NCT05309317

Brief Summary

Objective: The purpose of this study was to investigate the effectiveness of a virtual simulation game in improving nursing students' knowledge and abilities in preventing catheter-associated urinary tract infection (CAUTI). Method: The study was designed as a parallel-group, randomized controlled trial. A pre-test on knowledge and abilities will be administered to all students participating in the study. Following the pre-test evaluation, a training session on "CAUTI Prevention" will be held. The present training approach (lecture method) in the curriculum will be employed in this session. Following the training, the students in the sample group will be randomly divided into the experimental group (students using virtual simulation game application) and the control group (students learning with the existing education method) based on their general weighted grade averages using the stratified randomized approach. The experimental group will play the virtual simulation game for seven days. Knowledge and competence assessments (post-test) of the control and experimental groups will be conducted seven days following the training. The virtual simulation game application will be evaluated by the students in the experimental group after the post-test evaluations. The students' positive, negative, and constructive feedback on the virtual simulation game will be solicited during the assessment. In addition, these students will score in a 5-point Likert type to evaluate the statements about the virtual simulation game. Hypothesis: H0-1: There is no difference in knowledge about preventing CAUTI between students using the virtual simulation game method and students in the control group. H1-1: There is a difference in knowledge about preventing CAUTI between students using the virtual simulation game method and students in the control group. H0-2: There is no difference in CAUTI prevention skills between students using the virtual simulation game method and students in the control group. H1-2: There is a difference in CAUTI prevention skills between students using the virtual simulation game method and students in the control group.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
75

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started May 2022

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 9, 2022

Completed
26 days until next milestone

First Posted

Study publicly available on registry

April 4, 2022

Completed
2 months until next milestone

Study Start

First participant enrolled

May 21, 2022

Completed
7 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 28, 2022

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

October 25, 2022

Completed
Last Updated

March 1, 2024

Status Verified

February 1, 2024

Enrollment Period

7 days

First QC Date

March 9, 2022

Last Update Submit

February 28, 2024

Conditions

Keywords

Virtual Simulation GameCatheter-Associated Urinary Tract InfectionNursing EducationNursing Students

Outcome Measures

Primary Outcomes (2)

  • Knowledge Level

    The investigator developed the "Knowledge Test on Preventing Catheter-Associated Urinary Tract Infection." There are 25 multiple-choice questions with five options on the test. The response to each question in the knowledge test will be scored out of 100 points, with 4 points being awarded for each correct answer. The overall score is based on a scale of 0 to 100. Higher scores imply that the student has a higher degree of knowledge.

    Change from students' knowledge levels at seven days

  • Skill level

    The investigator developed the "Skills Assessment Checklist for Preventing Catheter-Associated Urinary Tract Infection." Emptying the collecting bag, mobilization, specimen collection, and removal of the urine catheter of the patient are the parts of the competency evaluation checklist. The stages on the skill evaluation checklist will be scored as "Applied" (3 points), "Partly Applied (Incorrect)" (2 points), "Partly Applied (Missing)" (2 points), and "Not Applied" (3 points) (1 point). The collecting bag emptying checklist has 13 steps (minimum 13, maximum 39 points), the mobilization checklist has 8 steps (minimum 8, maximum 24 points), the specimen collection checklist has 22 steps (minimum 22, maximum 66 points), and the urinary catheter removal checklist has 13 steps (minimum 22, maximum 66 points) (minimum 13, maximum 39 points). Higher scores imply that the student's skill level is improving.

    Change from students' skill levels at seven days

Secondary Outcomes (1)

  • Opinions of the experimental group about the virtual simulation game

    within 1 week after intervention

Study Arms (2)

CAUTI-VSG

EXPERIMENTAL

Preventing Catheter-Associated Urinary Tract Infections with a Virtual Simulation Game

Other: Virtual Simulation Game for the Prevention of Catheter-Associated Urinary Tract InfectionsOther: Ongoing education

Control group

ACTIVE COMPARATOR

Training on "CAUTI Prevention"

Other: Ongoing education

Interventions

A training on "Prevention of CAUTI" will be held for the experimental and control groups. The experimental group will be able to play a seven-day virtual simulation game devised by the researcher to prevent CAUTI.

CAUTI-VSG

Only a course on "Prevention of CAUTI" will be given to the control group.

CAUTI-VSGControl group

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • To be enrolled in Nursing Profession Courses Practice-II for the first time
  • To agree to participate in the study
  • To have internet access and smartphone or computer

You may not qualify if:

  • Not filling in the data collection forms of the research at any stage
  • Answering the data collection forms of the research incomplete
  • Not having received the first or last skill assessments
  • Not attending the training on preventing CAUTI
  • Not playing/completing the virtual simulation game

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Gazi University

Ankara, Turkey (Türkiye)

Location

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

March 9, 2022

First Posted

April 4, 2022

Study Start

May 21, 2022

Primary Completion

May 28, 2022

Study Completion

October 25, 2022

Last Updated

March 1, 2024

Record last verified: 2024-02

Data Sharing

IPD Sharing
Will not share

Locations