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Jigsaw Cooperative Learning for Pediatric Pain Education in Undergraduate Nursing Students

Effectiveness of the Jigsaw Cooperative Learning Method on Undergraduate Nursing Students' Competencies in Pediatric Pain Management: A Multicenter Randomized Controlled Trial

Status
Not yet recruiting
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07735299
Enrollment
151
Registered
2026-07-29
Start date
2026-11-01
Completion date
2027-09-01
Last updated
2026-07-29

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

Conditions

Pediatric Pain Education

Keywords

Cooperative Learning, Jigsaw, Nursing Education, Pediatric Pain, Undergraduate Nursing Students

Brief summary

Background Despite growing evidence supporting active learning methodologies in nursing education, limited evidence is available regarding the effectiveness of the Jigsaw cooperative learning technique in improving undergraduate nursing students' competencies in pediatric pain management. Objective To evaluate whether the Jigsaw cooperative learning method improves nursing students' knowledge and attitudes regarding pediatric pain management compared with traditional lecture-based education. Methods This multicenter, parallel-group randomized controlled trial will be conducted among third-year undergraduate nursing students from the University of Perugia and Unilink University (Italy). Participants will be randomly allocated (1:1) to either a Jigsaw-based educational intervention or traditional lecture-based teaching. Knowledge and attitudes will be assessed using the Italian validated Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS) at baseline (T0), immediately after the intervention (T1), and 30 days later (T2). Student satisfaction will also be evaluated using a Visual Analogue Scale (VAS).

Detailed description

This multicenter randomized controlled trial aims to evaluate the effectiveness of the Jigsaw cooperative learning technique in undergraduate nursing education. Participants will be recruited from two Italian universities offering undergraduate nursing programs. Following written informed consent, eligible participants will complete baseline assessment using the Italian validated Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS). Participants will then be randomized (1:1), using computer-generated block randomization stratified by study site, to either: Jigsaw cooperative learning Traditional lecture-based education Both groups will receive identical educational content concerning pediatric pain management. The intervention will last two weeks with approximately five hours of structured educational activities. Outcome assessments will be performed immediately after the intervention (T1) and at 30-day follow-up (T2). The primary endpoint will be the total PNKAS score immediately after the intervention. Secondary outcomes include knowledge retention, longitudinal score changes, effect size estimation, and student satisfaction.

Interventions

OTHERJigsaw cooperative learning

Educational intervention based on the Jigsaw cooperative learning technique

Conventional lecture-based teaching covering identical educational content

Sponsors

University of Rome Tor Vergata
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE

Intervention model description

Participants will be randomly assigned in a 1:1 ratio to either Jigsaw cooperative learning or traditional lecture-based education. Randomization will be stratified by study site.

Eligibility

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

Inclusion criteria

* Third-year undergraduate nursing student. * Attendance of the pediatric nursing course. * Written informed consent.

Exclusion criteria

* Previous advanced education in pediatric pain management. * Failure to complete baseline assessment.

Design outcomes

Primary

MeasureTime frameDescription
Total Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS) score.Immediately after intervention (T1)Total score on the Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS). The PNKAS consists of 42 items with a total score ranging from 0 to 42, where higher scores indicate greater knowledge and more appropriate attitudes toward pediatric pain management.

Secondary

MeasureTime frameDescription
Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS) score change from baseline (T0) to T1Immediately after interventionChange in the total score on the Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS) from baseline (T0) to immediately after the intervention (T1). The total score ranges from 0 to 42. Higher scores indicate better knowledge and attitudes regarding pediatric pain management.
Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS) score at 30-day follow-up30 daysTotal score on the Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS) at 30-day follow-up (T2). The total score ranges from 0 to 42. Higher scores indicate better knowledge and attitudes regarding pediatric pain management.
Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS) score change from T1 to T230 daysPediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS) score change from T1 to T2
Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS) score change from T0 to T230 daysPediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS) score change from T0 to T2
Student satisfaction assessed by Visual Analogue Scale (0-10)Immediately after interventionStudent satisfaction measured using a 10-cm Visual Analogue Scale (VAS), ranging from 0 to 10, where 0 indicates "not satisfied at all" and 10 indicates "extremely satisfied." Higher scores indicate greater satisfaction with the educational intervention.

Countries

Italy

Contacts

CONTACTFABRIZIO FAINA, RN, MSN
fabrizio.faina@gmail.com+393472651617

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jul 30, 2026