaction-based clinical orientation program on reality shock and clinical adaptation among nursing students during their first clinical experience. The study will be conducted with first-year nursing students at the Faculty of Health Sciences, Siirt University, in the spring semester of 2026. Students who meet the inclusion criteria will first be stratified according to gender and grade point average (GPA), and then assigned to the intervention and control groups using computer-assisted block randomization. The sample size was calculated using G*Power, and a total of 90 students will be included in the study.

The intervention group will receive a multi-component peer-supported orientation program, including videos recorded in real clinical settings by senior students, interactive question-answer sessions, a structured hospital tour, peer mentor support during the clinical practice process, and continuous guidance through digital communication groups. The control group will receive the routine verbal clinical orientation provided in the institution.

Data will be collected at two time points. The first measurement will be conducted at the end of the second week of clinical practice to allow students to experience the clinical adaptation process. The second measurement will be performed four weeks after the first assessment. Data will be collected using the Introductory Information Form, the Reality Shock Scale for Nursing Students, and the Clinical Adjustment Scale for Student Nurses. In addition, educational satisfaction will be evaluated in both groups using a visual analog scale (VAS). An open-ended feedback form will be administered only to the intervention group to explore students' experiences and perceptions of the program.

The data will be analyzed using SPSS software. Descriptive statistics will be presented, and appropriate parametric or non-parametric tests will be used for group comparisons. Effect sizes will also be calculated. This study is expected to provide evidence on the effectiveness of peer-supported and technology-enhanced clinical preparation programs in reducing reality shock and improving clinical adaptation. The findings may contribute to the development and integration of innovative, student-centered orientation strategies in nursing education.

Conditions
Healthy
Being tested
Peer-Supported Video and Interactive Clinical Orientation, Routine Clinical Orientation
Keywords
Clinical Adaptation, Clinical Orientation, Nursing Students, Peer Support, Reality Shock

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Peer-Supported Video and Interactive Clinical OrientationOther

    Participants in the experimental group will receive a multi-component peer-supported clinical orientation program prior to their first clinical placement. The intervention will include video-based orientation recorded in real clinical settings by senior nursing students, interactive question-answer sessions, and a structured hospital tour. In addition, peer mentors will provide on-site guidance during the initial clinical days and ongoing support through a digital communication platform. The program aims to reduce uncertainty, enhance clinical readiness, and facilitate adaptation to the clinical environment.

  • Routine Clinical OrientationOther

    Participants in the control group will receive the routine clinical orientation provided by the institution before their first clinical placement. This orientation will consist of a standard PowerPoint-based educational session covering hospital rules, clinical procedures, student roles and responsibilities, and basic safety and communication principles. No peer support, video-based education, or additional digital mentoring will be provided to this group.

Study groups in NCT07441473
Study groupRoleWhat they receive
Peer-Supported Video and Interactive Clinical OrientationExperimentalParticipants in the experimental group will receive a multi-component peer-supported clinical orientation program prior to their first clinical placement. The intervention will include video-based orientation recorded in real clinical settings by senior nursing students, interactive question-answer sessions, and a structured hospital tour. In addition, peer mentors will provide on-site guidance during the initial clinical days and ongoing support through a digital communication platform. The program aims to reduce uncertainty, enhance clinical readiness, and facilitate adaptation to the clinical environment
Receives: Other: Peer-Supported Video and Interactive Clinical Orientation
Routine Clinical OrientationActive comparatorParticipants in the control group will receive the routine clinical orientation provided by the institution before their first clinical placement. This orientation will consist of a standard PowerPoint-based educational session covering hospital rules, clinical procedures, student roles and responsibilities, and basic safety and communication principles. No peer support, video-based education, or additional digital mentoring will be provided to this group.
Receives: Other: Routine Clinical Orientation

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Reality Shock Scale for Nursing Students

    The Reality Shock Scale for Nursing Students is a 31-item Likert-type instrument developed to evaluate the mismatch experienced by student nurses between their clinical practice and their expectations regarding clinical procedures, communication, role responsibilities, and professional expectations. Each item is rated on a 5-point scale ranging from 1 (strongly disagree) to 5 (strongly agree). Higher scores indicate greater levels of reality shock. The scale consists of four subdimensions: interpersonal relationships in the workplace, perception of professional competence, professional commitment, and role overload with psychosocial outcomes. The information regarding the scale was obtained from the form provided for the present study.

