Participants receive gamified stoma care training based on the Werbach D6 Model.

Participants receive conventional stoma care education using standard lecture-based teaching methods without game

This intervention consists of a gamification-based stoma care education program designed according to the Werbach D6 Model. The game aims to enhance nursing students' knowledge and clinical skills in stoma care by increasing learning motivation and engagement.

This test consists of 24 questions based on the literature regarding stoma care. The test is scored on a scale of 0 to 100; higher scores indicate a higher level of knowledge. The test is administered before the educational intervention and one week afterward; it is also administered again in the fourth week of the intervention for follow-up assessment.

This checklist, which focuses on stoma care skills, was designed by the researcher in accordance with the academic literature and aligned with the course content objectives and learning outcomes related to stoma care for nursing students. The stoma care skills checklist covers the assessment of the stoma and the procedural steps involved in changing the stoma bag. There are 39 procedural steps that students are expected to perform according to the skills checklist. The evaluation of procedure steps in the checklist is categorized as follows: "Performed the procedure" (2 points), "Performed (incomplete)" (1 point), "Performed (incorrect)" (1 point), and "Did not perform" (0 points). Students can score a minimum of 0 and a maximum of 78 points on the skill checklist. An increase in the student's score indicates an improvement in skill level. The skill assessment is administered before the educational intervention and one week afterward; it is also administered again during the fourth we

This checklist, which focuses on stoma care skills, was designed by the researcher in accordance with the academic literature to align with the course content objectives and learning outcomes related to stoma care for nursing students. The teaching method evaluation form was prepared by the researcher based on the literature to assess students' views on the use of gamification in education. The response options for each item of the evaluation tool are designed as a 5-point Likert scale (1: Strongly disagree; 2: Disagree; 3: Undecided; 4: Agree; 5: Strongly agree).