The goal of this Randomized Controlled Trial is to define the effect of gamified teaching methods for pressure injury prevention in intensive care nurses. The main questions it aims to answer are: H1: The gamified learning experience will increase the nurses' knowledge of pressure injury prevention compared to the control group. H2: The gamified learning experience will increase the nurses' skills in pressure injury prevention compared to the control group. H3: The gamified learning experience will increase the nurses' attitude toward pressure injury prevention compared to the control group. Researchers will compare two arm to see if there is a difference in knowledge, skills, and attitudes. Participants in the experimental group will be educated via a gamified mobile learning application.
The inclusion criteria for the participants are: (a) being a registered nurse for more than one year, (b) being more than 18 years old, (c) having at least an associate degree in nursing, and (d) having a smartphone or tablet to be able to download the game application. The Pressure Ulcer Knowledge Assessment Tool (PUKAT) will assess PI knowledge (Manderlier et al., 2017) The Attitude Towards Pressure Ulcer Prevention instrument (APuP) will assess PI attitude (Beeckman et al., 2010) . PI assessment skills will be performed in the skills laboratory at the Tan Chingfen Graduate School of Nursing with pressure injuries in various stages (stage one, stage two, stage three, stage four, unstageable stage, and deep tissue pressure injury) on the wound model. The researchers will create and validate a "Pressure Injury Evaluation Form."
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE
Enrollment
60
There will be a gamified environment in a mobile application with case scenarios on pressure injury prevention designed by researchers.
Nurses will receive training via a booklet about prevention of pressure injuries.
UMass Chan Medical School
Boston, Massachusetts, United States
Pressure Ulcer Knowledge Level
The Outcome will be measured by "The Pressure Ulcer Knowledge Assessment Tool (PUKAT 2.0)". PUKAT 2.0 is a 26-item questionnaire that assesses nurses' knowledge of pressure injury in six areas: etiology and development (six items), classification and observation (five items), risk assessment (two items), and nutrition (one item).
Time frame: 10 weeks
Attitude Towards Pressure Ulcer Prevention
Attitude Towards Pressure Ulcer Prevention instrument (APuP) will be used for defining attitude level of ICU nurses. APuP is a reliable and valid instrument to assess attitudes towards pressure ulcer prevention. There are 13 items in this scale, each of them evaluated with a 5-point Likert.
Time frame: 10 weeks
System Usability
System Usability Scale (SUS) will be used. In this study, a gamified mobile application for the prevention of pressure injuries will be developed. SUS will be used to evaluate the usability of the application.
Time frame: 10 weeks
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