Student EducationNCT07560228
The Effect of Escape Room-Based Elimination Training on Student Outcomes
A study testing Educational Escape Room on Elimination Care in people with Student Education, run by Ataturk University.
Trial summary
This clinical trial aims to find out if playing an "educational escape room" game helps nursing students better learn how to manage patient elimination (urinary and bowel care). The study looks at how this game affects students' knowledge, hands-on skills, their desire to learn (motivation), and how happy they are… Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Student Education
- What is being tested?
- Educational Escape Room on Elimination Care
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- No sites listed yet
- Study dates
- 27 Apr 2026to 31 Dec 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 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Being a second-year student enrolled in the Nursing Department.
- Taking the Nursing Fundamentals course for the first time.
- Not having previously received practical training or experience in an "Educational Escape Room."
- Volunteering to participate in the study and providing written informed consent.
- Being available to attend all training sessions (both theoretical and practical) during the study period.
Who cannot join
- Students who are repeating the Nursing Fundamentals course.
- Students who have transferred from another nursing program and have already completed elimination care training.
- Students with physical disabilities or health conditions that prevent them from participating in the physical activities of the escape room.
- Students who have professional experience as a nurse or health technician (e.g., those who graduated from vocational health high schools and worked in the field).
- Students who do not complete the initial theoretical training or miss the pre-test assessments.
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 Escape Room Games Used in Elimination Care Training on Nursing Students' Levels of Knowledge, Skills, Motivation, and Satisfaction
This clinical trial aims to find out if playing an "educational escape room" game helps nursing students better learn how to manage patient elimination (urinary and bowel care). The study looks at how this game affects students' knowledge, hands-on skills, their desire to learn (motivation), and how happy they are with the training (satisfaction).
The main questions the researchers want to answer are:
Read more
Does the escape room game help students understand the rules and steps of elimination care better than traditional lessons?
Does this method improve students' practical skills in tasks like inserting catheters, giving enemas, and performing stoma care?
How does the game affect students' motivation to learn and their overall satisfaction with the nursing program?
Researchers will compare students who use the educational escape room with students who learn through traditional methods to see if the game makes a real difference in their performance.
Participants in this study will:
Learn the theory behind bowel and bladder care (such as enemas and catheterization).
Work in small groups to solve puzzles and find clues inside a themed room to complete patient care tasks.
Take knowledge tests and practical "skill exams" after the training.
Fill out surveys about how motivated they felt and how much they enjoyed the learning experience.
- Conditions
- Student Education
- Being tested
- Educational Escape Room on Elimination Care
- Keywords
- NURSING, ESCAPE ROOM, EDUCATION
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Educational Escape Room on Elimination CareOther
This intervention utilizes a gamified, time-bound, and scenario-based "Educational Escape Room" specifically designed for nursing education on elimination procedures. Unlike traditional laboratory demonstrations, students are placed in a simulated clinical environment where they must solve sequential cognitive puzzles and correctly perform psychomotor skills-such as urinary catheterization and enema administration-to "unlock" the next step and escape the room. This method transforms passive learning into an active, high-engagement experience that requires immediate application of theoretical knowledge, critical thinking, and teamwork under a structured time limit, making it distinct from standard observational or practice-based laboratory sessions.
| Study group | Role | What they receive |
|---|---|---|
| Educational Escape Room Group | Experimental | Not described Receives: Other: Educational Escape Room on Elimination Care |
| Traditional Laboratory Training Group | No intervention | Not described |
What is being measured
The primary outcome is the main question the study is designed to answer.
Psychomotor Skill Scores on Elimination Procedures
This measure represents the students' proficiency in performing urinary catheterization, enema administration, and stoma care. Skills are assessed using "Elimination Procedure Skill Checklists" validated by expert opinion. Each step of the procedure is scored as "Completely Performed (2 points)", "Incompletely Performed (1 point)", or "Not Performed (0 points)". Higher total scores indicate a higher level of clinical psychomotor competence in performing the tasks.
Measured: 4 WEEK
Psychomotor skill performance levels of nursing students regarding elimination procedures (assessed via standardized skill checklists).
This measure represents the students' proficiency in performing urinary catheterization, enema administration, and stoma care. Skills are assessed using "Elimination Procedure Skill Checklists" validated by expert opinion. Each step of the procedure is scored as "Completely Performed (2 points)", "Incompletely Performed (1 point)", or "Not Performed (0 points)". Higher total scores indicate a higher level of clinical psychomotor competence in performing the tasks
Measured: 4 WEEK
Secondary outcomes (2)
Knowledge Scores on Elimination Procedures
The level of theoretical knowledge regarding urinary and bowel care, measured using a multiple-choice "Elimination Procedures Knowledge Test" developed by the researchers. Higher scores indicate a better understanding of the theoretical concepts.
