Non-disease Research. Enhancing Nursing Students' Obstetric Situation Awareness and Clinical Decision-making Through Multimodal TeachingNCT07844226
The Effectiveness of Situation Awareness Approach on Nursing Competencies in Obstetric Practicum: A Multimodal Teaching
A study testing Situation Awareness-Based Multimodal Instructional and Usual-video instruction. in people with Non-disease Research. Enhancing Nursing Students' Obstetric Situation Awareness and Clinical Decision-making Through Multimodal Teaching and Clinical Competence, run by National Cheng Kung University at 1 site in Taiwan.
Trial summary
The declining birth rate and the complex and unpredictable nature of obstetric clinical situations have limited nursing students' opportunities to gain authentic clinical experience and increased the challenges and stress associated with obstetric practicum. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Non-disease Research. Enhancing Nursing Students' Obstetric Situation Awareness and Clinical Decision-making Through Multimodal Teaching, Clinical Competence, Health Care Quality
- What is being tested?
- Situation Awareness-Based Multimodal Instructional and Usual-video instruction.
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 455 participants
- Where
- 1 siteTaiwan
- Study dates
- 25 Sep 2026to 31 Dec 2028
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Undergraduate nursing students aged 18 years or older.
- Students who are about to begin their obstetric nursing practicum.
- Full-time nursing students.
Who cannot join
- Students who have already completed an obstetric nursing practicum.
- Students who are repeating an obstetric nursing practicum.
- Students with previous obstetric clinical work experience or who are currently working in an obstetric clinical setting.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
About this study
The declining birth rate and the complex and unpredictable nature of obstetric clinical situations have limited nursing students' opportunities to gain authentic clinical experience and increased the challenges and stress associated with obstetric practicum. Therefore, undergraduate nursing students preparing for obstetric clinical practice require adequate pre-clinical preparation to develop essential competencies in situation awareness, communication, clinical reasoning, and decision-making. However, traditional teaching approaches may not adequately replicate authentic obstetric situations or provide sufficient opportunities for students to integrate knowledge and respond appropriately to dynamic clinical conditions.
This study aims to develop a Situation Awareness-Based Multimodal Instructional (SAMI) program for undergraduate nursing students. The program integrates situation awareness theory, multimodal learning, virtual simulation, and game-based learning, incorporating visual, auditory, tactile, movement, and spatial experiences to create immersive and context-based obstetric learning environments. The SAMI program is designed to prepare nursing students for clinical practice by enhancing their ability to recognize relevant clinical cues, understand patient conditions, anticipate potential changes, and make appropriate clinical judgments and decisions.
Read more
First, the feasibility, usability, and learner experiences of the SAMI program will be examined. Approximately 28 undergraduate nursing students who initail their obstetric clinical practicum will be recruited. They are allocated into 4 groups and randomly be assigned experimental groups or control groups. The experimental group will received SAMI program teaching; while control group will receive usual teaching. Subsequently, to evaluate the effectiveness of the program, undergraduate nursing students across different educational institutions will be cruited during their obstetric practicum. The research outcomes will include situation awareness, obstetric communication, clinical reasoning, and confidence in clinical decision-making. Finally, this study will examine a model including educational background, obstetric practicum stress, situation awareness, and core competencies in maternal nursing care. We plan to recruite 300 nursing students to test the model.
Ultimately, this study aims to establish an evidence-based, context-based, and multimodal pre-clinical preparation model that bridges the gap between classroom learning and obstetric clinical practice. The findings will provide empirical evidence on the effectiveness of the SAMI program in enhancing nursing students' clinical readiness and core competencies for obstetric practicum.
- Conditions
- Non-disease Research. Enhancing Nursing Students' Obstetric Situation Awareness and Clinical Decision-making Through Multimodal Teaching, Clinical Competence, Health Care Quality
- Being tested
- Situation Awareness-Based Multimodal Instructional, Usual-video instruction.
- Keywords
- situation awareness, multimodal teaching and learning, maternal practicum
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Situation Awareness-Based Multimodal InstructionalBehavioural
An immersive, multisensory teaching approach that integrates clinical scenarios to enhance students' situation awareness and decision-making skills.
