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Surgical Hand AntisepsisGLO-SHANCT07918144

Effect of Glo Germ Visual Feedback on Surgical Hand Antisepsis in Nursing Students

A study testing Glo Germ-Based Visual Feedback Training and Conventional Surgical Hand Antisepsis Training in people with Surgical Hand Antisepsis, run by Zonguldak Bulent Ecevit University at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This randomized controlled study evaluated the effect of Glo Germ-based visual feedback on surgical hand antisepsis performance among undergraduate nursing students. A total of 46 third-year nursing students enrolled in an Operating Room Nursing course were randomly assigned to an intervention group (n=23) or a… Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Surgical Hand Antisepsis
What is being tested?
Glo Germ-Based Visual Feedback Training and Conventional Surgical Hand Antisepsis Training
Could I receive a placebo?
No, everyone receives an active treatment
How many people
46 participants
Where
1 siteTurkey (Türkiye)
Study dates
30 Nov 2024to 30 Dec 2024
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 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Being a third-year undergraduate nursing student enrolled in the Operating Room Nursing course.
  • Voluntarily agreeing to participate in the study. Providing written informed consent.

Who cannot join

  • Having open wounds, cuts, or skin lesions on the hands that could interfere with surgical hand antisepsis procedures.
  • Having hand eczema or other dermatological conditions affecting the hands that could interfere with training or assessment.
  • Declining to participate in the study.

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Zonguldak Bülent Ecevit University

    Zonguldak, 67600

Other trials in Turkey (Türkiye)

About this study

Official title: Beyond Checklists: Glo Germ Feedback Improves Anatomical Surgical Hand Antisepsis

This randomized controlled study evaluated the effect of Glo Germ-based visual feedback on surgical hand antisepsis performance among undergraduate nursing students.

A total of 46 third-year nursing students enrolled in an Operating Room Nursing course were randomly assigned to an intervention group (n=23) or a control group (n=23). Both groups received theoretical instruction and conventional practical training in surgical hand antisepsis. In addition, the intervention group received individualized visual feedback using Glo Germ fluorescent training lotion and ultraviolet light to identify areas requiring improvement in hand antisepsis technique.

Read more

The primary outcome was surgical hand antisepsis skill performance. Secondary outcomes included knowledge of surgical hand antisepsis and anatomical hand cleanliness. Outcomes were evaluated at the designated assessment points, including a one-month follow-up.

The study aimed to determine whether incorporating fluorescence-based visual feedback into conventional training improves surgical hand antisepsis education among nursing students.

Read the detailed description

Surgical hand antisepsis is an essential component of infection prevention in perioperative settings. Effective surgical hand antisepsis requires both theoretical knowledge and the correct application of antisepsis procedures, including adequate coverage of anatomical hand and forearm surfaces. Traditional educational methods may not provide sufficient visual information to help students recognize areas missed during hand antisepsis.

This study was designed as a prospective, parallel-group randomized controlled educational trial to evaluate the effectiveness of Glo Germ-based visual feedback in surgical hand antisepsis training among undergraduate nursing students.

The study included 46 third-year nursing students enrolled in an Operating Room Nursing course at a university in Zonguldak, Türkiye. Participants were randomly allocated to an intervention group (n=23) or a control group (n=23) using a computer-generated randomization sequence. Allocation concealment was implemented using sequentially numbered, opaque, sealed envelopes.

Both groups received a 45-minute theoretical educational session and conventional practical instruction on surgical hand antisepsis. Students in the control group received conventional verbal feedback during practical training.

In addition to conventional training, students in the intervention group received Glo Germ-based visual feedback. A fluorescent training lotion and ultraviolet light were used to visualize anatomical areas requiring improvement. Participants received individualized feedback and repeated the hand antisepsis procedure to reinforce correct technique.

The primary outcome was surgical hand antisepsis skill performance, assessed using an 18-item observational checklist. Secondary outcomes included surgical hand antisepsis knowledge, assessed using a 15-item knowledge assessment form, and anatomical hand cleanliness, evaluated through fluorescence-based visual assessment.

Knowledge was assessed at baseline, immediately after training, and at the one-month follow-up. Skill performance was assessed immediately after training and at the one-month follow-up. Fluorescence-based anatomical cleanliness assessment was conducted at the assessment points specified in the study protocol.

Outcome assessments were performed by independent assessors who were blinded to group allocation. The study investigated whether adding individualized fluorescence-based visual feedback to conventional surgical hand antisepsis education improves students' knowledge, practical skills, and anatomical cleanliness.

