Operating Room Nurses' Knowledge of Medical Device-Related Pressure Injuries and Clinical Decision-Making Skills (OR-MDRPI-KnowD)

April 7, 2026 updated by: Ezgi Dirgar, University of Gaziantep

The Effect of Operating Room Nurses' Knowledge of Medical Device-Related Pressure Injuries on Clinical Decision-Making Skills: A Scenario-Based Multicenter Cross-Sectional Study

This multicenter, scenario-based cross-sectional study aims to examine the effect of operating room nurses' knowledge of medical device-related pressure injuries on their clinical decision-making skills. The study will be conducted with approximately 165 operating room nurses working in three different hospitals in Gaziantep, Türkiye. Data will be collected using a descriptive information form, a validated medical device-related pressure injury knowledge scale, and a scenario-based clinical decision-making assessment form. The study will evaluate the relationship between nurses' knowledge levels and their clinical decision-making performance, as well as identify factors influencing these outcomes. The findings are expected to contribute to improving patient safety, enhancing nursing education, and supporting evidence-based clinical decision-making in perioperative care.

Study Overview

Status

Status

Indicates the current recruitment status or the expanded access status.
Not yet recruiting

Conditions

Conditions

The disease, disorder, syndrome, illness, or injury that is being studied. On ClinicalTrials.gov, conditions may also include other health-related issues, such as lifespan, quality of life, and health risks.

Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.

Detailed Description

Medical device-related pressure injuries (MDRPIs) are a significant and preventable patient safety issue, particularly in perioperative settings where prolonged immobility, decreased tissue perfusion due to anesthesia, and continuous contact with medical devices increase the risk of tissue damage. Studies have reported that the incidence of MDRPIs in surgical patients ranges widely and increases with the duration of surgery. Commonly affected areas include the nasal bridge, ears, lips, and other regions exposed to prolonged pressure from devices such as endotracheal tubes, masks, and fixation materials.

Operating room nurses play a critical role in preventing MDRPIs through appropriate device selection, positioning, skin assessment, and implementation of preventive interventions. International guidelines emphasize the importance of early risk identification and evidence-based clinical decision-making in reducing the occurrence of pressure injuries. However, existing literature indicates variability in nurses' knowledge levels regarding MDRPIs and suggests that this may affect their clinical decision-making processes. Despite the recognized importance of both knowledge and decision-making, studies examining the direct relationship between MDRPI knowledge and clinical decision-making skills among operating room nurses remain limited.

This multicenter, scenario-based cross-sectional study aims to evaluate the effect of operating room nurses' knowledge of MDRPIs on their clinical decision-making skills. The study will be conducted in three hospitals representing different levels of healthcare services in Gaziantep, Türkiye, including a university hospital, a city hospital, and a state hospital. Approximately 165 operating room nurses will be recruited based on predefined inclusion criteria.

Data will be collected using three instruments: a Descriptive Information Form, the Medical Device-Related Pressure Injury Knowledge Scale, and a Scenario-Based Clinical Decision-Making Form developed based on relevant literature and expert opinions. The scenario-based tool consists of multiple clinical situations designed to assess nurses' ability to make appropriate decisions in real-life perioperative contexts.

Data will be analyzed using appropriate statistical methods, including descriptive statistics, group comparisons, correlation analyses, and multiple linear regression to determine the predictive effect of knowledge on clinical decision-making skills. The study is expected to provide evidence on the relationship between knowledge and decision-making in the prevention of MDRPIs and to inform the development of targeted educational interventions aimed at improving perioperative nursing practices and patient safety outcomes.

Study Type

Study Type

Describes the nature of a clinical study. Study types include interventional studies (also called clinical trials), observational studies (including patient registries), and expanded access.
Observational

Enrollment (Estimated)

Enrollment

The number of participants in a clinical study. The "anticipated" enrollment is the target number of participants that the researchers need for the study.
165

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact

The name and contact information for the person who can answer enrollment questions for a clinical study. Each location where the study is being conducted may also have a specific contact, who may be better able to answer those questions.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Eligibility Criteria

The key requirements that people who want to participate in a clinical study must meet or the characteristics they must have. Eligibility criteria consist of both inclusion criteria (which are required for a person to participate in the study) and exclusion criteria (which prevent a person from participating). Types of eligibility criteria include whether a study accepts healthy volunteers, has age or age group requirements, or is limited by sex.

