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Motion Graphic Training for Scrub Nurses in Hip Surgery

8 juli 2026 uppdaterad 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.

Studieöversikt

Detaljerad beskrivning

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.

Studietyp

Interventionell

Inskrivning (Faktisk)

30

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

      • Arak, Iran
        • Hamed

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Barn
  • Vuxen
  • Äldre vuxen

Tar emot friska volontärer

Ja

Beskrivning

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

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Hälsovårdsforskning
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Enda

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: 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.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Scrub Nurse Performance Score
Tidsram: 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
Tidsram: 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
Tidsram: 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

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Utredare

  • Huvudutredare: Hamed parnikh, Arak University of Medical Sciences

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

21 december 2024

Primärt slutförande (Faktisk)

22 juli 2025

Avslutad studie (Faktisk)

22 juli 2025

Studieregistreringsdatum

Först inskickad

1 juli 2026

Först inskickad som uppfyllde QC-kriterierna

8 juli 2026

Första postat (Faktisk)

14 juli 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

14 juli 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

8 juli 2026

Senast verifierad

1 juli 2026

Mer information

Termer relaterade till denna studie

Andra studie-ID-nummer

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

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