Being tested
Glo Germ-Based Visual Feedback Training, Conventional Surgical Hand Antisepsis Training
Keywords
Surgical Hand Antisepsis, Glo Germ, Hand Hygiene Training, Simulation-Based Education, Visual Feedback, Nursing Students

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Glo Germ-Based Visual Feedback TrainingOther

    An educational intervention incorporating Glo Germ fluorescent training lotion and ultraviolet light to provide individualized visual feedback during surgical hand antisepsis training. The intervention enabled participants to identify anatomical areas requiring improvement and repeat the antisepsis procedure following feedback.

  • Conventional Surgical Hand Antisepsis TrainingOther

    Participants received a 45-minute theoretical educational session covering the principles, importance, and correct procedures of surgical hand antisepsis. This was followed by conventional practical training, including demonstration and supervised practice of surgical hand antisepsis techniques. Verbal feedback was provided to support correct technique and improve participants' practical skills. This standard educational intervention was provided to both the experimental and control groups.

Study groups in NCT07918144
Study groupRoleWhat they receive
Glo Germ Visual Feedback GroupExperimentalParticipants received a 45-minute theoretical session and conventional practical training on surgical hand antisepsis. In addition, they received individualized visual feedback using Glo Germ fluorescent training lotion and ultraviolet light to identify areas requiring improvement in hand antisepsis technique. Participants repeated the procedure following visual feedback.
Receives: Other: Glo Germ-Based Visual Feedback Training
Conventional Training GroupActive comparatorParticipants received a 45-minute theoretical session and conventional practical training on surgical hand antisepsis. Conventional verbal feedback was provided during practical training. Participants did not receive Glo Germ-based visual feedback.
Receives: Other: Conventional Surgical Hand Antisepsis Training

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Surgical Hand Antisepsis Skill Performance

    Surgical hand antisepsis skill performance was assessed using an 18-item observational checklist evaluating the correct execution of surgical hand antisepsis procedures. Each correctly performed step was scored as 1, and each incorrectly performed or omitted step was scored as 0. Total scores ranged from 0 to 18, with higher scores indicating better surgical hand antisepsis performance. Assessments were conducted immediately after training and at the one-month follow-up.

    Measured: Immediately after training and at 1-month follow-up

Secondary outcomes (2)
  1. Surgical Hand Antisepsis Knowledge

    Knowledge of surgical hand antisepsis was assessed using a 15-item knowledge assessment form. Total scores ranged from 0 to 15, with higher scores indicating greater knowledge of surgical hand antisepsis. Knowledge was assessed at baseline, immediately after training, and at the one-month follow-up.

    Measured: Baseline, immediately after training, and at 1-month follow-up

  2. Percentage of Anatomical Hand Cleanliness

    Anatomical hand cleanliness was assessed using Glo Germ fluorescent training lotion and ultraviolet light. The anatomical regions of the hands and forearms were examined to identify areas with inadequate coverage during surgical hand antisepsis training. The assessment results were calculated and expressed as percentages. Higher percentages indicated better anatomical hand cleanliness. Assessments were performed immediately after training in the intervention group and at the one-month follow-up in both groups.

    Measured: Immediately after training (intervention group only) and at 1-month follow-up (both groups)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Nov 2026
  2. Study start30 Nov 2024
  3. Primary completion30 Dec 2024
  4. Study completion30 Dec 2024

Resources

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
46 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07918144
Sponsor's protocol ID
GLOGERM SURGİCAL HAND WASHING
Acronym
GLO-SHA
Status last verified
Oct 2026
First submitted
30 Oct 2026
Last updated
5 Nov 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual participant data will not be made publicly available. The study data will be maintained confidentially and used in accordance with the approved research protocol, institutional policies, and applicable data protection regulations.

Publications

  • Yilmaz R, Fazlollahi AM, Winkler-Schwartz A, Wang A, Makhani HH, Alsayegh A, Bakhaidar M, Tran DH, Santaguida C, Del Maestro RF. Effect of Feedback Modality on Simulated Surgical Skills Learning Using Automated Educational Systems- A Four-Arm Randomized Control Trial. J Surg Educ. 2024 Feb;81(2):275-287. doi: 10.1016/j.jsurg.2023.11.001. Epub 2023 Dec 29.

    PubMed 38160107
  • Yalcin Atar N, Koc M. The Effect of Simulation-Based Training on the Hand Hygiene Knowledge and Practices of Palliative Caregivers: A Double-Blind, Randomized, Controlled Single-Center Study. Nurs Health Sci. 2024 Sep;26(3):e13164. doi: 10.1111/nhs.13164.

