Exploring the Effectiveness of an Application Intervention on Cognitive, Learning Self-Efficacy,and Clinical Reasoning of Nurses Regarding Delirium Education in the Intensive Care Unit

NCT07761234 | Completed DMC

• 1 other identifier: EMRP-114-098
• Study Type: interventional
• Target: 102
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to evaluate the effectiveness of an app-based delirium in-service education program for intensive care unit (ICU) nurses, specifically examining its impact on their knowledge, learning self-efficacy, and clinical reasoning.The primary research questions are as follows:

1. 1.Does the app intervention implemented at different time points enhance ICU nurses' knowledge of delirium?
2. 2.Does the app intervention implemented at different time points enhance ICU nurses' learning self-efficacy?
3. 3.Does the app intervention implemented at different time points improve ICU nurses' clinical reasoning skills?

Conditions

Cognitive of Delirium; Learning Self-Efficacy of Delirium; Clinical Reasoning of Delirium

Keywords

Application; Delirium In-service Education; Learning Self-efficacy; Clinical Reasoning; System Usability

Outcome Measures

Primary Outcomes (3)

• Delirium cognitive

  adopted the "Cognitive Care for Delirium Assessment among Nursing Staff in Intensive Care Units" questionnaire by Hou et al. (2024). The original questionnaire had 15 questions. To balance statistical indicators with "content validity" in clinical practice, 6 questions were ultimately retained after screening based on difficulty and discrimination. Each question's answer was scored as correct (1 point) or incorrect (0 points), and the scores were summed to form an individual's total score, reflecting the subject's knowledge level. The maximum score was 6 points, with higher scores indicating more accurate knowledge about delirium.

  Evaluations were conducted at three time points: baseline (T0), immediately post-intervention (T1), and four weeks post-intervention (T2).

• Learning self-efficacy

  Using the "Delirium Care Self-Efficacy Scale" by Chang et al. (2023), scores ranged from 13 to 65. The higher the score, the higher the self-efficacy in delirium care learning.

  Evaluations were conducted at three time points: baseline (T0), immediately post-intervention (T1), and four weeks post-intervention (T2).

• clinical reasoning

  The Clinical Reasoning Tendency Scale for Nursing Students (Huang et al., 2018) was used. It consists of 16 items with a total score ranging from 16 to 80 points. Higher scores indicate better clinical reasoning ability among nurses.

  Evaluations were conducted at three time points: baseline (T0), immediately post-intervention (T1), and four weeks post-intervention (T2).

Study Arms (2)

Application Intervention(APP)

EXPERIMENTAL

receiving an APP intervention constructed on the Notion platform and integrated with gamified learning via Kahoot

Other: Application Intervention

traditional classroom lectures

NO INTERVENTION

receiving traditional classroom lectures

Interventions

Application Intervention OTHER

receiving an APP intervention constructed on the Notion platform and integrated with gamified learning via Kahoot)

Application Intervention(APP)

Eligibility Criteria

• Age: 20 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Registered Nurses (RNs) with a valid nursing license.
• Currently employed in an adult medical or surgical intensive care unit (ICU), having passed the probationary period, and with at least six months of clinical work experience.
• Willing to participate in this study.

You may not qualify if:

• Those who are unable to complete the full study procedure due to leave of absence without pay, maternity leave, or long-term sick/extended leave.
• Unit nurse managers (Head Nurses).

Sponsors & Collaborators

• Ping-Chiao Chung: lead
• E-DA Hospital: collaborator

Study Sites (1)

No. 1, Yida Rd., Jiaosu Li, Yanchao Dist.

Kaohsiung City, Taiwan (r.o.c.), 82445, Taiwan

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: OTHER
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Nurse Practitioner in Emergency and Critical Care

Study Record Dates

• First Submitted: July 26, 2026
• First Posted: August 12, 2026
• Study Start: February 9, 2026
• Primary Completion: March 31, 2026
• Study Completion: March 31, 2026
• Last Updated: August 12, 2026

Record last verified: 2026-08

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)