Fall, Patient Safety, Simulation Edication
Conditions
Keywords
web-based simulation, standard patient, nursing students, randomized controlled trial
Brief summary
Introduction: Falls are the most frequently reported and preventable type of safety incident. Patient falls are the most common adverse events in hospitals. This situation impacts clinical outcomes and increases the financial burden on healthcare systems. Simulation is an important component of nursing education because it enhances patient care and ensures patient safety. Objective: To comparatively examine the effect of standard patient-based and web-based simulation methods, implemented in addition to the same theoretical education provided to nursing students, on students' knowledge levels regarding fall risk assessment and their fall risk assessment skills in clinical practice. Materials and Methods: The study was conducted during the spring semester of the 2025-2026 academic year with first-year students in the Department of Nursing at Aydın Adnan Menderes University as part of the Fundamentals of Nursing course. All participating students will complete theoretical classes in the classroom and practical sessions in the laboratory. The study using standard patient and web-based simulation applications will be conducted in the simulation laboratory of the Faculty of Nursing at Aydın Adnan Menderes University. Research data will be collected using the "Individual Information Form," the "Fall Knowledge Test for Preventing Patient Falls" prepared in accordance with the literature, and the "Fall Risk Assessment Skills Rubric." Research data will be collected over a 4-month period (February 9 - June 9, 2026). A written permission letter will be obtained from the institution to conduct the study. Participants will be provided with detailed information about the study, and both verbal and written consent will be obtained. For numerically measured data, a normal distribution analysis will be performed; based on the results of this analysis, "Pearson Chi-square" and "t-tests" will be used for variables showing a normal distribution. Findings: The research findings will be presented based on the analyses conducted. Conclusion: The results will be presented based on the research findings, and recommendations will be made accordingly.
Interventions
OTHERStandardized patient
The group receiving training with standard patients in a simulation laboratory environment.
OTHERweb-based simulation
Group receiving training through web-based simulation in a laboratory environment.
Sponsors
ESRA ERTUĞRUL
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Be a first-year student in the School of Nursing * Be willing to participate in the study * Have no absences at any point during the study * Have completed both theoretical and clinical training * Be willing to remain in the study throughout all phases * Be a student who is not currently working or has not previously worked as a nurse
Exclusion criteria
* Be a graduate of a vocational high school for health sciences * Be a student admitted through the Foreign Student Exam (YÖS) * Be a student who does not wish to participate in the research * Be a student who was admitted to the nursing program through the Vertical Transfer Exam (DGS) after graduating from a program offering an associate's degree in a health-related field
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Planned Mean Change in Total Knowledge Score on the Fall Prevention Knowledge Test (0-28) | From enrollment to the 8th week of the intervention. | Planned Mean Change in Total Knowledge Score on the Fall Prevention Knowledge Test (0-28) Total knowledge score will be measured using the Fall Prevention Knowledge Test among nursing students. Change from baseline will be assessed. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Planned Mean Change in Total Knowledge Score on the Patient Fall Prevention Knowledge Test | Immediately after the intervention] | The change in the total knowledge scores of nursing students will be measured using the Patient Fall Prevention Knowledge Test. Change from baseline will be assessed. |
| Fall Risk Assessment Skills Rubric | Four weeks after the procedure | A Fall Risk Assessment Skills Rubric for Clinical Practice has been developed. The rubric consists of 10 items designed to assess students' clinical reasoning, observation, and decision-making skills, independent of any specific scale, with each item scored on a scale of 0-2. The total score ranges from 0 to 20. |
| Planned Mean Change in Student Satisfaction Score Regarding the Simulation Experience | Immediately after the intervention | The change in the average satisfaction score of nursing students in the experimental group will be measured using the Student Satisfaction Scale. Change from baseline will be assessed. |
| Planned Mean Change in Learning Self-Confidence Score Regarding the Simulation Experience | Immediately after the intervention | The average learning self-confidence score of nursing students in the experimental group will be measured using the Learning Confidence Scale. Change from baseline will be assessed. |
Countries
Turkey (Türkiye)
Contacts
CONTACTESRA ERTUĞRUL
Outcome results
None listed