AI-Powered pedagogy to enhance reflective thinking, emotional competence, and clinical embeddedness in university students: An RCT study

Background: Given the centrality AI in the learning and clinical paradigms of nursing students, it is essential to investigate its impact on their mental mastery. Aim: To determine the effect of AI-driven smart learning platforms on reflective thinking, emotional competence, and clinical embeddedness among nursing students. Methods: A randomized controlled trial design was employed with 142 nursing students who completed a survey assessing the measured constructs. The intervention group participated in a structured, intensive training program delivered entirely online via the Curipod smart platform, while the control group received conventional lectures supplemented with PowerPoint presentations and textbooks. Results: The intervention group showed significant improvements in reflective thinking, emotional competence, and clinical embeddedness compared to the control group at T2, with gains maintained at T3. Effect sizes ranged from moderate to large, demonstrating the robustness and consistency of the intervention's impact (d = 0.301–0.800). Conclusion: AI-driven smart learning platforms significantly enhanced nursing students’ cognitive, emotional, and clinical competencies. These findings support the integration of AI-enhanced learning strategies to advance nursing education and professional preparedness.