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NCT Number: NCT07560228

The Effect of Escape Room-Based Elimination Training on Student Outcomes

This clinical trial aims to find out if playing an "educational escape room" game helps nursing students better learn how to manage patient elimination (urinary and bowel care). The study looks at how this game affects students' knowledge, hands-on skills, their desire to learn (motivation), and how happy they are with the training (satisfaction).

The main questions the researchers want to answer are:

Does the escape room game help students understand the rules and steps of elimination care better than traditional lessons?

Does this method improve students' practical skills in tasks like inserting catheters, giving enemas, and performing stoma care?

How does the game affect students' motivation to learn and their overall satisfaction with the nursing program?

Researchers will compare students who use the educational escape room with students who learn through traditional methods to see if the game makes a real difference in their performance.

Participants in this study will:

Learn the theory behind bowel and bladder care (such as enemas and catheterization).

Work in small groups to solve puzzles and find clues inside a themed room to complete patient care tasks.

Take knowledge tests and practical "skill exams" after the training.

Fill out surveys about how motivated they felt and how much they enjoyed the learning experience.

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Key information

Conditions

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Being a second-year student enrolled in the Nursing Department.
  • Taking the Nursing Fundamentals course for the first time.
  • Not having previously received practical training or experience in an "Educational Escape Room."
  • Volunteering to participate in the study and providing written informed consent.
  • Being available to attend all training sessions (both theoretical and practical) during the study period.

Exclusion criteria

  • Students who are repeating the Nursing Fundamentals course.
  • Students who have transferred from another nursing program and have already completed elimination care training.
  • Students with physical disabilities or health conditions that prevent them from participating in the physical activities of the escape room.
  • Students who have professional experience as a nurse or health technician (e.g., those who graduated from vocational health high schools and worked in the field).
  • Students who do not complete the initial theoretical training or miss the pre-test assessments.

Treatment and study plan

Educational Escape Room on Elimination Care

Other

This intervention utilizes a gamified, time-bound, and scenario-based "Educational Escape Room" specifically designed for nursing education on elimination procedures. Unlike traditional laboratory demonstrations, students are placed in a simulated clinical environment where they must solve sequential cognitive puzzles and correctly perform psychomotor skills-such as urinary catheterization and enema administration-to "unlock" the next step and escape the room. This method transforms passive learning into an active, high-engagement experience that requires immediate application of theoretical knowledge, critical thinking, and teamwork under a structured time limit, making it distinct from standard observational or practice-based laboratory sessions.

Primary outcomes

  1. Psychomotor Skill Scores on Elimination Procedures

    Time frame: 4 WEEK

    This measure represents the students' proficiency in performing urinary catheterization, enema administration, and stoma care. Skills are assessed using "Elimination Procedure Skill Checklists" validated by expert opinion. Each step of the procedure is scored as "Completely Performed (2 points)", "Incompletely Performed (1 point)", or "Not Performed (0 points)". Higher total scores indicate a higher level of clinical psychomotor competence in performing the tasks.

  2. Psychomotor skill performance levels of nursing students regarding elimination procedures (assessed via standardized skill checklists).

    Time frame: 4 WEEK

    This measure represents the students' proficiency in performing urinary catheterization, enema administration, and stoma care. Skills are assessed using "Elimination Procedure Skill Checklists" validated by expert opinion. Each step of the procedure is scored as "Completely Performed (2 points)", "Incompletely Performed (1 point)", or "Not Performed (0 points)". Higher total scores indicate a higher level of clinical psychomotor competence in performing the tasks

Secondary outcomes

  1. Knowledge Scores on Elimination Procedures

    Time frame: 4 WEEK

    The level of theoretical knowledge regarding urinary and bowel care, measured using a multiple-choice "Elimination Procedures Knowledge Test" developed by the researchers. Higher scores indicate a better understanding of the theoretical concepts.

  2. Learning Motivation Scores

    Time frame: 4 WEEK

    Students' motivation levels towards the learning process, assessed using the "Instructional Materials Motivation Scale (IMMS)". The scale measures attention, relevance, confidence, and satisfaction.

Study contacts

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

HANIM DURU YÜCE BAŞARAN, PHD CANDIDATE

CONTACT

[email protected]

+905383360476

Sponsors and collaborators

Lead sponsor

Ataturk University

Other

Registry information

Official study title

The Effect of Escape Room Games Used in Elimination Care Training on Nursing Students' Levels of Knowledge, Skills, Motivation, and Satisfaction

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
May 1, 2026
Registry last updated
May 1, 2026

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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