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The Effect of Six Hats Thinking Technique on Problem Solving, Critical and Empathic Thinking in Nursing Students

The Effect of Six Hats Thinking Technique on Problem Solving, Critical and Empathic Thinking in Nursing Students

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07005206
Enrollment
90
Registered
2025-06-05
Start date
2025-02-13
Completion date
2025-06-30
Last updated
2025-08-13

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

Conditions

Nursing Students

Keywords

nursing student, 6 hats thinking, critical thinking, problem solving, empathic thinking

Brief summary

This research aims to examine the effect of the Six Thinking Hats Technique application on empathic thinking, critical thinking motivation and problem solving skills in nursing students. In the study, which will be conducted with a pre-test-post-test control group experimental design, the contribution of case discussions made with the Six Thinking Hats Technique to the cognitive and emotional skills of the students will be evaluated.

Detailed description

Nursing education is a dynamic process where theoretical knowledge and clinical practices are integrated; critical thinking, clinical decision-making and problem-solving skills are systematically developed. In this process, in the rapidly changing information society, it is of great importance that nursing students are trained not only as individuals who can access information, but also as professionals who can analyze, interpret information, develop alternative solutions and think in multiple ways. The six thinking hats technique, which aims to develop multi-dimensional thinking skills in nursing students within a systematic structure, is considered an effective teaching method that supports cognitive and emotional development. Within the scope of this technique, it is aimed for individuals to evaluate events and situations in multiple dimensions through six different colored hats, each of which represents a specific way of thinking, such as emotional evaluation, critical thinking, impartial analysis, optimistic perspective, creative thinking and process management.

Interventions

BEHAVIORALSix Hats Thinking

A total of 6 sessions of thinking training were given once a week for 6 weeks.

No intervention was made to this group.

Sponsors

KTO Karatay University
Lead SponsorOTHER

Study design

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

Masking description

Due to the nature of the study, researcher blinding could not be performed. During the statistical analysis phase, the data were transferred to the computer by the researcher and the experimental and control groups were transferred to the SPSS program as '1' and '2', respectively. The statistician was blinded to the groups until all analyses were completed.

Intervention model description

This study was conducted as a two-group, experimental design, randomized controlled study. Place and Time of the Study The study was conducted with 2nd-year students of the Nursing Department of KTO Karatay University in the spring semester of 2024-2025. Population and Sample of the Study The population of the study consisted of all 2nd-year nursing students who were continuing their education and training in the spring semester of 2024-2025. The sample of the study consisted of students who met the inclusion criteria. Inclusion Criteria; * Taking the Fundamentals of Nursing course * Being 18 years of age or older * Being able to read and write in Turkish * Voluntarily participating in the study Exclusion Criteria; * Having taken the Fundamentals of Nursing course before Study termination criteria; Student not participating in two or more case discussions, withdrawing from the study voluntarily.

Eligibility

Sex/Gender
ALL
Age
18 Years to 30 Years
Healthy volunteers
Yes

Inclusion criteria

* Taking the Fundamentals of Nursing course * Being 18 years of age or older * Being able to read and write in Turkish * Voluntarily participating in the research

Exclusion criteria

• Having taken a nursing fundamentals course before

Design outcomes

Primary

MeasureTime frameDescription
Problem solving abilityWithin 6 weeks after interventionStudents' problem solving skills will be assessed using the Problem Solving Inventory. Total scores will be compared. The lowest score that can be obtained from the scale is 32, and the highest score is 192.

Secondary

MeasureTime frameDescription
Critical thinking abilityWithin 6 weeks after interventionThis scale was developed to provide information about motivation for a specific critical thinking task. The scale consists of 19 items, numbered on a Likert-type scale from 1 to 6. Participants are expected to respond by circling the appropriate option for each statement, ranging from 1 to 6 (1 = Strongly Disagree and 6 = Strongly Agree). These statements express the expectation that each participant will think critically and rigorously (expectation) and the value they place on this type of thinking (value). These statements also include the perceived importance and usefulness of detailed thinking, the sacrifices they will make for this type of thinking, and the interest it generates in them. The scale does not contain reverse items. To score the scale, each question is first assigned a value ranging from 1 to 6. The total score for each subscale is then calculated and divided by the number of items to obtain the mean score. This process is applied separately for the five subscale

Other

MeasureTime frameDescription
Jefferson Empathy Scale for Nursing StudentsWithin 6 weeks after interventionThe original scale consisted of 20 items and three dimensions, while the Turkish version contained 18 items. It was reported that items 5 and 18 in the Turkish version were removed by the researchers because they were found to have low factor loadings. The 18-item Turkish version, like the original, consists of three dimensions. The scale is assessed on a 7-point Likert-type scale (1 = Strongly Disagree, 2 = Disagree, 3 = Partly Disagree, 4 = Neither Agree nor Disagree, 5 = Partly Agree, 6 = Agree, 7 = Strongly Agree). Possible scores for the Turkish version range from 18 to 126. Higher scores indicate higher levels of empathy.

Countries

Turkey (Türkiye)

Outcome results

None listed

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