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Animation-Based Orotracheal Suction Training for Expert Nurses (ABOST-EN)

30 juni 2026 bijgewerkt door: Makbule YILMAZ, Bartın Unıversity

Effect of Animation-Based Orotracheal Suction Training on Clinical Reasoning Competency and Knowledge Level of Expert Nurses: A Randomized Controlled Trial

This randomized controlled trial aimed to evaluate the effect of animation-based orotracheal suction training on the clinical reasoning competency and knowledge levels of expert pediatric nurses. Orotracheal suctioning is a complex and invasive nursing procedure requiring advanced clinical reasoning, rapid decision-making, and patient safety awareness. Although digital learning approaches are increasingly used in nursing education, evidence regarding their effectiveness among expert nurses remains limited.

A total of 66 pediatric nurses with at least five years of clinical experience and classified as expert nurses according to Patricia Benner's Novice-to-Expert Model were randomly assigned to either an intervention group receiving animation-based mobile training or a control group receiving PowerPoint-supported traditional training. Clinical reasoning competency and knowledge regarding orotracheal suctioning were assessed before and after the educational intervention.

Studie Overzicht

Toestand

Voltooid

Conditie

Interventie / Behandeling

Gedetailleerde beschrijving

Background:

Orotracheal suctioning is an essential but invasive nursing intervention frequently performed in pediatric clinical settings. Safe and effective implementation of this procedure requires advanced clinical reasoning skills, prioritization, rapid decision-making, and patient safety awareness. Expert nurses are expected to integrate experiential knowledge and clinical judgment during such complex procedures. However, traditional in-service educational approaches may not sufficiently support the development of clinical reasoning competencies.

Animation-based educational technologies provide opportunities for repeated observation, visualization of procedural steps, and reinforcement of clinical decision-making processes. Despite increasing interest in digital educational approaches, evidence regarding their effectiveness among expert nurses remains limited.

Objective:

This study aimed to examine the effect of animation-based orotracheal suction training on expert nurses' clinical reasoning competency and knowledge regarding orotracheal suctioning.

Methods:

This study was designed as a single-blind, parallel-group, pretest-posttest randomized controlled trial. The study was conducted between January and April 2026 in pediatric clinics of a city hospital in Istanbul, Türkiye.

Participants were pediatric nurses with at least five years of clinical nursing experience who met the expert-level criteria defined by Patricia Benner's Novice-to-Expert Model. Participants were randomly assigned to either the intervention group (animation-based mobile training) or the control group (PowerPoint-supported traditional training).

Data were collected using a Descriptive Characteristics Form, the Orotracheal Suction Knowledge Test, and the Clinical Reasoning Competency Scale for Nurses. Outcomes were evaluated before and after the intervention.

Primary Outcome:

Clinical reasoning competency measured by the Clinical Reasoning Competency Scale for Nurses.

Secondary Outcome:

Knowledge regarding orotracheal suctioning measured using the Orotracheal Suction Knowledge Test.

Significance:

The findings of this study are expected to contribute to the development of innovative, technology-enhanced educational strategies aimed at strengthening clinical reasoning, decision-making, and patient safety among expert nurses.

Studietype

Ingrijpend

Inschrijving (Werkelijk)

66

Fase

  • Niet toepasbaar

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

  • Turkije (Türkiye)
      • Istanbul, Turkije (Türkiye), 34083
        • Kartal Dr. Lutfi Kirdar City Hospital

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

  • Volwassen
  • Oudere volwassene

Accepteert gezonde vrijwilligers

Ja

Beschrijving

Inclusion Criteria:

  • Registered nurses working in pediatric clinics.
  • Having at least five years of clinical nursing experience.
  • Meeting expert-level criteria according to Patricia Benner's Novice-to-Expert Model.
  • Willing to participate voluntarily in the study.
  • Providing written informed consent.
  • Having access to a smartphone or mobile device to access the educational materials.

Exclusion Criteria:

  • Having less than five years of clinical nursing experience.
  • Being on leave or absent during the study period.
  • Failing to complete the educational intervention or posttest assessments.
  • Withdrawing from the study at any stage.
  • Submitting incomplete questionnaires.

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Ander
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Enkel

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: Animation-Based Training Group
Participants in this group received animation-based orotracheal suction training delivered through QR code-enabled mobile access. The educational intervention included animated visualization of procedural steps and clinical decision-making processes related to pediatric orotracheal suctioning.
Ander: Animation-Based Orotracheal Suction Training
A mobile-supported animation-based educational intervention designed to improve expert nurses' clinical reasoning competency and knowledge regarding pediatric orotracheal suctioning. Participants accessed the educational content through QR code-enabled mobile devices.
Ander: Traditional Training Group
Participants in this group received PowerPoint-supported traditional training on pediatric orotracheal suctioning delivered through conventional face-to-face educational methods.
Ander: PowerPoint-Supported Traditional Training
Traditional educational training delivered using PowerPoint presentations covering pediatric orotracheal suctioning procedures and related theoretical content.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Clinical Reasoning Competency
Tijdsspanne: Baseline and immediately after completion of the educational intervention (approximately 2 weeks)
Clinical reasoning competency will be assessed using the Clinical Reasoning Competency Scale for Nurses. Higher scores indicate higher levels of clinical reasoning competency.
Baseline and immediately after completion of the educational intervention (approximately 2 weeks)

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Orotracheal Suction Knowledge Level
Tijdsspanne: Baseline and immediately after completion of the educational intervention (approximately 2 weeks)
Knowledge regarding pediatric orotracheal suctioning will be assessed using the Orotracheal Suction Knowledge Test. Higher scores indicate greater knowledge regarding evidence-based orotracheal suction practices.
Baseline and immediately after completion of the educational intervention (approximately 2 weeks)

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

Bartın Unıversity

Publicaties en nuttige links

De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.

Algemene publicaties

Nuttige links

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

1 januari 2026

Primaire voltooiing (Werkelijk)

30 april 2026

Studie voltooiing (Werkelijk)

30 april 2026

Studieregistratiedata

Eerst ingediend

30 juni 2026

Eerst ingediend dat voldeed aan de QC-criteria

30 juni 2026

Eerst geplaatst (Werkelijk)

7 juli 2026

Updates van studierecords

Laatste update geplaatst (Werkelijk)

7 juli 2026

Laatste update ingediend die voldeed aan QC-criteria

30 juni 2026

Laatst geverifieerd

1 juni 2026

Meer informatie

Termen gerelateerd aan deze studie

Trefwoorden

Andere studie-ID-nummers

  • BARU-OTOA-2026

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

JA

Beschrijving IPD-plan

De-identified individual participant data underlying the results reported in this study will be made available upon reasonable request to the corresponding author. Data will be available beginning 6 months and ending 5 years following publication. Requests will be reviewed by the principal investigator, and access will be granted for scientifically sound research purposes after approval and signing of a data access agreement.

IPD-tijdsbestek voor delen

Individual participant data and supporting materials will be available beginning 6 months following publication and ending 5 years after publication.

IPD-toegangscriteria voor delen

De-identified individual participant data, study protocol, statistical analysis plan, and analytic code will be made available upon reasonable request to the corresponding author. Data will be shared with researchers who provide a methodologically sound proposal for achieving the aims of the approved proposal. Access will be granted after review and approval by the principal investigator and completion of a data access agreement.

IPD delen Ondersteunend informatietype

  • LEERPROTOCOOL
  • SAP
  • ANALYTIC_CODE

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

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