Effect of Word Search and Case-Based Puzzle Use in Stoma Care Education of Nursing Students

NCT07425184 | Not Yet Recruiting

• 1 other identifier: 21853602011
• Study Type: interventional
• Target: 87
• Locations: 0 countries
• Sites: N/A

Brief Summary

Objective: This study aims to determine the effect of using word search and case-based puzzles in stoma care education on nursing students' knowledge levels. Given that traditional teaching methods may have limited effectiveness in helping students acquire knowledge and skills, the study aims to demonstrate the contribution of integrating active learning and gamification-based approaches into education. Design: The study is planned as a randomized controlled experimental design and will use a pre-test-post-test measurement approach. Method: The study will be conducted with second-year students from the Nursing Department at Gazi University. This research will be prepared under the guidance of the Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) protocol, and the reporting of the randomized controlled study will be carried out under the Consolidated Standards of Reporting Trials (CONSORT). In the study, students will be randomly assigned to the experimental and control groups. The experimental group will receive training that includes word search and case-based puzzles during the stoma care training process, while the control group will receive training using traditional teaching methods. Students' knowledge levels will be assessed with measurements applied before and after the training, and student opinions regarding the training method will also be analyzed. The "Stoma Care Knowledge Level Assessment Test" will be used to evaluate knowledge levels, and the "Student Opinions on the Use of Puzzles and Word Searches in Stoma Education" form will be used to determine student opinions. Hypothesis: The null hypothesis (H0) of the study states that the use of word search and case-based puzzles in stoma care education has no effect on students' knowledge level; the alternative hypothesis (H1) states that this educational method significantly affects students' knowledge level.

Conditions

Ostomy; Nursing Education; Stoma Care Education in Nursing Students

Keywords

Nursing Education; Case-Based Learning; stoma care; Puzzle-Based Learning

Outcome Measures

Primary Outcomes (1)

• Stoma Care Knowledge Level Assessment Test

  This test consists of 24 questions prepared based on relevant literature on stoma care. The test is scored on a scale of 0 to 100, with higher scores indicating higher levels of knowledge. It is administered before and immediately after the educational intervention and again at the fourth week after the intervention for follow-up assessment.

  Before the intervention, immediately after the intervention, and 4 weeks after the intervention

Secondary Outcomes (1)

• Students' Opinions on the Use of Puzzle and Word Search Activities in Stoma Education

  Immediately post-intervention

Study Arms (2)

PUZZLE-STOMA

EXPERIMENTAL

Participants receive stoma care education supported by word search activities and case-based puzzle exercises designed to enhance knowledge acquisition and active learning.

Other: Puzzle-Based Learning Intervention

Control Group

ACTIVE COMPARATOR

Participants receive conventional stoma care education using standard lecture-based teaching methods without puzzle or game-based learning activities.

Other: Traditional Education

Interventions

Puzzle-Based Learning Intervention OTHER

Stoma care education supported by word search and case-based puzzle activities aimed at improving students' knowledge and engagement in learning.

PUZZLE-STOMA

Traditional Education OTHER

Standard stoma care education delivered through traditional lecture-based instruction.

Control Group

Eligibility Criteria

• Age: 17 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Nursing students enrolled in the Surgical Nursing course for the first time,
• Students who voluntarily agree to participate in the study.

You may not qualify if:

• Students who have previously received stoma care training through another educational platform,
• Students who provide incomplete responses to data collection forms,
• Students who do not attend the theoretical course sessions,
• Students who do not participate in any stage of the knowledge assessment,
• Students who do not complete puzzle and word search activities included in the intervention.

Sponsors & Collaborators

• Gazi University: lead

Related Publications (5)

• Kaynak, S., Ergün, S., & Karadaş, A. (2023). The effect of crossword puzzle activity used in distance education on nursing students' problem-solving and clinical decision-making skills: A comparative study. Nurse Education in Practice, 69, 103618.

  BACKGROUND

• EYÜBOĞLU, G., BULDAN, Ö., SARITAŞ, E., & BAYKARA, Z. G. (2025). The Effect of Crossword and Word Search Puzzles on Nursing Students' Parenteral Medication Administration Knowledge: A Randomized Controlled Study. Turkiye Klinikleri Journal of Nursing Sciences, 17(1), 154-162.

  BACKGROUND

• Li, S., Ye, X., & Chen, W. (2019). Practice and effectiveness of "nursing case-based learning" course on nursing student's critical thinking ability: A comparative study. Nurse education in practice, 36, 91-96.

  BACKGROUND

• Gholami, M., Changaee, F., Karami, K., Shahsavaripour, Z., Veiskaramian, A., & Birjandi, M. (2021). Effects of multiepisode case-based learning (CBL) on problem-solving ability and learning motivation of nursing students in an emergency care course. Journal of Professional Nursing, 37(3), 612-619.

  BACKGROUND

• Yao J, Zhang X, Xue H, Zhu M, Wang J, Wang Q, Chen Z, Yuan H. The experiences of nursing master's students with dialogic case-based learning in an evidence-based nursing course: A qualitative study. Nurse Educ Today. 2022 Jul;114:105395. doi: 10.1016/j.nedt.2022.105395. Epub 2022 May 9. PMID: 35567909

  BACKGROUND

Central Study Contacts

Zeynep METE MERDİN

CONTACT

+905066979094; zeynmete@gmail.com

Study Design

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

Study Record Dates

• First Submitted: February 13, 2026
• First Posted: February 20, 2026
• Study Start: February 16, 2026
• Primary Completion: February 19, 2026
• Study Completion: March 19, 2026
• Last Updated: February 20, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share