NCT06871813

Brief Summary

Background Effective emergency management is essential for ensuring optimal patient outcomes, with newly enrolled nurses playing a crucial role in the early detection and intervention of critical conditions. However, in China, these nurses often encounter challenges stemming from limited clinical experience, inadequate training in emergency skills, and the lack of standardized training programs tailored to the country's unique healthcare needs. Addressing these gaps through innovative training methods is critical for enhancing patient safety and the quality of care. This randomized controlled trial aims to evaluate the effectiveness of integrating the Conceive-Design-Implement-Operate (CDIO) framework with escape room pedagogy to improve the emergency management competencies of newly enrolled nurses. The anticipated findings are expected to provide evidence-based recommendations for nursing education in China and contribute to the overall enhancement of healthcare quality in the nation. Methods This study adopts a quasi-experimental pre-test-post-test design. Participants were divided into two groups: a control group (control group, n = 85) receiving traditional lecture-based training, and an experimental group (experimental group, n = 84) undergoing the CDIO-escape room intervention. Outcomes were evaluated using theoretical exams, operational assessments, the Clinical Emergency Response Ability Questionnaire, and the Supportive Communication Scale.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
169

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jun 2023

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 1, 2023

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 10, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 10, 2024

Completed
5 months until next milestone

First Submitted

Initial submission to the registry

March 7, 2025

Completed
5 days until next milestone

First Posted

Study publicly available on registry

March 12, 2025

Completed
Last Updated

March 12, 2025

Status Verified

March 1, 2025

Enrollment Period

1.4 years

First QC Date

March 7, 2025

Last Update Submit

March 7, 2025

Conditions

Keywords

Emergency Management, CDIO, Escape Room, Nurses, China

Outcome Measures

Primary Outcomes (1)

  • Assessment Scores

    Theoretical and operational assessments were developed based on the New Nurse Training Guidelines by five nursing experts. Operational scores focused on four core procedures: cardiopulmonary resuscitation, closed intravenous transfusion, micro-infusion pump operation, and electrocardiogram monitoring. A percentage-based scoring system was used, with the final score being an average of the four procedures. Nursing experts conducting the assessments were blinded to the experimental details.

    Four months

Secondary Outcomes (1)

  • Clinical Emergency Response Ability Questionnaire

    Four months

Study Arms (2)

the experimental group

EXPERIMENTAL

the CDIO model integrated with escape room pedagogy

Behavioral: combined the CDIO model with escape room pedagogy

the control group

EXPERIMENTAL

receiving standard training as outlined in the new nurse syllabus

Behavioral: combined the CDIO model with escape room pedagogy

Interventions

consisting of 16 hours of theoretical instruction delivered in a classroom setting during the first two months, followed by 8 hours of practical skills training in the third month. Practical training covered four core competencies: cardiopulmonary resuscitation (CPR), closed intravenous transfusion, micro-infusion pump operation, and cardiac monitoring operation. The experimental group followed the same syllabus, incorporating an innovative teaching strategy that combined the CDIO model with escape room pedagogy.

the control groupthe experimental group

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Wenzhou Central Hospital

Wenzhou, Zhejiang, 325000, China

Location

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Chief Nurse

Study Record Dates

First Submitted

March 7, 2025

First Posted

March 12, 2025

Study Start

June 1, 2023

Primary Completion

October 10, 2024

Study Completion

October 10, 2024

Last Updated

March 12, 2025

Record last verified: 2025-03

Locations