Basic Trauma Training Programme for Newly Graduated Nurses in Saudi Trauma Centres

NCT07754903 | Not Yet Recruiting

• 2 other identifiers: BTT-KSMC-NMT-2026N1C-IRB-26-04-21
• Study Type: interventional
• Target: 128
• Locations: 1 country
• Sites: 1

Brief Summary

New nurses often find it difficult to adjust when they start working in fast-paced, high-pressure trauma units, and many leave their jobs within the first two years. This study looks at whether a two-day training programme, called Basic Trauma Training (BTT), helps newly graduated nurses in Saudi trauma hospitals feel more confident, satisfied and engaged in their work, and more likely to stay in the nursing profession. The study takes place at two trauma hospitals in Saudi Arabia. Because it is not practical to randomly assign nurses to groups in this real-world hospital setting, the study compares an earlier group of new nurses, who receive standard hospital orientation only, with a later group, who receive standard orientation plus the two-day BTT training. Both groups complete questionnaires before and after their orientation or training period, answering questions about job satisfaction, engagement, stress and their plans to stay in the role. The study also looks at actual staff retention using hospital employment records at 6 and 12 months. Nurses in the comparison group are offered the BTT training later, once their part of the study is complete, so that everyone has the chance to take part in the training.

Conditions

Nurse Retention; Job Satisfaction; Burnout, Professional; Transition to Practice, Professional

Keywords

newly graduated nurses; trauma nursing; workforce sustainability; transition shock; job demands-resources model; Saudi Arabia; quasi-experimental

Outcome Measures

Primary Outcomes (1)

• Workforce Sustainability (Composite Index)

  A formative composite index of four equally weighted, standardised (z-score) components: job satisfaction (Michigan Organizational Assessment Questionnaire Job Satisfaction Subscale, MOAQ-JSS, 3 items, 7-point Likert), work engagement (Utrecht Work Engagement Scale, UWES-9, 0-6 frequency scale), personal burnout (Copenhagen Burnout Inventory, CBI-PB, 6 items, 0-100 scale, reverse scored), and retention intention (validated instrument, to be finalised). Each component is standardised using the pooled baseline mean and SD across both arms at T0, and the four standardised components are averaged.

  Baseline (T0) and 4-6 weeks post-intervention/orientation (T1)

Secondary Outcomes (1)

• Job Satisfaction

  Baseline (T0) and 4-6 weeks post-intervention/orientation (T1)

Study Arms (2)

Intervention (BTT)

EXPERIMENTAL

Participants receive the Basic Trauma Training (BTT) programme, a two-day (14 contact-hour) simulation-based educational intervention, in addition to standard institutional orientation

Behavioral: Basic Trauma Training (BTT) Programme

Comparator (Standard Orientation)

EXPERIMENTAL

Participants receive standard institutional orientation only (approximately five days of general clinical induction, without trauma-specific structured training). BTT is offered to this group after their follow-up (T1) assessment.

Other: Standard Institutional Orientation

Interventions

Standard Institutional Orientation OTHER

Standard existing onboarding programme for newly employed nursing staff, comprising approximately five days of general clinical induction without trauma-specific structured training. Content and duration are documented at baseline to characterise the comparator condition precisely.

Comparator (Standard Orientation)

Basic Trauma Training (BTT) Programme BEHAVIORAL

A structured two-day, 14-contact-hour educational programme comprising five modules: trauma systems and primary survey principles; advanced trauma assessment and clinical reasoning; critical trauma interventions and patient safety; interprofessional communication and team leadership; and psychological preparedness, peer support and self-care. Delivered via didactic teaching, high-fidelity simulation using the PEARLS debriefing framework, and facilitated reflective discussion.

Intervention (BTT)

Eligibility Criteria

• Age: 21 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Saudi Commission for Health Specialties (SCFHS) licensure
• Less than 12 months of post-licensure clinical experience at baseline
• Current direct patient-facing employment in a trauma-related intensive care unit at King Saud Medical City or Northern Medical Tower
• Willing and able to provide written informed consent

You may not qualify if:

• More than 12 months of post-licensure clinical experience
• Employment outside trauma-related ICU settings
• Agency or temporary staffing status
• Extended leave during the intervention or data-collection period
• Prior formal trauma-specific training (ATCN, TNCC) before enrolment

Sponsors & Collaborators

• Lincoln University College: lead
• King Saud Medical City: collaborator
• Lincoln University College Malaysia: collaborator

Study Sites (1)

King Saud Medical City

Riyadh, Ulaishah / Shumaisi, 12746, Saudi Arabia

Location

Related Publications (4)

• Aggar C, Bloomfield J, Thomas TH, Gordon CJ. Australia's first transition to professional practice in primary care program for graduate registered nurses: a pilot study. BMC Nurs. 2017 Mar 23;16:14. doi: 10.1186/s12912-017-0207-5. eCollection 2017.

  PMID: 28344514 BACKGROUND

• Lyu XC, Huang SS, Ye XM, Zhang LY, Zhang P, Wang YJ. What influences newly graduated registered nurses' intention to leave the nursing profession? An integrative review. BMC Nurs. 2024 Jan 19;23(1):57. doi: 10.1186/s12912-023-01685-z.

  PMID: 38243209 BACKGROUND

• Rush KL, Janke R, Duchscher JE, Phillips R, Kaur S. Best practices of formal new graduate transition programs: An integrative review. Int J Nurs Stud. 2019 Jun;94:139-158. doi: 10.1016/j.ijnurstu.2019.02.010. Epub 2019 Feb 26.

  PMID: 30965203 BACKGROUND

• Duchscher JE. Transition shock: the initial stage of role adaptation for newly graduated registered nurses. J Adv Nurs. 2009 May;65(5):1103-13. doi: 10.1111/j.1365-2648.2008.04898.x. Epub 2009 Dec 9.

  PMID: 19183235 BACKGROUND

Related Links

• World Health Organization (WHO) guidance on Basic Emergency Care, providing foundational principles for the assessment and management of acutely ill and injured patients and supporting trauma training for frontline healthcare professionals.

MeSH Terms

Conditions

Burnout, Professional

Condition Hierarchy (Ancestors)

Occupational Stress; Occupational Diseases; Burnout, Psychological; Stress, Psychological; Behavioral Symptoms; Behavior

Study Officials

• Abdulaziz L Alanazi

  Lincoln University College

  PRINCIPAL INVESTIGATOR

• Faridah M Said

  Lincoln University College

  STUDY DIRECTOR

Central Study Contacts

Abdulaziz Sultan L. Alanazi

CONTACT

+966 53 113 0431; sultan.phdscholar@lincoln.edu.my

Faridah Mohd Said Dr.

CONTACT

+60122200419; faridah.msaid@lincoln.edu.my

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Masking Details: Data management and statistical analysis are conducted with arm labels masked to the analysis team until primary models have been fitted, to reduce analytic bias despite the inability to mask participants or facilitators to the intervention itself.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Mr.

Model Details: Two-site, non-equivalent comparison-group quasi-experimental design. Allocation is by successive intake cohort within each site rather than by randomisation, so that study arm is not confounded with site; both participating sites contribute nurses to both the comparator and intervention arms.

Study Record Dates

• First Submitted: August 5, 2026
• First Posted: August 10, 2026
• Study Start (Estimated): September 1, 2026
• Primary Completion (Estimated): January 1, 2027
• Study Completion (Estimated): January 31, 2027
• Last Updated: August 10, 2026

Record last verified: 2026-08

Data Sharing

• IPD Sharing: Will not share

Locations

SA (1)