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临床试验/NCT07761234
NCT07761234已完成不适用

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

Ping-Chiao Chung1 个研究点 分布在 1 个国家目标入组 102 人开始时间: 2026年2月9日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
102
试验地点
1
主要终点
Delirium cognitive

研究概览

简要总结

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

详细描述

A randomized controlled, two-arm, repeated-measures design. ICU nurses from a medical center in southern Taiwan were recruited and randomly assigned to either the experimental group (receiving an APP intervention constructed on the Notion platform and integrated with gamified learning via Kahoot) or the control group (receiving traditional classroom lectures). Evaluations were conducted at three time points: baseline (T0), immediately post-intervention (T1), and four weeks post-intervention (T2).

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Factorial
主要目的
Other
盲法
Single (Participant)

入排标准

年龄范围
20 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •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.

排除标准

  • •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).

研究组 & 干预措施

Application Intervention(APP)

Experimental

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

干预措施: Application Intervention (Other)

traditional classroom lectures

No Intervention

receiving traditional classroom lectures

结局指标

主要结局

Delirium cognitive

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

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.

Learning self-efficacy

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

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.

clinical reasoning

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

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.

次要结局

未报告次要终点

研究者

发起方
Ping-Chiao Chung
申办方类型
Other
责任方
Sponsor Investigator
主要研究者

Ping-Chiao Chung

Nurse Practitioner in Emergency and Critical Care

E-DA Hospital

研究点 (1)

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