{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T23:53:28Z","timestamp":1792108408770,"version":"4.4.0"},"reference-count":22,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100004410","name":"T\u00fcrkiye Bilimsel ve Teknolojik Ara\u015ft\u0131rma Kurumu","doi-asserted-by":"publisher","award":["223S398"],"award-info":[{"award-number":["223S398"]}],"id":[{"id":"10.13039\/501100004410","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Stoma care is a vital skill that affects patients' quality of life; however, the shortcomings of traditional static models have limited tissue realism and produce fewer varied training scenarios. This research examines the impact of using 3D printing models and role\u2010playing applications in education on nursing students' knowledge, skills, satisfaction, and self\u2010confidence regarding stoma care. The aim of this randomized controlled trial is to determine the effect of an application involving 3D printing, moulage, and role\u2010playing (high\u2010fidelity simulation) on knowledge, skills, satisfaction, and self\u2010confidence compared to traditional low\u2010fidelity models. Participants met the inclusion criteria and were then eligible for random assignment. Seventy\u2010six students were divided into experimental (38) and control (38) groups using a random number table. Data were collected using an information form, a skills rubric and a satisfaction\u2010self\u2010confidence scale; the results are presented at a significance level of\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.05 and with a 95% confidence interval (CI). No difference was found between the groups in pre\u2010training knowledge scores (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.545,\n                    <jats:italic>r<\/jats:italic>\n                    \u2009=\u20090.069). Post\u2010training, the experimental group showed significantly higher scores than the control group in terms of knowledge (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001,\n                    <jats:italic>r<\/jats:italic>\n                    \u2009=\u20090.463), care skills (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001,\n                    <jats:italic>r<\/jats:italic>\n                    \u2009=\u20090.472), satisfaction (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.019,\n                    <jats:italic>r<\/jats:italic>\n                    \u2009=\u20090.269) and self\u2010confidence (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.001,\n                    <jats:italic>r<\/jats:italic>\n                    \u2009=\u20090.378). According to Cohen's guidelines, these statistical findings indicate medium\u2010to\u2010large effect sizes between the groups, demonstrating the substantial educational impact of the developed 3D\u2010printed and moulage\u2010based high\u2010fidelity simulation model on nursing students' competencies. This study demonstrated that the use of 3D printers and modelling had a significant and clinically meaningful effect on students' cognitive and psychomotor outcomes. This model is a strong alternative for enhancing clinical competence in nursing education.\n                  <\/jats:p>","DOI":"10.1111\/iwj.71068","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T12:41:52Z","timestamp":1792068112000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Effect of 3D Printer and Moulage Use on Improving Stoma Care Knowledge and Skills in Nursing Students: A Randomized Controlled Trial"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7786-2288","authenticated-orcid":false,"given":"Cagla","family":"Avcu","sequence":"first","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences Tekirdag Nam\u0131k Kemal University  Tekirdag Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4981-6671","authenticated-orcid":false,"given":"T\u00fclin","family":"Yildiz","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences Tekirdag Nam\u0131k Kemal University  Tekirdag Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,15]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"International Agency for Research on Cancer (IARC) \u201cGlobal Cancer Observatory\u2010Colon. [Internet]\u201d(2022) https:\/\/gco.iarc.fr\/today\/home."},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764\u2010020\u201000940\u20105"},{"issue":"10","key":"e_1_2_12_4_1","first-page":"1496","article-title":"Effect of Stoma Model Based Education on Knowledge and Skill Levels of Student Nurses: A Quasi\u2010Experimental Study From Turkey","volume":"69","author":"F\u0131nd\u0131k U. Y.","year":"2019","journal-title":"Journal of the Pakistan Medical Association"},{"key":"e_1_2_12_5_1","volume-title":"Hem\u015firelik \u00d6\u011frencilerinin Ger\u00e7ek Hasta ile Etkile\u015fime \u0130li\u015fkin Beklenti ve Deneyimleri [Master's Thesis]","author":"Caz B.","year":"2019"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.teln.2023.10.009"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13009"},{"key":"e_1_2_12_8_1","volume-title":"Sa\u011fl\u0131k Bilimlerinde Sim\u00fclasyon Kavramdan Uygulamaya","author":"Karabacak U.","year":"2019"},{"key":"e_1_2_12_9_1","volume-title":"Yara Bak\u0131m\u0131 E\u011fitiminde Ger\u00e7ekli\u011fi Sa\u011flamada Mulaj Kullan\u0131m\u0131n\u0131n Etkisi [PhD Thesis]","author":"Kara H.","year":"2020"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2020.104572"},{"key":"e_1_2_12_11_1","volume-title":"Periferik \u0130ntraven\u00f6z Kateterizasyon Becerisi Geli\u015ftirilmesinde Sim\u00fclasyona Dayal\u0131 \u00d6\u011fretimin Etkisinin \u0130ncelenmesi [Master's thesis]","author":"Erdem H.","year":"2018"},{"key":"e_1_2_12_12_1","volume-title":"Hem\u015firelik E\u011fitiminde \u00dc\u00e7 Boyutlu Yaz\u0131c\u0131lar\u0131n Kullan\u0131m\u0131: Fallot Tetralojisini \u00d6\u011frenmede Etkisi [Master's thesis]","author":"Ey\u00fcpo\u011flu Karao\u011flu N. 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