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CompletedNCT05354687Updated Jan 17, 2023

Comparison of Self Directed Learning and Small Group Teaching Methods on Pressure Injury Assessment

An interventional study of Small-group Teaching and Self-directed Learning in Pressure Ulcer, sponsored by Gazi University. Completed at 1 site in Turkey (Türkiye). Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-01-17.

Sponsored by Gazi University · Not applicable, Interventional, and Health services research

Phase
Not applicable
Study type
Interventional
Enrollment
93
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine the effect of pressure injury assessment training given by self-directed learning and small-group teaching methods on the knowledge and skill levels of nursing students: a three-group, pre-test - post-test, randomized controlled, parallel-group experimental study.

Read the detailed description

Pressure injury is a common health problem worldwide. The global prevalence of hospital-associated pressure injuries was 8.4%. Regular wound assessment is required to determine appropriate treatment methods, monitor wound healing, and identify complications early in the pressure injury treatment process in order to achieve clinical goals.

According to the literature, nurses and nursing students have a low level of knowledge about pressure injury and there is a knowledge gap between nurses' knowledge of pressure injury and pressure injury practices. As a result, it is necessary to teach skills so that they can put their knowledge into practice. Individuals born after 2000, referred to as Generation Z, make up the majority of students beginning undergraduate education today. The most significant difference between Generation Z and other generations is that they were born during a period when digital high technology was widely used. This generation, also known as the "Internet generation," is constantly surrounded by new technological opportunities, communication, and transportation facilities. Because of these characteristics, it is critical to use teaching methods that will appeal to them when educating students in this group.

In a classroom, there are fast and slow learners. The amount of time allotted to students naturally decreases as the number of students in the class grows. Furthermore, student differences prevent the entire class from learning at the same time. Some students do not learn right away, others later, and still others do not learn at all in such a classroom. Education should be personalized in order to eliminate all of these non-occurrences.With the widespread use of smart phones today, mobile learning has become commonplace. Students gain clinical practice skills and experience when mobile technology is used as a support tool in nursing education practices.

For this purpose, the trainings to be given with the mobile application in this study will be supported by the activities in which the students can practice individually in the skill laboratory.

02

Conditions studied

  • Pressure Ulcer

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Keywords

  • pressure ulcer
  • self-directed learning
  • small-group learning
  • pressure injury
  • pressure injury assessment
03

In context

Pressure Ulcer

526 studies on the registry are indexed under Pressure Ulcer; 120 are open to participants now.

This study's enrollment of 93 is above the median of 70 across 401 interventional studies indexed under Pressure Ulcer.

Browse Pressure Ulcer studies →

Lead sponsor

Gazi University is the lead sponsor of 548 studies on the registry; 104 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • To be registered for the Nursing Vocational Application Course
  • Volunteering to participate in the research
  • Having a mobile device (smartphone, tablet PC etc.)

Exclusion criteria

Exclusion Criteria:

  • To have received training on the evaluation of pressure injuries other than the basic nursing education
05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
93 participants (actual)

Study arms

  • No intervention
    Control Group

    No intervention will be given to participants. Students will be given pre-test and post-tests.

  • Experimental
    Small-group Teaching Group

    Participants will be given training on the evaluation of pressure injuries with small-group teaching techniques.

    Other: Small-group Teaching

  • Experimental
    Self-directed Learning Group

    Participants will be given training on the evaluation of pressure injuries with self-directed learning technique.

    Other: Self-directed Learning

Interventions

  • OtherSmall-group Teaching

    The Small-group Teaching will include theoretical lectures and laboratory practice. Theoretical training will be given in 2 hours and will last 2 week. After the theoretical training, laboratory practice will be made with mannequins, pressure injury models and photographs in the nursing skills laboratory. Laboratory practices will be done in groups of about 10 students. Laboratory application will take 1 week.

  • OtherSelf-directed Learning

    The training will be given in two stages. The first stage of the training will be given via the mobile application for 2 weeks. Students will be able to access the training individually, wherever and whenever they want, via the mobile application. In the second stage, students will individually conduct laboratory practice. Students who start using the mobile application will make laboratory applications individually, whenever they want when the laboratory is available. Models and materials that students will need will be available in the laboratory. They will be able to get help from the trainer when they need it. Individual laboratory application will take 1 week.

