Educational Technology, Operating Room Nursing, Surgical Education
Conditions
Keywords
Digital Gamification, Surgical Instrument Table, Nursing Education, Educational Technology
Brief summary
This randomized controlled trial aims to compare the effectiveness of a digital gamification-based training method and a traditional training method on instrument table layout skills in total hip replacement surgery. Nursing students will be randomly assigned to either a game-based learning group or a control group receiving conventional education. The primary outcome is the accuracy of surgical instrument placement. The study will be conducted at Bozok University in Turkey.
Detailed description
This study was designed to address the lack of standardized training protocols in instrument table setup for total hip arthroplasty. A digital gamified training tool (ORNurse: Steril Setup 1.0) was developed based on a validated surgical table protocol and integrated with a 3D simulation environment. The intervention group will receive hands-on training through the game, while the control group will receive traditional lecture-based training. The study will evaluate the effectiveness of the training methods on instrument layout accuracy, as well as participants' satisfaction and knowledge retention. This study aims to improve perioperative nursing education and promote standardization in surgical preparation processes.
Interventions
A behavioral intervention utilizing a custom-developed 3D digital game designed to teach perioperative nurses or students the correct layout of surgical instrument tables in total hip arthroplasty. The game includes interactive modules, feedback mechanisms, and simulated scenarios based on a validated protocol.
A classroom-based lecture accompanied by printed materials covering the correct surgical instrument table setup for total hip replacement surgery.
Sponsors
Study design
Masking description
No masking was applied since participants and researchers are aware of the assigned intervention.
Intervention model description
Participants are randomly assigned to either the digital gamification group or the traditional training group.
Eligibility
Inclusion criteria
Aged 18 years or older Nursing students or perioperative nurses No prior formal training in surgical instrument table setup for total hip arthroplasty Willing and able to participate in digital or traditional training sessions Provided informed consent
Exclusion criteria
Prior experience with surgical instrument table setup in orthopedic surgeries Visual, cognitive, or motor impairments that limit ability to complete training tasks Currently participating in another interventional education study Refusal to participate or withdraws consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mean score on the Total Hip Replacement Instrument Table Checklist (0-100 points; higher scores = more accurate layout) | Within 1 week after the intervention (post-training assessment) | The standardized checklist consists of 20 items. Each item is scored as correct (5 points) or incorrect (0 points). The total score ranges from 0 to 100. Higher scores indicate more accurate placement and organization of surgical instruments on the sterile table. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean score on the Training Satisfaction Questionnaire (5-point Likert scale; 1 = very dissatisfied, 5 = very satisfied; higher scores = greater satisfaction) | Immediately after training session | The Training Satisfaction Questionnaire includes 10 items evaluating clarity, usability, and overall training experience. Each item is scored from 1 (very dissatisfied) to 5 (very satisfied). The mean total score is calculated, with higher scores indicating greater satisfaction with the training method. |
Countries
Turkey (Türkiye)