Digital Gamification vs. Traditional Training for Hip Replacement Instrument Table Setup (ORNurse)

NCT07194148 | Not Yet Recruiting

• 1 other identifier: BozokU-TKP2025-01
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Surgical Education; Operating Room Nursing; Educational Technology

Keywords

Digital Gamification; Surgical Instrument Table; Nursing Education; Educational Technology

Outcome Measures

Primary Outcomes (1)

• 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.

  Within 1 week after the intervention (post-training assessment)

Secondary Outcomes (1)

• Mean score on the Training Satisfaction Questionnaire (5-point Likert scale; 1 = very dissatisfied, 5 = very satisfied; higher scores = greater satisfaction)

  Immediately after training session

Study Arms (2)

Digital Gamification Group

EXPERIMENTAL

Participants in this group will receive educational training using a custom-developed digital gamified simulation platform (ORNurse: Steril Setup 1.0) designed to teach surgical instrument table setup for total hip replacement surgery. Training includes interactive 3D simulation tasks and self-paced learning modules. Intervention: Name: Behavioral: Gamified Digital Education (ORNurse: Steril Setup 1.0) Other Names: ORNurse Game, Surgical Instrument Training Simulation Description: "A digital game developed to train surgical instrument table setup. Participants interact with simulation tasks and receive immediate feedback."

Behavioral: Gamified Digital Education (ORNurse: Steril Setup 1.0)

Traditional Training Group

ACTIVE COMPARATOR

Participants in this group will receive standard educational training consisting of a lecture-based presentation and printed materials on instrument table setup for total hip replacement surgery, delivered in a classroom setting. Intervention: Name: Behavioral: Traditional Training Other Names: Lecture-based Education, Printed Training Materials Description: "A classroom-based lecture accompanied by printed materials covering the correct surgical instrument table setup."

Behavioral: Traditional Training

Interventions

Gamified Digital Education (ORNurse: Steril Setup 1.0) BEHAVIORAL

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.

Also known as: ORNurse Game, Surgical Instrument Training Simulation

Digital Gamification Group

Traditional Training BEHAVIORAL

A classroom-based lecture accompanied by printed materials covering the correct surgical instrument table setup for total hip replacement surgery.

Also known as: Lecture-based Education, Printed Training Materials

Traditional Training Group

Eligibility Criteria

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

You may qualify if:

• Aged 18 years or older
• Nursing students or perioperative nurses
• No prior formal training in surgical instrument table setup for total hip arthroplasty
• Willing and able to participate in digital or traditional training sessions
• Provided informed consent

You may not qualify if:

• Prior experience with surgical instrument table setup in orthopedic surgeries
• Visual, cognitive, or motor impairments that limit ability to complete training tasks
• Currently participating in another interventional education study
• Refusal to participate or withdraws consent

Sponsors & Collaborators

• DERYA ESENKAYA: lead

Study Sites (1)

Bozok University, School of Health Services (SHMYO)

Yozgat, Yozgat, 66000, Turkey (Türkiye)

Location

Study Officials

• Emine İYİGÜN, Professor, PhD, RN

  Gülhane Faculty of Nursing, University of Health Sciences

  STUDY DIRECTOR

Central Study Contacts

DERYA ESENKAYA, MSc

CONTACT

05072788742; derya.esenkaya@yobu.edu.tr

Emine İYİGÜN, Professor, PhD, RN

CONTACT

05072788742; emine.iyigun@sbu.edu.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: No masking was applied since participants and researchers are aware of the assigned intervention.
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Principal Investigator

Model Details: Participants are randomly assigned to either the digital gamification group or the traditional training group.

Study Record Dates

• First Submitted: September 18, 2025
• First Posted: September 26, 2025
• Study Start: October 15, 2025
• Primary Completion: December 15, 2025
• Study Completion: January 15, 2026
• Last Updated: October 2, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)