THE EFFECT OF STANDARD PATIENT AND WEB-BASED SIMULATION ON FALL KNOWLEDGE AND ATTITUDES AMONG NURSING STUDENTS

THE EFFECT OF STANDARD PATIENT AND WEB-BASED SIMULATION APPLICATIONS ON NURSING STUDENTS' KNOWLEDGE AND ATTITUDES TOWARDS FALLS

The most fundamental principle of any healthcare service is "First, do no harm." No one should be harmed in healthcare services. Falls are the most frequently reported and preventable incident among all safety incidents in the hospital environment. However, falls are the most frequently reported incident among all safety incidents. Patient falls are the most common adverse events in hospitals. Patient falls in hospitals cause physiological and psychological harm to patients, affect the timeliness, effectiveness, and efficiency of care, and lead to increases in hospital costs and length of stay. Therefore, preventing falls, which have serious consequences, is of vital importance in terms of patient safety and healthcare quality. Nurses are a group that can sensitively identify and manage issues related to patient safety. Therefore, it is important to identify and reduce the underlying risk factors for falls in patients and to provide appropriate nursing interventions to prevent secondary injuries in patients who have fallen.

Simulation is an important part of nursing education because it improves patient care and ensures patient safety. Simulation-based learning provides students with realistic clinical situations, allowing them to practice clinical skills in a safe environment. This enables students to develop their clinical skills, communication, decision-making, and self-efficacy in a risk-free, safe, and structured environment, representing a contemporary teaching approach.

Teaching safe patient care during nursing students' education is one of the most fundamental elements of nursing education. Inadequate nursing knowledge and attitudes increase the risk of falls among patients receiving care. Students with insufficient clinical experience are at high risk of making undesirable errors in patient care. It is important to increase nursing students' knowledge and attitudes regarding falls during their education.

The standard patient and web-based simulation application offers the closest experience to real clinical situations, providing students with significant potential to become aware of falls they may encounter in practice and prevent potential errors. The increasing importance given to patient safety due to the rising number of fall cases supports the necessity of this research. The aim of this study is to evaluate the effect of standard patient and web-based simulation methods on nursing students' knowledge and attitudes regarding falls.

Study Overview

• Status: Not yet recruiting
• Conditions: Fall; Patient Safety; Simulation Edication
• Intervention / Treatment: Other: Standardized patient; Other: web-based simulation

• Study Type: Interventional
• Enrollment (Estimated): 81
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: ESRA ERTUĞRUL; Phone Number: +9005071053241; Email: esraertugrul3232@gmail.com

Study Locations

• Turkey (Türkiye)
  • Aydin, Turkey (Türkiye)
    • Adnan Menderes University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:Students were included in the study if they were:

• A senior nursing student at Aydın Adnan Menderes University Faculty of Nursing
• Volunteering to participate in the study
• Not absent at any time during the study period
• Working/not working as a nurse

Exclusion Criteria:

• Graduated from a health vocational high school
• Admitted through the Foreign Student Exam (YÖS)
• Graduated from a health-related associate's degree program and then enrolled in the nursing department through the Vertical Transfer Exam (DGS)
• Students who did not wish to participate in the study were excluded from the study.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Group 1 Group trained with a standard patient in the simulation lab	Other: Standardized patient; The group receiving training with standard patients in a simulation laboratory environment.
Experimental: Group 2 The group is receiving web-based simulation training in a laboratory setting.	Other: web-based simulation; Group receiving training through web-based simulation in a laboratory environment.
No Intervention: Group 3 Classical classroom education group.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Planned Mean Change in Total Knowledge Score on the Fall Prevention Knowledge Test (0-28)	Planned Mean Change in Total Knowledge Score on the Fall Prevention Knowledge Test (0-28) Total knowledge score will be measured using the Fall Prevention Knowledge Test among nursing students. Change from baseline will be assessed.	From enrollment to the 8th week of the intervention
Planned Mean Change in Attitude Score on the Nurses' Attitudes Toward Fall Prevention Scale	Planned Mean Change in Attitude Score on the Nurses' Attitudes Toward Fall Prevention Scale Mean attitude score will be measured using the Nurses' Attitudes Toward Fall Prevention Scale among nursing students. Change from baseline will be assessed.	From enrollment to 8 weeks after intervention

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Planned Mean Change in Total Knowledge Score on the Patient Fall Prevention Knowledge Test	The change in the total knowledge scores of nursing students will be measured using the Patient Fall Prevention Knowledge Test. Change from baseline will be assessed.	Immediately after the intervention
Planned Mean Change in Average Attitude Score on the Nurses' Attitudes Towards Fall Prevention Scale	The change in the average attitude scores of nursing students will be measured using the Nurses' Attitudes Towards Fall Prevention Scale. Change from baseline will be assessed.	Immediately after the intervention
Planned Mean Change in Student Satisfaction Score Regarding the Simulation Experience	The change in the average satisfaction score of nursing students in the experimental group will be measured using the Student Satisfaction Scale. Change from baseline will be assessed.	Immediately after the intervention
Planned Mean Change in Learning Self-Confidence Score Regarding the Simulation Experience	The average learning self-confidence score of nursing students in the experimental group will be measured using the Learning Confidence Scale. Change from baseline will be assessed.	Immediately after the intervention

Collaborators and Investigators

• Sponsor: ESRA ERTUĞRUL

Study record dates

Study Major Dates

• Study Start (Estimated): January 5, 2026
• Primary Completion (Estimated): April 1, 2026
• Study Completion (Estimated): May 22, 2026

Study Registration Dates

• First Submitted: December 31, 2025
• First Submitted That Met QC Criteria: February 2, 2026
• First Posted (Actual): February 5, 2026

Study Record Updates

• Last Update Posted (Actual): February 5, 2026
• Last Update Submitted That Met QC Criteria: February 2, 2026
• Last Verified: February 1, 2026

More Information

Terms related to this study

• Keywords: randomized controlled trial; nursing students; standard patient; web-based simulation
• Other Study ID Numbers: 2024/028

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: This study does not plan to share raw data at the individual level. However, to promote transparency of research findings, summary data (demographic characteristics, pretest and posttest scores, group comparisons, and analysis results) that do not include participant identification will be shared with researchers upon request. No personal identifying information (name, contact information, institutional information, etc.) will be shared.
• IPD Sharing Time Frame: August 2026-December 2026
• IPD Sharing Access Criteria: Access to data will be available only after a written request from the researcher and a review by the research team for scientific relevance. Access will only be provided by securely transmitting designated datasets via email; no sharing will be made via any open-access repository or online platform.
• IPD Sharing Supporting Information Type: SAP; ICF; CSR

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No