The Effect of Escape Room-Based Bladder Catheterization Training on Nursing Students' Academic Achievement, Problem-Solving Skills, and Motivation: A Mixed-Methods Study

NCT07043257 | Not Yet Recruiting

• 1 other identifier: AGRSABFTKS002
• Study Type: interventional
• Target: 100
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study aims to examine the effect of escape room-based training on nursing students' academic achievement, problem-solving skills, collaborative learning, and motivation levels in bladder catheterization education. A mixed-methods design will be used. Participants will be randomly assigned to either an experimental group receiving game-based escape room training or a control group receiving traditional instruction. Pre-test and post-test assessments will be conducted using validated measurement tools. The study also includes qualitative data to explore students' experiences and perceptions regarding the educational method used. This research seeks to contribute to innovative educational practices in nursing skills training.

Conditions

NURSING EDUCATION; NURSING STUDENTS; ESCAPE ROOM; BLADDER CATHETERIZATION

Keywords

NURSING EDUCATION; BLADDER CATHETERIZATION; ESCAPE ROOM; MOTIVATION; PROBLEM-SOLVING SKILLS

Outcome Measures

Primary Outcomes (3)

• Academic Achievement

  Academic achievement will be measured using a researcher-developed theoretical and practical knowledge test on bladder catheterization. The test includes multiple-choice and skill-based items aligned with clinical guidelines. Higher scores indicate greater knowledge and procedural competence.

  At Baseline, immediately after the intervention

• Problem-Solving Ability

  Problem-solving skills will be assessed using the Problem Solving Inventory (Heppner \& Petersen). This validated scale measures students' perceptions of their problem-solving ability. Higher scores indicate lower perceived problem-solving ability (reverse scoring will be considered in interpretation).

  At Baseline, immediately after the intervention

• Motivation Level

  Students' motivation will be measured using the Motivation Scale for Game-Based Learning Strategies, originally developed by Manzano-León et al. (2021) and adapted into Turkish by Küçükibiş and Eskiler (2022). The scale evaluates students' motivation across various dimensions related to game-based learning environments using Likert-type items. A higher total score indicates a higher level of motivation toward learning through gamification.

  At Baseline, immediately after the intervention

Study Arms (2)

Escape Room-Based Training

EXPERIMENTAL

Nursing students in this group will receive bladder catheterization training using an escape room-based educational method. The intervention includes problem-solving tasks, scenario-based puzzles, and gamified steps that reinforce clinical knowledge and psychomotor skills related to catheterization procedures.

Behavioral: Escape Room-Based Bladder Catheterization Training

Traditional Training

OTHER

Nursing students in this group will receive traditional bladder catheterization training based on lecture-based theoretical instruction and standard simulation practice without gamified or interactive components.

Behavioral: Traditional Bladder Catheterization Training

Interventions

Escape Room-Based Bladder Catheterization Training BEHAVIORAL

This intervention involves an escape room-based educational strategy designed to teach bladder catheterization to nursing students. The method includes interactive puzzles, clinical problem-solving tasks, and scenario-based simulations. The training promotes engagement, teamwork, and application of theoretical knowledge in a gamified learning environment.

Escape Room-Based Training

Traditional Bladder Catheterization Training BEHAVIORAL

This intervention includes standard bladder catheterization training based on traditional teaching methods. The students will receive theoretical instruction through lectures and demonstration-based simulation without interactive or gamified components.

Traditional Training

Eligibility Criteria

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

You may qualify if:

• Nursing students enrolled in a clinical skills course
• Voluntarily agree to participate
• No prior formal catheterization training

You may not qualify if:

• Students who miss training sessions
• Students with previous experience in escape room-based learning

Sponsors & Collaborators

• Agri Ibrahim Cecen University: lead

Central Study Contacts

TUGCE KABAK SOLAK, RESEARCH ASSİSTANT

CONTACT

+90544 710 2355; tkabak@agri.edu.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: TKSOLAK

Study Record Dates

• First Submitted: June 20, 2025
• First Posted: June 29, 2025
• Study Start: July 1, 2025
• Primary Completion: July 5, 2025
• Study Completion: July 5, 2025
• Last Updated: June 29, 2025

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will not share