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The Effect of Puzzle Activity on Nursing Students' Willingness to Work With Older Adults and Gerontological Nursing Competence

The Effect of Puzzle Activity on Nursing Students' Willingness to Work With Older Adults and Gerontological Nursing Competence

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06903533
Acronym
Puzzle
Enrollment
102
Registered
2025-03-30
Start date
2025-03-28
Completion date
2025-05-15
Last updated
2025-09-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Puzzle Activity

Keywords

Puzzle Activity, Nursing Students, Nursing

Brief summary

The study will be conducted using a parallel-group randomized controlled experimental design to determine the effect of a puzzle activity on nursing students' willingness to work with older adults and their competence in gerontological nursing. The study population will consist of second-year students (N=243) enrolled in the Faculty of Nursing at a university. The sample of the study will include at least 86 nursing students, with 43 students in the puzzle group and 43 students in the control group. The research will be carried out between March 2025 and June 2025. In this study, data will be collected using the Descriptive Information Form, the Willingness to Work with Older People Scale, and the Gerontological Nursing Competence Scale.

Detailed description

The study will be conducted using a parallel-group randomized controlled experimental design to determine the effect of a puzzle activity on nursing students' willingness to work with older adults and their gerontological nursing competence. The study group will consist of second-year students (N=243) enrolled in the Faculty of Nursing at a university. The G\*Power program was used to calculate the sample size. In the reference study (Kaynak, S., Ergün, S., & Karadaş, A. (2023). The effect of crossword puzzle activity used in distance education on nursing students' problem-solving and clinical decision-making skills: A comparative study. Nurse Education in Practice, 69, 103618), it was determined that at least 86 students (43+43) were needed, with α = 0.05, 80% power, and an effect size of 0.615. After assigning the students to the intervention and control groups, a puzzle activity will be conducted with the intervention group following a lecture. In preparing the puzzles, the researchers will use free online puzzle-making tools (e.g., https://crosswordlabs.com/). The puzzles will include questions related to basic knowledge and concepts concerning gerontological nursing competence. During the puzzle-solving process, the researcher will be present in the classroom and provide guidance to students when needed. After students complete the puzzles, the researcher will project the puzzle on the presentation screen and evaluate the answers through interactive discussion with the students. Upon completion of each puzzle, the researcher will collect the puzzles from the students to prevent contamination between the intervention and control groups. A post-test will be administered to students at the end of the puzzle activity.

Interventions

After assigning the students to the intervention and control groups, a puzzle activity will be conducted with the intervention group following a lecture. In preparing the puzzles, the researchers will use free online puzzle-making tools (e.g., https://crosswordlabs.com/). The puzzles will include questions related to basic knowledge and concepts concerning gerontological nursing competence. During the puzzle-solving process, the researcher will be present in the classroom and provide guidance to students when needed. After students complete the puzzles, the researcher will project the puzzle on the presentation screen and evaluate the answers through interactive discussion with the students. Upon completion of each puzzle, the researcher will collect the puzzles from the students to prevent contamination between the intervention and control groups. A post-test will be administered to students at the end of the puzzle activity.

Sponsors

Gazi University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Subject)

Intervention model description

Parallel Assignment

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* • Being a second-year nursing student * Volunteering to participate in the study

Exclusion criteria

Not taking the Geriatric Health Nursing course * Having difficulty in understanding and speaking Turkish * Incomplete or incorrectly answered data collection tools * Willingness to withdraw from the study voluntarily

Design outcomes

Primary

MeasureTime frameDescription
Willingness to Work with Older People ScaleBaselineThe scale was developed by Fadayevatan and colleagues (2018) to determine medical students' willingness to work with older adults. The Turkish validity and reliability of the scale were conducted by Akpınar Söylemez and colleagues (2022) with nursing and medical students The scale consists of 4 sub-dimensions and 20 items. The scale is a six-point Likert-type scale, where items are scored from 1 = strongly disagree to 6 = strongly agree. The minimum score that can be obtained from the scale is 20, and the maximum score is 120. Scores for each sub-dimension and a total score are calculated. Higher scores indicate a greater willingness to work with older adults
Gerontological Nursing Competence ScaleBaselineThe scale was developed by Tohmola et al. (2021) to measure nursing students' competencies in geriatric care. The Turkish validity and reliability study was conducted by Aslan et al. (2024). The scale consists of 53 items and 11 subdimensions. The scale is a 4-point Likert-type scale and is rated as follows:1 = Strongly Disagree, 2 = Partially Disagree, 3 = Partially Agree, 4 = Strongly Agree. The minimum score that can be obtained from the scale is 53, and the maximum score is 212. As the level of competence increases, the score obtained from the scale also increases

Countries

Turkey (Türkiye)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026