The Effects of Colostomy Care Training Based on Jeffries' Simulation Theory on Nursing Students

April 24, 2026 updated by: Aybike Cici

The Effects of Colostomy Care Training Based on Jeffries' Simulation Theory on Nursing Students: A Randomised Controlled Study

The aim of this study is to examine the effect of colostomy care training based on Jeffries' Simulation Theory on nursing students' knowledge, skills, stress, self-efficacy, readiness, state anxiety, satisfaction, and self-confidence.

The study seeks to answer the following hypotheses: H1: Colostomy care training based on Jeffries' Simulation Theory affects nursing students' knowledge levels. H2: Colostomy care training based on Jeffries' Simulation Theory affects nursing students' skill levels. H3: Colostomy care training based on Jeffries' Simulation Theory affects nursing students' stress levels. H4: Colostomy care training based on Jeffries' Simulation Theory affects nursing students' self-efficacy levels. H5: Colostomy care training based on Jeffries' Simulation Theory affects nursing students' preparedness levels. H6: Colostomy care training based on Jeffries' Simulation Theory affects nursing students' levels of situational anxiety. H7: Colostomy care training based on Jeffries' Simulation Theory affects nursing students' levels of learning satisfaction and self-confidence. According to the Colostomy Care Training Booklet prepared by the researchers, all students will receive training on colostomy care procedures. Students in the intervention group will be individually taken to the simulation laboratory for colostomy care applications using moulage on standardized (simulated) patients, and they will be asked to perform the skills acquired during the training. The effectiveness of this intervention will be evaluated by comparing the intervention group with a control group. Participants: Students in the standardized patient simulation group will perform colostomy bag change and colostomy care skills in the simulation laboratory. Students in the low-fidelity simulation group (control group) will perform colostomy bag change and colostomy care skills using a low-fidelity patient model.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

64

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 Contact

Study Locations

  • Turkey (Türkiye)
    • Central
      • Kars, Central, Turkey (Türkiye), 36100
        • Recruiting
        • Kafkas University Faculty of Health Sciences
        • Contact:

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

No

Description

Inclusion Criteria:

  • Volunteering to participate in the study,
  • Being a fourth-year nursing student,
  • Being enrolled in the HEM-402 course.

Exclusion Criteria:

  • Being a nurse working in the clinic,
  • Not participating in the training programme,
  • Not wishing to continue with the research, wishing to withdraw from the research at any stage
  • Incomplete or incorrect completion of data collection tools

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
No Intervention: Control Group
Experimental: Standardized Patient Simulation Group
Behavioral: Standardized Patient Simulation Group
Students in the intervention group will be taken individually to the simulation laboratory for colostomy care procedures created with mannequins for standard (simulated) patients, and will be asked to apply the skills acquired during training.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Colostomy care training based on Jeffries' Simulation Theory provided to nursing students leads to changes in knowledge level scores.
Time Frame: within one week of the simulation exercise
Colostomy Care Knowledge Assessment Test: The score obtained from the scale ranges from 0 to 100 points. As the score increases, the level of knowledge increases.
within one week of the simulation exercise
The colostomy care training provided to nursing students based on Jeffries' Simulation Theory leads to changes in skill scores.
Time Frame: within one week of the simulation exercise
Colostomy Care Skills Assessment Form: The score ranges from 0 to 100. As the score increases, so does the level of skill.
within one week of the simulation exercise
The colostomy care training provided to nursing students based on Jeffries' Simulation Theory leads to changes in stress level scores.
Time Frame: within one week of the simulation exercise
Stress Perception Scale for Nursing Students: The total score on the scale ranges from 0 to 116. A high score on the scale indicates a high level of stress.
within one week of the simulation exercise
The colostomy care training provided to nursing students based on Jeffries' Simulation Theory leads to changes in their self-efficacy scores.
Time Frame: within one week of the simulation exercise
Self-Efficacy Scale for Clinical Assessment: The lowest possible mean item score on the scale is 0, and the highest is 100. A high score on the scale indicates a high level of self-efficacy regarding clinical performance, whilst a low score indicates a low level of self-efficacy regarding clinical performance.
within one week of the simulation exercise
The colostomy care training provided to nursing students based on Jeffries' Simulation Theory leads to changes in readiness scores.
Time Frame: within one week of the simulation exercise
Casey-Fink Readiness for Practice Scale: The minimum score on the scale is 15 and the maximum is 60. As the score on the scale increases, students' level of readiness for practice increases.
within one week of the simulation exercise
The colostomy care training provided to nursing students based on Jeffries' Simulation Theory leads to changes in state anxiety scores.
Time Frame: within one week of the simulation exercise
State-Trait Anxiety Inventory: Scores on the scale range from 20 to 80. A higher score indicates a higher level of anxiety, whilst a lower score indicates a lower level of anxiety.
within one week of the simulation exercise
The colostomy care training provided to nursing students based on Jeffries' Simulation Theory leads to changes in student satisfaction and self-confidence levels in learning.
Time Frame: within one week of the simulation exercise
Student Satisfaction and Self-Confidence Scale in Learning: The sum of the scale's sub-dimensions does not yield the total scale score; scores are obtained by dividing the sum of the sub-dimension items by the number of items in the relevant sub-dimension. As the score obtained from the scale increases, students' satisfaction with learning and self-confidence also increase.
within one week of the simulation exercise

Collaborators and Investigators

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

Sponsor

Aybike Cici

Collaborators

Kafkas University

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)

March 16, 2026

Primary Completion (Estimated)

May 16, 2026

Study Completion (Estimated)

June 16, 2026

Study Registration Dates

First Submitted

April 1, 2026

First Submitted That Met QC Criteria

April 24, 2026

First Posted (Actual)

April 30, 2026

Study Record Updates

Last Update Posted (Actual)

April 30, 2026

Last Update Submitted That Met QC Criteria

April 24, 2026

Last Verified

April 1, 2026

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 1829502.903/144

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

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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