Research Article 2026-04-23 in-revision v1

The Role of Cognitive Approaches in Nursing Students’ Learning Experiences: A Quasi-Experimental Study

G
Gizem Açıkgöz Istanbul Kent University
Z
Zuhal Bahar Istanbul Aydın University
G
Güzin Ünlü Suvari Acıbadem University
C
Cennet Çiriş Yıldız Istanbul Aydın University
B
Burcu Özkan Fenerbahçe University
M
Meryem Erceylan

Abstract

Background Cognitive learning approaches are important in nursing education because they support analytical thinking, decision-making, and self-regulated learning processes. Competencies such as problem solving, critical thinking, peer support, self-directed learning readiness, and locus of control may contribute to nursing students’ academic and professional development. This study aimed to evaluate the effects of a cognitive learning intervention on these competencies among first-year nursing students. Methods This quasi-experimental pre-test/post-test study with experimental and control groups was conducted at two foundation universities in Istanbul, Türkiye. A total of 114 first-year nursing students completed the study, including 69 in the experimental group and 45 in the control group. The intervention consisted of a single structured 120-minute online session focused on cognitive learning processes. Data were collected using validated instruments assessing problem solving, critical thinking, peer support, self-directed learning readiness, and locus of control. Statistical analyses included descriptive statistics and within-group and between-group comparisons, with statistical significance set at p < 0.05. Results The intervention significantly improved several learning-related outcomes in the experimental group. Problem-solving scores increased significantly from 149.71 ± 20.78 to 156.32 ± 9.91 (p = 0.018), whereas the control group showed a significant decline (p = 0.013). Critical thinking scores remained stable in the experimental group but decreased significantly in the control group (p < 0.001). Self-directed learning readiness increased markedly in the experimental group from 165.80 ± 26.53 to 197.33 ± 10.96 (p < 0.001) and was significantly higher than that of the control group at post-test (p < 0.001). Locus of control scores also improved in the experimental group. Peer support scores decreased in the experimental group; however, no significant between-group difference was found. Conclusions The cognitive learning intervention improved problem-solving skills, self-directed learning readiness, and locus of control, while helping to maintain critical thinking levels among first-year nursing students. These findings suggest that cognitively oriented educational strategies may be useful in nursing curricula to support students’ learning-related development. Trial registration: Not applicable.

Citation Information

@article{gizemakgz2026,
  title={The Role of Cognitive Approaches in Nursing Students’ Learning Experiences: A Quasi-Experimental Study},
  author={Gizem Açıkgöz and Zuhal Bahar and Güzin Ünlü Suvari and Cennet Çiriş Yıldız and Burcu Özkan and Meryem Erceylan},
  journal={BMC Nursing},
  year={2026},
  doi={https://doi.org/10.21203/rs.3.rs-9302542/v1}
}
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