    Measured: Week 2

  2. Clinical Adjustment Scale for Student Nurses

    The Clinical Adjustment Scale for Student Nurses (CAS-SN), Turkish version is a 15-item, 5-point Likert-type instrument designed to evaluate the level of clinical adaptation among nursing students. The scale consists of three subdimensions: professional development and interpersonal interaction, clinical competence and confidence, and coping and support strategies. The total score ranges from 15 to 75, with higher scores indicating better clinical adaptation to the clinical environment. The total Cronbach's alpha coefficient of the Turkish version has been reported as 0.918. Information regarding the content of the scale was obtained from the scale file provided for the present study

    Measured: Week 2

  3. Satisfaction survey

    The Satisfaction Questionnaire was used to evaluate students' satisfaction with the orientation education using a visual analog scale (VAS). Students were asked to rate their level of satisfaction on a scale from 0 to 10, where 0 indicated "not satisfied at all" and 10 indicated "extremely satisfied." The total score ranged from 0 to 10, with higher scores reflecting greater levels of satisfaction. This questionnaire was used to assess students' overall satisfaction with either the routine or peer-supported orientation methods, as well as their perceived effectiveness in enhancing learning experiences and reinforcing clinical skills.

    Measured: Week 1

  4. Student Feedback Form

    An open-ended feedback form will be administered to the students in the experimental group who participate in the peer-supported clinical orientation program. Students will be invited to share their opinions about the aspects of the peer-supported orientation that they found beneficial, the challenges they experienced, and areas they believe could be improved. This form will be used to explore students' experiences, perceptions, and suggestions regarding the effectiveness of the peer-supported orientation approach.

    Measured: Week 1

  5. Reality Shock Scale for Nursing Students

    The Reality Shock Scale for Nursing Students is a 31-item Likert-type instrument developed to evaluate the mismatch experienced by student nurses between their clinical practice and their expectations regarding clinical procedures, communication, role responsibilities, and professional expectations. Each item is rated on a 5-point scale ranging from 1 (strongly disagree) to 5 (strongly agree). Higher scores indicate greater levels of reality shock. The scale consists of four subdimensions: interpersonal relationships in the workplace, perception of professional competence, professional commitment, and role overload with psychosocial outcomes. The information regarding the scale was obtained from the form provided for the present study.

    Measured: Week 6 (follow-up).

  6. Clinical Adjustment Scale for Student Nurses

    The Clinical Adjustment Scale for Student Nurses (CAS-SN), Turkish version is a 15-item, 5-point Likert-type instrument designed to evaluate the level of clinical adaptation among nursing students. The scale consists of three subdimensions: professional development and interpersonal interaction, clinical competence and confidence, and coping and support strategies. The total score ranges from 15 to 75, with higher scores indicating better clinical adaptation to the clinical environment. The total Cronbach's alpha coefficient of the Turkish version has been reported as 0.918. Information regarding the content of the scale was obtained from the scale file provided for the present study

    Measured: Week 6 (follow-up).

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Mar 2026
  2. Study start5 Mar 2026
  3. Primary completion20 Mar 2026
  4. Study completion20 Apr 2026

Resources

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
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Outcomes assessor
Enrolment
90 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07441473
Sponsor's protocol ID
162252
Status last verified
Jun 2026
First submitted
17 Feb 2026
Last updated
1 Jul 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: This study does not involve patient data and is an educational intervention conducted with nursing students. The data obtained will be used solely for research purposes in accordance with ethical principles and regulations on the protection of personal data. All data will be anonymized before analysis, and no information that could reveal participants' identities will be shared. Therefore, individual participant data sharing is not planned.

