Metaverse-based Versus Physical Infection Control Room of Errors in Nursing Students.
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-24
SponsorÇankırı Karatekin University
About this trial
This study will develop and evaluate a metaverse-based infection control room of errors education program (META-ICR) for nursing students. A metaverse is an interactive, three-dimensional online environment. In META-ICR, students use a computer and mouse to explore a virtual patient room through an avatar. The study will compare this program with a physical patient room arranged with the same infection control situations. The study will include approximately 110 first-year nursing students at Çankırı Karatekin University in Türkiye. Students will be assigned by chance to either the META-ICR group or the physical room of errors group. Both groups will examine the same patient scenario and identify appropriate and inappropriate infection control practices. Topics will include hand hygiene, protective equipment, isolation precautions, handling of clean and contaminated materials, waste and linen management, and urinary drainage systems. Students in the META-ICR group will record their observations and care decisions through a web-based interface. Students in the physical room group will use paper forms. Both groups will receive feedback with the same educational content and participate in a 15-minute guided discussion after the activity. Activities will take place under similar supervision in university laboratory settings. The study will compare infection control knowledge, perceptions of the metaverse, and satisfaction with learning between the groups. Knowledge will be assessed before education, immediately after the educational session and guided discussion, and four weeks later to assess retention. Metaverse perceptions will be assessed before and immediately after education. Learning satisfaction will be assessed after education. All research questionnaires and knowledge tests will be completed on paper in both groups. The findings will help determine how an interactive virtual room compares with a physical room of errors for teaching infection control to nursing students.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Enrolled as a first-year undergraduate nursing student at Cankiri Karatekin University, Faculty of Health Sciences, during the 2026-2027 academic year.
Willing to participate voluntarily and provide written informed consent.
Disqualifiers
Participation in the pilot testing of the META-EKO educational program.
Trial design
Design model
Parallel
Treatments tested in this trial
Metaverse-based infection control room of errors education (META-ICR)
Other interventionA researcher-developed educational program delivered through the Frame platform using a computer and mouse. Following an orientation, students individually explore an avatar-based virtual patient room, examine appropriate and inappropriate infection control practices, and record observations, reasoning, and care decisions through linked web forms. Feedback is provided after responses. The activity is followed by a 15-minute structured debriefing. The program is delivered under supervision in a university laboratory.
Physical Infection Control Room of Errors Education
Other interventionAn educational activity conducted in a supervised university laboratory arranged as a physical patient room using a patient mannequin, bed, and care equipment. Following an orientation, students individually examine appropriate and inappropriate infection control practices and record observations, reasoning, and care decisions on paper. Feedback cards are provided after responses, followed by a 15-minute structured debriefing. The patient scenario, learning objectives, infection control situations, feedback content, and planned activity duration match those of the metaverse-based infection control room of errors education program (META-ICR).
Treatment groups
110 Participants
are divided into 2 treatment groupsGroup A: META-ICR groupExperimental treatment 1 intervention
Group B: Physical Room of Errors GroupActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Infection control knowledge score immediately after education
Infection control knowledge will be assessed using a researcher-developed, 20-item multiple-choice test with five response options per item. Each correct answer receives 5 points; incorrect or unanswered items receive 0 points. Total scores range from 0 to 100, with higher scores indicating greater knowledge. The test will be administered on paper in both groups. Immediate post-education scores will be compared between groups, accounting for baseline knowledge scores.
Time frame
Day 1: before the educational session (baseline) and immediately after the educational session and structured debriefing.2
Infection control knowledge retention at four weeks
Knowledge retention will be assessed using the same researcher-developed, 20-item, five-option multiple-choice Infection Control Knowledge Test administered at baseline and immediately after education. Each correct answer receives 5 points; incorrect or unanswered items receive 0 points. Total scores range from 0 to 100, with higher scores indicating greater retained knowledge. The test will be administered on paper in both groups without access to educational materials or feedback.
Time frame
Four weeks after completion of the educational intervention (day 28, plus or minus 2 days).Secondary outcomes
1
Metaverse perception scale scores
Metaverse perceptions will be assessed using the 24-item Metaverse Perception Scale for Nursing Students developed by Ozturk Yildirim and Karaman (2024). Items are rated from 1 (strongly disagree) to 5 (strongly agree). The scale includes Education, Technology, Difficulties, and Lifestyle subscales. Overall and subscale mean scores range from 1 to 5. Difficulties items are reverse-coded when calculating that subscale, but not when calculating the overall mean. Higher Education, Technology, and Lifestyle scores indicate greater endorsement of those dimensions; higher reverse-coded Difficulties scores indicate fewer perceived difficulties. The overall score reflects mixed dimensions rather than uniformly positive perceptions. Paper forms will be used in both groups.
Time frame
Day 1: before the educational session (baseline) and immediately after the educational session and structured debriefing.2
Student satisfaction with learning
Student satisfaction will be assessed using the five-item Student Satisfaction subscale of the Student Satisfaction and Self-Confidence in Learning Scale, developed by the National League for Nursing and adapted into Turkish by Karacay and Kaya (2017). Each item is rated from 1 (strongly disagree) to 5 (strongly agree). Subscale sum scores range from 5 to 25, with higher scores indicating greater satisfaction with the educational experience. The questionnaire will be administered on paper in both groups. Only the satisfaction subscale score will be used for this outcome.
Time frame
Day 1: immediately after completion of the educational session and structured debriefing.Locations
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Source ClinicalTrials.gov
This trial is not recruiting at the moment. You can still explore other options: