Development and Effectiveness Verification of an AI Application for Pressure Injury Nursing Based on Clinical Judgment Model
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 95
- 试验地点
- 1
- 主要终点
- Change in Clinical Judgment Competence Score
研究概览
简要总结
This clinical trial aims to develop a pressure ulcer nursing AI mobile application based on a clinical judgment model and verify its effectiveness among clinical nurses. The study consists of algorithm development, application design, implementation, and a comparative evaluation of nurses using the AI app versus a control group not given the application. Outcomes include clinical judgment, knowledge in pressure ulcer nursing, educational satisfaction, and pressure ulcer incidence. The investigators expect the AI-driven intervention to improve practical nursing skills, reduce pressure ulcer occurrence, and contribute to patient-centered care in hospital settings.
详细描述
"1.Background and Rationale Pressure injuries, also referred to as pressure ulcers, are a global healthcare issue, particularly severe among elderly and chronically ill patients. The prevalence is rising due to an aging population, prolonged hospital stays, and chronic disease incidence. Conventional prevention and treatment are often based on subjective nursing judgment and personal clinical experience, which limits consistency and efficiency across care settings.
Recent advancements in artificial intelligence (AI) enable integration of evidence-based decision-making tools into clinical workflows. Existing AI solutions for wound care tend to be rule-based and expert-driven, which constrains their adaptability in real clinical environments.
The clinical judgment model offers a systematic decision-making pathway: observing, interpreting, responding, and reflecting. Integrating this model into an AI mobile application for pressure injury nursing can provide consistent, evidence-based, and context-responsive guidance to nurses, improving patient safety and quality of care. This prospective study aims to develop such an AI-based application and evaluate its clinical educational effectiveness among hospital nurses.
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Study Objectives
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Primary objective:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
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 nurse working at a tertiary hospital, directly engaged in patient care
- •≥3 years experience (algorithm development phase) or ≥1 year experience (evaluation phase)
- •Written informed consent
排除标准
- •Communication difficulties for interviews (analysis phase)
- •Unable to understand education for AI application (evaluation phase)
研究组 & 干预措施
Experimental Group
clinical nurses receive training and guidance via an AI application designed for pressure ulcer nursing based on a clinical judgment model.
干预措施: Pressure Ulcer Nursing AI Application Training (Biological)
Control Group
Clinical nurses receive conventional pressure ulcer nursing education not involving the developed AI application.
干预措施: Traditional Pressure Ulcer Nursing Education (Biological)
结局指标
主要结局
Change in Clinical Judgment Competence Score
时间窗: Baseline, Post-intervention (approximately 2 weeks)
The difference in clinical judgment score measured by the modified Lasater Clinical Judgment Rubric specific for pressure ulcer management.
次要结局
- Change in Pressure Ulcer Nursing Knowledge Score(Baseline, Post-intervention (approximately 2 weeks))
- Change in Educational Satisfaction Score(Baseline, Post-intervention (approximately 2 weeks))
- Pressure Ulcer Incidence(Baseline, Post-intervention (approximately 2 weeks))