ClinicalTrials.gg
Not yet recruitingNCT07834541GENEUpdated Sep 24, 2026

Sensory Restriction Simulation Training for Nursing Student Empathy and Communication

An interventional study of GENE Sensory Restriction Simulation Training and Standard Theoretical Empathy Education in Empathy, sponsored by Volkan Gokmen. Not yet recruiting at 1 site in Turkey (Türkiye). Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-24.

Sponsored by Volkan Gokmen · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study evaluates the effect of the Reality-Integrated Quality Education (GENE) approach, an educational intervention using sensory restriction simulations (vision, hearing, speech, and movement restriction), on empathy, communication skills, patience, psychological resilience, and patient-centered care competency among third-year nursing students. Sixty nursing students will be randomly allocated to an experimental group (n=30), who will complete a single 30-45 minute GENE simulation session, or a control group (n=30), who will receive standard theoretical empathy education without the simulation component. Outcomes will be assessed immediately before and after the session using the Turkish versions of the Jefferson Scale of Empathy - Nursing Student (JSE-NS), a Communication Skills Inventory, a Patience Scale, the Brief Resilience Scale, and a Patient-Centered Care Competency Scale. The investigators hypothesize that participation in the GENE sensory restriction simulations will produce greater short-term gains in empathy, communication, patience, resilience, and patient-centered care competency than theoretical education alone.

Read the detailed description

Empathy, effective communication, and patient-centered care are core competencies for nursing practice, and are traditionally taught through classroom-based theoretical instruction. Sensory restriction simulation is proposed as an experiential teaching strategy in which learners temporarily experience a restriction analogous to a patient's sensory or functional limitation, with the aim of building experiential understanding rather than only conceptual knowledge.

This study uses a quasi-experimental, randomized, pretest-posttest, parallel-group design to evaluate the Reality-Integrated Quality Education (GENE) approach in a single center: the Nursing Department of Agri Ibrahim Cecen University. A pool of 60 third-year nursing students will be randomly allocated to an experimental group (n=30) or a control group (n=30).

The experimental group will complete the GENE model, a four-stage sensory restriction simulation sequence lasting approximately 30-45 minutes in total, comprising sequential simulated restriction of vision, hearing, speech, and movement, each paired with simulated patient-care tasks and structured post-simulation debriefing and feedback (recorded via a post-simulation feedback form). The control group will receive standard theoretical education on empathy and patient-centered care without the simulation component. This is an educational/behavioral intervention rather than a drug, biologic, or device intervention; the study's primary purpose is therefore classified as "Other" (educational intervention effectiveness) rather than treatment, prevention, diagnostic, or supportive care.

Primary and secondary outcomes are assessed once before and once after the session (same day) using the following instruments, all administered in their validated Turkish-language versions: the Jefferson Scale of Empathy - Nursing Student (JSE-NS) for empathy; a Communication Skills Inventory; a Patience Scale; the Brief Resilience Scale; and a Patient-Centered Care Competency Scale (HMBY). An application/intake form (Participant Introduction Form) is used to record participant demographic and background characteristics before randomization.

Planned statistical analysis will use Statistical Package for the Social Sciences (SPSS, version 29). Normality of distributions will be assessed with the Shapiro-Wilk test. Depending on distributional assumptions, within-group pre-post changes and between-group (experimental vs. control) comparisons will be analyzed using repeated-measures analysis of variance (ANOVA) or, for non-normally distributed data, the Wilcoxon signed-rank test and Mann-Whitney U test, with Bonferroni correction applied for multiple comparisons. Effect sizes will be calculated and reported alongside p-values.

