Effects of a Contextual Decision-making Materials on Junior Nurses in Traumatic Learning Performance

Effects of a Contextual Decision-making Learning Materials on Nurses in Two Years Learning Performance for Abdominal and Pelvic Traumatic Severe Bleeding Care

Trauma leading to severe bleeding is one of the reasons for the high mortality rate in trauma patients, resulting in multiple and complex injuries from various accidental mechanisms. However, patients with abdominal-pelvic trauma accidents rank among the top three common accidents in the emergency department. There is a potential for both trauma and severe internal bleeding, making the care of such patients even more challenging. Currently, trauma nursing education focuses on emergency medical care, and teaching on the care of abdominal-pelvic trauma occupies only a small part of the entire nursing curriculum.

In addition to insufficient knowledge teaching in emergency trauma medical care, learning relies heavily on the arrangement of clinical internships, and obtaining practical experience in the care of abdominal-pelvic trauma is often difficult. In the current era of thriving digital learning, allowing learning to be more diverse and unrestricted by time and location, it is essential to integrate appropriate guiding strategies alongside digital technology to make learning more efficient and promote meaningful learning.

Therefore, this study introduces decision trees into an interactive scenario-based learning environment for the care of severe bleeding due to abdominal-pelvic trauma. The decision tree is coupled with a decision-making strategy, utilizing the relationships between leaf nodes to guide learners in clarifying their misconceptions, ultimately leading them to make appropriate decisions to reach the final nodes and solve problems.

To understand the effectiveness of this study, a real experimental research design is adopted to investigate the impact of introducing decision tree-based interactive teaching materials on the care of severe bleeding in abdominal-pelvic trauma situations on the professional knowledge, self-efficacy, clinical reasoning assessment ability, and technology acceptance of surgical nursing students over a two-year period. It is hoped that this interactive teaching material for the care of severe bleeding in abdominal-pelvic trauma scenarios will enhance learners' professional knowledge, self-efficacy, clinical reasoning assessment, and technology acceptanc.

Study Overview

• Status: Completed
• Conditions: Abdominal Injury; Pelvic Injury
• Intervention / Treatment: Device: Interactive Educational Material for Decision-Making; Device: Interactive Educational Material

• Study Type: Interventional
• Enrollment (Actual): 80
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Taiwan
  • Taipei, Taiwan, 100
    • Taiwan

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Holding a nursing license, employed, and having job registration in the same institution.
• Those who are willing to participate in this study, are informed, and have provided consent by signing the informed consent form

Exclusion Criteria:

• Those who have completed a service period of more than two years
• Those who refuse to participate in this study.
• Non-Surgical Department ward nurses

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: experimental group	Device: Interactive Educational Material for Decision-Making; Using severe bleeding from abdominal-pelvic trauma as a scenario case, implementing decision-making teaching strategies to guide learners, and examining the intervention through this research
Active Comparator: control group	Device: Interactive Educational Material; Teaching with scenario-based interactive materials without incorporating any teaching strategies

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The effect of "Interactive Educational Material for Decision-Making"intervention program on Abdominal and Pelvic Traumatic Severe Bleeding care knowledge learning outcome	TThe changes of Questionnaire score of Abdominal and Pelvic Traumatic Severe Bleeding care knowledge, Questionnaire including: Abdominal and Pelvic Traumatic Severe Bleeding knowledge Scores range from 0 to 15, with higher scores representing higher knowledge of Abdominal and Pelvic Traumatic Severe Bleeding care	up to 1 month
The effect of "Interactive Educational Material for Decision-Making"intervention program on Abdominal and Pelvic Traumatic Severe Bleeding care Technology Acceptance learning outcome	The changes of Questionnaire score of Abdominal and Pelvic Traumatic Severe Bleeding care Technology Acceptance, Questionnaire including: Technology Acceptance Scale:Scores range from 1 to 5, with higher scores representing better Technology Acceptance.	up to 1 month
The effect of "Interactive Educational Material for Decision-Making"intervention program on Abdominal and Pelvic Traumatic Severe Bleeding care Clinical Reasoning Evaluation Simulation learning outcome	The changes of Questionnaire score of Abdominal and Pelvic Traumatic Severe Bleeding care Clinical Reasoning Evaluation Simulation , Questionnaire including: Clinical Reasoning Evaluation Simulation Tool(CREST): Scores range from 0 to 100, with higher scores representing more positive Clinical Reasoning Evaluation beliefs.	up to 1 month
The effect of "Interactive Educational Material for Decision-Making"intervention program on Abdominal and Pelvic Traumatic Severe Bleeding care self-efficacy learning outcome	The changes of Questionnaire score of Abdominal and Pelvic Traumatic Severe Bleeding care self-efficacy will be measured, Questionnaire including: Self-Efficacy Scale:Scores range from 1 to 5, with higher scores representing better self-efficacy.	up to 1 month

Collaborators and Investigators

• Sponsor: National Taiwan University Hospital

Study record dates

Study Major Dates

• Study Start (Actual): December 21, 2023
• Primary Completion (Actual): August 1, 2024
• Study Completion (Actual): August 1, 2024

Study Registration Dates

• First Submitted: November 26, 2023
• First Submitted That Met QC Criteria: August 25, 2024
• First Posted (Actual): August 28, 2024

Study Record Updates

• Last Update Posted (Actual): September 22, 2025
• Last Update Submitted That Met QC Criteria: September 16, 2025
• Last Verified: August 1, 2024

More Information

Terms related to this study

• Keywords: Abdominal injury; Decision Guidance; Care of Severe Bleeding in Abdominal-Pelvic Trauma; Scenario-Based Learning; Two-Year Registered Nursing; Clinical Reasoning Assessment; Pelvic Injury
• Additional Relevant MeSH Terms: Wounds and Injuries; Abdominal Injuries
• Other Study ID Numbers: 202304128RIND

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
• product manufactured in and exported from the U.S.: No