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Sampling Method

Non-Probability Sample

Study Population

The study population includes operating room nurses employed in three hospitals representing different levels of healthcare services (university, city, and state hospitals) in Gaziantep, Türkiye. Nurses with at least one year of operating room experience who meet the inclusion criteria and provide informed consent will be included in the study.

Description

Inclusion Criteria:

  • Operating room nurses who have been working in operating rooms for at least one year Nurses who voluntarily agree to participate in the study Nurses who are able to understand and complete the data collection forms

Exclusion Criteria:

  • Nurses who withdraw from the study at any stage after providing consent Incomplete or missing data in the questionnaires

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort

Group / Cohort

A group or subgroup of participants in an observational study that is assessed for biomedical or health outcomes.
Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.
Operating Room Nurses
Operating room nurses working in different hospitals who participate in the study and complete the knowledge scale and scenario-based clinical decision-making assessment.
Other: None AHT
Operating room nurses recruited from multiple centers who are assessed for their knowledge of medical device-related pressure injuries and clinical decision-making skills using standardized tools.

What is the study measuring?

Primary Outcome Measures

Primary Outcome Measures

In a clinical study's protocol, the planned outcome measure that is the most important for evaluating the effect of an intervention/treatment. Most clinical studies have one primary outcome measure, but some have more than one.
Outcome Measure
Measure Description
Time Frame
Clinical Decision-Making Skills Score
Time Frame: Baseline (single assessment)
Clinical decision-making skills will be assessed using a scenario-based clinical decision-making form consisting of 15 scenarios. Each correct response is scored as 1 and incorrect responses as 0. Total scores range from 0 to 15, with higher scores indicating better clinical decision-making skills.
Baseline (single assessment)

Secondary Outcome Measures

Secondary Outcome Measures

In a clinical study's protocol, a planned outcome measure that is not as important as the primary outcome measure for evaluating the effect of an intervention but is still of interest. Most clinical studies have more than one secondary outcome measure.
Outcome Measure
Measure Description
Time Frame
Medical Device-Related Pressure Injury Knowledge Score
Time Frame: Baseline
Knowledge levels will be measured using a 25-item medical device-related pressure injury knowledge scale. Each correct answer is scored as 1, and incorrect or "I don't know" responses are scored as 0. Total scores range from 0 to 25, with higher scores indicating higher knowledge levels.
Baseline

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Sponsor

The organization or person who initiates the study and who has authority and control over the study.
University of Gaziantep

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

  • 1. Tobiano, G., Marshall, A. P., Bucknall, T., & Chaboyer, W. (2025). Medical device-related pressure injuries in surgical settings: A scoping review. Journal of Perioperative Nursing, 38(2), 101-112. https://doi.org/10.1016/j.jopan.2025.01.006 2. Hu, Y., Zhang, X., & Liu, Q. (2025). Risk factors and preventive strategies for medical device-related pressure injuries in perioperative patients: A multicenter observational study. International Wound Journal, 22(1), 58-67. https://doi.org/10.1111/iwj.15042 3. Li, J., Zhou, H., & Wang, L. (2025). Incidence and characteristics of medical device-related pressure injuries among surgical patients: A multicenter study. Wound Management & Prevention, 71(3), 45-54. https://doi.org/10.25270/wmp.2025.03.045 4. Aydınlı, A., & Doğan, M. (2025). Tıbbi cihaz kaynaklı basınç yaraları ve hemşirelik yaklaşımları. Türk Klinik Hemşirelik Dergisi, 17(1), 24-33. https://doi.org/10.5336/nurs.2025-95114 5. Fang, Q., Lin, X., & Zhao, Y. (2025). Skin integrity and device fixation methods: Impact on device-related pressure injuries. Journal of Wound Care, 34(4), 210-219. https://doi.org/10.12968/jowc.2025.34.4.210 6. Crunden, E., Dealey, C., & Banks, M. (2025). EWMA, NPIAP, and EPUAP joint statement on prevention and management of medical device-related pressure injuries. Journal of Wound, Ostomy and Continence Nursing, 52(2), 145-152. https://doi.org/10.1097/WON.0000000000000954 7. Aydınlı, A., & Doğan, M. (2025). Tıbbi cihaz kaynaklı basınç yaraları ve hemşirelik yaklaşımları. Türk Klinik Hemşirelik Dergisi, 17(1), 24-33. https://doi.org/10.5336/nurs.2025-95114 8. Crunden, E., Dealey, C., & Banks, M. (2025). EWMA, NPIAP, and EPUAP joint statement on prevention and management of medical device-related pressure injuries. Journal of Wound, Ostomy and Continence Nursing, 52(2), 145-152. https://doi.org/10.1097/WON.0000000000000954 9. Erzincanlı, S., Yıldız, H., & Demir, N. (2025). Ameliyathane hemşirelerinin tıbbi cihaz ilişkili basınç yaralanmala

