Effect of Nasogastric Tube Care Training by Simulation-Based and Video-Based Methods on Nurses' Confidence, Satisfaction, and Practices

April 21, 2026 updated by: Heyam Adnan Jabbar

Effect of Nasogastric Tube Care Training by Simulation-Based and Video-Based Methods on Nurses' Confidence, Satisfaction, and Practices: A Randomized Controlled Trial

This randomized controlled trial will evaluate the effect of simulation-based and video-based training on nurses' confidence, satisfaction, and clinical practice related to nasogastric tube care, compared with a control group receiving routine training or usual practice. Nasogastric tube care is an essential nursing procedure that requires adequate knowledge, practical skills, and confidence to ensure safe and effective patient care. Participants will be randomly assigned to one of three groups: simulation-based training, video-based training, or control. The findings of this study will provide evidence on effective educational methods to improve nurses' performance in nasogastric tube care and support better quality of care.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Detailed Description

Nasogastric tube care is a common and important nursing procedure that requires sound knowledge, technical competence, and confidence. Inadequate training may affect nurses' performance and the quality of care provided to patients with nasogastric tubes. Educational approaches such as simulation-based training and video-based training are increasingly used in nursing education and clinical training; however, limited evidence is available regarding their comparative effect on nurses' confidence, satisfaction, and actual practice in nasogastric tube care.

This study will be conducted as a randomized controlled trial at the Pediatric Hospital and Kirkuk Teaching Hospital in Kirkuk. A total of 83 nurses will be enrolled and randomly assigned to one of three groups: a simulation-based training group, a video-based training group, or a control group. The simulation-based group will receive structured training through simulated clinical practice, while the video-based group will receive standardized training through an instructional video. The control group will receive routine training or usual practice in the study setting.

Data will be collected using a questionnaire and an observational checklist. The questionnaire will include nurses' demographic characteristics, self-confidence in performing nasogastric tube care procedures, and satisfaction with the educational method. Clinical practice related to nasogastric tube care will be assessed using an observation checklist. The study will compare the effects of the training methods on nurses' confidence, satisfaction, and practice, and will also examine the relationship between confidence and practical performance after training.

Study Type

Interventional

Enrollment (Estimated)

83

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 Locations

  • Iraq
    • Kirkuk Governorate
      • Kirkuk, Kirkuk Governorate, Iraq
        • Kirkuk Teaching Hospital
        • Contact:
      • Kirkuk, Kirkuk Governorate, Iraq
        • Pediatric Hospital
        • 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

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Registered nurses working at the Pediatric Hospital or Kirkuk Teaching
  • Hospital in Kirkuk
  • Male or female nurses
  • Age 18 years or older
  • Nurses involved in direct patient care
  • Nurses willing to participate in the study
  • Nurses able to attend the assigned training and complete the study assessments

Exclusion Criteria:

  • Nurses who do not agree to participate in the study
  • Nurses who are not available during the study period
  • Nurses who are unable to attend the assigned training session
  • Nurses who do not complete the required study assessments
  • Nurses who participated in the pilot study

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: Supportive Care
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Simulation Group
Participants will receive hands-on simulation training in a realistic clinical setting to practice nasogastric tube care.
Procedure: Simulation-Based Nasogastric Tube Care Training
A structured simulation-based educational intervention designed to train nurses in nasogastric tube care using simulated clinical practice. The training includes standardized instruction and hands-on practice of key nasogastric tube care procedures in a simulated setting, with demonstration, supervised performance, and feedback to improve nurses' confidence, satisfaction, and clinical practice.
Experimental: Video-based Group
Video-Based Group: Participants will receive training via instructional videos demonstrating nasogastric tube care procedures.
Procedure: Video-Based Nasogastric Tube Care Training
Participants assigned to this arm receive video-based training on nasogastric tube care. The intervention consists of standardized educational content delivered through instructional video demonstrating key nasogastric tube care procedures and steps. The video is used to support learning in a structured manner to improve nurses' confidence, satisfaction, and clinical practice related to nasogastric tube care.
No Intervention: Control Group
Control Group: Participants will receive no additional intervention beyond routine standard practice.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Nurses' clinical practice in nasogastric tube care
Time Frame: Immediately after completion of the assigned training intervention (post-test 1) and 4 weeks after completion of the intervention (post-test 2).
Clinical practice will be assessed using the Observation Checklist for Nursing Care of Nasogastric Tube (NG Care). This outcome will evaluate nurses' adherence to clinical standards and best practices in nasogastric tube care. Higher scores indicate better clinical practice performance.
Immediately after completion of the assigned training intervention (post-test 1) and 4 weeks after completion of the intervention (post-test 2).

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Nurses' self-confidence in performing nasogastric tube care procedures
Time Frame: Immediately after completion of the assigned training intervention (post-test 1) and 4 weeks after completion of the intervention (post-test 2).
Self-confidence will be assessed using the study questionnaire on nurses' self-confidence in performing nasogastric tube care procedures. This outcome will measure nurses' perceived confidence in providing safe and effective nasogastric tube care. Higher scores indicate greater self-confidence.
Immediately after completion of the assigned training intervention (post-test 1) and 4 weeks after completion of the intervention (post-test 2).
Nurses' satisfaction with the educational method
Time Frame: Immediately after completion of the assigned training intervention (post-test 1) and 4 weeks after completion of the intervention (post-test 2).
Satisfaction will be assessed using the study questionnaire on nurses' satisfaction with educational methods for nasogastric tube procedures. This outcome will measure participants' satisfaction with the assigned educational method or usual practice. Higher scores indicate greater satisfaction.
Immediately after completion of the assigned training intervention (post-test 1) and 4 weeks after completion of the intervention (post-test 2).

Collaborators and Investigators

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

Sponsor

Heyam Adnan Jabbar

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)

May 20, 2026

Primary Completion (Estimated)

October 20, 2026

Study Completion (Estimated)

November 20, 2026

Study Registration Dates

First Submitted

April 14, 2026

First Submitted That Met QC Criteria

April 14, 2026

First Posted (Actual)

April 21, 2026

Study Record Updates

Last Update Posted (Actual)

April 24, 2026

Last Update Submitted That Met QC Criteria

April 21, 2026

Last Verified

April 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • UoBaghdad_HJabbar_1204b

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

Individual participant data will not be shared because the study involves a relatively small sample from specific hospital settings, and data sharing may increase the risk of participant identification even after de-identification.

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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