Gamification in Stoma Care Education for Nursing Students (GAME-STOMA)

The Effect of the Gamification Method on Nursing Students' Learning of Stoma Care

his study aims to determine the effect of a gamification-based educational method on nursing students' learning of stoma care. The research will be conducted as a pretest-posttest, parallel-group randomized controlled experimental study. This research will be prepared under the guidance of the Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) protocol, and the reporting of the randomized controlled study will be carried out under the Consolidated Standards of Reporting Trials (CONSORT).

Participants will consist of fourth-year nursing students who voluntarily agree to participate in the study. After obtaining informed consent, participants will complete a descriptive characteristics form and the Stoma Care Knowledge Test. Randomization will be performed based on baseline knowledge levels, and participants will be assigned to experimental and control groups.

Students' knowledge levels will be assessed using the "Stoma Care Knowledge Test," and their skills will be evaluated using a "Skills Checklist." Following baseline knowledge and skill assessment, the experimental group will receive gamified stoma care education, while the control group will receive standard education. The gamification intervention is designed based on the Werbach D6 Model and aims to enhance students' knowledge and skills in stoma care.

Post-intervention knowledge and skill assessments will be conducted one week after the training. In addition, follow-up measurements will be performed four weeks later to evaluate the retention of knowledge and skills.

Study Overview

• Status: Not yet recruiting
• Conditions: Nursing Education; Gamification; Ostomy - Ileostomy or Colostomy; Stoma Care Education in Nursing Students
• Intervention / Treatment: Other: Gamification-Based Stoma Care Education; Other: Traditional Education

• Study Type: Interventional
• Enrollment (Estimated): 72
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Zeynep Mete Merdin; Phone Number: +905066979094; Email: zeynmete@gmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Nursing students who voluntarily agree to participate in the study
• Students who are enrolled in the "Nursing Professional Practice" course for the first time
• Students who have access to a mobile device (e.g., smartphone or tablet) and internet connection

Exclusion Criteria:

• Students who have previously participated in or used any game related to stoma care
• Students who do not attend the theoretical course
• Students who do not participate in demonstrations or group activities
• Students who do not complete any stage of the knowledge assessment
• Students who do not complete any stage of the skill assessment
• Students who provide incomplete or careless responses to data collection forms
• Students who do not use or complete the game-based intervention

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: GAME-STOMA; Participants receive gamified stoma care training based on the Werbach D6 Model.	Other: Gamification-Based Stoma Care Education; This intervention consists of a gamification-based stoma care education program designed according to the Werbach D6 Model. The game aims to enhance nursing students' knowledge and clinical skills in stoma care by increasing learning motivation and engagement.
Active Comparator: Control Group; Participants receive conventional stoma care education using standard lecture-based teaching methods without game	Other: Traditional Education; Participants in the control group receive standard stoma care education based without any gamification components.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Stoma Care Knowledge Assessment Test Description	This test consists of 24 questions based on the literature regarding stoma care. The test is scored on a scale of 0 to 100; higher scores indicate a higher level of knowledge. The test is administered before the educational intervention and one week afterward; it is also administered again in the fourth week of the intervention for follow-up assessment.	Timeframe: Before the intervention, one week after the intervention, and four weeks after the intervention
Stoma Care Skills Checklist	This checklist, which focuses on stoma care skills, was designed by the researcher in accordance with the academic literature and aligned with the course content objectives and learning outcomes related to stoma care for nursing students. The stoma care skills checklist covers the assessment of the stoma and the procedural steps involved in changing the stoma bag. There are 39 procedural steps that students are expected to perform according to the skills checklist. The evaluation of procedure steps in the checklist is categorized as follows: "Performed the procedure" (2 points), "Performed (incomplete)" (1 point), "Performed (incorrect)" (1 point), and "Did not perform" (0 points). Students can score a minimum of 0 and a maximum of 78 points on the skill checklist. An increase in the student's score indicates an improvement in skill level. The skill assessment is administered before the educational intervention and one week afterward; it is also administered again during the fourth we	Before the intervention, one week after the intervention, and four weeks after the intervention

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Student Evaluation Form on Teaching Methods	This checklist, which focuses on stoma care skills, was designed by the researcher in accordance with the academic literature to align with the course content objectives and learning outcomes related to stoma care for nursing students. The teaching method evaluation form was prepared by the researcher based on the literature to assess students' views on the use of gamification in education. The response options for each item of the evaluation tool are designed as a 5-point Likert scale (1: Strongly disagree; 2: Disagree; 3: Undecided; 4: Agree; 5: Strongly agree).	Immediately post-intervention

Collaborators and Investigators

• Sponsor: Gazi University

Publications and helpful links

General Publications

• Tavares N. (2022). The use and impact of game-based learning on the learning experience and knowledge retention of nursing undergraduate students: A systematic literature review. Nurse education today, 117, 105484. https://doi.org/10.1016/j.nedt.2022.105484
• Kulakaç, N., & Çilingir, D. (2024). The effect of a serious game-based web application on stoma care education for nursing students: A randomized controlled trial. Teaching and Learning in Nursing, 19(1), e126-e132.
• Bayram, Ş., & Çalışkan, N. (2023). Mobile Serious Game on Nursing Students' Knowledge, Motivation, Satisfaction, and Views: Tracheostomy Care Example. Journal of Innovative Healthcare Practices, 4(2), 118-129.
• Abselam-Ali, K., Capilla-Díaz, C., Reina-Prego, R., & Parra-González, M. E. (2024). Knowledge, self-efficacy, satisfaction, and self-confidence of nursing students for stoma care using active learning methods: a controlled experimental study.

Study record dates

Study Major Dates

• Study Start (Estimated): March 27, 2026
• Primary Completion (Estimated): April 3, 2026
• Study Completion (Estimated): April 24, 2026

Study Registration Dates

• First Submitted: March 24, 2026
• First Submitted That Met QC Criteria: March 24, 2026
• First Posted (Actual): March 30, 2026

Study Record Updates

• Last Update Posted (Actual): March 30, 2026
• Last Update Submitted That Met QC Criteria: March 24, 2026
• Last Verified: March 1, 2026

More Information

Terms related to this study

• Keywords: gamification; stoma care; nursing education
• Other Study ID Numbers: 1492837

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

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