About this trial
This randomized controlled experimental study aims to evaluate the effectiveness of a generative artificial intelligence-based "OSCE Coach" in improving infertility counseling communication and empathy skills among nursing students. The study will be conducted with undergraduate nursing students at Bartın University Faculty of Health Sciences and follows a two-group pretest-posttest design.
A total of 96 students will be randomly assigned to either the intervention group or the control group using computer-generated randomization. The intervention group will participate in an AI-powered OSCE coaching simulation consisting of 6-8 infertility counseling micro-scenarios, incorporating structured feedback and deliberate practice cycles. The control group will receive conventional infertility counseling education using standard teaching methods.
Outcomes will be assessed using the Therapeutic Communication Skills Scale for Nursing Students, the Jefferson Scale of Empathy for Nursing Students, and a rubric-based infertility counseling communication performance assessment based on the Kalamazoo Consensus Statement. Performance evaluations will be conducted via standardized virtual patient interviews and scored by two blinded independent raters.
Data will be analyzed using ANCOVA to assess intervention effects while controlling for baseline scores. This study aims to contribute evidence on the effectiveness of AI-supported OSCE coaching in enhancing communication and empathy skills in nursing education.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Undergraduate nursing students enrolled at Bartın University Faculty of Health Sciences
Successfully completed the Women's Health and Diseases Nursing course (minimum passing grade)
Currently enrolled in the infertility nursing course
Able to read and understand Turkish
Disqualifiers
Students who do not complete the educational intervention
Students who do not complete pretest or posttest assessments
Students with prior formal training in AI-supported OSCE or similar simulation-based coaching programs
Trial design
Parallel
Treatments tested in this trial
AI-Powered OSCE Coaching
BehavioralParticipants receive a generative artificial intelligence-supported OSCE coaching intervention designed to improve infertility counseling communication and empathy skills. The intervention consists of 6-8 structured micro-scenarios reflecting common infertility counseling situations. For each scenario, participants provide written counseling responses, which are analyzed by the AI system based on therapeutic communication and empathy principles. Automated, structured feedback is provided, allowing participants to revise and repeat responses in a deliberate practice cycle. The intervention is delivered individually and does not involve real patients.
Treatment groups
Trial outcomes
Primary outcomes
Infertility Counseling Communication Performance
Counseling communication performance assessed through standardized virtual patient interviews using a rubric-based evaluation tool developed based on the Kalamazoo Consensus Statement. Performances are independently scored by two blinded evaluators, and the average score is used for analysis.
Secondary outcomes
Therapeutic Communication Skills
Measured using the Therapeutic Communication Skills Scale for Nursing Students. Total scores range from 16 to 112, with higher scores indicating better therapeutic communication skills.
Clinical Empathy Level
Measured using the Jefferson Scale of Empathy for Nursing Students. Total scores range from 18 to 126, with higher scores indicating higher empathy levels.
Locations
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Sponsors and contacts
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Sakarya University
Lead sponsor
Bartın Unıversity
Sponsor institution
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