Measured: 4 WEEK
Learning Motivation Scores
Students' motivation levels towards the learning process, assessed using the "Instructional Materials Motivation Scale (IMMS)". The scale measures attention, relevance, confidence, and satisfaction.
Measured: 4 WEEK
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 May 2026
- Study start27 Apr 2026 (estimated)
- Primary completion27 May 2026 (estimated)
- Study completion31 Dec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Student EducationStudies of the same condition, open and under way.
- More trials run by Ataturk 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
- Model description
- This randomized controlled clinical trial aims to evaluate the impact of an "educational escape room" game on nursing students' knowledge, practical skills, motivation, and satisfaction regarding patient elimination care (urinary and bowel procedures). While the control group receives traditional laboratory training, the intervention group participates in a gamified learning environment where they must solve clinical puzzles and complete tasks like catheterization and enemas within a set time limit. By using pre- and post-tests, skill checklists, and motivation scales, the study scientifically compares this active learning method against traditional approaches to determine its effectiveness in enhancing professional competence and student engagement in nursing education.
- Masking
- Single blind
- Who is masked
- Investigator
- Enrolment
- 60 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Ataturk University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Hanım Duru YÜCE BAŞARAN, Igdir University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07560228
- Sponsor's protocol ID
- ATA_NURSE_DY_01
- Status last verified
- Apr 2026
- First submitted
- 24 Apr 2026
- Last updated
- 1 May 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: The individual participant data (IPD) collected during this study will not be shared with third parties or other researchers. This decision is made to protect the privacy and anonymity of the nursing students who participated in the research. The data will only be used for the purposes of this doctoral thesis and related academic publications in an aggregated format, ensuring that no individual student can be identified.
Publications
Akpolat, R., Terzioğlu, F., Yüksel, A., & Özdemir, T. (2025). The Effect of Escape Room Teaching Method on Nursing Students' Knowledge and Motivation in the Evaluation of Enhanced Recovery After Surgery Protocol: Cross-Sectional and Interventional Research. Turkiye Klinikleri Journal of Nursing Sciences, 17(3), 677-684.
Akatsu H, Shiima Y, Gomi H, Hegab AE, Kobayashi G, Naka T, Ogino M. Teaching "medical interview and physical examination" from the very beginning of medical school and using "escape rooms" during the final assessment: achievements and educational impact in Japan. BMC Med Educ. 2022 Jan 28;22(1):67. doi: 10.1186/s12909-022-03130-2.
PubMed 35090459
Study at a glance
From the registry record, last updated by the sponsor on 1 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Escape Room Games Used in Elimination Care Training on Nursing Students' Levels of Knowledge, Skills, Motivation, and Satisfaction
- ClinicalTrials.gov ID
- NCT07560228
- Acronym / sponsor ID
- ATA_NURSE_DY_01
- Conditions
- Student Education
- Keywords
- NURSING, ESCAPE ROOM, EDUCATION
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 60 participants (estimated)
- Lead sponsor
- Ataturk UniversityUniversity, hospital or other
- Study start
- 27 Apr 2026 (estimated)
- Primary completion
- 27 May 2026 (estimated)
- Study completion
- 31 Dec 2026 (estimated)
- First posted
- 1 May 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.
This clinical trial aims to find out if playing an "educational escape room" game helps nursing students better learn how to manage patient elimination (urinary and bowel care). The study looks at how this game affects students' knowledge, hands-on skills, their desire to learn (motivation), and how happy they are with the training (satisfaction).
The main questions the researchers want to answer are:
Does the escape room game help students understand the rules and steps of elimination care better than traditional lessons?
Does this method improve students' practical skills in tasks like inserting catheters, giving enemas, and performing stoma care?
How does the game affect students' motivation to learn and their overall satisfaction with the nursing program?
Researchers will compare students who use the educational escape room with students who learn through traditional methods to see if the game makes a real difference in their performance.
Participants in this study will:
Learn the theory behind bowel and bladder care (such as enemas and catheterization).
Work in small groups to solve puzzles and find clues inside a themed room to complete patient care tasks.
Take knowledge tests and practical "skill exams" after the training.
