Education Program on Evidence-based Practices on Nurses' Competencies and Clinical Decision-Making Levels (RCT)

March 5, 2025 updated by: Seda Sariköse, Koç University

The Effect of Online Training Program on Evidence-Based Practices on Nurses' Competencies for Evidence-Based Practices and Clinical Decision-Making Levels: A Randomized Controlled Trial

This clinical trial aims to develop an online education program and an educational booklet for nurses on EBP and to compare the evidence-based competencies and clinical decision-making levels of nurses trained with these two methods.

Hypotheses of the Study Ho: There is no statistically significant difference between the nurses' competency levels who participated in the online education developed for evidence-based practices and those who were informed of the educational booklet.

H1. The nurses' competency levels who participated in the online education developed for evidence-based practices are statistically higher than those who were informed of the educational booklet.

Ho: There is no statistically significant difference between the clinical decision-making levels of nurses who participated in the online education developed for evidence-based practices and nurses who were informed with the educational booklet.

H1: The clinical decision-making levels of the nurses who participated in the online education developed for evidence-based practices are statistically higher than those informed with the educational booklet.

Participants will:

The nurses in the intervention group are expected to fill in the data collection tools (Introductory Information Form for Nurses, Evidence-Based Practice Competency Scale, Clinical Decision Making Scale in Nursing) before the education and then participate in the education about evidence-based practices on the online platform and fill in the data collection tools (Evidence-Based Practice Competency Scale, Clinical Decision Making Scale in Nursing and Education Evaluation Form) 20 days after the education.

The nurses in the control group were expected to complete the data collection tools (Introductory Information Form for Nurses, Evidence-Based Practice Competency Scale, Clinical Decision Making Scale in Nursing) before the education booklet was given and 20 days after the education.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Detailed Description

One of the specific highlights of this project is that nurses' competencies and clinical decision-making skills can be increased with an education program developed for EBP. In addition, the online education design of the education program in this project will facilitate the integration of education into orientation programs and in-service training for nurses working in institutions where healthcare services are provided. At the same time, the fact that the education program has an online design and consists of an online education that includes modules compatible with smartphones without time and space restrictions shows the original value of the study. Therefore, this study aims to develop an innovative and generalizable online education program for nurses at EBP, contribute to the literature, and indirectly reduce the cost of care and contribute to safe patient care.

Study Type

Interventional

Enrollment (Estimated)

70

Phase

  • Not Applicable

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 Backup

Study Locations

  • Turkey
      • Istanbul, Turkey, 34450
        • Koç University School of Nursing
        • Contact:

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

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Nurses who agree to participate in the study and work in inpatient wards will be included.

Exclusion Criteria:

  • Nurses who do not agree to participate in the study and do not work in inpatient wards will not be included in the sample.

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

  • Primary Purpose: Health Services Research
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Experimental group nurses working in the inpatient wards
The nurses in the experimental group are expected to fill in the data collection tools (Introductory Information Form for Nurses, Evidence-Based Practice Competency Scale, Clinical Decision Making Scale in Nursing) before the education and then participate in the education about evidence-based practices on the online platform and fill in the data collection tools (Evidence-Based Practice Competency Scale, Clinical Decision Making Scale in Nursing and Education Evaluation Form) 20 days after the education.
Other: Online Educational Intervention
An educational program for EBP based on the online learning model was planned to be developed based on the literature and expert opinions. In the program, in line with the literature, the introduction to the EBP, the importance of EBP, EBP steps, clinical research question design in line with PICO, and introduction of EBP databases. It is planned to include topics such as literature search strategies, types of research, use of scientific research and evidence evaluation tools, introduction of clinical decision support systems, reflection of EBP on patient care and clinical decision-making processes, and it is planned to determine the final version of the education content with expert opinions. The program will include recorded videos, slides and documents for each module. The content of the program will be integrated into the Koç University Online Programs Platform by the experts working at Koç University Educational Technologies Unit.
Other Names:
  • Online education program and educational booklet for nurses on EBP
Placebo Comparator: Control group nurses working in the inpatient wards
The nurses in the control group were expected to complete the data collection tools (Introductory Information Form for Nurses, Evidence-Based Practice Competency Scale, Clinical Decision Making Scale in Nursing) before the educational booklet was given and 20 days after the education.
Other: Educational Booklet
An educational booklet for EBP was planned to be developed based on the literature and expert opinions. The learning objectives and content of the educational booklet to be developed will be created by considering Bloom's taxonomy. In line with the literature, it is planned to include topics such as introduction to EBP, importance of EBP, evidence-based practice steps, clinical research question design in line with PICO, introduction of evidence-based databases, literature search strategies, research types, use of scientific research and evidence evaluation tools, introduction of clinical decision support systems, reflections of EBP on patient care and clinical decision-making processes, and finalization of the booklet topics with expert opinions.
Other Names:
  • An educational booklet for EBP