02

Conditions studied

  • Empathy

Keywords

  • Nursing Education
  • Simulation Training
  • Sensory Restriction Simulation
  • Communication Skills
  • Patient-Centered Care
03

In context

Lead sponsor

Volkan Gokmen is the lead sponsor of 8 studies on the registry; 6 are open to participants now.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Currently enrolled as a third-year nursing student in the Nursing Department of Agri Ibrahim Cecen University
  • Voluntary agreement to participate and provide

Exclusion criteria

Exclusion Criteria:

  • Declining to provide
  • Not currently enrolled as a third-year nursing student in the Nursing Department of Agri Ibrahim Cecen University
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    GENE Sensory Restriction Simulation Group

    Participants complete the GENE model: a single 30-45 minute sequence of four sequential sensory restriction simulations (vision, hearing, speech, and movement restriction), each paired with simulated patient-care tasks, followed by structured debriefing and feedback.

    Behavioral: GENE Sensory Restriction Simulation Training

  • Active comparator
    Control Group

    Participants receive standard theoretical education on empathy and patient-centered care, without the GENE sensory restriction simulation component.

    Behavioral: Standard Theoretical Empathy Education

Interventions

  • BehavioralGENE Sensory Restriction Simulation Training

    A single 30-45 minute educational simulation session consisting of four sequential sensory restriction stages (vision, hearing, speech, and movement restriction), each combined with simulated patient-care tasks, followed by structured debriefing and feedback using a post-simulation feedback form.

  • BehavioralStandard Theoretical Empathy Education

    Standard classroom-based theoretical education on empathy and patient-centered care, without the GENE sensory restriction simulation component.

06

What researchers measure

Primary outcomes

  1. Change in Empathy Level (JSE-NS)

    Change in empathy from before to immediately after the session, measured with the Turkish version of the Jefferson Scale of Empathy - Nursing Student (JSE-NS). Higher scores indicate greater empathy.

    Time frame: Baseline (immediately before the session) and immediately after the session (same day)

Secondary outcomes

  1. Change in Communication Skills

    Change in communication skills from before to immediately after the session, measured with the Turkish version of the Communication Skills Inventory. Higher scores indicate better communication skills.

    Time frame: Baseline (immediately before the session) and immediately after the session (same day)

  2. Change in Patience

    Change in patience from before to immediately after the session, measured with the Turkish version of the Patience Scale. Higher scores indicate greater patience.

    Time frame: Baseline (immediately before the session) and immediately after the session (same day)

  3. Change in Psychological Resilience

    Change in psychological resilience from before to immediately after the session, measured with the Turkish version of the Brief Resilience Scale. Higher scores indicate greater resilience.

    Time frame: Baseline (immediately before the session) and immediately after the session (same day)

  4. Change in Patient-Centered Care Competency (HMBY)

    Change in patient-centered care competency from before to immediately after the session, measured with the Patient-Centered Care Competency Scale (HMBY). Higher scores indicate greater competency.

    Time frame: Baseline (immediately before the session) and immediately after the session (same day)

07

Study locations

1 site
  • Agri Ibrahim Cecen University Faculty of Health Sciences
    Ağrı, Turkey (Türkiye)
    • Burcu Demir Gokmen, PhD · Contactvgokmen@agri.edu.tr · +90 506 751 6888
    • Volkan Gokmen, PhD · Principal investigator
08

