OstomyPUZZLE-STOMANCT07425184
Effect of Word Search and Case-Based Puzzle Use in Stoma Care Education of Nursing Students
A study testing Puzzle-Based Learning Intervention and Traditional Education in people with Ostomy and Nursing Education, run by Gazi University.
Trial summary
Objective: This study aims to determine the effect of using word search and case-based puzzles in stoma care education on nursing students' knowledge levels. Given that traditional teaching methods may have limited effectiveness in helping students acquire knowledge and skills, the study aims to demonstrate the… Read more about this study
- Who is it for?
- Ages 17 years and older
- Conditions the study is for
- Ostomy, Nursing Education, Stoma Care Education in Nursing Students
- What is being tested?
- Puzzle-Based Learning Intervention and Traditional Education
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 87 participants
- Where
- No sites listed yet
- Study dates
- 16 Feb 2026to 19 Mar 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 17 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Nursing students enrolled in the Surgical Nursing course for the first time,
- Students who voluntarily agree to participate in the study.
Who cannot join
- Students who have previously received stoma care training through another educational platform,
- Students who provide incomplete responses to data collection forms,
- Students who do not attend the theoretical course sessions,
- Students who do not participate in any stage of the knowledge assessment,
- Students who do not complete puzzle and word search activities included in the intervention.
Trial locations and contacts
No sites are listed yet. Contact the study team or a site near you to ask about taking part.
About this study
Official title: The Effect of Using Word Searches and Case-Based Puzzles in Stoma Care Education for Nursing Students
Objective: This study aims to determine the effect of using word search and case-based puzzles in stoma care education on nursing students' knowledge levels. Given that traditional teaching methods may have limited effectiveness in helping students acquire knowledge and skills, the study aims to demonstrate the contribution of integrating active learning and gamification-based approaches into education.
Design: The study is planned as a randomized controlled experimental design and will use a pre-test-post-test measurement approach.
Read more
Method: The study will be conducted with second-year students from the Nursing Department at Gazi University. This research will be prepared under the guidance of the Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) protocol, and the reporting of the randomized controlled study will be carried out under the Consolidated Standards of Reporting Trials (CONSORT). In the study, students will be randomly assigned to the experimental and control groups. The experimental group will receive training that includes word search and case-based puzzles during the stoma care training process, while the control group will receive training using traditional teaching methods. Students' knowledge levels will be assessed with measurements applied before and after the training, and student opinions regarding the training method will also be analyzed. The "Stoma Care Knowledge Level Assessment Test" will be used to evaluate knowledge levels, and the "Student Opinions on the Use of Puzzles and Word Searches in Stoma Education" form will be used to determine student opinions.
Hypothesis: The null hypothesis (H0) of the study states that the use of word search and case-based puzzles in stoma care education has no effect on students' knowledge level; the alternative hypothesis (H1) states that this educational method significantly affects students' knowledge level.
- Being tested
- Puzzle-Based Learning Intervention, Traditional Education
- Keywords
- Nursing Education, Case-Based Learning, stoma care, Puzzle-Based Learning
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Puzzle-Based Learning InterventionOther
Stoma care education supported by word search and case-based puzzle activities aimed at improving students' knowledge and engagement in learning.
Traditional EducationOther
Standard stoma care education delivered through traditional lecture-based instruction.
| Study group | Role | What they receive |
|---|---|---|
| PUZZLE-STOMA | Experimental | Participants receive stoma care education supported by word search activities and case-based puzzle exercises designed to enhance knowledge acquisition and active learning. Receives: Other: Puzzle-Based Learning Intervention |
| Control Group | Active comparator | Participants receive conventional stoma care education using standard lecture-based teaching methods without puzzle or game-based learning activities. Receives: Other: Traditional Education |
What is being measured
The primary outcome is the main question the study is designed to answer.
Stoma Care Knowledge Level Assessment Test
This test consists of 24 questions prepared based on relevant literature on stoma care. The test is scored on a scale of 0 to 100, with higher scores indicating higher levels of knowledge. It is administered before and immediately after the educational intervention and again at the fourth week after the intervention for follow-up assessment.