06

What researchers measure

Primary outcomes

  1. Evaluation of Pressure Injuries Knowledge Test

    The knowledge test was developed by the researchers in line with the literature. Learning objectives on the assessment of pressure injuries were determined and a table of specifications was prepared. A total of 34 questions were prepared, with at least 3 questions for each learning objective. For the knowledge test created, expert opinions were obtained from 6 faculty members in the field of nursing principles and 3 certified ostomy and wound care nurses. Within the scope of the research, the knowledge test will be applied to at least 100 3rd year nursing students and the item difficulty and discrimination indexes will be examined. If necessary, questions will be revised or removed from the test.

    Time frame: five weeks

  2. Pressure Injury Evaluation Form

    The pressure injury evaluation form was developed by researchers based on the "Wound diagnosis evaluation and follow-up form" of the Wound Ostomy Incontinence Nurses Association and pressure injury staging form developed by National Pressure Injury Advisory Panel (NPIAP). The form, which includes the staging and evaluation of pressure injury, consists of the subheadings of the wound bed and the wound periphery. The expert opinion of the form was obtained from three faculty members who are experts in the Department of Nursing Fundamentals and two specialist nurses who are actively working as wound care nurses, who have a Stoma and Wound Care Certificate approved by the Ministry of Health. This form will be used in the assessment of pressure injuries skills assessment.

    Time frame: five weeks

Secondary outcomes

  1. Pressure Injuries Assessment Education Evaluation Form

    In this form, students express their opinions about the Evaluation of Pressure Injuries training and mobile application. The section on the Evaluation of Pressure Injuries training consists of open-ended questions. The other section is a 5-point Likert-type section with 19 statements about the mobile application. Positive statements are items 1, 3, 5, 6, 8, 10, 11, 13, 14, 16, 17, and 19, while negative statements are items 2, 4, 7, 9, 12, 15, and 18. Each item on the form is scored separately. Each item is worth a minimum of one point and a maximum of five points. Higher scores for positive items mean better outcome, and higher scores for negative items mean worse outcome.

    Time frame: 1 week

07

Study locations

1 site
  • Gazi University
    Ankara, 06490, Turkey (Türkiye)
08

References and documents

Publications

  • Sezgünsay, E. Hemşirelik öğrencilerinin basınç yaralanması değerlendirme becerilerinin geliştirilmesinde yüksek gerçeklikli simülasyon yönteminin etkinliğinin incelenmesi, 2019 (Master's thesis, Gülhane Sağlık Bilimleri Enstitüsü).
  • Gurdap Z, Cengiz Z. Teach-back versus video-assisted instruction for improving nursing students' knowledge, self-efficacy and skills in safe medical device use. Ir J Med Sci. 2026 Sep 24. doi: 10.1007/s11845-026-04640-4. Online ahead of print. PubMed 42782585 ↗
  • Aydogan S, Caliskan N. The effect of self-directed learning via a smartphone application and small-group teaching on nursing students' learning of pressure injury assessment: A randomized controlled study. Nurse Educ Pract. 2025 May;85:104336. doi: 10.1016/j.nepr.2025.104336. Epub 2025 Mar 27. PubMed 40187051 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from May 2022 to primary completion in Jun 2022, 1 month.

Of 181 non-industry interventional studies with no phase under Pressure Ulcer, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 26. This study's 1 month is below that.

Counting every sponsor, half of 211 studies reached it within 11 months; a quarter within 5 and three quarters within 27.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 26, 2022
First posted
Apr 29, 2022
StartActual
May 9, 2022
Primary completionActual
Jun 10, 2022
CompletionActual
Jun 17, 2022
Last update
Jan 17, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 17, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05354687
Lead sponsor
Gazi University
Responsible party
Sinan Aydoğan (Research Assisstant, Gazi University) — Principal investigator
First posted
Apr 29, 2022
Start date
May 9, 2022
Primary completion
Jun 10, 2022
Completion
Jun 17, 2022
Last update
Jan 17, 2023

Study contacts

Nurcan Çalışkan, Professor
principal investigator · Gazi University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2023. You cannot join it, but the record below documents what was studied.

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