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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
60
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.
Bozok University, School of Health Services (SHMYO)
Yozgat, Yozgat, Turkey (Türkiye)
Mean score on the Total Hip Replacement Instrument Table Checklist (0-100 points; higher scores = more accurate layout)
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.
Time frame: Within 1 week after the intervention (post-training assessment)
Mean score on the Training Satisfaction Questionnaire (5-point Likert scale; 1 = very dissatisfied, 5 = very satisfied; higher scores = greater satisfaction)
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.
Time frame: Immediately after training session
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