Computer Interpretation of the ECG Raising Awareness CIERA Trial

NCT07595601 | Completed DMC

• 1 other identifier: 2289\2024\19
• Study Type: interventional
• Target: 268
• Locations: 1 country
• Sites: 1

Brief Summary

Background: Practice guidelines require emergency and critical care nurses (ECC) to be skillful in ECG and cardiac monitoring. Evidence suggests that nurses' proficiency is still inadequate with this regard. Computer interpretation of the ECG (CIE) is accurate and improves clinicians' accuracy in ECG interpretation. Unfortunately, nurses are not taught or trained to use this technology. Through this study the investigators aim to evaluate the effectiveness of three educational interventions to improve ECC nurses' proficiency in CIE. Methods. The investigators applied a randomized mixed, crossover and parallel, design. Linear mixed model analysis was used to examine differences in CIE test score among groups and across time. There were three interventional groups (G0, no intervention then flyer; G1, face-to-face then online; and G2, online then face-to-face) with three points of time measurement (T0, baselines; T1, after first intervention, and T2 after second intervention).

Conditions

Proficiency in Computer Interpretation of the ECG

Keywords

Electrocardiography; computer interpretation; ECG; emergency and critical care; interpretation software; algorithm; nurse

Outcome Measures

Primary Outcomes (1)

• Emergency and Critical Care Nurses Proficiency in Computer Interpretation of the ECG

  Emergency and Critical Care Nurses scores on the "Computer Interpretation of the ECG" test score. The test is scored out of 28 (range 0 to 28), with higher scores indicating greater proficiency. The test scale name is "Computer Interpretation of the ECG" test scale

  From enrollment to the end of treatment at 5 months

Study Arms (3)

no intervention then a flyer

EXPERIMENTAL

the flyer was a small, palm-sized, crafted from fine-quality material, thoughtfully designed to be colorful, visually inviting, and easy going, featuring carefully selected introductory images, ample whitespace, and minimal text to ensure clarity, quick engagement, and polished first impression.

Other: Flyer

Face-to-face then online lectures

EXPERIMENTAL

the face-to-face content included audiovisual aids, case scenarios, and immediate feedback discussions. The online content included artificial intelligence enhanced audiovisual aids (videos and images), integrated interactive feedback mechanisms (e.g., requiring the participant to scan a QR code and respond to real-time MCQ questions). The face-to-face lecture time was totally 45 minutes. The online total lecture time was 25 minutes.

Other: face-to-face lecture; Other: Online lecture

Online then face-to-face lectures

EXPERIMENTAL

the face-to-face content included audiovisual aids, case scenarios, and immediate feedback discussions. The online content included artificial intelligence enhanced audiovisual aids (videos and images), integrated interactive feedback mechanisms (e.g., requiring the participant to scan a QR code and respond to real-time MCQ questions). The face-to-face lecture time was totally 45 minutes. The online total lecture time was 25 minutes.

Other: face-to-face lecture; Other: Online lecture

Interventions

Flyer OTHER

the flyer was a small, palm-sized, crafted from fine-quality material, thoughtfully designed to be colorful, visually inviting, and easy going, featuring carefully selected introductory images, ample whitespace, and minimal text to ensure clarity, quick engagement, and polished first impression.

no intervention then a flyer

face-to-face lecture OTHER

the face-to-face content included audiovisual aids, case scenarios, and immediate feedback discussions. The face-to-face lecture time was totally 45 minutes

Face-to-face then online lectures; Online then face-to-face lectures

Online lecture OTHER

The online content included artificial intelligence enhanced audiovisual aids (videos and images), integrated interactive feedback mechanisms (e.g., requiring the participant to scan a QR code and respond to real-time MCQ questions). The online total lecture time was 25 minutes.

Face-to-face then online lectures; Online then face-to-face lectures

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Every nurse working in the emergency department and critical care units of the participating hospitals

You may not qualify if:

• None

Sponsors & Collaborators

• University of Jordan: lead

Study Sites (1)

The University of Jordan

Amman, 11942, Jordan

Location

MeSH Terms

Conditions

Emergencies

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Amer M Hasanien, PhD

  The University of Jordan

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor. Head of Clinical Nursing Department

Model Details: This is a randomized mixed (hybrid) crossover and parallel (delayed intervention) design. Participating ECC nurses were randomly assigned to 3 groups (G0, G1, and G2), Figure 1. We employed a crossover comparison design of face-to-face and online educational interventions for groups G1 and G2, and a parallel delayed flyer educational intervention for group G0. Specifically, G1 received face-to-face then online educational interventions. G2 received online then face-to-face educational interventions. G0 received no intervention then a flyer.

Study Record Dates

• First Submitted: May 8, 2026
• First Posted: May 19, 2026
• Study Start: February 1, 2025
• Primary Completion: December 31, 2025
• Study Completion: December 31, 2025
• Last Updated: May 19, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
• Time Frame: time of official publication to May 8th 2029
• Access Criteria: from any researcher from any country. They will be able to access all but identifying information. access is through contacting the corresponding author.

Locations

JO (1)