NCT07688993

Brief Summary

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.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
66

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Jan 2026

Shorter than P25 for not_applicable

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

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2026

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 30, 2026

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 30, 2026

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

June 30, 2026

Completed
7 days until next milestone

First Posted

Study publicly available on registry

July 7, 2026

Completed
Last Updated

July 7, 2026

Status Verified

June 1, 2026

Enrollment Period

4 months

First QC Date

June 30, 2026

Last Update Submit

June 30, 2026

Conditions

Clinical ReasoningOrotracheal SuctioningNursing Education

Keywords

Animation-Based TrainingClinical ReasoningExpert NursesOrotracheal SuctioningPediatric NursingBenner ModelNursing Education

Outcome Measures

Primary Outcomes (1)

  • Clinical Reasoning Competency

    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)

Secondary Outcomes (1)

  • Orotracheal Suction Knowledge Level

    Baseline and immediately after completion of the educational intervention (approximately 2 weeks)

Study Arms (2)

Animation-Based Training Group

EXPERIMENTAL

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.

Other: Animation-Based Orotracheal Suction Training

Traditional Training Group

OTHER

Participants in this group received PowerPoint-supported traditional training on pediatric orotracheal suctioning delivered through conventional face-to-face educational methods.

Other: PowerPoint-Supported Traditional Training

Interventions

Animation-Based Orotracheal Suction TrainingOTHER

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.

Animation-Based Training Group
PowerPoint-Supported Traditional TrainingOTHER

Traditional educational training delivered using PowerPoint presentations covering pediatric orotracheal suctioning procedures and related theoretical content.

Traditional Training Group

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • 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.

You may not qualify if:

  • 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.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Kartal Dr. Lutfi Kirdar City Hospital

Istanbul, 34083, Turkey (Türkiye)

Location

Related Publications (1)

  • Bae J, Lee J, Choi M, Jang Y, Park CG, Lee YJ. Development of the clinical reasoning competency scale for nurses. BMC Nurs. 2023 Apr 25;22(1):138. doi: 10.1186/s12912-023-01244-6.

    PMID: 37098564BACKGROUND

Related Links

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
OTHER
Intervention Model
PARALLEL
Model Details: Participants were randomly assigned to one of two parallel groups. The intervention group received animation-based orotracheal suction training delivered through QR code-enabled mobile access, whereas the control group received PowerPoint-supported traditional training. Both groups completed pretest and posttest assessments to evaluate changes in clinical reasoning competency and knowledge regarding orotracheal suctioning.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Lecturer Dr.

Study Record Dates

First Submitted

June 30, 2026

First Posted

July 7, 2026

Study Start

January 1, 2026

Primary Completion

April 30, 2026

Study Completion

April 30, 2026

Last Updated

July 7, 2026

Record last verified: 2026-06

Data Sharing

IPD Sharing
Will share

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.

Shared Documents
STUDY PROTOCOL, SAP, ANALYTIC CODE
Time Frame
Individual participant data and supporting materials will be available beginning 6 months following publication and ending 5 years after publication.
Access Criteria
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.

Locations

TU(1)