Nursing CariesNCT07081490
Virtual Escape Room Game About Medical Device in Nurses
A study testing Virtual Escape Room Game in people with Nursing Caries and Pressure Injuries, run by Kahramanmaraş İstiklal University at 1 site in Turkey (Türkiye).
Trial summary
The research was planned as a pre-test-post-test single-group, quasi-experimental design in order to develop a web-based digital education game to improve nurses' knowledge level on pressure injuries related to medical devices and to evaluate the effect of the developed game on nurses' knowledge acquisition on… Read more about this study
- Who is it for?
- Any ageHealthy volunteers can take part
- Conditions the study is for
- Nursing Caries, Pressure Injuries
- What is being tested?
- Virtual Escape Room Game
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 20 Jul 2025to 20 Dec 2025
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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
- Volunteering to participate in the study
- Working as a nurse in an intensive care unit at the time of the study
- Having internet access
- Being able to use a computer
Who cannot join
- Not completing data collection forms or providing incomplete answers.
- Having received any prior training on medical device-related pressure injuries.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Turkey (Türkiye)1 site
Kahramanmaraş Istiklal University
Kahramanmaraş, 0045
Nurhan Aktaş, Assistant Professor, +905052278326, nurhankutlu90@gmail.com
About this study
Official title: The Effect of Training Provided With Virtual Escape Room Game on Nurses' Knowledge Level on Pressure Injury Regarding Medical Devices
The research was planned as a pre-test-post-test single-group, quasi-experimental design in order to develop a web-based digital education game to improve nurses' knowledge level on pressure injuries related to medical devices and to evaluate the effect of the developed game on nurses' knowledge acquisition on pressure injuries related to medical devices, as well as the use of the game and user experience. The sample of the research will consist of nurses working in the intensive care unit at Kahramanmaraş Necip Fazıl City Hospital who meet the research criteria and agree to participate in the research. In the first stage of the research, the materials necessary for the game development and evaluation process will be prepared and the content validity study of these materials will be conducted. In the second stage, the development and preliminary evaluation of the virtual escape room game will be done. In the third stage, the virtual escape room game will be applied and data will be collected. Data will be collected from the nurses with the 'Introductory Features Form' and the 'Medical Device Related Pressure Injury Knowledge Level Assessment Test' (pre-test) before the game application; and after the game application, the 'Medical Device Related Pressure Injury Knowledge Level Assessment Test' (post-test) and the Virtual Escape Room Game Evaluation Form. After 4 weeks of the game application (retest), nurses will be asked to answer the questions of the 'Medical Device-Related Pressure Injury Knowledge Level Assessment Test'.
H1a: What is the effect of the virtual escape room game on nurses' knowledge levels regarding TCBBY? H1b: What are the usage and user experiences of the virtual escape room game developed for the purpose of educating nurses on the prevention of TCBBY?
Read the detailed description
The research was planned as a pre-test-post-test, single-group, quasi-experimental design in order to develop a web-based digital education game to improve nurses' knowledge level about pressure injuries related to medical devices and to evaluate the effects of the developed game on nurses' knowledge acquisition about pressure injuries related to medical devices, the use of the game, and the user experience. The universe of the research will consist of nurses working in the intensive care unit of Kahramanmaraş State Hospital. It is planned to reach the universe in the research and no sample calculation has been made. The sample of the research will consist of nurses working in the intensive care unit of Kahramanmaraş Necip Fazıl City Hospital who meet the research criteria and agree to participate in the research. In the first stage of the research, the materials necessary for the game development and evaluation process will be prepared and the content validity study of these materials will be conducted. In the second stage, the development and preliminary evaluation of the virtual escape room game will be done. In the third stage, the virtual escape room game will be applied and data will be collected. The data will be collected by filling out the 'Introductory Characteristics Form' and 'Medical Device Related Pressure Injury Knowledge Level Assessment Test' (pre-test) to the nurses before the game application; After the game application, the data will be collected with the 'Medical Device Related Pressure Injury Knowledge Level Assessment Test' (post-test) and the Virtual Escape Room Game Evaluation Form. After 4 weeks of the game application (re-test), the nurses will be asked to answer the 'Medical Device Related Pressure Injury Knowledge Level Assessment Test' questions. The analysis of the data will be completed by transferring it to the IBM SPSS Statistics 23 program. Frequency distribution (number, percentage) will be given for categorical variables, and descriptive statistics (mean, standard deviation, minimum, maximum) will be given for numerical variables. Parametric and non-parametric tests will be used according to the normal distribution of the data.
