About this trial
This study aims to evaluate the effect of a Health Belief Model (HBM)-based, artificial intelligence (AI)-supported gamified training program on nurses' knowledge and attitudes toward the prevention of sharps injuries. Sharps injuries remain a significant occupational risk for healthcare workers, particularly nurses, despite existing standard precautions.
The study will be conducted in two phases. In the first phase, the validity and reliability of the Sharps Injury Prediction Scale will be tested in a nurse population. In the second phase, a quasi-experimental pretest-posttest control group design will be used to assess the effectiveness of the intervention.
The study will be carried out in two hospitals from the same healthcare group located in different cities to prevent interaction between groups. A total of 36 nurses will be included, with 18 participants in the intervention group and 18 in the control group.
The intervention group will receive a structured, HBM-based training program consisting of seven sessions incorporating AI-supported content, gamified scenarios, interactive materials, and feedback mechanisms to enhance engagement and promote behavior change. The control group will receive routine institutional training on sharps injury prevention.
Data will be collected at baseline, immediately after the intervention, and two months later. Outcome measures include nurses' knowledge, attitudes toward safe sharps use, and sharps injury risk perception.
It is expected that the AI-supported gamified training program will significantly improve knowledge, attitudes, and risk awareness compared to routine training. The findings may support the integration of innovative, theory-based educational interventions into institutional training programs to enhance occupational safety.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Registered nurses working in the participating hospitals
Working in the institution for at least 2 months (Phase 1) or newly employed within the last 1 month (Phase 2)
Willing to participate in the study
Able to use smartphone-based technologies
Disqualifiers
Having received prior training based on the Health Belief Model for sharps injury prevention
Previous professional nursing experience before current employment (for newly recruited nurses in Phase 2)
Being on leave during the data collection period
Failure to attend training sessions (intervention group)
Trial design
Parallel
Treatments tested in this trial
Experimental: Intervention Group
BehavioralA structured training program consisting of seven sessions, incorporating artificial intelligence-supported educational content, gamified scenarios, interactive videos, and digital feedback mechanisms to enhance learning and promote behavior change.
control group
BehavioralStandard training provided by the institution, including lectures and question-answer sessions on sharps injury prevention.
Treatment groups
Trial outcomes
Primary outcomes
Nurses' knowledge level regarding sharps injury prevention
Knowledge level will be assessed using a structured knowledge questionnaire consisting of 25 items developed based on the literature. Higher scores indicate greater knowledge regarding sharps injury prevention.
Secondary outcomes
Attitudes toward safe use of sharps
Attitudes will be measured using the "Attitude Scale for Safe Use of Sharps Medical Instruments," a validated Likert-type scale. Higher scores indicate more positive attitudes toward safe practices.
Sharps injury risk perception and prediction score
Risk perception and prediction will be assessed using the adapted Sharps Injury Prediction Scale based on the Health Belief Model. Higher scores reflect increased perceived severity, benefits, and awareness of preventive behaviors.
Locations
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