Digital Gamification vs. Traditional Training for Hip Replacement Instrument Table Setup (ORNurse)

Official title

Comparison of the Effectiveness of the Digital Gamification Training Method Developed for Total Hip Replacement Surgery Instrument Table Layout and the Traditional Training Method: A Randomized Controlled Trial

Overview

This randomized controlled trial aims to compare the effectiveness of a digital gamification-based training method and a traditional training method on instrument table layout skills in total hip replacement surgery. Nursing students will be randomly assigned to either a game-based learning group or a control group receiving conventional education. The primary outcome is the accuracy of surgical instrument placement. The study will be conducted at Bozok University in Turkey.

Detailed description

This study was designed to address the lack of standardized training protocols in instrument table setup for total hip arthroplasty. A digital gamified training tool (ORNurse: Steril Setup 1.0) was developed based on a validated surgical table protocol and integrated with a 3D simulation environment. The intervention group will receive hands-on training through the game, while the control group will receive traditional lecture-based training. The study will evaluate the effectiveness of the training methods on instrument layout accuracy, as well as participants' satisfaction and knowledge retention. This study aims to improve perioperative nursing education and promote standardization in surgical preparation processes.

Interventions

• Behavioral Gamified Digital Education (ORNurse: Steril Setup 1.0)
  A behavioral intervention utilizing a custom-developed 3D digital game designed to teach perioperative nurses or students the correct layout of surgical instrument tables in total hip arthroplasty. The game includes interactive modules, feedback mechanisms, and simulated scenarios based on a validated protocol.
• Behavioral Traditional Training
  A classroom-based lecture accompanied by printed materials covering the correct surgical instrument table setup for total hip replacement surgery.

Primary outcome measures

• Mean score on the Total Hip Replacement Instrument Table Checklist (0-100 points; higher scores = more accurate layout) [Time frame: Within 1 week after the intervention (post-training assessment)]

Secondary outcome measures (1)

• Mean score on the Training Satisfaction Questionnaire (5-point Likert scale; 1 = very dissatisfied, 5 = very satisfied; higher scores = greater satisfaction) [Time frame: Immediately after training session]

Eligibility criteria

Inclusion criteria

Aged 18 years or older

Nursing students or perioperative nurses

No prior formal training in surgical instrument table setup for total hip arthroplasty

Willing and able to participate in digital or traditional training sessions

Provided informed consent

Exclusion criteria

Prior experience with surgical instrument table setup in orthopedic surgeries

Visual, cognitive, or motor impairments that limit ability to complete training tasks

Currently participating in another interventional education study

Refusal to participate or withdraws consent

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: Yes

Study design

Allocation

Randomized

Model

Parallel assignment

Masking

Open label

Primary purpose

Other

Study locations

Turkey (Türkiye) · 1 center

• Bozok University, School of Health Services (SHMYO) — Yozgat

Identifiers

NCT: NCT07194148 · BozokU-TKP2025-01

Primary sources (government registries)

• ClinicalTrials.gov (US NIH)

View this study on ClinicalTrials.gov ↗