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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
83
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.
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.
Kirkuk Teaching Hospital
Kirkuk, Kirkuk Governorate, Iraq
Pediatric Hospital
Kirkuk, Kirkuk Governorate, Iraq
Nurses' clinical practice in nasogastric tube care
Clinical practice will be assessed using the Observation Checklist for Nursing Care of Nasogastric Tube (NG Care). This outcome will evaluate nurses' adherence to clinical standards and best practices in nasogastric tube care. Higher scores indicate better clinical practice performance.
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' self-confidence in performing nasogastric tube care procedures
Self-confidence will be assessed using the study questionnaire on nurses' self-confidence in performing nasogastric tube care procedures. This outcome will measure nurses' perceived confidence in providing safe and effective nasogastric tube care. Higher scores indicate greater self-confidence.
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
Satisfaction will be assessed using the study questionnaire on nurses' satisfaction with educational methods for nasogastric tube procedures. This outcome will measure participants' satisfaction with the assigned educational method or usual practice. Higher scores indicate greater satisfaction.
Time frame: Immediately after completion of the assigned training intervention (post-test 1) and 4 weeks after completion of the intervention (post-test 2).
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