- Conditions
- Nursing Caries, Pressure Injuries
- Being tested
- Virtual Escape Room Game
- Keywords
- Escape room, Gamification, Digital game, Pressure Injuries
- Medical subject headings
- Pressure Ulcer
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Virtual Escape Room GameOther
Virtual escape rooms are digital versions of physical escape rooms that can be accessed remotely. Virtual escape rooms are adaptations of physical escape rooms that use online interactive environments where participants aim to solve puzzles within a set timeframe.
| Study group | Role | What they receive |
|---|---|---|
| virtual escape room game group | Experimental | A virtual escape room gaming group is a group that plays a virtual escape room game. Virtual escape rooms are remotely accessible digital versions of physical escape rooms. Virtual escape rooms are adaptations of physical escape rooms that use online interactive environments where participants aim to solve puzzles within a set timeframe. Receives: Other: Virtual Escape Room Game |
What is being measured
The primary outcome is the main question the study is designed to answer.
Nurses' knowledge level regarding medical device-related pressure injuries
The Medical Device-Associated Pressure Injury Knowledge Level Assessment Test (MDAPIKLAT) is administered to nurses.
It is a multiple-choice test developed by Dalli and Girgin (2023) to assess nurses' knowledge of pressure injuries related to medical devices and has undergone psychometric validation. The test consists of 16 questions covering six themes (Theme 1: Diagnosis and Etiology, Theme 2: Staging and Observation, Theme 3: Medical Device Selection and Suitability, Theme 4: Skin Assessment, Theme 5: Prevention, Theme 6: Special Patient Groups) related to pressure injuries associated with medical devices. Correct answers are scored as 1, incorrect or blank answers are scored as 0. The total score ranges from 0 to 16. The item difficulty index of the questions was found to be 0.36-0.84, and the item discrimination values were found to be 0.31-0.68. The correlation coefficient of the test was 0.82, and the overall internal consistency reliability was 0.77.
Measured: Before the virtual escape room game
Secondary outcomes (2)
Knowledge level of nurses regarding medical device-related pressure injuries after the virtual escape room game
After the virtual escape room game, the knowledge level of the nurses is evaluated with the Medical Device Associated Pressure Injury Knowledge Level Assessment Test (MDAPIKLAT).
MDAPIKLAT: multiple-choice test was developed by Dalli and Girgin (2023) to assess nurses' knowledge of pressure injuries related to medical devices and has undergone psychometric validation. The test consists of 16 questions covering six themes (Theme 1: Diagnosis and Etiology, Theme 2: Staging and Observation, Theme 3: Medical Device Selection and Suitability, Theme 4: Skin Assessment, Theme 5: Prevention, Theme 6: Special Patient Groups) related to pressure injuries related to medical devices. Correct answers are scored as 1, incorrect or blank answers are scored as 0. The total score ranges from 0 to 16. The item difficulty index of the test questions was found to be 0.36-0.84, and the item discrimination values were found to be 0.31-0.68.
Measured: one week after the virtual escape room game
Nurses' perception of virtual escape room game experience
Nurses' post-virtual escape room game experiences are evaluated with the Gameful Experience Scale (GAMEX).