References and documents

Publications

  • Tong, L. K., Chan, S., & Leung, J. (2024). Effects of simulation-based education on communication, empathy and clinical skills: A multicenter randomized controlled trial. Journal of Nursing Education, 63(4), 210-223.
  • Arslanoğlu, A., & Kırılmaz, H. (2019). Hasta merkezli bakım yetkinliği (HMBY) ölçeğinin Türkçe'ye uyarlanması. Sağlık Akademisyenleri Dergisi, 6(2), 158-166.
  • Doğan, T. (2015). Adaptation of the Brief Resilience Scale into Turkish: A validity and reliability study. The Journal of Happiness & Well-Being, 5, 93-102.
  • Eliüşük, A., & Arslan, C. (2016). Sabır ölçeğinin Türkçe'ye uyarlanması: Geçerlilik ve güvenirlik çalışmaları. Değerler Eğitimi Dergisi.
  • Ersanlı, K., & Balcı, S. (1998). İletişim becerileri envanterinin geliştirilmesi: Geçerlik ve güvenirlik çalışması. Türk Psikolojik Danışma ve Rehberlik Dergisi, 2(10), 7-12.
  • Yanık, A., & Saygılı, S. (2014). Validity and reliability of the Turkish version of Jefferson Scale of Empathy for nursing students. Türkiye Klinikleri Journal of Medical Sciences, 34(1), 111-119. https://doi.org/10.5336/medsci.2013-37793
  • Perry, A. G., Potter, P. A., & Ostendorf, W. R. (2022). Sensory impairments. In Nursing Fundamentals. NCBI Bookshelf.
  • Aryuwat, P., Suwanno, J., & Cummings, E. (2022). An integrative review of resilience among nursing students. International Journal of Nursing Studies, 130, 104115.
  • Aoki Y, Katayama H. Development of the Clinical Interpersonal Reactivity Index to evaluate nurses' empathy. Nurs Health Sci. 2021 Dec;23(4):862-870. doi: 10.1111/nhs.12875. Epub 2021 Sep 15. PubMed 34431189 ↗
  • Abdelnasser N, Abdel Aziz SAE, El-Gamal SMA. Effect of nursing guidelines on first-year nursing students' knowledge and reported practice towards sensory impairments among the elderly. BMC Geriatr. 2022 Nov 21;22(1):883. doi: 10.1186/s12877-022-03524-3. PubMed 36411407 ↗
  • Kiegaldie, D., Hauck, Y., & Chang, S. (2023). Virtual reality simulation for nursing education: A scoping review. Simulation in Healthcare, 18(2), 121-135.
  • Yu J, Parsons GS, Lancastle D, Tonkin ET, Ganesh S. "Walking in Their Shoes": The effects of an immersive digital story intervention on empathy in nursing students. Nurs Open. 2021 Sep;8(5):2813-2823. doi: 10.1002/nop2.860. Epub 2021 Mar 20. PubMed 33743185 ↗
  • Macaden L, Smith A, Croy S. Simulation on sensory impairment in older adults: nursing education. Br J Nurs. 2017 Oct 26;26(19):1057-1064. doi: 10.12968/bjon.2017.26.19.1057. PubMed 29068733 ↗
  • Stjernetun, B. B., Hovland, M. S., & Kristoffersen, M. (2024). "It's like walking in a bubble": Nursing students' perspectives on sensory-impairment simulation suits. BMC Nursing, 23(1), 147.
  • Ferri, P., Giorgi, F., Lecca, L. I., Agostinis, A., & Arcangeli, G. (2019). Impact of expert-patient teaching on empathy in nursing students. Nurse Education Today, 76, 104-110.
  • Cho MK, Kim MY. Effectiveness of simulation-based interventions on empathy enhancement among nursing students: a systematic literature review and meta-analysis. BMC Nurs. 2024 May 11;23(1):319. doi: 10.1186/s12912-024-01944-7. PubMed 38734606 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Oct 2026; primary completion for Apr 2027, 6 months later.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 16, 2026
First posted
Sep 22, 2026
StartEst.
Oct 2026
Primary completionEst.
Apr 2027
CompletionEst.
Apr 2027
Last update
Sep 24, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07834541
Lead sponsor
Volkan Gokmen
Responsible party
Volkan Gokmen (Assistant Professor, Agri Ibrahim Cecen University) — Sponsor-investigator
First posted
Sep 22, 2026
Start date
Oct 2026 (estimated)
Primary completion
Apr 2027 (estimated)
Completion
Apr 2027 (estimated)
Last update
Sep 24, 2026

Study contacts

Volkan Gokmen, PhD
Contact
vgokmen@agri.edu.tr
+90 532 739 0938
Volkan Gokmen, PhD
principal investigator · Agri Ibrahim Cecen University

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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