Introduction: Falls are the most frequently reported and preventable type of safety incident. Patient falls are the most common adverse events in hospitals. This situation impacts clinical outcomes and increases the financial burden on healthcare systems. Simulation is an important component of nursing education because it enhances patient care and ensures patient safety.
Objective: To comparatively examine the effect of standard patient-based and web-based simulation methods, implemented in addition to the same theoretical education provided to nursing students, on students' knowledge levels regarding fall risk assessment and their fall risk assessment skills in clinical practice.
Materials and Methods: The study was conducted during the spring semester of the 2025-2026 academic year with first-year students in the Department of Nursing at Aydın Adnan Menderes University as part of the Fundamentals of Nursing course. All participating students will complete theoretical classes in the classroom and practical sessions in the laboratory. The study using standard patient and web-based simulation applications will be conducted in the simulation laboratory of the Faculty of Nursing at Aydın Adnan Menderes University. Research data will be collected using the "Individual Information Form," the "Fall Knowledge Test for Preventing Patient Falls" prepared in accordance with the literature, and the "Fall Risk Assessment Skills Rubric." Research data will be collected over a 4-month period (February 9 - June 9, 2026). A written permission letter will be obtained from the institution to conduct the study. Participants will be provided with detailed information about the study, and both verbal and written consent will be obtained. For numerically measured data, a normal distribution analysis will be performed; based on the results of this analysis, "Pearson Chi-square" and "t-tests" will be used for variables showing a normal distribution.
Findings: The research findings will be presented based on the analyses conducted.
Conclusion: The results will be presented based on the research findings, and recommendations will be made accordingly.
Be a first-year student in the School of Nursing
Be willing to participate in the study
Have no absences at any point during the study
Have completed both theoretical and clinical training
Be a graduate of a vocational high school for health sciences
Be a student admitted through the Foreign Student Exam (YÖS)
Be a student who does not wish to participate in the research
Be a student who was admitted to the nursing program through the Vertical Transfer Exam (DGS) after graduating from a program offering an associate's degree in a health-related field
Parallel
Standardized patient
Other interventionThe group receiving training with standard patients in a simulation laboratory environment.
web-based simulation
Other interventionGroup receiving training through web-based simulation in a laboratory environment.
Planned Mean Change in Total Knowledge Score on the Fall Prevention Knowledge Test (0-28)
Planned Mean Change in Total Knowledge Score on the Fall Prevention Knowledge Test (0-28) Total knowledge score will be measured using the Fall Prevention Knowledge Test among nursing students. Change from baseline will be assessed.
Planned Mean Change in Total Knowledge Score on the Patient Fall Prevention Knowledge Test
The change in the total knowledge scores of nursing students will be measured using the Patient Fall Prevention Knowledge Test. Change from baseline will be assessed.
Fall Risk Assessment Skills Rubric
A Fall Risk Assessment Skills Rubric for Clinical Practice has been developed. The rubric consists of 10 items designed to assess students' clinical reasoning, observation, and decision-making skills, independent of any specific scale, with each item scored on a scale of 0-2. The total score ranges from 0 to 20.
Planned Mean Change in Student Satisfaction Score Regarding the Simulation Experience
The change in the average satisfaction score of nursing students in the experimental group will be measured using the Student Satisfaction Scale. Change from baseline will be assessed.
Planned Mean Change in Learning Self-Confidence Score Regarding the Simulation Experience
The average learning self-confidence score of nursing students in the experimental group will be measured using the Learning Confidence Scale. Change from baseline will be assessed.
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ESRA ERTUĞRUL
Lead sponsor
Aydin Adnan Menderes University
Sponsor institution
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