Publications

  • McCloughen A, Levy D, Johnson A, Nguyen H, McKenzie H. Nursing students' socialisation to emotion management during early clinical placement experiences: A qualitative study. J Clin Nurs. 2020 Jul;29(13-14):2508-2520. doi: 10.1111/jocn.15270. Epub 2020 Apr 13.

    PubMed 32242999
  • Ma H, Zou JM, Zhong Y, Li J, He JQ. Perceived stress, coping style and burnout of Chinese nursing students in late-stage clinical practice: A cross-sectional study. Nurse Educ Pract. 2022 Jul;62:103385. doi: 10.1016/j.nepr.2022.103385. Epub 2022 Jun 22.

    PubMed 35780686
  • Loureiro F, Pecas D, Neves AC, Antunes AV. Coping strategies and social support in nursing students during clinical practice: A scoping review. Nurs Open. 2024 Feb;11(2):e2112. doi: 10.1002/nop2.2112.

    PubMed 38379350
  • Lee T, Damiran D, Konlan KD, Ji Y, Yoon YS, Ji H. Factors related to readiness for practice among undergraduate nursing students: A systematic review. Nurse Educ Pract. 2023 May;69:103614. doi: 10.1016/j.nepr.2023.103614. Epub 2023 Mar 22.

    PubMed 37002991
  • Baharum H, Ismail A, McKenna L, Mohamed Z, Ibrahim R, Hassan NH. Success factors in adaptation of newly graduated nurses: a scoping review. BMC Nurs. 2023 Apr 18;22(1):125. doi: 10.1186/s12912-023-01300-1.

    PubMed 37069647
  • Ciris Yildiz C, Ergun Y. Development and psychometric testing of the Reality Shock Scale for newly graduated nurses. J Adv Nurs. 2021 Dec;77(12):4950-4962. doi: 10.1111/jan.15056. Epub 2021 Sep 30.

    PubMed 34590733
  • Admi H, Moshe-Eilon Y, Sharon D, Mann M. Nursing students' stress and satisfaction in clinical practice along different stages: A cross-sectional study. Nurse Educ Today. 2018 Sep;68:86-92. doi: 10.1016/j.nedt.2018.05.027. Epub 2018 Jun 5.

    PubMed 29894915
  • Acea-Lopez L, Pastor-Bravo MDM, Rubinat-Arnaldo E, Bellon F, Blanco-Blanco J, Gea-Sanchez M, Briones-Vozmediano E. Job expectations and intolerance to uncertainty of nursing students: Results from a multicentre, mixed-methods study in Spain. Nurse Educ Pract. 2022 Jul;62:103337. doi: 10.1016/j.nepr.2022.103337. Epub 2022 Apr 1.

    PubMed 35430534
  • Yildiz CC, Ceylan BK, Ergun Y, Mete M. Development and psychometric testing of the reality shock scale for nursing students. Nurse Educ Today. 2025 Oct;153:106795. doi: 10.1016/j.nedt.2025.106795. Epub 2025 Jun 2.

    PubMed 40479956
  • Liu L, Dallakoti N, Cui W, Li X, Ding S, Zhang S. Development and Validation of a Nurse-Specific Scale to Assess Influencing Factors in Clinical Practice Guideline Implementation: An i-PARIHS-Based Study. J Nurs Manag. 2026 Feb 1;2026:4584848. doi: 10.1155/jonm/4584848. eCollection 2026.

    PubMed 41635895

Questions about this trial

What is this clinical trial studying?

A study testing Peer-Supported Video and Interactive Clinical Orientation and Routine Clinical Orientation in people with Healthy, run by Siirt University at 1 site in Turkey (Türkiye).

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 5 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 1 Jul 2026. 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 Turkey (Türkiye). 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?

Reality Shock Scale for Nursing Students (time frame: Week 2). The study lists 6 primary outcomes in all. 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 NCT07441473, which also lists 10 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 1 Jul 2026.

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