The Effect of Simulation-Based ECG Training on ECG Reading Skills of Nursing Students (ECGNURSİNG)

April 16, 2026 updated by: Necmiye ÇÖMLEKÇİ, Bartın Unıversity

The Effect of Simulation-Based ECG Training on ECG Reading Skills of Nursing Students; Randomized Controlled Study

Accurately analyzing ECG rhythms is a critical competency for nursing students. However, many students fail to achieve an adequate level of knowledge and skill in this area. Therefore, simulation-based learning approaches and innovative, interactive teaching strategies can be effective in improving students' ECG interpretation skills. Furthermore, continuous professional education and hands-on experiences are crucial to ensure the sustainability of these competencies in clinical practice.

This study is designed as a randomized controlled trial to determine the effect of simulation-based education on the ECG reading skills of nursing students. The study sample is planned to consist of 60 participants, with 30 in the intervention group and 30 in the control group. Data collection tools will include the Participant Information Form, the ECG Knowledge Test, and the Simulation-Based Learning Evaluation Scale. After administering pre-tests, students will be randomly assigned to the intervention and control groups using a simple randomization method. Both groups will receive ECG training. Following the training, students in the intervention group will receive hands-on, simulation-based ECG training in a simulation lab. In contrast, students in the control group will reinforce their ECG knowledge and skills through interactive games developed using Web 2.0 tools such as Wordwall and Nearpod. After the training, both groups will be tested, and a post-test will be administered in the fourth week to evaluate learning retention and knowledge permanence.

As a result of this study, it will be determined whether simulation-based education is more effective than traditional digital methods in enhancing nursing students' ECG knowledge and skill levels.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

31

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

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
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • To be a student of nursing department,
  • To be over 18 years of age,
  • Not having received training in ECG interpretation/reading before,
  • No hearing, vision or speech impairment,
  • Regular participation in research,
  • Volunteering to participate in the research.

Exclusion Criteria:

  • To be a student of a department other than nursing,
  • Having received ECG training before

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: Health Services Research
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Simulation training group
Simulation training group: After the pre-tests are administered, this group will receive case-based ECG training and scenario-based simulation exercises in the simulation laboratory.
Other: Simulation-based ECG training
Pretests will be administered to students who agree to participate in the study and meet the inclusion criteria. After the pre-tests are administered, students will be randomized to the intervention and control groups using a simple randomization method. After randomization, students assigned to the intervention and control groups will be trained to gain ECG knowledge and skills. The intervention group will receive hands-on training in the simulation laboratory. Repetition tests will be applied after the first training is completed. Post-tests will be administered to both groups in the fourth week to evaluate learning and knowledge retention.
Active Comparator: Web 2.0 tool training group
After the pre-tests are administered, this group will reinforce their ECG knowledge and skills using interactive educational games developed with Web 2.0 tools such as Wordwall and Nearpod.
Other: Training
Pretests will be administered to students who agree to participate in the study and meet the inclusion criteria. After the pre-tests are administered, students will be randomized to the intervention and control groups using a simple randomization method. After randomization, students assigned to the intervention and control groups will be trained to gain ECG knowledge and skills. The control group will be provided with repeat ECG knowledge and skills with interactive games prepared with digital Web 2 tools such as Wordwall, Nearpod, etc. Repetition tests will be applied after the first trainings are completed. Post-tests will be administered to both groups in the fourth week to evaluate learning and knowledge retention.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
ECG Knowledge test
Time Frame: Before ECG training, two weeks after the training, four weeks after the training
The questionnaire was developed by the researchers in order to evaluate the basic knowledge about ECG and the ability to read the sample ECG images. It consists of a total of 70 questions, including true-false, multiple-choice, and analysis questions. Each correct answer is worth 1 point, and each incorrect answer is worth 0 points; the total possible score ranges from 0 to 70.
Before ECG training, two weeks after the training, four weeks after the training
Evaluation of Simulation-Based Learning Scale
Time Frame: Before ECG training, two weeks after the training, four weeks after the training
The scale is used to evaluate the simulation-based learning experience from the student perspective. The scale consists of five sub-dimensions, including nursing process, patient safety, professional knowledge, communication, and reflected behavior and 37 items in total. The total score range is between 37 and 185.
Before ECG training, two weeks after the training, four weeks after the training
Participant Information Form
Time Frame: Before ECG training
It was created by the researchers in line with literature. It consists of a total of 7 items measuring information about the participants' socio-demographic characteristics and ECG knowledge and skills.
Before ECG training

Collaborators and Investigators

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

Sponsor

Bartın Unıversity

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)

May 15, 2025

Primary Completion (Actual)

June 30, 2025

Study Completion (Actual)

October 30, 2025

Study Registration Dates

First Submitted

May 9, 2025

First Submitted That Met QC Criteria

April 14, 2026

First Posted (Actual)

April 16, 2026

Study Record Updates

Last Update Posted (Actual)

April 21, 2026

Last Update Submitted That Met QC Criteria

April 16, 2026

Last Verified

April 1, 2026

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 2025-SBB-0312

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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