Abstract
BACKGROUND: Diabetes mellitus is a serious health problem that is common and causes complications. Pen insulin therapy is one of the commonly used treatment methods in diabetes mellitus. AIM: The study was conducted to investigate the effects of education given to nursing students using the traditional method, the six thinking hats method, and the video method on the students' insulin administration skills. DESIGN: This research was designed as a mixed (randomised controlled study and qualitative study) methods study. METHODS: This study was conducted between 15 February and 15 June 2024, with a total sample of 90 nursing students. The control group (n = 30) received traditional training only. The six thinking hats group (n = 30) received traditional training and six thinking hats training. The video group (n = 30) received traditional training and video training. Study data were collected using a personal information form, a subcutaneous insulin administration skill level observation form, and a semi-structured questionnaire. Pre-test, mid-test and post-test skill measurements were taken from all groups at the same time. The video and six thinkng hats groups were asked open-ended questions and the responses were recorded. Quantitative data were analyzed using IBM SPSS vn.23 software and qualitative data with MAXQDA 2024. RESULTS: Quantitative results; in the control group, the pre-test points were 5.00, mid-test points were 15.00 and the final test points were 8.00. For the six thinking hats group, these scores were 6.50, 22.00, and 23.00, respectively and for the video group, 10.00, 16.00, and 13.00, respectively. The mid-test points of the six thinking hats group were 5.416 higher than those of the control group (p < 0.001). The final test points of the six thinking hats group were 10.946 higher than those of the control group (p < 0.001). The final test points of the video group were 4.383 higher than those of the control group (p < 0.001). Qualitative reslts; The six hats and video groups had 1 theme called insulin administration skills, 3 categories: benefits, awareness and recommendations. Six hat groups 6 codes (contribution of education, rotation, infection control, sharps injury, patient safety, innovative methods), The video group had a structure containing 4 codes (rotation, contribution of education, innovative methods, 10 correct principles). CONCLUSIONS: While the video method showed better performance than the traditional method, it showed lower performance than the six-hat thinking method. In this context, the most effective method in insulin administration training was determined as the six-hat thinking method. TRIAL REGISTRATION: Current controlled trials clinical trials ID: NCT06555341 ( https://register. CLINICALTRIALS: gov/prs/app/action/SelectProtocol?selectaction=Edit%26sid=S000ESPW%26uid=U000681Q ). Retrospectively registered. Registration date: 08/05/2024.