Effect of Nasogastric Tube Care Training by Simulation-Based and Video-Based Methods on Nurses' Confidence, Satisfaction, and Practices
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Simulation-Based Nasogastric Tube Care Training, Video-Based Nasogastric Tube Care Training.
- Who it may be relevant to
- Registry conditions: Nurse Based Care Management, Nurse Led Interventions, Nurse Training, Nurse Scope, Practice. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Iraq
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Effect of Nasogastric Tube Care Training by Simulation-Based and Video-Based Methods on Nurses' Confidence, Satisfaction, and Practices: A Randomized Controlled Trial
Overview
This randomized controlled trial will evaluate the effect of simulation-based and video-based training on nurses' confidence, satisfaction, and clinical practice related to nasogastric tube care, compared with a control group receiving routine training or usual practice. Nasogastric tube care is an essential nursing procedure that requires adequate knowledge, practical skills, and confidence to ensure safe and effective patient care. Participants will be randomly assigned to one of three groups: simulation-based training, video-based training, or control. The findings of this study will provide evidence on effective educational methods to improve nurses' performance in nasogastric tube care and support better quality of care.
Detailed description
Nasogastric tube care is a common and important nursing procedure that requires sound knowledge, technical competence, and confidence. Inadequate training may affect nurses' performance and the quality of care provided to patients with nasogastric tubes. Educational approaches such as simulation-based training and video-based training are increasingly used in nursing education and clinical training; however, limited evidence is available regarding their comparative effect on nurses' confidence, satisfaction, and actual practice in nasogastric tube care.
This study will be conducted as a randomized controlled trial at the Pediatric Hospital and Kirkuk Teaching Hospital in Kirkuk. A total of 83 nurses will be enrolled and randomly assigned to one of three groups: a simulation-based training group, a video-based training group, or a control group. The simulation-based group will receive structured training through simulated clinical practice, while the video-based group will receive standardized training through an instructional video. The control group will receive routine training or usual practice in the study setting.
Data will be collected using a questionnaire and an observational checklist. The questionnaire will include nurses' demographic characteristics, self-confidence in performing nasogastric tube care procedures, and satisfaction with the educational method. Clinical practice related to nasogastric tube care will be assessed using an observation checklist. The study will compare the effects of the training methods on nurses' confidence, satisfaction, and practice, and will also examine the relationship between confidence and practical performance after training.
Interventions
- Procedure Simulation-Based Nasogastric Tube Care Training
A structured simulation-based educational intervention designed to train nurses in nasogastric tube care using simulated clinical practice. The training includes standardized instruction and hands-on practice of key nasogastric tube care procedures in a simulated setting, with demonstration, supervised performance, and feedback to improve nurses' confidence, satisfaction, and clinical practice. - Procedure Video-Based Nasogastric Tube Care Training
Participants assigned to this arm receive video-based training on nasogastric tube care. The intervention consists of standardized educational content delivered through instructional video demonstrating key nasogastric tube care procedures and steps. The video is used to support learning in a structured manner to improve nurses' confidence, satisfaction, and clinical practice related to nasogastric tube care.
Primary outcome measures
- Nurses' clinical practice in nasogastric tube care [Time frame: Immediately after completion of the assigned training intervention (post-test 1) and 4 weeks after completion of the intervention (post-test 2).]
Secondary outcome measures (2)
- Nurses' self-confidence in performing nasogastric tube care procedures [Time frame: Immediately after completion of the assigned training intervention (post-test 1) and 4 weeks after completion of the intervention (post-test 2).]
- Nurses' satisfaction with the educational method [Time frame: Immediately after completion of the assigned training intervention (post-test 1) and 4 weeks after completion of the intervention (post-test 2).]
Eligibility criteria
Inclusion criteria
- Registered nurses working at the Pediatric Hospital or Kirkuk Teaching
- Hospital in Kirkuk
- Male or female nurses
- Age 18 years or older
- Nurses involved in direct patient care
- Nurses willing to participate in the study
- Nurses able to attend the assigned training and complete the study assessments
Exclusion criteria
- Nurses who do not agree to participate in the study
- Nurses who are not available during the study period
- Nurses who are unable to attend the assigned training session
- Nurses who do not complete the required study assessments
- Nurses who participated in the pilot study
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Supportive care
Study locations
Iraq · 2 centers
- Kirkuk Teaching Hospital — Kirkuk
- Pediatric Hospital — Kirkuk
Publications
- Choi KS, He X, Chiang VC, Deng Z. A virtual reality based simulator for learning nasogastric tube placement. Comput Biol Med. 2015 Feb;57:103-15. doi: 10.1016/j.compbiomed.2014.12.006. Epub 2014 Dec 17. PMID 25546468
- Bloom L, Seckel MA. Placement of Nasogastric Feeding Tube and Postinsertion Care Review. AACN Adv Crit Care. 2022 Mar 15;33(1):68-84. doi: 10.4037/aacnacc2022306. PMID 35259226
- Chan EY, Ng IH, Tan SL, Jabin K, Lee LN, Ang CC. Nasogastric feeding practices: a survey using clinical scenarios. Int J Nurs Stud. 2012 Mar;49(3):310-9. doi: 10.1016/j.ijnurstu.2011.09.014. Epub 2011 Oct 5. PMID 21974794
- Xu LC, Huang XJ, Lin BX, Zheng JY, Zhu HH. Clinical nurses' nasogastric feeding practices in adults: a multicenter cross-sectional survey in China. J Int Med Res. 2020 Apr;48(4):300060520920051. doi: 10.1177/0300060520920051. PMID 32349566
- Guerrero Marquez G, Martinez Serrano A, Gutierrez Juarez M, Garcia Lozano A, Mayordomo Casado B, Torrijos Rodriguez MI, Verges Pernia C, Fernandez Morales E, Sanchez P, Medina Duran A, Miguez Navarro MC. Effectiveness of an educational intervention to improve nurses' knowledge on pediatric nasogastric intubation. Arch Argent Pediatr. 2018 Dec 1;116(6):402-408. doi: 10.5546/aap.2018.eng.402. Englis PMID 30457718
- Yang FH, Lin FY, Hwu YJ. The Feasibility Study of a Revised Standard Care Procedure on the Capacity of Nasogastric Tube Placement Verification Among Critical Care Nurses. J Nurs Res. 2019 Aug;27(4):e31. doi: 10.1097/jnr.0000000000000302. PMID 30747820
- Yu TY, Huang TW, Huang HC, Li SY, Chuang YH. Effects of an Interactive e-Book on Enhancing Nursing Students' Knowledge, Confidence, and Learning Self-efficacy of Nursing Skills: A Randomized Controlled Trial. Nurse Educ. 2024 Jan-Feb 01;49(1):E20-E25. doi: 10.1097/NNE.0000000000001490. Epub 2023 Aug 30. PMID 37647544
- Lo YT, Yang CC, Yeh TF, Tu HY, Chang YC. Effectiveness of immersive virtual reality training in nasogastric tube feeding education: A randomized controlled trial. Nurse Educ Today. 2022 Dec;119:105601. doi: 10.1016/j.nedt.2022.105601. Epub 2022 Oct 12. PMID 36244254
Identifiers
NCT: NCT07541846 · UoBaghdad_HJabbar_1204b