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Clinical decision making levels of nurses
Time Frame: Measured before the education program and 20 days after the implementation of the education program.
The Clinical Decision-Making in Nursing Scale (CDMNS): This scale was developed by Jenkins in 1983 in the USA to determine nursing students' clinical decision-making level based on their statements. Although the scale was developed by applying it to nursing students, it can also be applied to clinical nurses involved in patient care. Edeer and Sarıkaya, in 2015, conducted the Turkish validity and reliability study. The scale consists of 40 items and four sub-dimensions. The subscales of the scale are "exploring options and ideas", "investigating goals and values", "evaluating results", and "investigating knowledge and adopting new knowledge impartially". Each subscale consists of 10 items. 22 items on the scale are positively significant. The 18 negatively significant items are reverse coded. Each item on the scale is evaluated as 5: always, 1: never. The total Cronbach Alpha value of the scale was found to be 0.78.
Measured before the education program and 20 days after the implementation of the education program.
Nurses' competencies for evidence-based practice
Time Frame: Measured before the education program and 20 days after the implementation of the education program.
Evidence-based Practice Evaluation Competence Questionnaire (EBP-COQ). The scale was developed by Ruzafa-Martinez in 2013 to determine the competency levels of nurses and nursing students towards EBP-COQ, and its Turkish validity and reliability were conducted by Yildiz and Güngörmüş in 2016. The scale consists of three sub-dimensions and 25 items. The attitude sub-dimension of the scale consists of items 1-13, the skill sub-dimension consists of items 14-16, and the knowledge sub-dimension consists of items 20-25. The scale is a five-point Likert scale (1: Strongly disagree, 5: Strongly agree), and the minimum score is 25, and the maximum score is 125. Negative items are reverse-coded. A higher score on the scale indicates more self-perceived competence, knowledge, and skills towards EBP and a more positive attitude towards EBP. The total Cronbach Alpha value of the scale was found to be 0.82.
Measured before the education program and 20 days after the implementation of the education program.

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Education Evaluation
Time Frame: Immediately after the intervention
Education Evaluation Form: This form includes questions about the content of the education program, its implementation, end-of-education outcomes, and the opinions and suggestions of the participants to evaluate the education program to be developed. This form will be integrated into the Koç University Online Programs Platform, where the training will take place, and it can be accessed at the end of the program.
Immediately after the intervention

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Descriptive Informations
Time Frame: Measured before the education program.
Descriptive Information Form for Nurses: This form was prepared based on the literature. It includes socio-demographic (age, gender, marital status) and professional information (duration of professional experience, unit of work, weekly working time, working style, training status for EBP, etc.) of nurses and consists of 16 questions in total.
Measured before the education program.

Collaborators and Investigators

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

Sponsor

Koç University

Investigators

  • Study Director: SEDA SARIKOSE, RN, PhD, Koç University School of Nursing

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

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)

August 1, 2025

Primary Completion (Estimated)

August 1, 2027

Study Completion (Estimated)

November 1, 2027

Study Registration Dates

First Submitted

August 9, 2024

First Submitted That Met QC Criteria

August 21, 2024

First Posted (Actual)

August 26, 2024

Study Record Updates

Last Update Posted (Actual)

March 25, 2025

Last Update Submitted That Met QC Criteria

March 5, 2025

Last Verified

March 1, 2025

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 2024.227.IRB3.093

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

IPD Plan Description

The data of the experimental study can be shared with the researcher's approval following ethical conditions. However, the individual data of the participants participating in the study cannot be shared.

IPD Sharing Time Frame

Through study completion, an average of 1 year

IPD Sharing Access Criteria

The data of the experimental study can be shared with the researcher's approval following ethical conditions. However, the individual data of the participants participating in the study cannot be shared.

IPD Sharing Supporting Information Type

  • STUDY_PROTOCOL
  • SAP
  • ICF
  • CSR

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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