The Effect of Flipped Learning on Handwashing Skills

NCT07563361 | Not Yet Recruiting

• 1 other identifier: 2026/177
• Study Type: interventional
• Target: 128
• Locations: 1 country
• Sites: 1

Brief Summary

Brief Summary The aim of this randomised controlled intervention study is to investigate the effect of the flipped learning model on nursing students' knowledge and skills regarding surgical hand hygiene. The study will be conducted with two groups, each comprising 64 participants: a control group and an intervention group. Participants in the control group will receive surgical hand hygiene training using traditional teaching methods, whilst those in the intervention group will receive training using the flipped learning approach.

Conditions

Surgical Hand Washing Knowledge; Surgical Hand Washing Skills; Surgical Hand Washing

Keywords

Flipped learning; nursing students; training; surgical hand washing; clinical skills; knowledge

Outcome Measures

Primary Outcomes (1)

• Surgical Handwashing Skills Assessment Scale

  The Surgical Handwashing Skills Assessment Scale, developed by Şengör et al. (2025), is an analytical, performance-based assessment scale designed to evaluate observable and sequential behaviours based on standardised surgical handwashing protocols. This scale consists of 13 sequential and standardised steps based on surgical handwashing protocols and is designed to assess performance observable through direct observation. The maximum total score obtainable from the scale is 26 points. Each step is scored using the scale according to both the accuracy of execution and the correctness of the sequence: 0 = Inadequate 1. = Partially Adequate 2. = Adequate This scoring approach aims not to reflect increasing levels of overall competence, but to determine whether each critical step has been performed in accordance with standardised expectations.

  Data will be collected in the first and third months.

Secondary Outcomes (2)

• Self-Directed Learning Skills Scale

  Data will be collected in the first and third months.

• Surgical Handwashing Information Form

  Data will be collected in the first and third months.

Study Arms (2)

Control group

NO INTERVENTION

Students in the control group will receive training in surgical handwashing using traditional teaching methods.

Intervention group

EXPERIMENTAL

Students in the experimental group will receive training in surgical handwashing using the flipped learning method.

Other: surgical handwashing training with flipped learning method

Interventions

surgical handwashing training with flipped learning method OTHER

One of these innovative approaches is the Flipped Learning Model (FLM). Unlike traditional teaching, in the FLM, students prepare for the topic individually by accessing teaching materials (videos and presentations) prepared online prior to class; in class, they consolidate their learning through interactive activities that support discussion, case presentations and practical application. By promoting active and student-centred learning environments, the model enables nursing students to develop their self-directed learning skills. No studies have been found in the literature where surgical handwashing training has been delivered using the flipped learning technique.

Intervention group

Eligibility Criteria

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

You may qualify if:

• Be a second-year nursing student taking the Surgical Nursing course
• Be aged 18 or over
• Be willing to participate in the study
• Provide informed consent
• Agree to participate in all stages of the data collection process (pre-test, training, post-test and follow-up assessment)

You may not qualify if:

• Have previously received comprehensive/advanced training in surgical hand hygiene
• Be working in the healthcare sector (e.g. have active clinical experience) (optional but recommended)
• Not participate in any stage of the data collection process (pre-test, training, post-test or 3-month follow-up)
• Withdrawing from the study during the study period
• Filling in missing data

Sponsors & Collaborators

• Yeliz Ciğerci: lead

Study Sites (1)

Afyonkarahisar Health Sciences University

Afyonkarahisar, Turkey (Türkiye)

Location

Central Study Contacts

Yeliz Ciğerci

CONTACT

+902724440304; yelizceylin@hotmail.com

Pakize Ozyürek, Doçent

CONTACT

0532 693 81 08; pakize.ozyurek@afsu.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: SPONSOR INVESTIGATOR
• PI Title: Doçent

Study Record Dates

• First Submitted: April 14, 2026
• First Posted: May 4, 2026
• Study Start (Estimated): June 1, 2026
• Primary Completion (Estimated): September 1, 2026
• Study Completion (Estimated): June 1, 2027
• Last Updated: May 4, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)