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Digital Gamification vs. Traditional Training for Hip Replacement Instrument Table Setup (ORNurse)

Comparison of the Effectiveness of the Digital Gamification Training Method Developed for Total Hip Replacement Surgery Instrument Table Layout and the Traditional Training Method: A Randomized Controlled Trial

Status
Not yet recruiting
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07194148
Acronym
ORNurse
Enrollment
60
Registered
2025-09-26
Start date
2025-10-15
Completion date
2026-01-15
Last updated
2025-10-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Educational Technology, Operating Room Nursing, Surgical Education

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

BEHAVIORALGamified Digital Education (ORNurse: Steril Setup 1.0)

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.

BEHAVIORALTraditional Training

A classroom-based lecture accompanied by printed materials covering the correct surgical instrument table setup for total hip replacement surgery.

Sponsors

DERYA ESENKAYA
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE

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

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes

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

MeasureTime frameDescription
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

MeasureTime frameDescription
Mean score on the Training Satisfaction Questionnaire (5-point Likert scale; 1 = very dissatisfied, 5 = very satisfied; higher scores = greater satisfaction)Immediately after training sessionThe 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)

Contacts

Primary ContactDERYA ESENKAYA, MSc
derya.esenkaya@yobu.edu.tr05072788742
Backup ContactEmine İYİGÜN, Professor, PhD, RN
emine.iyigun@sbu.edu.tr05072788742

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026