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

30 juni 2026 uppdaterad av: 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.

Studieöversikt

Status

Avslutad

Betingelser

Intervention / Behandling

Detaljerad beskrivning

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.

Studietyp

Interventionell

Inskrivning (Faktisk)

66

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

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

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Vuxen
  • Äldre vuxen

Tar emot friska volontärer

Ja

Beskrivning

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.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Övrig
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Enda

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: 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.
Övrig: 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.
Övrig: Traditional Training Group
Participants in this group received PowerPoint-supported traditional training on pediatric orotracheal suctioning delivered through conventional face-to-face educational methods.
Övrig: PowerPoint-Supported Traditional Training
Traditional educational training delivered using PowerPoint presentations covering pediatric orotracheal suctioning procedures and related theoretical content.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Clinical Reasoning Competency
Tidsram: 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)

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Orotracheal Suction Knowledge Level
Tidsram: 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)

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Bartın Unıversity

Publikationer och användbara länkar

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Allmänna publikationer

Användbara länkar

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

1 januari 2026

Primärt slutförande (Faktisk)

30 april 2026

Avslutad studie (Faktisk)

30 april 2026

Studieregistreringsdatum

Först inskickad

30 juni 2026

Först inskickad som uppfyllde QC-kriterierna

30 juni 2026

Första postat (Faktisk)

7 juli 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

7 juli 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

30 juni 2026

Senast verifierad

1 juni 2026

Mer information

Termer relaterade till denna studie

Nyckelord

Andra studie-ID-nummer

  • BARU-OTOA-2026

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

JA

IPD-planbeskrivning

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.

Tidsram för IPD-delning

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

Kriterier för IPD Sharing Access

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-delning som stöder informationstyp

  • STUDY_PROTOCOL
  • SAV
  • ANALYTIC_CODE

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

Nej

Studerar en amerikansk FDA-reglerad produktprodukt

Nej

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