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

Study Start

The actual date on which the first participant was enrolled in a clinical study. The "anticipated" study start date is the date that the researchers think will be the study start date.
April 25, 2026

Primary Completion (Estimated)

Primary Completion

The date on which the last participant in a clinical study was examined or received an intervention to collect final data for the primary outcome measure. Whether the clinical study ended according to the protocol or was terminated does not affect this date. For clinical studies with more than one primary outcome measure with different completion dates, this term refers to the date on which data collection is completed for all the primary outcome measures. The "anticipated" primary completion date is the date that the researchers think will be the primary completion date for the study.
November 25, 2026

Study Completion (Estimated)

Study Completion

The date on which the last participant in a clinical study was examined or received an intervention/treatment to collect final data for the primary outcome measures, secondary outcome measures, and adverse events (that is, the last participant's last visit). The "anticipated" study completion date is the date that the researchers think will be the study completion date.
December 31, 2026

Study Registration Dates

First Submitted

First Submitted

The date on which the study sponsor or investigator first submitted a study record to ClinicalTrials.gov. There is typically a delay of a few days between the first submitted date and the record's availability on ClinicalTrials.gov (the first posted date).
April 7, 2026

First Submitted That Met QC Criteria

First Submitted That Met QC Criteria

The date on which the study sponsor or investigator first submits a study record that is consistent with National Library of Medicine (NLM) quality control (QC) review criteria. The sponsor or investigator may need to revise and submit a study record one or more times before NLM's QC review criteria are met. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
April 7, 2026

First Posted (Actual)

First Posted

The date on which the study record was first available on ClinicalTrials.gov after National Library of Medicine (NLM) quality control (QC) review has concluded. There is typically a delay of a few days between the date the study sponsor or investigator submitted the study record and the first posted date.
April 14, 2026

Study Record Updates

Last Update Posted (Actual)

Last Update Posted

The most recent date on which changes to a study record were made available on ClinicalTrials.gov. There may be a delay between when the changes were submitted to ClinicalTrials.gov by the study's sponsor or investigator (the last update submitted date) and the last update posted date.
April 14, 2026

Last Update Submitted That Met QC Criteria

Last Update Submitted That Met QC Criteria

The most recent date on which the study sponsor or investigator submitted changes to a study record that are consistent with National Library of Medicine (NLM) quality control (QC) review criteria. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
April 7, 2026

Last Verified

Last Verified

The most recent date on which the study sponsor or investigator confirmed the information about a clinical study on ClinicalTrials.gov as accurate and current. If a study with a recruitment status of recruiting; not yet recruiting; or active, not recruiting has not been confirmed within the past 2 years, the study's recruitment status is shown as unknown.
April 1, 2026

More Information

Terms related to this study

Keywords

Other Study ID Numbers

Other Study ID Numbers

Identifiers or ID numbers other than the NCT number that are assigned to a clinical study by the study's sponsor, funders, or others. These numbers may include unique identifiers from other trial registries and National Institutes of Health grant numbers.
  • 2026/008 (Other Identifier: HKU Ethics Committee Approval No)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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