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Completed

NCT Number: NCT07005206

The Effect of Six Hats Thinking Technique on Problem Solving, Critical and Empathic Thinking in Nursing Students

This research aims to examine the effect of the Six Thinking Hats Technique application on empathic thinking, critical thinking motivation and problem solving skills in nursing students. In the study, which will be conducted with a pre-test-post-test control group experimental design, the contribution of case discussions made with the Six Thinking Hats Technique to the cognitive and emotional skills of the students will be evaluated.

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Key information

Conditions

Age range

18 year–30 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

KTO Karatay University

Konya, Karatay, 42020, Turkey (Türkiye)

About this study

Nursing education is a dynamic process where theoretical knowledge and clinical practices are integrated; critical thinking, clinical decision-making and problem-solving skills are systematically developed. In this process, in the rapidly changing information society, it is of great importance that nursing students are trained not only as individuals who can access information, but also as professionals who can analyze, interpret information, develop alternative solutions and think in multiple ways. The six thinking hats technique, which aims to develop multi-dimensional thinking skills in nursing students within a systematic structure, is considered an effective teaching method that supports cognitive and emotional development. Within the scope of this technique, it is aimed for individuals to evaluate events and situations in multiple dimensions through six different colored hats, each of which represents a specific way of thinking, such as emotional evaluation, critical thinking, impartial analysis, optimistic perspective, creative thinking and process management.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Taking the Fundamentals of Nursing course
  • Being 18 years of age or older
  • Being able to read and write in Turkish
  • Voluntarily participating in the research

Exclusion criteria

  • Having taken a nursing fundamentals course before

Treatment and study plan

Six Hats Thinking

Behavioral

A total of 6 sessions of thinking training were given once a week for 6 weeks.

No Intervention (Control)

Device

No intervention was made to this group.

Primary outcomes

  1. Problem solving ability

    Time frame: Within 6 weeks after intervention

    Students' problem solving skills will be assessed using the Problem Solving Inventory. Total scores will be compared. The lowest score that can be obtained from the scale is 32, and the highest score is 192.

Secondary outcomes

  1. Critical thinking ability

    Time frame: Within 6 weeks after intervention

    This scale was developed to provide information about motivation for a specific critical thinking task. The scale consists of 19 items, numbered on a Likert-type scale from 1 to 6. Participants are expected to respond by circling the appropriate option for each statement, ranging from 1 to 6 (1 = "Strongly Disagree" and 6 = "Strongly Agree"). These statements express the expectation that each participant will think critically and rigorously (expectation) and the value they place on this type of thinking (value). These statements also include the perceived importance and usefulness of detailed thinking, the sacrifices they will make for this type of thinking, and the interest it generates in them. The scale does not contain reverse items. To score the scale, each question is first assigned a value ranging from 1 to 6. The total score for each subscale is then calculated and divided by the number of items to obtain the mean score. This process is applied separately for the five subscale

Other outcomes

  1. Jefferson Empathy Scale for Nursing Students

    Time frame: Within 6 weeks after intervention

    The original scale consisted of 20 items and three dimensions, while the Turkish version contained 18 items. It was reported that items 5 and 18 in the Turkish version were removed by the researchers because they were found to have low factor loadings. The 18-item Turkish version, like the original, consists of three dimensions. The scale is assessed on a 7-point Likert-type scale ("1 = Strongly Disagree," "2 = Disagree," "3 = Partly Disagree," "4 = Neither Agree nor Disagree," "5 = Partly Agree," "6 = Agree," "7 = Strongly Agree"). Possible scores for the Turkish version range from 18 to 126. Higher scores indicate higher levels of empathy.

Sponsors and collaborators

Lead sponsor

KTO Karatay University

Other

Registry information

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Jun 5, 2025
Registry last updated
Aug 13, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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