Fill out surveys about how motivated they felt and how much they enjoyed the learning experience.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (investigator)
- Number of arms
- 2
- Model description
- This randomized controlled clinical trial aims to evaluate the impact of an "educational escape room" game on nursing students' knowledge, practical skills, motivation, and satisfaction regarding patient elimination care (urinary and bowel procedures). While the control group receives traditional laboratory training, the intervention group participates in a gamified learning environment where they must solve clinical puzzles and complete tasks like catheterization and enemas within a set time limit. By using pre- and post-tests, skill checklists, and motivation scales, the study scientifically compares this active learning method against traditional approaches to determine its effectiveness in enhancing professional competence and student engagement in nursing education.
| Arm | Type | Receives |
|---|---|---|
| Educational Escape Room Group | Experimental | Other: Educational Escape Room on Elimination Care |
| Traditional Laboratory Training Group | No intervention | – |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Being a second-year student enrolled in the Nursing Department.
- Taking the Nursing Fundamentals course for the first time.
- Not having previously received practical training or experience in an "Educational Escape Room."
- Volunteering to participate in the study and providing written informed consent.
- Being available to attend all training sessions (both theoretical and practical) during the study period.
Key exclusion criteria (5 listed)
- Students who are repeating the Nursing Fundamentals course.
- Students who have transferred from another nursing program and have already completed elimination care training.
- Students with physical disabilities or health conditions that prevent them from participating in the physical activities of the escape room.
- Students who have professional experience as a nurse or health technician (e.g., those who graduated from vocational health high schools and worked in the field).
- Students who do not complete the initial theoretical training or miss the pre-test assessments.
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 |
|---|---|---|
| Educational Escape Room on Elimination CareThis intervention utilizes a gamified, time-bound, and scenario-based "Educational Escape Room" specifically designed for nursing education on elimination procedures. Unlike traditional laboratory demonstrations, students are placed in a simulated clinical environment where they must solve sequential cognitive puzzles and correctly perform psychomotor skills-such as urinary catheterization and enema administration-to "unlock" the next step and escape the room. This method transforms passive learning into an active, high-engagement experience that requires immediate application of theoretical knowledge, critical thinking, and teamwork under a structured time limit, making it distinct from standard observational or practice-based laboratory sessions. | Other | Educational Escape Room Group |
Primary outcome
Psychomotor Skill Scores on Elimination Procedures
Time frame: 4 WEEK
This measure represents the students' proficiency in performing urinary catheterization, enema administration, and stoma care. Skills are assessed using "Elimination Procedure Skill Checklists" validated by expert opinion. Each step of the procedure is scored as "Completely Performed (2 points)", "Incompletely Performed (1 point)", or "Not Performed (0 points)". Higher total scores indicate a higher level of clinical psychomotor competence in performing the tasks.
Psychomotor skill performance levels of nursing students regarding elimination procedures (assessed via standardized skill checklists).
Time frame: 4 WEEK
This measure represents the students' proficiency in performing urinary catheterization, enema administration, and stoma care. Skills are assessed using "Elimination Procedure Skill Checklists" validated by expert opinion. Each step of the procedure is scored as "Completely Performed (2 points)", "Incompletely Performed (1 point)", or "Not Performed (0 points)". Higher total scores indicate a higher level of clinical psychomotor competence in performing the tasks
2 secondary outcomes
Knowledge Scores on Elimination Procedures
Time frame: 4 WEEK
Learning Motivation Scores
Time frame: 4 WEEK
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 1 May 2026.
- BackgroundAkpolat, R., Terzioğlu, F., Yüksel, A., & Özdemir, T. (2025). The Effect of Escape Room Teaching Method on Nursing Students' Knowledge and Motivation in the Evaluation of Enhanced Recovery After Surgery Protocol: Cross-Sectional and Interventional Research. Turkiye Klinikleri Journal of Nursing Sciences, 17(3), 677-684.
- Background: PubMed 35090459Akatsu H, Shiima Y, Gomi H, Hegab AE, Kobayashi G, Naka T, Ogino M. Teaching "medical interview and physical examination" from the very beginning of medical school and using "escape rooms" during the final assessment: achievements and educational impact in Japan. BMC Med Educ. 2022 Jan 28;22(1):67. doi: 10.1186/s12909-022-03130-2.
- Individual participant dataSharing planned: No. The individual participant data (IPD) collected during this study will not be shared with third parties or other researchers. This decision is made to protect the privacy and anonymity of the nursing students who participated in the research. The data will only be used for the purposes of this doctoral thesis and related academic publications in an aggregated format, ensuring that no individual student can be identified.
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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 Educational Escape Room on Elimination Care in people with Student Education, run by Ataturk 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 5 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 1 May 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 HANIM DURU YÜCE BAŞARAN, PHD CANDIDATE (+905383360476, duruycbsrn@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Psychomotor Skill Scores on Elimination Procedures (time frame: 4 WEEK). 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 NCT07560228, which also lists 2 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 1 May 2026.