GAMEX:The scale, developed by Eppman et al. (2018), and whose validity and reliability study in Turkish was conducted with nursing students by Çömez İkican et al. (2024), is used to assess game experience. The scale consists of a total of 27 items and 5 subdimensions. The subdimensions are enjoyment, immersion in play, creative thinking and emotional activation, absence of negative effects, and mastery. A 5-point Likert-type scale is used in the evaluation of the scale, with scores of "Never" (1), "Rarely" (2), "Occasionally" (3), "Frequently" (4), and "Always" (5). Items 18, 21, 22, and 23 of the scale are scored reversely ("Never" (5), "Rarely" (4), "Occasionally" (3), "Frequently" (2), and "Always" (1). In the original and validity-reliability study of the scale, the Cronbach alpha value for the entire scale was found to be 0.89.
Measured: one week after the virtual escape room game
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Jul 2025
- Study start20 Jul 2025 (estimated)
- Primary completion20 Sep 2025 (estimated)
- Study completion20 Dec 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Nursing CariesStudies 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
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 60 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Kahramanmaraş İstiklal University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Nurhan Aktaş, Kahramanmaraş İstiklal University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07081490
- Sponsor's protocol ID
- KIstiklal University
- Status last verified
- Jul 2025
- First submitted
- 11 Jul 2025
- Last updated
- 23 Jul 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 23 Jul 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Training Provided With Virtual Escape Room Game on Nurses' Knowledge Level on Pressure Injury Regarding Medical Devices
- ClinicalTrials.gov ID
- NCT07081490
- Acronym / sponsor ID
- KIstiklal University
- Conditions
- Nursing Caries, Pressure Injuries
- Keywords
- Escape room, Gamification, Digital game, Pressure Injuries
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 60 participants (estimated)
- Lead sponsor
- Kahramanmaraş İstiklal UniversityUniversity, hospital or other
- Study start
- 20 Jul 2025 (estimated)
- Primary completion
- 20 Sep 2025 (estimated)
- Study completion
- 20 Dec 2025 (estimated)
- First posted
- 23 Jul 2025 (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.
The research was planned as a pre-test-post-test single-group, quasi-experimental design in order to develop a web-based digital education game to improve nurses' knowledge level on pressure injuries related to medical devices and to evaluate the effect of the developed game on nurses' knowledge acquisition on pressure injuries related to medical devices, as well as the use of the game and user experience. The sample of the research will consist of nurses working in the intensive care unit at Kahramanmaraş Necip Fazıl City Hospital who meet the research criteria and agree to participate in the research. In the first stage of the research, the materials necessary for the game development and evaluation process will be prepared and the content validity study of these materials will be conducted. In the second stage, the development and preliminary evaluation of the virtual escape room game will be done. In the third stage, the virtual escape room game will be applied and data will be collected. Data will be collected from the nurses with the 'Introductory Features Form' and the 'Medical Device Related Pressure Injury Knowledge Level Assessment Test' (pre-test) before the game application; and after the game application, the 'Medical Device Related Pressure Injury Knowledge Level Assessment Test' (post-test) and the Virtual Escape Room Game Evaluation Form. After 4 weeks of the game application (retest), nurses will be asked to answer the questions of the 'Medical Device-Related Pressure Injury Knowledge Level Assessment Test'.
H1a: What is the effect of the virtual escape room game on nurses' knowledge levels regarding TCBBY? H1b: What are the usage and user experiences of the virtual escape room game developed for the purpose of educating nurses on the prevention of TCBBY?
