Patient SafetyNCT07349355
Simulation Practices and Medical Error Tendencies in Nursing Students
A study testing Standardized patient and İn-situ simulation in people with Patient Safety, run by Selçuk Görücü at 1 site in Turkey (Türkiye).
Trial summary
As the professional group that has the most frequent contact with patients, nurses are critical to the sustainability of safe care. Literature demonstrates that nursing practice is prone to error due to heavy workloads, time pressures, complex clinical tasks, inadequate rest, inappropriate working conditions, and the… Read more about this study
- Who is it for?
- Any ageHealthy volunteers can take part
- Conditions the study is for
- Patient Safety
- What is being tested?
- Standardized patient and İn-situ simulation
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 81 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 15 Jan 2026to 1 May 2026
- 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
None listed.
Who cannot join
- Graduated from a health vocational high school
- Admitted through the Foreign Student Exam (YÖS)
- Graduated from a health-related associate's degree program and then enrolled in the nursing department through the Vertical Transfer Exam (DGS)
- Students who did not wish to participate in the study were excluded from the study.
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
Adnan Menderes University
Aydin
Selçuk Görücü, +9005079554505, selcukgorucu@gmail.com
Selçuk Görücü
About this study
Official title: The Effect of In-Situ Simulation and Standardized Patient Practice on Medical Error Tendencies and Attitudes of Senior Nursing Students
As the professional group that has the most frequent contact with patients, nurses are critical to the sustainability of safe care. Literature demonstrates that nursing practice is prone to error due to heavy workloads, time pressures, complex clinical tasks, inadequate rest, inappropriate working conditions, and the physiological strain of demanding shifts. When these conditions strain both physical and cognitive resources, the risk of errors during treatment administration increases.
Medical errors remain one of the most devastating realities of healthcare. Data from the World Health Organization reveals the significant morbidity and mortality caused by errors on a global scale. Numerous studies have demonstrated that student nurses have a significant rate of errors, and those with limited clinical experience are particularly at risk in fundamental areas such as medication administration, asepsis, and patient identification. Increasing patient numbers, short stays, rapid turnover, and the intense pace of clinics negatively impact student nurses' ability to provide safe care, prompting both educators and students to seek stronger pedagogical solutions.
Read more
This is where simulation-based training comes into play. Simulation is emerging as a contemporary teaching approach that enables students to develop their clinical skills, communication, decision-making, and self-efficacy in a risk-free, safe, and structured environment. It is increasingly being used because it supports knowledge and skill transfer, reduces fear and anxiety, strengthens self-confidence, and provides the opportunity to experience errors. In-situ simulation and standardized patient practice offer strong potential for reducing students' error proneness by providing an experience closest to real-world clinical situations. However, the lack of a study in the literature examining the effects of these two methods, particularly on the medical error proneness and attitudes of final-year nursing students, is a significant gap.
This study aims to strengthen a critical area of nursing education. The aim is to evaluate the impact of in-situ simulation and standardized patient practice on final-year nursing students' medical error proneness and attitudes toward medical errors and to reveal how they transform students' competencies in providing safe care.
- Conditions
- Patient Safety
- Being tested
- Standardized patient, İn-situ simulation
- Keywords
- In-situ simulation, standardized patient, nursing students, randomized controlled trial, nursing education, medical error
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Standardized patientOther
Group 1 receives training in a simulation laboratory environment using standard patient interventions.
İn-situ simulationOther
Group 2 receives training in a real hospital setting through on-site simulations and standardized patient interventions.
| Study group | Role | What they receive |
|---|---|---|
| Group 1 | Experimental | Group 1 receives training in a simulation laboratory environment using standard patient interventions. Receives: Other: Standardized patient |
| Group 2 | Experimental | Group 2 receives training in a real hospital setting through on-site simulations and standardized patient interventions. Receives: Other: İn-situ simulation |
| Group 3 | No intervention | Group 3 is the control group. They receive traditional classroom-based theoretical instruction. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Medical error tendency scale scores of final-year nursing students
Medical Error Tendency Scale
The minimum possible score is 1, and the maximum is 5. While the scale does not have a cutoff point, an increase in the mean score indicates a low tendency for the nurse to make medical errors, while a decrease in the mean score indicates a high tendency to make errors.
Measured: From registration to week 8 of intervention
Secondary outcomes (1)
Medical error attitude scale scores of final year nursing students
Medical Error Attitude Scale
The total scale score is calculated by dividing the total score by the number of items. The cutoff point is set at 3. Healthcare personnel scoring below 3 on the scale are considered incompetent.
Measured: From registration to week 8 of intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Jan 2026
- Study start15 Jan 2026 (estimated)
- Primary completion15 Mar 2026 (estimated)
- Study completion1 May 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Patient SafetyStudies 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
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 81 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Selçuk Görücü
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor-investigator, Selçuk Görücü, Aydin Adnan Menderes University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07349355
- Sponsor's protocol ID
- 2024/024
- Status last verified
- Jan 2026
- First submitted
- 24 Nov 2025
- Last updated
- 16 Jan 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: This study does not plan to share raw data at the individual level. However, to promote transparency of research findings, summary data (demographic characteristics, pretest and posttest scores, group comparisons, and analysis results) that do not include participant identification will be shared with researchers upon request. No personal identifying information (name, contact information, institutional information, etc.) will be shared.
