Animation-Based Orotracheal Suction Training for Expert Nurses (ABOST-EN)
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.
Visão geral do estudo
Status
Intervenção / Tratamento
Descrição detalhada
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.
Tipo de estudo
Inscrição (Real)
Estágio
- Não aplicável
Contactos e Locais
Locais de estudo
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Istanbul, Turquia (Türkiye), 34083
- Kartal Dr. Lutfi Kirdar City Hospital
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
- Adulto
- Adulto mais velho
Aceita Voluntários Saudáveis
Descrição
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.
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Outro
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Solteiro
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
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Experimental: 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.
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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.
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Outro: Traditional Training Group
Participants in this group received PowerPoint-supported traditional training on pediatric orotracheal suctioning delivered through conventional face-to-face educational methods.
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Traditional educational training delivered using PowerPoint presentations covering pediatric orotracheal suctioning procedures and related theoretical content.
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O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
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Clinical Reasoning Competency
Prazo: Baseline and immediately after completion of the educational intervention (approximately 2 weeks)
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Clinical reasoning competency will be assessed using the Clinical Reasoning Competency Scale for Nurses.
Higher scores indicate higher levels of clinical reasoning competency.
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Baseline and immediately after completion of the educational intervention (approximately 2 weeks)
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Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
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Orotracheal Suction Knowledge Level
Prazo: Baseline and immediately after completion of the educational intervention (approximately 2 weeks)
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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.
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Baseline and immediately after completion of the educational intervention (approximately 2 weeks)
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Colaboradores e Investigadores
Patrocinador
Publicações e links úteis
Links úteis
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Conclusão Primária (Real)
Conclusão do estudo (Real)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Outros números de identificação do estudo
- BARU-OTOA-2026
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
Descrição do plano IPD
Prazo de Compartilhamento de IPD
Critérios de acesso de compartilhamento IPD
Tipo de informação de suporte de compartilhamento de IPD
- PROTOCOLO DE ESTUDO
- SEIVA
- ANALYTIC_CODE
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