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Motion Graphic Training for Scrub Nurses in Hip Surgery

8. juli 2026 oppdatert av: Hamed Parnikh, Arak University of Medical Sciences

Motion Graphic Video-Based Training and Its Effect on Scrub Nurse Performance During Dynamic Hip Screw Surgery in Iran: A Pilot Randomized Controlled Trial

This pilot randomized controlled trial evaluates the effect of motion graphic video-based training on the performance of scrub nurse students during dynamic hip screw (DHS) surgery. A total of 30 operating room technology students in their 6th or 8th semester are randomly assigned to either an intervention group (n=15) or a control group (n=15). The intervention group receives routine clinical training plus a 15-minute motion graphic video demonstrating DHS surgical steps, while the control group receives only routine clinical training. Performance is assessed before and after a 15-day internship using a validated 43-item checklist.

Studieoversikt

Detaljert beskrivelse

This is a pilot randomized controlled trial conducted at Valiasr Teaching Hospital, Arak University of Medical Sciences, Iran, from December 2024 to July 2025. The study is designed according to CONSORT guidelines for pilot and feasibility trials.

A total of 30 undergraduate operating room technology students in their 6th or 8th semester are randomly assigned to intervention (n=15) and control (n=15) groups using block randomization with a computer-generated random numbers table. Both groups receive routine clinical training from the same instructor at the beginning of the course. The intervention group additionally views a 15-minute motion graphic video demonstrating DHS surgical steps, which they can watch unlimited times during the 15-day internship period. The video content includes introduction of surgical instruments, anatomy review, surgical table setup, patient preparation and draping, and instrument delivery to the surgeon.

Students' performance as first scrub nurse is assessed twice: on the first day of internship (pre-test) and at the end of the 15-day internship (post-test) by a blinded independent evaluator using a validated 43-item checklist covering preoperative (13 items), intraoperative (24 items), and postoperative (6 items) phases. The checklist has been validated for content validity and reliability through expert review and pilot testing.

To prevent contamination, the control group is enrolled first, and intervention group students are asked not to discuss the educational video with others. The video will be provided to the control group after study completion for educational equity.

Data will be analyzed using paired and independent t-tests. Effect sizes will be calculated for between-group comparisons.

Studietype

Intervensjonell

Registrering (Faktiske)

30

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

      • Arak, Iran
        • Hamed

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Barn
  • Voksen
  • Eldre voksen

Tar imot friske frivillige

Ja

Beskrivelse

Inclusion Criteria:

Undergraduate operating room technology student in the 6th or 8th semester

  • Completion of the theoretical course in orthopedic operating room technology and care
  • Willingness to participate and provide informed consent

Exclusion Criteria:

Withdrawal or unwillingness to continue participation at any stage

  • Previous clinical experience in orthopedics that could affect the results
  • Absenteeism or insufficient presence during the internship

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Helsetjenesteforskning
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Enkelt

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: Motion Graphic Video Training
Students received a 15-minute motion graphic video demonstrating DHS surgical steps, in addition to routine clinical training, with unlimited access during the 15-day internship.
A 15-minute animated video demonstrating the steps of proximal femur fracture surgery using a dynamic hip screw (DHS). Content includes surgical instruments, anatomy review, table setup, patient draping, and instrument delivery to the surgeon.
Aktiv komparator: Routine Clinical Training
Students received only routine clinical training in the operating room, including attending the OR, performing the scrub nurse role, and receiving direct feedback from the clinical instructor during the 15-day internship.
Standard clinical training in the operating room including attendance, performing the scrub nurse role, and receiving direct feedback from the clinical instructor during the 15-day internship.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Scrub Nurse Performance Score
Tidsramme: Baseline (day 1) and day 15 (end of 15-day internship)
Performance assessed using a validated 43-item researcher-made checklist covering preoperative (13 items), intraoperative (24 items), and postoperative (6 items) phases. Each item is scored on a three-point scale: 0 = does not perform, 1 = performs incompletely, and 2 = performs correctly. The total score ranges from 0 to 86, with higher scores indicating better performance. The checklist was validated for content validity and reliability through expert review and pilot testing.
Baseline (day 1) and day 15 (end of 15-day internship)
Within-Group Pre-Post Score Changes
Tidsramme: Baseline to day 15
Comparison of Scrub Nurse Performance Scores (measured using a validated 43-item checklist, total score range: 0-86, with higher scores indicating better performance) before and after the 15-day internship within each group using paired t-tests.
Baseline to day 15
Between-Group Post-Test Score Comparison
Tidsramme: Day 15
Comparison of Scrub Nurse Performance Scores (measured using a validated 43-item checklist, total score range: 0-86, with higher scores indicating better performance) between the intervention and control groups after the 15-day internship using independent t-tests.
Day 15

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Etterforskere

  • Hovedetterforsker: Hamed parnikh, Arak University of Medical Sciences

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

21. desember 2024

Primær fullføring (Faktiske)

22. juli 2025

Studiet fullført (Faktiske)

22. juli 2025

Datoer for studieregistrering

Først innsendt

1. juli 2026

Først innsendt som oppfylte QC-kriteriene

8. juli 2026

Først lagt ut (Faktiske)

14. juli 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

14. juli 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

8. juli 2026

Sist bekreftet

1. juli 2026

Mer informasjon

Begreper knyttet til denne studien

Andre studie-ID-numre

  • Arak-DHS-2024
  • IR.ARAKMU.REC.1403.219 (Annen identifikator: Ethics Committee of Arak University of Medical Sciences)

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

NEI

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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