Postpartum HemorrhageNCT05323903
The Effect of Game-Based Learning and Telesimulation on Nursing Students' Management of Postpartum Hemorrhage
A study testing Telesimulation and Kahoot Game in people with Postpartum Hemorrhage, run by Istanbul Saglik Bilimleri University at 1 site in Turkey (Türkiye).
Trial summary
This study was conducted to evaluate the effects of Kahoot and telesimulation methods on the knowledge, skills, motivation and clinical performance of nursing students in the management of postpartum hemorrhage and to examine the students' views on these methods. Read more about this study
- Who is it for?
- Any ageHealthy volunteers can take part
- Conditions the study is for
- Postpartum Hemorrhage
- What is being tested?
- Telesimulation and Kahoot Game
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 164 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 1 Feb 2022to 30 Jul 2022
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Who may be able to join
- Taking the Obstetrics and Gynecology Nursing Course for the first time,
- Having no professional experience,
- Having a smartphone, tablet or computer with an internet connection,
- Continuing the course with distance learning during the COVID-19 pandemic period,
- Receiving education on Postpartum Hemorrhage for the first time,
- Voluntarily accepting to participate in the study.
Who cannot join
- Not attending the theoretical lesson,
- Not playing the game that was sent to them,
- Not volunteering to participate in the study
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Istanbul Sağlık Bilimleri Üniversitesi
Istanbul
About this study
Official title: The Effect of Game-Based Learning and Telesimulation Application on Nursing Students' Self-Efficacy in Knowledge, Skills, Motivation and Clinical Performance in Postpartum Hemorrhage Management
This study was conducted to evaluate the effects of Kahoot and telesimulation methods on the knowledge, skills, motivation and clinical performance of nursing students in the management of postpartum hemorrhage and to examine the students' views on these methods.
This is a randomized controlled intervention study in which the quantitative research method is used. The study sample consisted of year-2 students (n=177) who took the Obstetrics and Gynecology Nursing course in the spring semester of the 2020-2021 academic year at the Faculty of Gulhane Nursing at SBU. The control group consisted of 44 students, and the intervention group was divided into three groups and randomized to include 44 students in each group, with a total of 133 students. All students attended the "Postpartum Hemorrhage and its Management" course, and after the course, Group II received the telesimulation intervention, Group III the Kahoot game intervention and Kahoot game and telesimulation to Group IV. The control group did not receive any intervention.
Read the detailed description
This study was conducted to evaluate the effects of Kahoot and telesimulation methods on the knowledge, skills, motivation and clinical performance of nursing students in the management of postpartum hemorrhage and to examine the students' views on these methods.
This is a randomized controlled intervention study in which the quantitative research method is used. The study sample consisted of year-2 students (n=177) who took the Obstetrics and Gynecology Nursing course in the spring semester of the 2020-2021 academic year at the Faculty of Gulhane Nursing at SBU. The control group consisted of 44 students, and the intervention group was divided into three groups and randomized to include 44 students in each group, with a total of 133 students. All students attended the "Postpartum Hemorrhage and its Management" course, and after the course, Group II received the telesimulation intervention, Group III the Kahoot game intervention and Kahoot game and telesimulation to Group IV. The control group did not receive any intervention.
All the practices were carried out remotely with students who had their education through distance learning due to COVID-19. Groups were formed from the students according to randomization. The student names whose groups were determined were assigned to their own group in Microsoft Teams. The application phase of the study included the pre-test, theoretical education on Postpartum Hemorrhage, playing games on the Kahoot platform, telesimulation application, and post-test application to all groups.
The "Postpartum Hemorrhage and its Management" course was held on March 9, 2021, in two 40-minute sessions, using PowerPoint as training material, synchronized with the whole class over Microsoft Teams. After all the content for the Kahoot game was prepared, the students were briefed through a synchronous 30-minute online meeting in Microsoft Teams with a PowerPoint presentation on how to log in to Kahoot and how to play the games. An entry guide to Kahoot has been prepared and distributed to the students. Then, on April 26, 2021, five different Kahoot games for Group 3 and Group 4 were uploaded and a PIN was sent to the students to play one game per day. After the Kahoot game was over, Telesimulation Application was carried out with Group 2 and Group 4. After the telesimulation application, the final tests were conducted.
- Conditions
- Postpartum Hemorrhage
- Being tested
- Telesimulation, Kahoot Game
- Medical subject headings
- Postpartum Hemorrhage
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TelesimulationOther
Telesimulation is an application that is a teaching process by which telecommunication and healthcare simulation resources are used to provide education, training and assessment to learners at an off-site location. In this study, simulation was recorded and this was shared with the students through means of telecommunication.
Kahoot GameOther
Kahoot is a game-based learning platform, used as educational technology in schools and other educational institutions.
| Study group | Role | What they receive |
|---|---|---|
| Control Group | No intervention | Postpartum Hemorrhage and Its Management course |
| Intervention Group 1- Telesimulation | Experimental | Postpartum Hemorrhage and Its Management course, Telesimulation application Receives: Other: Telesimulation |
| Intervention Group 2- Kahoot | Experimental | Postpartum Hemorrhage and Its Management course, Kahoot game Receives: Other: Kahoot Game |
| Intervention Group 3-Telesimulation and Kahoot | Experimental | Postpartum Hemorrhage and Its Management course, Telesimulation application and Kahoot game Receives: Other: Telesimulation; Other: Kahoot Game |
What is being measured
The primary outcome is the main question the study is designed to answer.
