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Basic Trauma Training Programme for Newly Graduated Nurses in Saudi Trauma Centres (BTTS)

7 augustus 2026 bijgewerkt door: ALANAZI ABDULAZIZ SULTAN L, Lincoln University College

Evaluating the Basic Trauma Training (BTT) Programme on Workforce Sustainability Among Newly Graduated Nurses in Saudi Level One Trauma Centres: Protocol for a Two-Site, Non-Equivalent Comparison-Group Quasi-Experimental Study

New nurses often find it difficult to adjust when they start working in fast-paced, high-pressure trauma units, and many leave their jobs within the first two years. This study looks at whether a two-day training programme, called Basic Trauma Training (BTT), helps newly graduated nurses in Saudi trauma hospitals feel more confident, satisfied and engaged in their work, and more likely to stay in the nursing profession.

The study takes place at two trauma hospitals in Saudi Arabia. Because it is not practical to randomly assign nurses to groups in this real-world hospital setting, the study compares an earlier group of new nurses, who receive standard hospital orientation only, with a later group, who receive standard orientation plus the two-day BTT training. Both groups complete questionnaires before and after their orientation or training period, answering questions about job satisfaction, engagement, stress and their plans to stay in the role. The study also looks at actual staff retention using hospital employment records at 6 and 12 months. Nurses in the comparison group are offered the BTT training later, once their part of the study is complete, so that everyone has the chance to take part in the training.

Studie Overzicht

Toestand

Nog niet aan het werven

Conditie

Interventie / Behandeling

Gedetailleerde beschrijving

This is a two-site, non-equivalent comparison-group quasi-experimental study using a pre-test/post-test design. Allocation is non-random and determined by intake cohort within each participating site: an earlier intake of eligible newly graduated nurses forms the comparator group, and a subsequent intake forms the intervention group, so that study arm is not confounded with site.

The intervention, Basic Trauma Training (BTT), is a structured two-day (14 contact-hour) educational programme developed in alignment with Saudi Commission for Health Specialties (SCFHS) Specialised Professional Programme accreditation standards. It comprises five modules: trauma systems and primary survey principles; advanced trauma assessment and clinical reasoning; critical trauma interventions and patient safety; interprofessional communication and team leadership; and psychological preparedness, peer support and self-care. Delivery combines didactic teaching, high-fidelity simulation using the PEARLS debriefing framework, and facilitated reflective discussion. The comparator condition is standard institutional orientation (approximately five days of general clinical induction without trauma-specific structured training). Comparator-arm participants are offered BTT, with the same continuing professional development credit, after their follow-up assessment (waitlist design).

Individual-level randomisation was not adopted due to contamination risk between nurses working on the same unit, and because staffing and rostering decisions are governed by institutional service demand rather than research allocation. Contamination is managed through scheduling separation, controlled distribution of training materials, and a two-item contamination check at follow-up.

The primary outcome is workforce sustainability, a formative composite index of four equally weighted, standardised components: job satisfaction (MOAQ-JSS), work engagement (UWES-9), personal burnout (CBI-PB, reverse scored), and retention intention. The primary analysis is a linear mixed-effects model with a time-by-arm interaction term, adjusting for site, prior trauma exposure, months since graduation, and delivery block. Secondary outcomes include the four composite components analysed individually, role transition stress (Rizzo Role Ambiguity and Role Conflict scales), trauma-care self-efficacy, general self-efficacy (GSE-10), and actual workforce retention from institutional HR records at 6 and 12 months. An exploratory mediation analysis examines whether role transition stress and self-efficacy mediate the effect of BTT on workforce sustainability.

The study is reported in accordance with the SPIRIT 2025 statement for trial protocols and the TREND statement for non-randomised intervention evaluations, with intervention reporting following the TIDieR checklist.

Studietype

Ingrijpend

Inschrijving (Geschat)

128

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.

Studiecontact

Studie Contact Back-up

Studie Locaties

  • Saoedi-Arabië
    • Ulaishah / Shumaisi
      • Riyadh, Ulaishah / Shumaisi, Saoedi-Arabië, 12746
        • King Saud Medical City
        • Contact:
          • Official Contact
          • Telefoonnummer: 0114670000
          • E-mail: ksu@edu.sa
        • Contact:
        • Hoofdonderzoeker:
          • Abdulaziz L Alanazi

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:

  • Saudi Commission for Health Specialties (SCFHS) licensure
  • Less than 12 months of post-licensure clinical experience at baseline
  • Current direct patient-facing employment in a trauma-related intensive care unit at King Saud Medical City or Northern Medical Tower
  • Willing and able to provide written informed consent

