THE EFFECT OF STANDARD PATİENT-BASED AND WEB-BASED SİMULATİON ON NURSİNG STUDENTS' KNOWLEDGE AND CLİNİCAL SKİLLS İN FALL RİSK ASSESSMENT

Introduction: Falls are the most frequently reported and preventable type of safety incident. Patient falls are the most common adverse events in hospitals. This situation impacts clinical outcomes and increases the financial burden on healthcare systems. Simulation is an important component of nursing education because it enhances patient care and ensures patient safety.

Objective: To comparatively examine the effect of standard patient-based and web-based simulation methods, implemented in addition to the same theoretical education provided to nursing students, on students' knowledge levels regarding fall risk assessment and their fall risk assessment skills in clinical practice.

Materials and Methods: The study was conducted during the spring semester of the 2025-2026 academic year with first-year students in the Department of Nursing at Aydın Adnan Menderes University as part of the Fundamentals of Nursing course. All participating students will complete theoretical classes in the classroom and practical sessions in the laboratory. The study using standard patient and web-based simulation applications will be conducted in the simulation laboratory of the Faculty of Nursing at Aydın Adnan Menderes University. Research data will be collected using the "Individual Information Form," the "Fall Knowledge Test for Preventing Patient Falls" prepared in accordance with the literature, and the "Fall Risk Assessment Skills Rubric." Research data will be collected over a 4-month period (February 9 - June 9, 2026). A written permission letter will be obtained from the institution to conduct the study. Participants will be provided with detailed information about the study, and both verbal and written consent will be obtained. For numerically measured data, a normal distribution analysis will be performed; based on the results of this analysis, "Pearson Chi-square" and "t-tests" will be used for variables showing a normal distribution.

Findings: The research findings will be presented based on the analyses conducted.

Conclusion: The results will be presented based on the research findings, and recommendations will be made accordingly.

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): 120
• Phase: Not Applicable

Contacts and Locations

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

Study Locations

• Turkey (Türkiye)
  • Eğirdir
    • Isparta, Eğirdir, Turkey (Türkiye), 32500
      • Süleyman Demirel University Eğirdir School of Health Services

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• Be a first-year student in the School of Nursing
• Be willing to participate in the study
• Have no absences at any point during the study
• Have completed both theoretical and clinical training
• Be willing to remain in the study throughout all phases
• Be a student who is not currently working or has not previously worked as a nurse

Exclusion Criteria:

• Be a graduate of a vocational high school for health sciences
• Be a student admitted through the Foreign Student Exam (YÖS)
• Be a student who does not wish to participate in the research
• Be a student who was admitted to the nursing program through the Vertical Transfer Exam (DGS) after graduating from a program offering an associate's degree in a health-related field

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.

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
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
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]
Fall Risk Assessment Skills Rubric	A Fall Risk Assessment Skills Rubric for Clinical Practice has been developed. The rubric consists of 10 items designed to assess students' clinical reasoning, observation, and decision-making skills, independent of any specific scale, with each item scored on a scale of 0-2. The total score ranges from 0 to 20.	Four weeks after the procedure

Collaborators and Investigators

• Sponsor: ESRA ERTUĞRUL

Study record dates

Study Major Dates

• Study Start (Estimated): April 27, 2026
• Primary Completion (Estimated): May 22, 2026
• Study Completion (Estimated): June 12, 2026

Study Registration Dates

• First Submitted: April 23, 2026
• First Submitted That Met QC Criteria: April 23, 2026
• First Posted (Actual): April 29, 2026

Study Record Updates

• Last Update Posted (Actual): April 29, 2026
• Last Update Submitted That Met QC Criteria: April 23, 2026
• Last Verified: April 1, 2026

More Information

Terms related to this study

• Keywords: randomized controlled trial; nursing students; standard patient; web-based simulation
• Other Study ID Numbers: 66

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