Instructional Materials Motivation Survey
The Instructional Materials Motivation Survey (IMMS) aims to assess the motivational characteristics of instructional materials or courses using the Attention, Relevance, Confidence, and Satisfaction (ARCS) model of motivation. It was developed by Keller et al. in 2006. The five-point Likert type scale consists of 36 items in the original scale. In the last Turkish adaptation study by Dinçer and Doğanay, 3 of the items were excluded from the original scale and a total of 33 items were included in the Turkish version of the scale.
Measured: 2 Months
Self-Efficacy in Clinical Performance Scale
The scale, developed by Cheraghi et al. in 2009, is used to measure the self-efficacy of the nurses in order to predict their clinical performance. It is a Likert type scale with 37 items in total under 4 factors, which are assessment, diagnosis and planning, implementation, and evaluation.
Measured: 2 Months
Secondary outcomes (1)
Postpartum Hemorrhage Telesimulation Skill Evaluation Form
The form, developed by the researcher in line with the literature, consists of a total of 30 items under 6 sub-dimensions. These are as follows: Patient admission and evaluation(3 items), communication(3 items), physical examination(3 items), signs and symptoms of hypovolemic shock(6 items), postpartum hemorrhage protocol(13 items) and blood transfusion(2 items). If the student stated the expected practical steps in postpartum hemorrhage, it is scored 1, if not, 0 points are given. In the form, the lowest score is "0" and the highest score is "30" (min=0, max=30).
Measured: 2 Months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Apr 2022
- Study start1 Feb 2022
- Primary completion30 Apr 2022
- Study completion30 Jul 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Postpartum HemorrhageStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 164 participants (actual)
Sponsor and investigators
- Lead sponsor
- Istanbul Saglik Bilimleri University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Yesim CETINKAYA SEN, Istanbul Saglik Bilimleri University
- Investigators
- Gülten GÜVENÇ, Prof., Study director, Department of Obstetrics and Gynecology Nursing, Gulhane Nursing Faculty, Health Sciences University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05323903
- Sponsor's protocol ID
- 2021-109
- Status last verified
- Feb 2023
- First submitted
- 5 Apr 2022
- Last updated
- 1 Mar 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Cetinkaya Sen Y, Guvenc G. Effects of game-based learning and telesimulation methods on the knowledge, skills, motivations, and self-efficacy levels of nursing students in postpartum hemorrhage management: a randomized controlled trial. BMC Nurs. 2026 Jun 14. doi: 10.1186/s12912-026-04878-4. Online ahead of print.
PubMed 42289722
Study at a glance
From the registry record, last updated by the sponsor on 1 Mar 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Game-Based Learning and Telesimulation Application on Nursing Students' Self-Efficacy in Knowledge, Skills, Motivation and Clinical Performance in Postpartum Hemorrhage Management
- ClinicalTrials.gov ID
- NCT05323903
- Acronym / sponsor ID
- 2021-109
- Conditions
- Postpartum Hemorrhage
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 164 participants (actual)
- Lead sponsor
- Istanbul Saglik Bilimleri UniversityUniversity, hospital or other
- Study start
- 1 Feb 2022 (actual)
- Primary completion
- 30 Apr 2022 (actual)
- Study completion
- 30 Jul 2022 (actual)
- First posted
- 12 Apr 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study was conducted to evaluate the effects of Kahoot and telesimulation methods on the knowledge, skills, motivation and clinical performance of nursing students in the management of postpartum hemorrhage and to examine the students' views on these methods.
This is a randomized controlled intervention study in which the quantitative research method is used. The study sample consisted of year-2 students (n=177) who took the Obstetrics and Gynecology Nursing course in the spring semester of the 2020-2021 academic year at the Faculty of Gulhane Nursing at SBU. The control group consisted of 44 students, and the intervention group was divided into three groups and randomized to include 44 students in each group, with a total of 133 students. All students attended the "Postpartum Hemorrhage and its Management" course, and after the course, Group II received the telesimulation intervention, Group III the Kahoot game intervention and Kahoot game and telesimulation to Group IV. The control group did not receive any intervention.
Detailed description
This study was conducted to evaluate the effects of Kahoot and telesimulation methods on the knowledge, skills, motivation and clinical performance of nursing students in the management of postpartum hemorrhage and to examine the students' views on these methods.
This is a randomized controlled intervention study in which the quantitative research method is used. The study sample consisted of year-2 students (n=177) who took the Obstetrics and Gynecology Nursing course in the spring semester of the 2020-2021 academic year at the Faculty of Gulhane Nursing at SBU. The control group consisted of 44 students, and the intervention group was divided into three groups and randomized to include 44 students in each group, with a total of 133 students. All students attended the "Postpartum Hemorrhage and its Management" course, and after the course, Group II received the telesimulation intervention, Group III the Kahoot game intervention and Kahoot game and telesimulation to Group IV. The control group did not receive any intervention.
