The Effectiveness of Serious Game-Based Training for Nursing Students in Postpartum Haemorrhage Management

This randomised controlled trial aims to evaluate the effectiveness of serious game-based training for postpartum haemorrhage (PPH) management among third-year nursing students. The study employs a pre-test-post-test design with two parallel groups: an experimental group (game-based education) and a control group (traditional education). The sample size was determined by power analysis to be 70 students in total, with 35 students in each group. Participants will be assigned in a 1:1 ratio by computer-assisted block randomisation by a person independent of the research team; students and instructors will not be blinded, but the biostatistician performing the data analysis will be blinded. The intervention group will first receive traditional education, followed by gamification-based education including nursing interventions in the management of PPB; the control group will receive only traditional education. Data will be collected using the PPK Management Knowledge and Skills Assessment Form and the PPK Management Self-Confidence Scale.

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Key information

Conditions

Gamification Female Urogenital Diseases and Pregnancy Complications Gamification in Health Education Hemorrhage Nurse Education Nursing Care Nursing Students Obstetric Labor Complications Pathologic Processes Pathological Conditions, Signs and Symptoms Postpartum Hemorrhage Pregnancy Complications Puerperal Disorders Urogenital Diseases Uterine Hemorrhage

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Sakarya University

Adapazarı, Sakarya, Turkey (Türkiye)

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

a) Third-year nursing students taking the Obstetrics and Gynaecology Nursing course, b) Not experiencing any verbal or written communication problems, c) Not being an exchange student, d) Being willing to provide written consent before participating in the study.

Exclusion criteria

Not meeting the inclusion criteria

Treatment and study plan

Gamification

Other

Students in the intervention group will first receive traditional theoretical and practical training in the department's curriculum using standard methods; they will then participate in the developed serious game application.

Primary outcomes

Postpartum Haemorrhage Management Knowledge and Skills

Time frame: pre-education and within 1 week after training

The form was developed by researchers for this study based on the literature. The assessment form, consisting of 20 multiple-choice questions, was prepared to evaluate the student's knowledge and skill levels in PPB management. The opinions of three experts in the field of Women's Health and Obstetric Nursing and Midwifery were sought to assess the comprehensiveness, clarity, and scientific appropriateness of the questions on the form. In the Postpartum Haemorrhage Management Knowledge and Skills Assessment Form, each correct answer is scored as '5' and each incorrect answer as '0'. The maximum score that can be obtained from the form is "100", and the minimum score is '0'.
Self-Confidence Scale in PPH Management

Time frame: pre-education and within 1 week after training

The form was developed by researchers for this study based on the literature. The assessment form, consisting of 10 multiple-choice questions, was prepared to evaluate the student's level of self-efficacy in PPH management.

Three experts in the field of Women's Health and Obstetric Nursing and Midwifery were consulted to assess the comprehensiveness, clarity, and scientific appropriateness of the questions on the form. The scale is a 5-point Likert scale (1=Strongly disagree 2=Disagree 3=Undecided 4=Agree 5=Strongly agree)
Self-Regulated Learning Scale for Clinical Nursing Practice

Time frame: pre-education and within 1 week after training

The scale was developed by Satoko Iyama and Hitomi Maeda in 2017 and adapted into Turkish by Şenol and Orgun in 2018. It consists of 16 items in a 5-point Likert scale type, comprising two sub-dimensions: 'Motivation' and 'Learning Strategies'. The scale is structured as follows: 1. Motivation 2. Learning Strategies It is a 5-point Likert-type scale comprising 16 items and two subscales: 'Motivation' and "Learning Strategies". The minimum score achievable on the entire scale is 16, with a maximum score of 80, and Cronbach's α was determined to be 0.898.

Sponsors and collaborators

Lead sponsor

Sakarya University

Other

Registry information

Official study title

The Effectiveness of Serious Game-Based Training for Nursing Students in Postpartum Haemorrhage Management: A Randomised Controlled Trial

Important dates

Study start: 2025
Primary completion: 2025
Study completion: 2025
First posted: Nov 17, 2025
Registry last updated: Jul 7, 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.

Published trials that share one or more normalized conditions with this study.

Completed