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NCT Number: NCT07194148

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

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.

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Bozok University, School of Health Services (SHMYO)

Yozgat, 66000, Turkey (Türkiye)

Location contact

DERYA ESENKAYA

CONTACT

[email protected]

05072788742

About this study

This study was designed to address the lack of standardized training protocols in instrument table setup for total hip arthroplasty. A digital gamified training tool (ORNurse: Steril Setup 1.0) was developed based on a validated surgical table protocol and integrated with a 3D simulation environment. The intervention group will receive hands-on training through the game, while the control group will receive traditional lecture-based training. The study will evaluate the effectiveness of the training methods on instrument layout accuracy, as well as participants' satisfaction and knowledge retention. This study aims to improve perioperative nursing education and promote standardization in surgical preparation processes.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

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

Exclusion criteria

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

Treatment and study plan

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.

Other names: ORNurse Game, Surgical Instrument Training Simulation

TRADITIONAL TRAINING

Behavioral

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

Other names: Lecture-based Education, Printed Training Materials

Primary outcomes

  1. Mean score on the Total Hip Replacement Instrument Table Checklist (0-100 points; higher scores = more accurate layout)

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

    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.

Secondary outcomes

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

    Time frame: Immediately after training session

    The Training Satisfaction Questionnaire includes 10 items evaluating clarity, usability, and overall training experience. Each item is scored from 1 (very dissatisfied) to 5 (very satisfied). The mean total score is calculated, with higher scores indicating greater satisfaction with the training method.

Study contacts

Contact information is provided by the study sponsor or research team.

DERYA ESENKAYA, MSc

CONTACT

[email protected]

05072788742

Emine İYİGÜN, Professor, PhD, RN

CONTACT

[email protected]

05072788742

Sponsors and collaborators

Lead sponsor

DERYA ESENKAYA

Other

Registry information

Official study title

Comparison of the Effectiveness of the Digital Gamification Training Method Developed for Total Hip Replacement Surgery Instrument Table Layout and the Traditional Training Method: A Randomized Controlled Trial

Acronym: ORNurse

Important dates

Study start
2025
Primary completion
2025
Study completion
2026
First posted
Sep 26, 2025
Registry last updated
Oct 2, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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