Usual-video instruction.Behavioural
The control group receives video-based instruction on obstetric nursing care.
| Study group | Role | What they receive |
|---|---|---|
| Situation Awareness-Based Multimodal Instructional | Experimental | An immersive, multisensory teaching approach that integrates clinical scenarios to enhance students' situation awareness and decision-making skills. Receives: Behavioral: Situation Awareness-Based Multimodal Instructional |
| Usual-video instruction. | Placebo comparator | The control group receives video-based instruction on obstetric nursing care. Receives: Behavioral: Usual-video instruction. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Outcome Measures
Situation Awareness Global Assessment Technique (SAGAT) will be used to assess situation awareness based on Endsley's theory. Each item is scored according to response accuracy, with 1 point for a correct response and 0 points for an incorrect. Maternal Nursing Practicum Stress Scale (MNPSS) will be used to assess practicum stress, containing 30 items. Each item is rated on a 5-point Likert scale from 1 (none) to 5 (very high). Critical Thinking Disposition Scale assesses the frequency of critical thinking, each item scored on a 6-point Likert scale from 1 (never) to 6 (always).Communication Self-Confidence in Maternity Scale assesses confidence in nurse-patient communication. Each item is scored on a 5-point Likert scale from 1 (very low confidence) to 5 (very high confidence). Clinical Decision-Making Self-Confidence Scale measures confidence in decision-making. Items are rated on a 5-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree).
Measured: Three time points: T0, the first week of the practicum as the baseline assessment; T1, two weeks after the teaching intervention as the first post-test; and T2, within one week after completion of the practicum as the second post-test.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Sep 2026
- Study start25 Sep 2026 (estimated)
- Primary completion31 Dec 2028 (estimated)
- Study completion31 Dec 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Non-disease Research. Enhancing Nursing Students' Obstetric Situation Awareness and Clinical Decision-making Through Multimodal TeachingStudies 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
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 455 participants (estimated)
Sponsor and investigators
- Lead sponsor
- National Cheng Kung University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Yu-Yun Hsu, National Cheng Kung University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07844226
- Sponsor's protocol ID
- A-ER-114-453
- Status last verified
- Sep 2026
- First submitted
- 18 Sep 2026
- Last updated
- 28 Sep 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Individual participant data will not be shared with other researchers to protect participants' privacy, confidentiality, and rights.
Study at a glance
From the registry record, last updated by the sponsor on 28 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effectiveness of Situation Awareness Approach on Nursing Competencies in Obstetric Practicum: A Multimodal Teaching
- ClinicalTrials.gov ID
- NCT07844226
- Acronym / sponsor ID
- A-ER-114-453
- Conditions
- Non-disease Research. Enhancing Nursing Students' Obstetric Situation Awareness and Clinical Decision-making Through Multimodal Teaching, Clinical Competence, Health Care Quality
- Keywords
- situation awareness, multimodal teaching and learning, maternal practicum
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 455 participants (estimated)
- Lead sponsor
- National Cheng Kung UniversityUniversity, hospital or other
- Study start
- 25 Sep 2026 (estimated)
- Primary completion
- 31 Dec 2028 (estimated)
- Study completion
- 31 Dec 2028 (estimated)
- First posted
- 28 Sep 2026 (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 declining birth rate and the complex and unpredictable nature of obstetric clinical situations have limited nursing students' opportunities to gain authentic clinical experience and increased the challenges and stress associated with obstetric practicum. Therefore, undergraduate nursing students preparing for obstetric clinical practice require adequate pre-clinical preparation to develop essential competencies in situation awareness, communication, clinical reasoning, and decision-making. However, traditional teaching approaches may not adequately replicate authentic obstetric situations or provide sufficient opportunities for students to integrate knowledge and respond appropriately to dynamic clinical conditions.
This study aims to develop a Situation Awareness-Based Multimodal Instructional (SAMI) program for undergraduate nursing students. The program integrates situation awareness theory, multimodal learning, virtual simulation, and game-based learning, incorporating visual, auditory, tactile, movement, and spatial experiences to create immersive and context-based obstetric learning environments. The SAMI program is designed to prepare nursing students for clinical practice by enhancing their ability to recognize relevant clinical cues, understand patient conditions, anticipate potential changes, and make appropriate clinical judgments and decisions.
