Effects of a Contextual Decision-making Materials on Junior Nurses in Traumatic Learning Performance

NCT06574607 | Completed

• 1 other identifier: 202304128RIND
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

Trauma leading to severe bleeding is one of the reasons for the high mortality rate in trauma patients, resulting in multiple and complex injuries from various accidental mechanisms. However, patients with abdominal-pelvic trauma accidents rank among the top three common accidents in the emergency department. There is a potential for both trauma and severe internal bleeding, making the care of such patients even more challenging. Currently, trauma nursing education focuses on emergency medical care, and teaching on the care of abdominal-pelvic trauma occupies only a small part of the entire nursing curriculum. In addition to insufficient knowledge teaching in emergency trauma medical care, learning relies heavily on the arrangement of clinical internships, and obtaining practical experience in the care of abdominal-pelvic trauma is often difficult. In the current era of thriving digital learning, allowing learning to be more diverse and unrestricted by time and location, it is essential to integrate appropriate guiding strategies alongside digital technology to make learning more efficient and promote meaningful learning. Therefore, this study introduces decision trees into an interactive scenario-based learning environment for the care of severe bleeding due to abdominal-pelvic trauma. The decision tree is coupled with a decision-making strategy, utilizing the relationships between leaf nodes to guide learners in clarifying their misconceptions, ultimately leading them to make appropriate decisions to reach the final nodes and solve problems. To understand the effectiveness of this study, a real experimental research design is adopted to investigate the impact of introducing decision tree-based interactive teaching materials on the care of severe bleeding in abdominal-pelvic trauma situations on the professional knowledge, self-efficacy, clinical reasoning assessment ability, and technology acceptance of surgical nursing students over a two-year period. It is hoped that this interactive teaching material for the care of severe bleeding in abdominal-pelvic trauma scenarios will enhance learners' professional knowledge, self-efficacy, clinical reasoning assessment, and technology acceptanc.

Conditions

Abdominal Injury; Pelvic Injury

Keywords

Decision Guidance; Care of Severe Bleeding in Abdominal-Pelvic Trauma; Scenario-Based Learning; Two-Year Registered Nursing; Clinical Reasoning Assessment; Abdominal injury; Pelvic Injury

Outcome Measures

Primary Outcomes (4)

• The effect of "Interactive Educational Material for Decision-Making"intervention program on Abdominal and Pelvic Traumatic Severe Bleeding care knowledge learning outcome

  TThe changes of Questionnaire score of Abdominal and Pelvic Traumatic Severe Bleeding care knowledge, Questionnaire including: Abdominal and Pelvic Traumatic Severe Bleeding knowledge Scores range from 0 to 15, with higher scores representing higher knowledge of Abdominal and Pelvic Traumatic Severe Bleeding care

  up to 1 month

• The effect of "Interactive Educational Material for Decision-Making"intervention program on Abdominal and Pelvic Traumatic Severe Bleeding care Technology Acceptance learning outcome

  The changes of Questionnaire score of Abdominal and Pelvic Traumatic Severe Bleeding care Technology Acceptance, Questionnaire including: Technology Acceptance Scale:Scores range from 1 to 5, with higher scores representing better Technology Acceptance.

  up to 1 month

• The effect of "Interactive Educational Material for Decision-Making"intervention program on Abdominal and Pelvic Traumatic Severe Bleeding care Clinical Reasoning Evaluation Simulation learning outcome

  The changes of Questionnaire score of Abdominal and Pelvic Traumatic Severe Bleeding care Clinical Reasoning Evaluation Simulation , Questionnaire including: Clinical Reasoning Evaluation Simulation Tool(CREST): Scores range from 0 to 100, with higher scores representing more positive Clinical Reasoning Evaluation beliefs.

  up to 1 month

• The effect of "Interactive Educational Material for Decision-Making"intervention program on Abdominal and Pelvic Traumatic Severe Bleeding care self-efficacy learning outcome

  The changes of Questionnaire score of Abdominal and Pelvic Traumatic Severe Bleeding care self-efficacy will be measured, Questionnaire including: Self-Efficacy Scale:Scores range from 1 to 5, with higher scores representing better self-efficacy.

  up to 1 month

Study Arms (2)

experimental group

EXPERIMENTAL

Device: Interactive Educational Material for Decision-Making

control group

ACTIVE COMPARATOR

Device: Interactive Educational Material

Interventions

Interactive Educational Material for Decision-Making DEVICE

Using severe bleeding from abdominal-pelvic trauma as a scenario case, implementing decision-making teaching strategies to guide learners, and examining the intervention through this research

experimental group

Interactive Educational Material DEVICE

Teaching with scenario-based interactive materials without incorporating any teaching strategies

control group

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Holding a nursing license, employed, and having job registration in the same institution.
• Those who are willing to participate in this study, are informed, and have provided consent by signing the informed consent form

You may not qualify if:

• Those who have completed a service period of more than two years
• Those who refuse to participate in this study.
• Non-Surgical Department ward nurses

Sponsors & Collaborators

• National Taiwan University Hospital: lead

Study Sites (1)

Taiwan

Taipei, 100, Taiwan

Location

MeSH Terms

Conditions

Abdominal Injuries

Condition Hierarchy (Ancestors)

Wounds and Injuries

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 26, 2023
• First Posted: August 28, 2024
• Study Start: December 21, 2023
• Primary Completion: August 1, 2024
• Study Completion: August 1, 2024
• Last Updated: September 22, 2025

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)