Detailed description
The research was planned as a pre-test-post-test, single-group, quasi-experimental design in order to develop a web-based digital education game to improve nurses' knowledge level about pressure injuries related to medical devices and to evaluate the effects of the developed game on nurses' knowledge acquisition about pressure injuries related to medical devices, the use of the game, and the user experience. The universe of the research will consist of nurses working in the intensive care unit of Kahramanmaraş State Hospital. It is planned to reach the universe in the research and no sample calculation has been made. The sample of the research will consist of nurses working in the intensive care unit of Kahramanmaraş Necip Fazıl City Hospital who meet the research criteria and agree to participate in the research. In the first stage of the research, the materials necessary for the game development and evaluation process will be prepared and the content validity study of these materials will be conducted. In the second stage, the development and preliminary evaluation of the virtual escape room game will be done. In the third stage, the virtual escape room game will be applied and data will be collected. The data will be collected by filling out the 'Introductory Characteristics Form' and 'Medical Device Related Pressure Injury Knowledge Level Assessment Test' (pre-test) to the nurses before the game application; After the game application, the data will be collected with the 'Medical Device Related Pressure Injury Knowledge Level Assessment Test' (post-test) and the Virtual Escape Room Game Evaluation Form. After 4 weeks of the game application (re-test), the nurses will be asked to answer the 'Medical Device Related Pressure Injury Knowledge Level Assessment Test' questions. The analysis of the data will be completed by transferring it to the IBM SPSS Statistics 23 program. Frequency distribution (number, percentage) will be given for categorical variables, and descriptive statistics (mean, standard deviation, minimum, maximum) will be given for numerical variables. Parametric and non-parametric tests will be used according to the normal distribution of the data.
Study design
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| virtual escape room game group | Experimental | Other: Virtual Escape Room GameA virtual escape room gaming group is a group that plays a virtual escape room game. Virtual escape rooms are remotely accessible digital versions of physical escape rooms. Virtual escape rooms are adaptations of physical escape rooms that use online interactive environments where participants aim to solve puzzles within a set timeframe. |
Who may qualify
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (4 listed)
- Volunteering to participate in the study
- Working as a nurse in an intensive care unit at the time of the study
- Having internet access
- Being able to use a computer
Key exclusion criteria (2 listed)
- Not completing data collection forms or providing incomplete answers.
- Having received any prior training on medical device-related pressure injuries.
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 |
|---|---|---|
| Virtual Escape Room GameVirtual escape rooms are digital versions of physical escape rooms that can be accessed remotely. Virtual escape rooms are adaptations of physical escape rooms that use online interactive environments where participants aim to solve puzzles within a set timeframe. | Other | virtual escape room game group |
Primary outcome
Nurses' knowledge level regarding medical device-related pressure injuries
Time frame: Before the virtual escape room game
The Medical Device-Associated Pressure Injury Knowledge Level Assessment Test (MDAPIKLAT) is administered to nurses. It is a multiple-choice test developed by Dalli and Girgin (2023) to assess nurses' knowledge of pressure injuries related to medical devices and has undergone psychometric validation. The test consists of 16 questions covering six themes (Theme 1: Diagnosis and Etiology, Theme 2: Staging and Observation, Theme 3: Medical Device Selection and Suitability, Theme 4: Skin Assessment, Theme 5: Prevention, Theme 6: Special Patient Groups) related to pressure injuries associated with medical devices. Correct answers are scored as 1, incorrect or blank answers are scored as 0. The total score ranges from 0 to 16. The item difficulty index of the questions was found to be 0.36-0.84, and the item discrimination values were found to be 0.31-0.68. The correlation coefficient of the test was 0.82, and the overall internal consistency reliability was 0.77.
2 secondary outcomes
Knowledge level of nurses regarding medical device-related pressure injuries after the virtual escape room game
Time frame: one week after the virtual escape room game
Nurses' perception of virtual escape room game experience
Time frame: one week after the virtual escape room game
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Jul 2025.
- Individual participant dataSharing planned: No
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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.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Virtual Escape Room Game in people with Nursing Caries and Pressure Injuries, run by Kahramanmaraş İstiklal 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 4 inclusion and 2 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: opening soon, as of the sponsor's last update on 23 Jul 2025. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Nurhan Aktaş, Assistant professor (+905052278326, nurhankutlu90@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Nurses' knowledge level regarding medical device-related pressure injuries (time frame: Before the virtual escape room game). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 23 Jul 2025.