First, the feasibility, usability, and learner experiences of the SAMI program will be examined. Approximately 28 undergraduate nursing students who initail their obstetric clinical practicum will be recruited. They are allocated into 4 groups and randomly be assigned experimental groups or control groups. The experimental group will received SAMI program teaching; while control group will receive usual teaching. Subsequently, to evaluate the effectiveness of the program, undergraduate nursing students across different educational institutions will be cruited during their obstetric practicum. The research outcomes will include situation awareness, obstetric communication, clinical reasoning, and confidence in clinical decision-making. Finally, this study will examine a model including educational background, obstetric practicum stress, situation awareness, and core competencies in maternal nursing care. We plan to recruite 300 nursing students to test the model.
Ultimately, this study aims to establish an evidence-based, context-based, and multimodal pre-clinical preparation model that bridges the gap between classroom learning and obstetric clinical practice. The findings will provide empirical evidence on the effectiveness of the SAMI program in enhancing nursing students' clinical readiness and core competencies for obstetric practicum.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Situation Awareness-Based Multimodal Instructional | Experimental | Behavioral: Situation Awareness-Based Multimodal InstructionalAn immersive, multisensory teaching approach that integrates clinical scenarios to enhance students' situation awareness and decision-making skills. |
| Usual-video instruction. | Placebo comparator | Behavioral: Usual-video instruction.The control group receives video-based instruction on obstetric nursing care. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Undergraduate nursing students aged 18 years or older.
- Students who are about to begin their obstetric nursing practicum.
- Full-time nursing students.
Key exclusion criteria (3 listed)
- Students who have already completed an obstetric nursing practicum.
- Students who are repeating an obstetric nursing practicum.
- Students with previous obstetric clinical work experience or who are currently working in an obstetric clinical setting.
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 |
|---|---|---|
| Situation Awareness-Based Multimodal InstructionalAn immersive, multisensory teaching approach that integrates clinical scenarios to enhance students' situation awareness and decision-making skills. | Behavioural | Situation Awareness-Based Multimodal Instructional |
| Usual-video instruction.The control group receives video-based instruction on obstetric nursing care. | Behavioural | Usual-video instruction. |
Primary outcome
Outcome Measures
Time frame: Three time points: T0, the first week of the practicum as the baseline assessment; T1, two weeks after the teaching intervention as the first post-test; and T2, within one week after completion of the practicum as the second post-test.
Situation Awareness Global Assessment Technique (SAGAT) will be used to assess situation awareness based on Endsley's theory. Each item is scored according to response accuracy, with 1 point for a correct response and 0 points for an incorrect. Maternal Nursing Practicum Stress Scale (MNPSS) will be used to assess practicum stress, containing 30 items. Each item is rated on a 5-point Likert scale from 1 (none) to 5 (very high). Critical Thinking Disposition Scale assesses the frequency of critical thinking, each item scored on a 6-point Likert scale from 1 (never) to 6 (always).Communication Self-Confidence in Maternity Scale assesses confidence in nurse-patient communication. Each item is scored on a 5-point Likert scale from 1 (very low confidence) to 5 (very high confidence). Clinical Decision-Making Self-Confidence Scale measures confidence in decision-making. Items are rated on a 5-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree).
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Sep 2026.
- Individual participant dataSharing planned: No. Individual participant data will not be shared with other researchers to protect participants' privacy, confidentiality, and rights.
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.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Situation Awareness-Based Multimodal Instructional and Usual-video instruction. in people with Non-disease Research. Enhancing Nursing Students' Obstetric Situation Awareness and Clinical Decision-making Through Multimodal Teaching and Clinical Competence, run by National Cheng Kung University at 1 site in Taiwan.
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 3 inclusion and 3 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: opening soon, as of the sponsor's last update on 28 Sep 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 Taiwan. 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. Some participants in this study may receive a placebo. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Yu-Yun Hsu, Doctoral degree (886-62353535 ext. 5036, yuht12@mail.ncku.edu.tw), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Outcome Measures (time frame: Three time points: T0, the first week of the practicum as the baseline assessment; T1, two weeks after the teaching intervention as the first post-test; and T2, within one week after completion of the practicum as the second post-test.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 28 Sep 2026.