Online Watch-Summarize-Question-Ask Method in Falls Education for Nursing Students

Condition(s) studied

Investigational drug(s) / intervention(s)

Online Watch Summarize Question Learning Model: The intervention consists of a structured online fall prevention education program based on the WSQ instructional strategy. Unlike traditional lecture-based education, this intervention integrates active learning components including video-based instruction, structured summarization tasks, student-generated question development, synchronous interactive discussion sessions, and peer-supported learning through an online discussion forum. The program is delivered through a distance education platform and is designed to promote reflective learning, cognitive engagement, and collaborative knowledge construction. The WSQ model ensures that participants actively process educational content rather than passively receiving information. The intervention is implemented in addition to the standard undergraduate patient safety curriculum and is specifically tailored to improve nursing students' competencies in fall risk assessment and fall prevention management.

Study summary

This randomized controlled study will evaluate the effectiveness of an online Watch-Summarize-Question-Ask (WSQA) learning method on nursing students' knowledge, skills, attitudes, and behaviors related to patient fall prevention and management. Sixty-six nursing students will be randomly assigned to intervention and control groups. Both groups will receive standard patient safety education, while the intervention group will additionally participate in an online, evidence-based fall prevention training program structured according to the WSQA method, including video-based learning, summarization, question generation, and interactive discussions. Outcomes will be assessed using validated instruments measuring fall management knowledge, self-efficacy, attitudes toward fall prevention, care planning performance, and student satisfaction. The study aims to determine the effectiveness of an innovative educational approach to improve fall prevention competencies and enhance the quality and safety of nursing care.

Eligibility

Primary outcome measure(s)

• Participant Information Form — at baseline
  Participants' demographic characteristics, educational background, and access to technological resources required for participation in online learning platforms.
• Satisfaction with E-Learning Scale (Turkish version: E-Derslere Yönelik Memnuniyet Ölçeği) — Immediately after completion of the intervention
  The scale developed by Kolburan Geçer and Deveci Topal aims to determine university students' satisfaction levels with the online courses they attend. The Cronbach's alpha reliability coefficient of the scale was calculated as 0.97. The scale consists of 35 items and 5 subdimensions. The response options are designed as a five-point Likert-type scale scored between 1 and 5.
• Falls Management Knowledge Test — At baseline and immediately after completion of the education program and at least 3 weeks after the training
  This test will be developed by the researcher based on a literature review to assess participants' knowledge levels on falls management and to evaluate the effectiveness of the education on the patient safety knowledge subdimension
• Scales for Assessing Self-Efficacy — At baseline and immediately after completion of the education program and at least 3 weeks after the training
  The Cronbach's Alpha value of the scale developed by Dykes and colleagues and validated in Turkish by Ekin and Uğur was found to be 0.97, and it has no subscales. The scale consists of 11 items prepared on a 6-point Likert scale. In the evaluation of the scale, the item mean of the scores obtained from all items is used, and as the scores increase, the level of self-efficacy also increases.
• Attitudes of Nurses Toward Falls Prevention Scale (Turkish version: Hemşirelerin Düşmelerin Önlenmesine Yönelik Tutumları Ölçeği) — At baseline and immediately after completion of the education program and at least 3 weeks after the training.
  The Cronbach's Alpha reliability coefficient of the scale developed by Özbudak and Koç in 2023 was found to be 0.84. The scale consists of 19 items and 5 sub-dimensions. The scale's response options are designed as a five-point Likert scale scored on a 1-5 point range. The scale is evaluated based on the mean score.
• Care Plan Evaluation Form — At baseline and at least 3 weeks after the training
  A structured seven-item assessment form developed by the researchers will be used to determine the extent to which students reflect their knowledge and awareness of fall management in their care plans.

Trial sites (1)

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