Study at a glance
From the registry record, last updated by the sponsor on 16 Jan 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of In-Situ Simulation and Standardized Patient Practice on Medical Error Tendencies and Attitudes of Senior Nursing Students
- ClinicalTrials.gov ID
- NCT07349355
- Acronym / sponsor ID
- 2024/024
- Conditions
- Patient Safety
- Keywords
- In-situ simulation, standardized patient, nursing students, randomized controlled trial, nursing education, medical error
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 81 participants (estimated)
- Lead sponsor
- Selçuk GörücüUniversity, hospital or other
- Study start
- 15 Jan 2026 (estimated)
- Primary completion
- 15 Mar 2026 (estimated)
- Study completion
- 1 May 2026 (estimated)
- First posted
- 16 Jan 2026 (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.
As the professional group that has the most frequent contact with patients, nurses are critical to the sustainability of safe care. Literature demonstrates that nursing practice is prone to error due to heavy workloads, time pressures, complex clinical tasks, inadequate rest, inappropriate working conditions, and the physiological strain of demanding shifts. When these conditions strain both physical and cognitive resources, the risk of errors during treatment administration increases.
Medical errors remain one of the most devastating realities of healthcare. Data from the World Health Organization reveals the significant morbidity and mortality caused by errors on a global scale. Numerous studies have demonstrated that student nurses have a significant rate of errors, and those with limited clinical experience are particularly at risk in fundamental areas such as medication administration, asepsis, and patient identification. Increasing patient numbers, short stays, rapid turnover, and the intense pace of clinics negatively impact student nurses' ability to provide safe care, prompting both educators and students to seek stronger pedagogical solutions.
This is where simulation-based training comes into play. Simulation is emerging as a contemporary teaching approach that enables students to develop their clinical skills, communication, decision-making, and self-efficacy in a risk-free, safe, and structured environment. It is increasingly being used because it supports knowledge and skill transfer, reduces fear and anxiety, strengthens self-confidence, and provides the opportunity to experience errors. In-situ simulation and standardized patient practice offer strong potential for reducing students' error proneness by providing an experience closest to real-world clinical situations. However, the lack of a study in the literature examining the effects of these two methods, particularly on the medical error proneness and attitudes of final-year nursing students, is a significant gap.
This study aims to strengthen a critical area of nursing education. The aim is to evaluate the impact of in-situ simulation and standardized patient practice on final-year nursing students' medical error proneness and attitudes toward medical errors and to reveal how they transform students' competencies in providing safe care.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Group 1 | Experimental | Other: Standardized patientGroup 1 receives training in a simulation laboratory environment using standard patient interventions. |
| Group 2 | Experimental | Other: İn-situ simulationGroup 2 receives training in a real hospital setting through on-site simulations and standardized patient interventions. |
| Group 3 | No intervention | –Group 3 is the control group. They receive traditional classroom-based theoretical instruction. |
Who may qualify
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (0 listed)
Key exclusion criteria (4 listed)
- Graduated from a health vocational high school
- Admitted through the Foreign Student Exam (YÖS)
- Graduated from a health-related associate's degree program and then enrolled in the nursing department through the Vertical Transfer Exam (DGS)
- Students who did not wish to participate in the study were excluded from 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 |
|---|---|---|
| Standardized patientGroup 1 receives training in a simulation laboratory environment using standard patient interventions. | Other | Group 1 |
| İn-situ simulationGroup 2 receives training in a real hospital setting through on-site simulations and standardized patient interventions. | Other | Group 2 |
Primary outcome
Medical error tendency scale scores of final-year nursing students
Time frame: From registration to week 8 of intervention
Medical Error Tendency Scale The minimum possible score is 1, and the maximum is 5. While the scale does not have a cutoff point, an increase in the mean score indicates a low tendency for the nurse to make medical errors, while a decrease in the mean score indicates a high tendency to make errors.
1 secondary outcome
Medical error attitude scale scores of final year nursing students
Time frame: From registration to week 8 of intervention
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 16 Jan 2026.
- Individual participant dataSharing planned: Yes. This study does not plan to share raw data at the individual level. However, to promote transparency of research findings, summary data (demographic characteristics, pretest and posttest scores, group comparisons, and analysis results) that do not include participant identification will be shared with researchers upon request. No personal identifying information (name, contact information, institutional information, etc.) will be shared.
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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 Standardized patient and İn-situ simulation in people with Patient Safety, run by Selçuk Görücü 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 0 inclusion and 4 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 16 Jan 2026. 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 Selçuk Görücü (+9005079554505, selcukgorucu@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Medical error tendency scale scores of final-year nursing students (time frame: From registration to week 8 of intervention). 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 16 Jan 2026.