Simulation Applications on the Level of Pressure Injury Knowledge and Evaluation

NCT05946291 | Not Yet Recruiting

• 1 other identifier: TepecikTRH NURSE
• Study Type: interventional
• Target: 90
• Locations: 0 countries
• Sites: N/A

Brief Summary

When the literature is examined, it is seen that the pressure injury knowledge and evaluation levels of nursing students are low. Today, innovative approaches have started to be introduced to nursing education in proportion to the development of technology. Simulation applications are also seen as one of these innovative approaches. In our study, it is aimed to examine the effect of pressure injury training to be given using high-reality standardized patient use and a medium-reality simulation model on the knowledge and evaluation level of intern nursing students. Students (n = 250) will be assigned blindly to the experimental and control groups using a simple randomization method, and then pressure injury information and assessment trainings will be given to the experimental group with a medium-reality simulation model on a standardized patient for the control group for 4 weeks. After 2 weeks, the final test will be performed, and the data will be assigned to blind groups. It will be evaluated by the researcher.

Conditions

Pressure Injury

Keywords

pressure injury; nursing students; simulation; moulage

Outcome Measures

Primary Outcomes (2)

• As a result of the study, it is expected that there will be an change in the students' pressure injury knowledge level.

  The Turkish version of the Pressure Ulcer Knowledge Assessment Tool-updated version (PUKAT 2.0)" was developed in 2022 as a tool to assess the level of knowledge of pressure ulcers among nurses. It is a 25-question measurement tool consisting of a total of 6 sub-dimensions, including etiology of pressure injury, classification and observation, risk assessment, nutrition, prevention of occurrence, and special patient groups, with 5 Likert-type options. It was reported to have valid and reliable psychometric properties, as indicated by a Cronbach's Alpha value of 0.72, and to be suitable for use in the evaluation of the level of knowledge regarding pressure injuries. The minimum and maximum values obtainable from the scale are 0 and 25, respectively. The higher the score, the higher the level of knowledge.

  Before and two weeks following applications

• As a result of the study, it is expected that there will be an change in the level of pressure injury assessment of students.

  The Pressure Injury Staging Registration Form was developed by the researchers. This form consists of pressure injuries at different stages, a total of 25 of which were taken by a wound care nurse. The form and photos have been submitted to three expert suggestions and have taken their final shape in accordance with the suggestions received. 5 of the photos include stage 1, 5 of them stage 2, 5 of them stage 3, 5 of them stage 4, 3 of them are non-staged pressure injuries, and 2 of them are deep tissue injuries.

  Before and two weeks following applications

Study Arms (2)

Standardized Patient Group

EXPERIMENTAL

Standardized Patient: A pressure wound similar to reality will be created with the application of mulage on a standardized patient. In accordance with the scenario of a patient with a pressure wound, students will perform pressure wound evaluation and maintenance on a standardized patient in a simulation laboratory. Following the simulation application, student groups of eight to ten individuals will participate in a debriefing session.

Other: Pressure injury training

Simulated Manneqquin Group

ACTIVE COMPARATOR

Simulated Mannequin: A pressure wound similar to reality will be created with the simulated mannequin mulage application. In accordance with the same scenario used in the experimental group, pressure wound evaluation and maintenance will be performed on the simulated mannequin in the simulation laboratory. Following the simulation application, student groups of eight to ten individuals will participate in a debriefing session.

Other: Simulated Manneqquin training

Interventions

Pressure injury training OTHER

Pressure injury training with mulage application on a standardized patient

Standardized Patient Group

Simulated Manneqquin training OTHER

Pressure injury training with mulage application on a simulated manneqquin

Simulated Manneqquin Group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Volunteer
• Intern nursing students

You may not qualify if:

• Students who have previously received Care Management lecture or wound care training
• Have come with a horizontal transfer
• Have graduated from health vocational high school
• Work in a hospital or other institution
• Do not volunteer

Sponsors & Collaborators

• Tepecik Training and Research Hospital: lead
• Dokuz Eylul University: collaborator

Related Publications (2)

• Dalli OE, Yildirim Y, Caliskan G, Girgin NK. Reliability and validity of the Turkish version of pressure ulcer knowledge assessment tool-updated version (PUKAT 2.0). J Tissue Viability. 2022 Feb;31(1):52-57. doi: 10.1016/j.jtv.2021.08.001. Epub 2021 Aug 11.

  PMID: 34429220 BACKGROUND

• Baran Z, Ayik C, Ozden D. Comparison of standardized patient and medium-fidelity simulation practices on nursing students' knowledge, staging, and satisfaction regarding pressure injuries: A randomized controlled trial. Nurse Educ Today. 2025 Aug;151:106735. doi: 10.1016/j.nedt.2025.106735. Epub 2025 Apr 2.

  PMID: 40209560 DERIVED

MeSH Terms

Conditions

Pressure Ulcer

Condition Hierarchy (Ancestors)

Skin Ulcer; Skin Diseases; Skin and Connective Tissue Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: Students will be assigned to the experiment and control group blind. In addition, double-blind randomization will be provided by appointing a blind researcher who performs the analysis.
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: The study is planned as a double-blind randomized controlled experimental study.

Study Record Dates

• First Submitted: May 17, 2023
• First Posted: July 14, 2023
• Study Start: May 15, 2024
• Primary Completion: December 30, 2024
• Study Completion: May 30, 2025
• Last Updated: April 15, 2024

Record last verified: 2024-04

Data Sharing

• IPD Sharing: Will share