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NCT Number: NCT07338253

The Effect of the Flipped Learning Model on Spiritual Care Perception and Competence in Nursing Students

The Effect of the Flipped Learning Model on Nursing Students' Perception of Spiritual Care and Competence This study was designed as a randomised controlled trial to determine the effect of the flipped learning model on nursing students' perception of spiritual care and their competence in spiritual care.

The study will be conducted between 08.12.2025 and 09.02.2026 on 112 fourth-year nursing students. Students meeting the inclusion criteria will be randomised and divided into two random groups: the experimental group (n=50) and the control group (n=50). All participating students will be administered the 'Descriptive Characteristics Form', the 'Spirituality and Spiritual Care Rating Scale (MMBÖ)' and the 'Spirituality Scale Spiritual Care Competence Scale (MBYÖ)' and (pre-test). Students in the experimental group will undergo reverse application for 1 month.

All students in the control group will be administered the 'Descriptive Characteristics Form,' the 'Spirituality and Spiritual Care Rating Scale (MMBÖ),' the 'Spiritual Care Competence Scale (MBYÖ),' and a pre-test. No intervention will be administered to students in the control group.

After the reverse application is completed, the 'Descriptive Characteristics Form,' the 'Spirituality and Spiritual Care Rating Scale (MMBÖ),' the 'Spiritual Care Competence Scale (MBYÖ),' and the 'post-test' will be administered to the students in the experimental and control groups.

The collected data will be analysed using SPSS 22 software.

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Key information

Conditions

Spiritual Care Flipped Learning Model

Age range

20 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Kirikkale University

Kirikkale, Kırıkkale, 71450, Turkey (Türkiye)

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Students who volunteer to participate in the study, who have smartphones/computers and continuous Internet access, will be included in the study.

Exclusion criteria

  • Students who have previously studied a health-related subject and who have previously taken a course related to spiritual care will be excluded from the study.

Treatment and study plan

Flipped Learning Model

Other

All participating students will be administered the 'Introductory Characteristics Form', the 'Spirituality and Spiritual Care Rating Scale (MMBÖ)' and the 'Spiritual Care Competence Scale (MBYÖ)' and a pre-test. Students in the experimental group will undergo reverse application for one month.

All students in the control group will be administered the 'Descriptive Characteristics Form,' the 'Spirituality and Spiritual Care Rating Scale (MMBÖ),' the 'Spiritual Care Competence Scale (MBYÖ),' and the pre-test. No intervention will be administered to students in the control group.

After the reverse application is completed, the 'Descriptive Characteristics Form', the 'Spirituality and Spiritual Care Rating Scale (MMBÖ)' and the 'Spiritual Care Competence Scale (MBYÖ)' and the 'post-test' will be administered to the students in the experimental and control groups.

Primary outcomes

  1. Determining the effect of the flipped learning model on nursing students' perception level of spiritual care

    Time frame: Baseline and post-intervention (8th week)]

    Spirituality and Spiritual Care Rating Scale (SCRS); The scale consists of 17 items and has 3 sub-dimensions. The scale is scored using a 5-point Likert type (1 = Strongly Disagree, 2 = Disagree, 3 = Undecided, 4 = Agree, 5 = Strongly Agree). Thirteen items (1, 2, 5, 6, 7, 8, 9, 10, 11, 12, 14, 15, and 17) are scored normally, while four items (3, 4, 13, and 16) are scored in reverse. The total score is obtained by dividing the item scores by the number of questions. The maximum score that can be obtained from the scale is 85, and the minimum is 17. A high total score indicates a good level of perception of spirituality and spiritual care concepts.

    The Spiritual Care Competence Scale (SCCS) consists of three areas of nursing competence related to spiritual care and a total of 27 items. The scale is a five-point Likert-type scale. The lowest possible score on the scale is 27, and the highest possible score is 135. A high score indicates nursing competence related to spiritual care.

Secondary outcomes

  1. Determining the effect of the flipped learning model on nursing students' their spiritual care competencies

    Time frame: Baseline and post-intervention (8th week)]

    Spirituality and Spiritual Care Rating Scale (SCRS); The scale consists of 17 items and has 3 sub-dimensions. The scale is scored using a 5-point Likert type (1 = Strongly Disagree, 2 = Disagree, 3 = Undecided, 4 = Agree, 5 = Strongly Agree). Thirteen items (1, 2, 5, 6, 7, 8, 9, 10, 11, 12, 14, 15, and 17) are scored normally, while four items (3, 4, 13, and 16) are scored in reverse. The total score is obtained by dividing the item scores by the number of questions. The maximum score that can be obtained from the scale is 85, and the minimum is 17. A high total score indicates a good level of perception of spirituality and spiritual care concepts.

    The Spiritual Care Competence Scale (SCCS) consists of three areas of nursing competence related to spiritual care and a total of 27 items. The scale is a five-point Likert-type scale. The lowest possible score on the scale is 27, and the highest possible score is 135. A high score indicates nursing competence related to spiritual care.

Sponsors and collaborators

Lead sponsor

Kırıkkale University

Other

Registry information

Important dates

Study start
2025
Primary completion
2025
Study completion
2026
First posted
Jan 13, 2026
Registry last updated
Jan 13, 2026

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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