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CompletedNCT07103538Updated Aug 14, 2025

The Effect of the Reflective Practices

An interventional study of Reflective practices in Empathy, Compassion and Nursing Student, sponsored by Akdeniz University. Completed at 1 site in Turkey (Türkiye). Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-08-14.

Sponsored by Akdeniz University · Not applicable, Interventional, and Basic science

From the registry’s dates

  • Registered 1 year 5 months after the study started (first participant enrolled Feb 2024, registered Jul 2025).
Phase
Not applicable
Study type
Interventional
Enrollment
77
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The aim of this study was to explore the effects of reflective practices on nursing students' empathy and compassion levels.

Hypothesis H1-1: Reflective practices affect nursing students' empathy level. H1-2: Reflective practices affect nursing students' compassion level.

02

Conditions studied

  • Empathy
  • Compassion
  • Nursing Student

Keywords

  • empathy
  • compassion
  • reflective practices
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In context

Lead sponsor

Akdeniz University is the lead sponsor of 289 studies on the registry; 60 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Voluntary participation in the study
  • Enrollment in the "Fundamentals of Nursing-II" course
  • Taking the course for the first time
  • Not having previously received training in reflective practice
  • Being registered in Class B

Exclusion criteria

Exclusion Criteria:

  • Refusal to participate in the study at any stage of the study process
  • Failure to fully complete the data collection forms
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
77 participants (actual)

Study arms

  • Experimental
    Intervention

    The intervention was implemented as part of a nursing course consisting of 4 hours of theoretical instruction, 4 hours of laboratory practice, and 8 hours of clinical practice. For 14 weeks, reflective practice was integrated into both the laboratory and clinical components. In the laboratory sessions, clinical scenarios were developed based on five common topics (e.g., infection control, vital signs) that students are likely to encounter during clinical practice. Students performed these scenarios by taking on different roles. Following each role-play, structured reflection sessions were conducted with the students. In the clinical setting, the final hour of each practice day was allocated for reflection. After completing an online reflection form, students had the opportunity to engage in group discussions if they wished to reflect further.

    Behavioral: Reflective practices

  • No intervention
    Control

    Students followed the same laboratory and clinical curriculum but did not participate in any structured reflective practices. They received standard instruction in psychomotor skills and routine clinical procedures without the inclusion of role-play, scenario-based learning, or debriefing sessions.

Interventions

  • BehavioralReflective practices

    The intervention was implemented as part of a nursing course consisting of 4 hours of theoretical instruction, 4 hours of laboratory practice, and 8 hours of clinical practice. For 14 weeks, reflective practice was integrated into both the laboratory and clinical components. In the laboratory sessions, clinical scenarios were developed based on five common topics (e.g., infection control, vital signs) that students are likely to encounter during clinical practice. Students performed these scenarios by taking on different roles. Following each role-play, structured reflection sessions were conducted with the students. In the clinical setting, the final hour of each practice day was allocated for reflection. After completing an online reflection form, students had the opportunity to engage in group discussions if they wished to reflect further.

06

What researchers measure

Primary outcomes

  1. Empathy

    The Jefferson Scale of Empathy for Nursing Students was designed to measure empathy levels in nursing students. The Turkish adaptation consists of 18 items across the same three sub-dimensions. The scale is based on a 7-point Likert-type format (1 = Strongly disagree to 7 = Strongly agree), yielding a total score ranging from 18 to 126. Higher total scores reflect greater levels of empathy.

    Time frame: Data were collected at two different time points: At recruitment (T0) and in the 14th week (T1)

  2. Compassion

    The Compassion Scale comprises 24 items and six subscales: kindness, indifference, common humanity, separation, mindfulness, and disengagement. The subscales of indifference, disengagement, and separation are reverse-scored prior to calculating the overall compassion score. Total scores range from 24 to 120, with higher scores indicating higher levels of compassion.

    Time frame: Data were collected at two different time points: At recruitment (T0) and in the 14th week (T1)

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Study locations

1 site
  • Akdeniz University
    Antalya, Antalya 07070, Turkey (Türkiye)
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References and documents

Publications

  • Durkin M, Gurbutt R, Carson J. Effectiveness of an online short compassion strengths course on nursing students compassion: A mixed methods non-randomised pilot study. Nurse Educ Today. 2022 Apr;111:105315. doi: 10.1016/j.nedt.2022.105315. Epub 2022 Feb 26. PubMed 35290862 ↗
  • Dreifuerst KT. Using debriefing for meaningful learning to foster development of clinical reasoning in simulation. J Nurs Educ. 2012 Jun;51(6):326-33. doi: 10.3928/01484834-20120409-02. Epub 2012 Apr 9. PubMed 22495923 ↗
  • Contreras JA, Edwards-Maddox S, Hall A, Lee MA. Effects of Reflective Practice on Baccalaureate Nursing Students' Stress, Anxiety and Competency: An Integrative Review. Worldviews Evid Based Nurs. 2020 Jun;17(3):239-245. doi: 10.1111/wvn.12438. Epub 2020 Apr 24. PubMed 32329238 ↗
  • Coleman D, Willis DS. Reflective writing: the student nurse's perspective on reflective writing and poetry writing. Nurse Educ Today. 2015 Jul;35(7):906-11. doi: 10.1016/j.nedt.2015.02.018. Epub 2015 Mar 14. PubMed 25802097 ↗
  • Arman M. Empathy, sympathy, and altruism-An evident triad based on compassion. A theoretical model for caring. Scand J Caring Sci. 2023 Sep;37(3):862-871. doi: 10.1111/scs.13163. Epub 2023 Mar 21. PubMed 36942653 ↗
  • Adamson E, Dewar B. Compassionate Care: Student nurses' learning through reflection and the use of story. Nurse Educ Pract. 2015 May;15(3):155-61. doi: 10.1016/j.nepr.2014.08.002. Epub 2014 Sep 19. PubMed 25754833 ↗

Individual participant data

Plan to share: Yes

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 14, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07103538
Lead sponsor
Akdeniz University
Responsible party
Fatma DURSUN ERGEZEN (Assistant Professor, Akdeniz University) — Principal investigator
First posted
Aug 5, 2025
Start date
Feb 19, 2024
Primary completion
Feb 19, 2024
Completion
Jun 3, 2024
Last update
Aug 14, 2025

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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