Measured: Before the intervention, immediately after the intervention, and 4 weeks after the intervention
Secondary outcomes (1)
Students' Opinions on the Use of Puzzle and Word Search Activities in Stoma Education
This evaluation form was developed based on relevant literature to assess students' opinions regarding the use of case-based puzzles and word search activities in stoma care education. The form consists of seven questions, including two open-ended items, addressing knowledge acquisition, reinforcement of learning, development of critical thinking skills, and willingness to recommend the method. Responses will be scored using a Visual Analog Scale (VAS)
Measured: Immediately post-intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Feb 2026
- Study start16 Feb 2026 (estimated)
- Primary completion19 Feb 2026 (estimated)
- Study completion19 Mar 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for OstomyStudies of the same condition, open and under way.
- More trials run by Gazi UniversityThe sponsor's other registered studies.
- 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
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 87 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Gazi University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Hulya BULUT, Gazi University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07425184
- Sponsor's protocol ID
- 21853602011
- Acronym
- PUZZLE-STOMA
- Status last verified
- Feb 2026
- First submitted
- 13 Feb 2026
- Last updated
- 20 Feb 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Kaynak S, Ergun S, Karadas A. The effect of crossword puzzle activity used in distance education on nursing students' problem-solving and clinical decision-making skills: A comparative study. Nurse Educ Pract. 2023 May;69:103618. doi: 10.1016/j.nepr.2023.103618. Epub 2023 Mar 24.
PubMed 37023523EYÜBOĞLU, G., BULDAN, Ö., SARITAŞ, E., & BAYKARA, Z. G. (2025). The Effect of Crossword and Word Search Puzzles on Nursing Students' Parenteral Medication Administration Knowledge: A Randomized Controlled Study. Turkiye Klinikleri Journal of Nursing Sciences, 17(1), 154-162.
Li S, Ye X, Chen W. Practice and effectiveness of "nursing case-based learning" course on nursing student's critical thinking ability: A comparative study. Nurse Educ Pract. 2019 Mar;36:91-96. doi: 10.1016/j.nepr.2019.03.007. Epub 2019 Mar 14.
PubMed 30897460Gholami M, Changaee F, Karami K, Shahsavaripour Z, Veiskaramian A, Birjandi M. Effects of multiepisode case-based learning (CBL) on problem-solving ability and learning motivation of nursing students in an emergency care course. J Prof Nurs. 2021 May-Jun;37(3):612-619. doi: 10.1016/j.profnurs.2021.02.010. Epub 2021 Mar 2.
PubMed 34016321Yao J, Zhang X, Xue H, Zhu M, Wang J, Wang Q, Chen Z, Yuan H. The experiences of nursing master's students with dialogic case-based learning in an evidence-based nursing course: A qualitative study. Nurse Educ Today. 2022 Jul;114:105395. doi: 10.1016/j.nedt.2022.105395. Epub 2022 May 9.
PubMed 35567909
Study at a glance
From the registry record, last updated by the sponsor on 20 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Using Word Searches and Case-Based Puzzles in Stoma Care Education for Nursing Students
- ClinicalTrials.gov ID
- NCT07425184
- Acronym / sponsor ID
- PUZZLE-STOMA / 21853602011
- Keywords
- Nursing Education, Case-Based Learning, stoma care, Puzzle-Based Learning
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 87 participants (estimated)
- Lead sponsor
- Gazi UniversityUniversity, hospital or other
- Study start
- 16 Feb 2026 (estimated)
- Primary completion
- 19 Feb 2026 (estimated)
- Study completion
- 19 Mar 2026 (estimated)
- First posted
- 20 Feb 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.
Objective: This study aims to determine the effect of using word search and case-based puzzles in stoma care education on nursing students' knowledge levels. Given that traditional teaching methods may have limited effectiveness in helping students acquire knowledge and skills, the study aims to demonstrate the contribution of integrating active learning and gamification-based approaches into education.
Design: The study is planned as a randomized controlled experimental design and will use a pre-test-post-test measurement approach.
Method: The study will be conducted with second-year students from the Nursing Department at Gazi University. This research will be prepared under the guidance of the Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) protocol, and the reporting of the randomized controlled study will be carried out under the Consolidated Standards of Reporting Trials (CONSORT). In the study, students will be randomly assigned to the experimental and control groups. The experimental group will receive training that includes word search and case-based puzzles during the stoma care training process, while the control group will receive training using traditional teaching methods. Students' knowledge levels will be assessed with measurements applied before and after the training, and student opinions regarding the training method will also be analyzed. The "Stoma Care Knowledge Level Assessment Test" will be used to evaluate knowledge levels, and the "Student Opinions on the Use of Puzzles and Word Searches in Stoma Education" form will be used to determine student opinions.
