Effect of Moulage on Self-efficacy and Clinical Practice in Pressure Sores

May 28, 2025 updated by: Fahri AŞKAN, Cukurova University

The Effect of Using Moulage-Assisted Standardized Patient Simulation on Nursing Students

In the process of preventing, treating and caring for pressure ulcers, nurses take on an important responsibility and are one of the most common adverse events during hospitalizations worldwide. Pressure ulcers, which are a serious problem especially in cases requiring long-term care. These ulcers occur as a result of prolonged exposure of soft tissues to pressure and can lead to local tissue damage, carrying the risk of infection. In Turkey, pressure ulcers are considered an indicator of patient care quality for healthcare institutions, and many healthcare institutions continue their efforts to reduce the rate of pressure ulcers.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Moulage-supported education provides appropriate care that increases the quality of care. Therefore, it is critical for nurses to develop pressure injury assessment skills before and after graduation. However, in clinical settings, there are challenges such as limited opportunities for developing psychomotor skills, increasing student numbers, complexity of the healthcare system, and patient safety issues. In response to these challenges, the importance of simulation-based education that provides practices similar to clinical experience has emerged. Moulage plays an important role in high-quality simulations that appeal to many senses. Moulage can be defined as the application of make-up or other elements to add realism to simulation training by creating realistic-looking wounds. The use of moulage provides a valuable opportunity for practical experience that can be perceived by many senses such as vision, hearing and touch. The use of moulage helps students understand the etiology, physiology and healing processes of the wound and is an effective tool for developing wound assessment skills.

Simulated patients, known as standardized patients, which have recently emerged, are used to promote performance, competence and knowledge development among nursing students. Standardized patients help students improve their clinical and speaking performances by providing them with the opportunity to realistically play the role of a patient with a health problem.

Evaluating nursing students' perceptions and thoughts about clinical practice and their self-efficacy perceptions can contribute to the development of more effective strategies by evaluating the effectiveness of clinical practice strategies.

No research has been found on the effect of the use of moulage-supported standardized patient simulation on nursing students' self-efficacy and clinical practice attitudes towards pressure ulcers. This study is planned to be conducted as an experimental study to investigate the effect of the use of moulage-supported standardized patient simulation on nursing students' self-efficacy and clinical practice attitudes towards pressure ulcers.

Study Type

Interventional

Enrollment (Actual)

94

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Turkey
      • VAN, Turkey, 65080
        • VAN YYU Faculty of Health Sciences
    • Tuşba
      • Van, Tuşba, Turkey, 65080
        • Van Yuzuncu Yıl University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Students who have clinical field experience (internship),
  • Volunteer to participate in the study,
  • Have no attendance problems will be included in the study.

Exclusion Criteria:

  • Students without clinical internship experience,
  • Those who do not voluntarily participate in the work,
  • Those with attendance issues will not be included in the work.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Supportive Care
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Moulage group
"It will consist of students trained with standardized patient simulation supported by a model."
Behavioral: Moulage group
The experimental group is trained with a moulage-supported standardized patient simulation. Participants in the experimental group practice during the specified moulage-supported standardized patient simulation. Moulage-supported simulations regarding pressure ulcers will be created and training will be provided.
Other Names:
  • Control Group
No Intervention: Contol group
Students in the control group will receive standard care.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Pressure Injury Management Self-Efficacy Scale for Nurses
Time Frame: Baseline and 12 week
Each item in the 10-item survey is scored from 1 (not competent at all) to 5 (completely competent). It should be measured using 0-100 points. The total score range to be obtained from the scale is 0-100.
Baseline and 12 week

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Attitude Scale for Nursing Students Towards Clinical Practices
Time Frame: Baseline and 12 week
The scale items are of 5-point Likert type, scored as "Strongly disagree (1 point)", "Disagree (2 points)", "Undecided (3 points)", "Agree (4 points)" and Strongly Agree (5 points)". The lowest score that can be obtained from the scale is 26, the highest score is 130, and an increase in the total score indicates that students have developed a positive attitude towards clinical practice.
Baseline and 12 week

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Cukurova University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

October 1, 2024

Primary Completion (Actual)

January 3, 2025

Study Completion (Actual)

January 3, 2025

Study Registration Dates

First Submitted

September 14, 2024

First Submitted That Met QC Criteria

October 8, 2024

First Posted (Actual)

October 9, 2024

Study Record Updates

Last Update Posted (Actual)

June 3, 2025

Last Update Submitted That Met QC Criteria

May 28, 2025

Last Verified

May 1, 2025

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 2024 03-04

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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