All the practices were carried out remotely with students who had their education through distance learning due to COVID-19. Groups were formed from the students according to randomization. The student names whose groups were determined were assigned to their own group in Microsoft Teams. The application phase of the study included the pre-test, theoretical education on Postpartum Hemorrhage, playing games on the Kahoot platform, telesimulation application, and post-test application to all groups.
The "Postpartum Hemorrhage and its Management" course was held on March 9, 2021, in two 40-minute sessions, using PowerPoint as training material, synchronized with the whole class over Microsoft Teams. After all the content for the Kahoot game was prepared, the students were briefed through a synchronous 30-minute online meeting in Microsoft Teams with a PowerPoint presentation on how to log in to Kahoot and how to play the games. An entry guide to Kahoot has been prepared and distributed to the students. Then, on April 26, 2021, five different Kahoot games for Group 3 and Group 4 were uploaded and a PIN was sent to the students to play one game per day. After the Kahoot game was over, Telesimulation Application was carried out with Group 2 and Group 4. After the telesimulation application, the final tests were conducted.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Control Group | No intervention | –Postpartum Hemorrhage and Its Management course |
| Intervention Group 1- Telesimulation | Experimental | Other: TelesimulationPostpartum Hemorrhage and Its Management course, Telesimulation application |
| Intervention Group 2- Kahoot | Experimental | Other: Kahoot GamePostpartum Hemorrhage and Its Management course, Kahoot game |
| Intervention Group 3-Telesimulation and Kahoot | Experimental | Other: Telesimulation, Other: Kahoot GamePostpartum Hemorrhage and Its Management course, Telesimulation application and Kahoot game |
Who may qualify
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (6 listed)
- Taking the Obstetrics and Gynecology Nursing Course for the first time,
- Having no professional experience,
- Having a smartphone, tablet or computer with an internet connection,
- Continuing the course with distance learning during the COVID-19 pandemic period,
- Receiving education on Postpartum Hemorrhage for the first time,
Key exclusion criteria (3 listed)
- Not attending the theoretical lesson,
- Not playing the game that was sent to them,
- Not volunteering to participate in the study
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| TelesimulationTelesimulation is an application that is a teaching process by which telecommunication and healthcare simulation resources are used to provide education, training and assessment to learners at an off-site location. In this study, simulation was recorded and this was shared with the students through means of telecommunication. | Other | Intervention Group 1- Telesimulation, Intervention Group 3-Telesimulation and Kahoot |
| Kahoot GameKahoot is a game-based learning platform, used as educational technology in schools and other educational institutions. | Other | Intervention Group 2- Kahoot, Intervention Group 3-Telesimulation and Kahoot |
Primary outcome
Instructional Materials Motivation Survey
Time frame: 2 Months
The Instructional Materials Motivation Survey (IMMS) aims to assess the motivational characteristics of instructional materials or courses using the Attention, Relevance, Confidence, and Satisfaction (ARCS) model of motivation. It was developed by Keller et al. in 2006. The five-point Likert type scale consists of 36 items in the original scale. In the last Turkish adaptation study by Dinçer and Doğanay, 3 of the items were excluded from the original scale and a total of 33 items were included in the Turkish version of the scale.
Self-Efficacy in Clinical Performance Scale
Time frame: 2 Months
The scale, developed by Cheraghi et al. in 2009, is used to measure the self-efficacy of the nurses in order to predict their clinical performance. It is a Likert type scale with 37 items in total under 4 factors, which are assessment, diagnosis and planning, implementation, and evaluation.
1 secondary outcome
Postpartum Hemorrhage Telesimulation Skill Evaluation Form
Time frame: 2 Months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Mar 2023.
- Derived from this study: PubMed 42289722Cetinkaya Sen Y, Guvenc G. Effects of game-based learning and telesimulation methods on the knowledge, skills, motivations, and self-efficacy levels of nursing students in postpartum hemorrhage management: a randomized controlled trial. BMC Nurs. 2026 Jun 14. doi: 10.1186/s12912-026-04878-4. Online ahead of print.
- Individual participant dataSharing planned: No
Related trials for Postpartum Hemorrhage
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Long Term Outcome After Use of Vacuum-induced Tamponade for Postpartum Hemorrhage
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Measured Versus Hemoglobin-Calculated Postpartum Blood Loss in Waterbirth
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Prevention of Postpartum Hemorrhage With Tranexamic Acid
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Hemoglobin Testing in Pregnant Patients
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RecruitingPhase 4
Carbetocin Monotherapy Versus Carbetocin Plus Oxytocin Infusion in Elective Cesarean Delivery: A Non-Inferiority Trial
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Gülten GÜVENÇ, Prof. study director
Department of Obstetrics and Gynecology Nursing, Gulhane Nursing Faculty, Health Sciences University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Telesimulation and Kahoot Game in people with Postpartum Hemorrhage, run by Istanbul Saglik Bilimleri University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 1 Mar 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Instructional Materials Motivation Survey (time frame: 2 Months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05323903, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Mar 2023.