Web-Based Gamified Simulation for Teaching Ventrogluteal Injection to First-Year Nursing Students
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
AgeNot listed
SponsorÇankırı Karatekin University
About this trial
The goal of this study is to find out whether a web-based simulation with game features helps first-year nursing students learn how to give an injection into the muscle on the side of the hip, known as the ventrogluteal site. The study will compare this approach with traditional teaching at Cankiri Karatekin University in Türkiye.
The main questions are whether the web-based simulation improves students' knowledge and practical skills, increases their satisfaction and confidence in learning, and helps them remember what they have learned after eight weeks.
All participants will receive the same initial classroom teaching and laboratory demonstration. They will then be assigned by chance to one of two groups. One group will receive traditional teaching. The other group will use the web-based simulation, which includes a patient scenario and interactive tasks, such as selecting equipment and moving items to a tray.
The simulation has two modes. In the learning mode, students receive hints and explanations without being scored. In the self-test mode, they complete tasks without hints and receive a score report for feedback. Students must answer correctly before moving to the next step.
Participants will complete a knowledge test, a practical skills assessment using an injection training model, and a questionnaire about satisfaction and confidence before the group-specific training and again one week afterward. They will repeat the knowledge test eight weeks after training to assess how much they remember. Practical skills will be assessed by two observers who do not know which teaching group each student belongs to.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Being a first-year nursing student enrolled in the Fundamentals of Nursing I course at Cankiri Karatekin University during the fall semester of the 2026-2027 academic year.
Taking the course for the first time.
Voluntarily agreeing to participate and providing written informed consent.
Agreeing to attend all planned theoretical, laboratory, and study sessions.
Disqualifiers
Having difficulty understanding Turkish to an extent that prevents participation in the educational activities or completion of the assessment tools.
Being a graduate of a health vocational high school.
Having previously received formal training in intramuscular injection techniques.
Trial design
Design model
Parallel
Treatments tested in this trial
Web-Based Gamified Simulation
BehavioralA web-based gamified simulation designed to teach ventrogluteal injection through 33 procedural steps. Following standardized instructions on application use, students will complete the learning mode with hints and rationales and then the self-test mode without hints. Tasks include selecting equipment, moving materials onto a tray, and making procedural decisions. Students must provide a correct response before advancing. The self-test mode generates a performance report for individual learning feedback. Application scores will not be used as research outcome measures.
Traditional Ventrogluteal Injection Training
BehavioralTraditional instruction in ventrogluteal injection, including theoretical teaching and instructor-led laboratory demonstration using injection training models. Students assigned to the control arm will continue training using traditional teaching methods following the common initial theoretical and laboratory training.
Treatment groups
110 Participants
are divided into 2 treatment groupsGroup A: Web-Based Gamified SimulationExperimental treatment 1 intervention
Group B: Traditional Ventrogluteal Injection TrainingActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Ventrogluteal Injection Knowledge Score
Knowledge will be assessed using the researcher-developed Ventrogluteal Injection Knowledge Test, which consists of 20 multiple-choice questions. Each correct answer receives 1 point, and each incorrect answer receives 0 points. Total scores range from 0 to 20, with higher scores indicating greater knowledge of ventrogluteal injection. Scores will be compared between the intervention and control groups, accounting for baseline scores.
Time frame
Baseline (before randomization) and 1 week after the intervention.2
Ventrogluteal Injection Skill Performance Score
Skill performance will be assessed through an Objective Structured Clinical Examination (OSCE) using a 24-item Ventrogluteal Injection Skill Checklist. Each item is scored as 0 (incorrectly performed or not performed), 1 (partially correctly performed), or 2 (correctly performed). Total scores range from 0 to 48, with higher scores indicating better skill performance. Two independent observers blinded to group allocation will assess performance simultaneously and score independently. Scores will be compared between groups, accounting for baseline scores.
Time frame
Baseline (before randomization) and 1 week after the intervention.Secondary outcomes
1
Student Satisfaction With Learning Score
Satisfaction with learning will be assessed using the five-item Student Satisfaction subscale of the Turkish version of the Student Satisfaction and Self-Confidence in Learning Scale. Each item is rated from 1 (strongly disagree) to 5 (strongly agree). Total subscale scores range from 5 to 25, with higher scores indicating greater satisfaction with the learning experience. Baseline assessment will refer to the common initial training, while post-intervention assessment will refer to the training received in the assigned group.
Time frame
Baseline (after common initial training and before randomization) and 1 week after the intervention.2
Retention of Ventrogluteal Injection Knowledge
Knowledge retention will be assessed by readministering the 20-item Ventrogluteal Injection Knowledge Test eight weeks after the intervention. Each correct answer receives 1 point, and each incorrect answer receives 0 points. Total scores range from 0 to 20, with higher scores indicating greater retained knowledge. Eight-week scores will be compared between groups and examined alongside baseline and one-week post-intervention scores.
Time frame
8 weeks after the intervention.Locations
Sponsors and contacts
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Source ClinicalTrials.gov
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