Hypothesis: The null hypothesis (H0) of the study states that the use of word search and case-based puzzles in stoma care education has no effect on students' knowledge level; the alternative hypothesis (H1) states that this educational method significantly affects students' knowledge level.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| PUZZLE-STOMA | Experimental | Other: Puzzle-Based Learning InterventionParticipants receive stoma care education supported by word search activities and case-based puzzle exercises designed to enhance knowledge acquisition and active learning. |
| Control Group | Active comparator | Other: Traditional EducationParticipants receive conventional stoma care education using standard lecture-based teaching methods without puzzle or game-based learning activities. |
Who may qualify
- Ages
- 17 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (2 listed)
- Nursing students enrolled in the Surgical Nursing course for the first time,
- Students who voluntarily agree to participate in the study.
Key exclusion criteria (5 listed)
- Students who have previously received stoma care training through another educational platform,
- Students who provide incomplete responses to data collection forms,
- Students who do not attend the theoretical course sessions,
- Students who do not participate in any stage of the knowledge assessment,
- Students who do not complete puzzle and word search activities included in the intervention.
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 |
|---|---|---|
| Puzzle-Based Learning InterventionStoma care education supported by word search and case-based puzzle activities aimed at improving students' knowledge and engagement in learning. | Other | PUZZLE-STOMA |
| Traditional EducationStandard stoma care education delivered through traditional lecture-based instruction. | Other | Control Group |
Primary outcome
Stoma Care Knowledge Level Assessment Test
Time frame: Before the intervention, immediately after the intervention, and 4 weeks after the intervention
This test consists of 24 questions prepared based on relevant literature on stoma care. The test is scored on a scale of 0 to 100, with higher scores indicating higher levels of knowledge. It is administered before and immediately after the educational intervention and again at the fourth week after the intervention for follow-up assessment.
1 secondary outcome
Students' Opinions on the Use of Puzzle and Word Search Activities in Stoma Education
Time frame: Immediately post-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 20 Feb 2026.
- Background: PubMed 37023523Kaynak S, Ergun S, Karadas A. The effect of crossword puzzle activity used in distance education on nursing students' problem-solving and clinical decision-making skills: A comparative study. Nurse Educ Pract. 2023 May;69:103618. doi: 10.1016/j.nepr.2023.103618. Epub 2023 Mar 24.
- BackgroundEYÜBOĞLU, G., BULDAN, Ö., SARITAŞ, E., & BAYKARA, Z. G. (2025). The Effect of Crossword and Word Search Puzzles on Nursing Students' Parenteral Medication Administration Knowledge: A Randomized Controlled Study. Turkiye Klinikleri Journal of Nursing Sciences, 17(1), 154-162.
- Background: PubMed 30897460Li S, Ye X, Chen W. Practice and effectiveness of "nursing case-based learning" course on nursing student's critical thinking ability: A comparative study. Nurse Educ Pract. 2019 Mar;36:91-96. doi: 10.1016/j.nepr.2019.03.007. Epub 2019 Mar 14.
- Background: PubMed 34016321Gholami M, Changaee F, Karami K, Shahsavaripour Z, Veiskaramian A, Birjandi M. Effects of multiepisode case-based learning (CBL) on problem-solving ability and learning motivation of nursing students in an emergency care course. J Prof Nurs. 2021 May-Jun;37(3):612-619. doi: 10.1016/j.profnurs.2021.02.010. Epub 2021 Mar 2.
- Background: PubMed 35567909Yao J, Zhang X, Xue H, Zhu M, Wang J, Wang Q, Chen Z, Yuan H. The experiences of nursing master's students with dialogic case-based learning in an evidence-based nursing course: A qualitative study. Nurse Educ Today. 2022 Jul;114:105395. doi: 10.1016/j.nedt.2022.105395. Epub 2022 May 9.
- 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.
Questions about this trial
What is this clinical trial studying?
A study testing Puzzle-Based Learning Intervention and Traditional Education in people with Ostomy and Nursing Education, run by Gazi University.
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 2 inclusion and 5 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 20 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.
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 Zeynep METE MERDİN (+905066979094, zeynmete@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Stoma Care Knowledge Level Assessment Test (time frame: Before the intervention, immediately after the intervention, and 4 weeks after the intervention). 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 NCT07425184, which also lists 5 linked publications.
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 20 Feb 2026; AzTrials last refreshed its copy on 6 Nov 2026.