NCT07441473

Peer-Supported Clinical Orientation Training

The Effect of a Peer-Supported Video- and Interaction-Based Clinical Orientation Program on Reality Shock and Adaptation During the First Clinical Experience

• Status: Not Yet Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 90 (estimated)
• Sponsor: Siirt University · Academic / Other
• Sex: All
• Age: 18 Years – 40 Years
• Healthy volunteers: Not accepted

Summary

This randomized controlled study will aim to evaluate the effect of a peer-supported video and interaction-based clinical orientation program on reality shock and adaptation during the first clinical experience. The study will be conducted with nursing students who will start their first clinical practice. Participants will be randomized into intervention and control groups. The intervention group will receive a peer-led orientation program including videos recorded in real clinical settings by senior students, interactive question-answer sessions, a structured hospital tour, and ongoing digital communication support. The control group will receive the routine clinical orientation. Data will be collected at two different time points. The first measurement will be performed at the end of the second week of clinical practice to allow students to experience the clinical adaptation process. The second measurement will be conducted four weeks after the first assessment. Reality shock and clinical adaptation levels will be evaluated using valid and reliable scales. This study is expected to provide evidence on the effectiveness of peer-supported and technology-enhanced orientation strategies in facilitating students' adaptation to clinical environments and contribute to the development of innovative practices in nursing education.

Detailed description

This randomized controlled study will aim to evaluate the effect of a peer-supported video and interaction-based clinical orientation program on reality shock and clinical adaptation among nursing students during their first clinical experience. The study will be conducted with first-year nursing students at the Faculty of Health Sciences, Siirt University, in the spring semester of 2026. Students who meet the inclusion criteria will first be stratified according to gender and grade point average (GPA), and then assigned to the intervention and control groups using computer-assisted block randomization. The sample size was calculated using G\*Power, and a total of 90 students will be included in the study. The intervention group will receive a multi-component peer-supported orientation program, including videos recorded in real clinical settings by senior students, interactive question-answer sessions, a structured hospital tour, peer mentor support during the clinical practice process, and continuous guidance through digital communication groups. The control group will receive the routine verbal clinical orientation provided in the institution. Data will be collected at two time points. The first measurement will be conducted at the end of the second week of clinical practice to allow students to experience the clinical adaptation process. The second measurement will be performed four weeks after the first assessment. Data will be collected using the Introductory Information Form, the Reality Shock Scale for Nursing Students, and the Clinical Adjustment Scale for Student Nurses. In addition, educational satisfaction will be evaluated in both groups using a visual analog scale (VAS). An open-ended feedback form will be administered only to the intervention group to explore students' experiences and perceptions of the program. The data will be analyzed using SPSS software. Descriptive statistics will be presented, and appropriate parametric or non-parametric tests will be used for group comparisons. Effect sizes will also be calculated. This study is expected to provide evidence on the effectiveness of peer-supported and technology-enhanced clinical preparation programs in reducing reality shock and improving clinical adaptation. The findings may contribute to the development and integration of innovative, student-centered orientation strategies in nursing education.

Conditions

• Healthy

Interventions

Type	Name	Description
OTHER	Peer-Supported Video and Interactive Clinical Orientation	Participants in the experimental group will receive a multi-component peer-supported clinical orientation program prior to their first clinical placement. The intervention will include video-based orientation recorded in real clinical settings by senior nursing students, interactive question-answer sessions, and a structured hospital tour. In addition, peer mentors will provide on-site guidance during the initial clinical days and ongoing support through a digital communication platform. The program aims to reduce uncertainty, enhance clinical readiness, and facilitate adaptation to the clinical environment.
OTHER	Routine Clinical Orientation	Participants in the control group will receive the routine clinical orientation provided by the institution before their first clinical placement. This orientation will consist of a standard PowerPoint-based educational session covering hospital rules, clinical procedures, student roles and responsibilities, and basic safety and communication principles. No peer support, video-based education, or additional digital mentoring will be provided to this group.

Timeline

• Start date: 2026-03-05
• Primary completion: 2026-03-20
• Completion: 2026-04-20
• First posted: 2026-03-02
• Last updated: 2026-03-02