Exclusion Criteria:

  • More than 12 months of post-licensure clinical experience
  • Employment outside trauma-related ICU settings
  • Agency or temporary staffing status
  • Extended leave during the intervention or data-collection period
  • Prior formal trauma-specific training (ATCN, TNCC) before enrolment

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: Onderzoek naar gezondheidsdiensten
  • Toewijzing: Niet-gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Geen (open label)

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: Intervention (BTT)
Participants receive the Basic Trauma Training (BTT) programme, a two-day (14 contact-hour) simulation-based educational intervention, in addition to standard institutional orientation
Gedragsmatig: Basic Trauma Training (BTT) Programme
A structured two-day, 14-contact-hour educational programme comprising five modules: trauma systems and primary survey principles; advanced trauma assessment and clinical reasoning; critical trauma interventions and patient safety; interprofessional communication and team leadership; and psychological preparedness, peer support and self-care. Delivered via didactic teaching, high-fidelity simulation using the PEARLS debriefing framework, and facilitated reflective discussion.
Experimenteel: Comparator (Standard Orientation)
Participants receive standard institutional orientation only (approximately five days of general clinical induction, without trauma-specific structured training). BTT is offered to this group after their follow-up (T1) assessment.
Ander: Standard Institutional Orientation
Standard existing onboarding programme for newly employed nursing staff, comprising approximately five days of general clinical induction without trauma-specific structured training. Content and duration are documented at baseline to characterise the comparator condition precisely.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Workforce Sustainability (Composite Index)
Tijdsspanne: Baseline (T0) and 4-6 weeks post-intervention/orientation (T1)
A formative composite index of four equally weighted, standardised (z-score) components: job satisfaction (Michigan Organizational Assessment Questionnaire Job Satisfaction Subscale, MOAQ-JSS, 3 items, 7-point Likert), work engagement (Utrecht Work Engagement Scale, UWES-9, 0-6 frequency scale), personal burnout (Copenhagen Burnout Inventory, CBI-PB, 6 items, 0-100 scale, reverse scored), and retention intention (validated instrument, to be finalised). Each component is standardised using the pooled baseline mean and SD across both arms at T0, and the four standardised components are averaged.
Baseline (T0) and 4-6 weeks post-intervention/orientation (T1)

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Job Satisfaction
Tijdsspanne: Baseline (T0) and 4-6 weeks post-intervention/orientation (T1)
Measured using the Michigan Organizational Assessment Questionnaire Job Satisfaction Subscale (MOAQ-JSS, 3 items, 7-point Likert scale)
Baseline (T0) and 4-6 weeks post-intervention/orientation (T1)

Medewerkers en onderzoekers

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

Sponsor

Lincoln University College

Medewerkers

King Saud Medical City
Lincoln University College Malaysia

Onderzoekers

  • Hoofdonderzoeker: Abdulaziz L Alanazi, Lincoln University College
  • Studie directeur: Faridah M Said, Lincoln University College

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 (Geschat)

1 september 2026

Primaire voltooiing (Geschat)

1 januari 2027

Studie voltooiing (Geschat)

31 januari 2027

Studieregistratiedata

Eerst ingediend

5 augustus 2026

Eerst ingediend dat voldeed aan de QC-criteria

5 augustus 2026

Eerst geplaatst (Werkelijk)

10 augustus 2026

Updates van studierecords

Laatste update geplaatst (Werkelijk)

11 augustus 2026

Laatste update ingediend die voldeed aan QC-criteria

7 augustus 2026

Laatst geverifieerd

1 augustus 2026

Meer informatie

Termen gerelateerd aan deze studie

Trefwoorden

Aanvullende relevante MeSH-voorwaarden

Andere studie-ID-nummers

  • BTT-KSMC-NMT-2026
  • N1C-IRB-26-04-21 (Andere identificatie: Institutional Review Board, Northern Border Health Cluster (Arar))

Plan Individuele Deelnemersgegevens (IPD)

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

NEE

Beschrijving IPD-plan

Individual participant data (IPD) will not be shared with other researchers. The study involves sensitive health information collected from psychiatric nurses and patients in Saudi Arabia, and the informed consent process does not include permission for public sharing of de-identified participant-level data. To protect participant confidentiality and comply with institutional ethical requirements, applicable Saudi data protection regulations, and the approvals granted by the relevant Institutional Review Boards (IRBs), only aggregated study results will be published. Researchers interested in additional information may contact the Principal Investigator to discuss the availability of study materials, including the study protocol, statistical analysis plan, and data collection instruments, where appropriate.

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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