    PubMed 39301983
  • WHO Guidelines on Hand Hygiene in Health Care: First Global Patient Safety Challenge Clean Care Is Safer Care. Geneva: World Health Organization; 2009. Available from http://www.ncbi.nlm.nih.gov/books/NBK144013/

    PubMed 23805438
  • Reaves C, Martel M, Rose K. Teaching Psychomotor Skills in Undergraduate Nursing Education: An Integrative Review. J Nurs Educ. 2024 Jul;63(7):421-426. doi: 10.3928/01484834-20240505-01. Epub 2024 Jul 1.

    PubMed 38979741
  • Purssell E, Gould D. Teaching health care students hand hygiene theory and skills: a systematic review. Int J Environ Health Res. 2022 Sep;32(9):2065-2073. doi: 10.1080/09603123.2021.1937580. Epub 2021 Jun 25.

    PubMed 34167397
  • Mittal MK, Morris JB, Kelz RR. Germ simulation: a novel approach for raising medical students awareness toward asepsis. Simul Healthc. 2011 Apr;6(2):65-70. doi: 10.1097/SIH.0b013e318206953a.

    PubMed 21487344
  • Karahan Okuroglu G, Kaynar Simsek A, Pazar N, Ecevit Alpar S. The Effect of Video-Assisted Training and Visual Feedback With UV Germ Technology on Nursing Students' Hand Hygiene Beliefs, Practices, and Compliance: A Randomized Controlled Study. J Nurs Care Qual. 2023 Oct-Dec 01;38(4):335-340. doi: 10.1097/NCQ.0000000000000710. Epub 2023 Mar 22.

    PubMed 36947854
  • Kisacik OG, Cigerci Y, Gunes U. Impact of the fluorescent concretization intervention on effectiveness of hand hygiene in nursing students: A randomized controlled study. Nurse Educ Today. 2021 Feb;97:104719. doi: 10.1016/j.nedt.2020.104719. Epub 2020 Dec 11.

    PubMed 33341066
  • Gorucu S, Turk G, Karacam Z. The effect of simulation-based learning on nursing students' clinical decision-making skills: Systematic review and meta-analysis. Nurse Educ Today. 2024 Sep;140:106270. doi: 10.1016/j.nedt.2024.106270. Epub 2024 Jun 6.

    PubMed 38924975
  • Fernandes DR, Santos BND, Guimaraes CS, Ferreira EB, Margatho AS, Reis PEDD, Pittet D, Silveira RCCP. Educational technologies for teaching hand hygiene: Systematic review. PLoS One. 2024 Jan 16;19(1):e0294725. doi: 10.1371/journal.pone.0294725. eCollection 2024.

    PubMed 38227588
  • Fegran L, Ten Ham-Baloyi W, Fossum M, Hovland OJ, Naidoo JR, van Rooyen DRM, Sejersted E, Robstad N. Simulation debriefing as part of simulation for clinical teaching and learning in nursing education: A scoping review. Nurs Open. 2023 Mar;10(3):1217-1233. doi: 10.1002/nop2.1426. Epub 2022 Nov 9.

    PubMed 36352489
  • Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007 May;39(2):175-91. doi: 10.3758/bf03193146.

    PubMed 17695343
  • Ericsson KA. Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. Acad Med. 2004 Oct;79(10 Suppl):S70-81. doi: 10.1097/00001888-200410001-00022. No abstract available.

    PubMed 15383395
  • Cole HS, Lippe MP, Guerra DS. The Pathway to Developing a Competency-based Tool for Entry-level Nursing Simulation: A Delphi Study. J Prof Nurs. 2024 Jul-Aug;53:1-7. doi: 10.1016/j.profnurs.2024.04.004. Epub 2024 May 2.

    PubMed 38997187
  • Chu Y, Yao Q, Tan F, Li Y, Pan X. Effectiveness of a Glo Germ-based assessment and educational intervention to improve hand hygiene compliance among hospital cleaning staff. Front Public Health. 2026 Jan 28;13:1694440. doi: 10.3389/fpubh.2025.1694440. eCollection 2025.

    PubMed 41684361

Questions about this trial

What is this clinical trial studying?

A study testing Glo Germ-Based Visual Feedback Training and Conventional Surgical Hand Antisepsis Training in people with Surgical Hand Antisepsis, run by Zonguldak Bulent Ecevit 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 2 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 5 Nov 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?

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?

Surgical Hand Antisepsis Skill Performance (time frame: Immediately after training and at 1-month follow-up). 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 NCT07918144, which also lists 19 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 5 Nov 2026.

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