Nursing CareNCT05469035
The Effect of Nurse Training on the Improvement of Subcutaneous Heparin Applications
A study testing Mobile-based video and Face-to-face in people with Nursing Care, run by Istanbul Saglik Bilimleri University.
Trial summary
One of the most important duties and responsibilities of nurses is drug administration. During drug administration, the nurse uses appropriate administration techniques and ensures patient safety by knowing the drugs and their side effects. Read more about this study
- Who is it for?
- Ages 18 to 65 yearsHealthy volunteers can take part
- Conditions the study is for
- Nursing Care
- What is being tested?
- Mobile-based video and Face-to-face
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 80 participants
- Where
- No sites listed yet
- Study dates
- 15 Jul 2022to 30 Aug 2022
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- volunteering to participate in the study
Who cannot join
- not have administered subcutaneous heparin in the clinical practice
Trial locations and contacts
No sites are listed yet.
About this study
Official title: Hamidiye Faculty of Nursing, University of Health Sciences
One of the most important duties and responsibilities of nurses is drug administration. During drug administration, the nurse uses appropriate administration techniques and ensures patient safety by knowing the drugs and their side effects. This study aimed to examine the effect of nurse training on the improvement of subcutaneous heparin applications. In this study, it was planned to train nurses by using two different training methods. These methods are online and face-to-face training.
In both methods, it was planned to evaluate the subcutaneous drug administration knowledge and skill of nurses before and after the training.
Read the detailed description
Drug administration is a common nursing clinical intervention. The nurse ensures patient safety by using compatible administration techniques and being aware of the side effects of medications. Pharmacological agents such as heparins, vaccines, insulin, hormone drugs, etc., are generally inappropriate with oral, intravenous or intamuscular intake. Thereupon, they have to be administered by means of subcutaneous (SC) injection. Subcutaneous medications are injected into the tissue layer between the skin and the muscle that is called subcutaneous tissue where does not have a rich blood supply. Suitable areas for subcutaneous injction application are the lateral aspect of the upper arms, posterior aspect of the upper arms, anterior surface of the thigh, unders the scapulas and abdomen in the umbilical region. For the reason that abdominal region has an excess subcutaneous fat tissue, enough space for repeated injections and less muscle activity, it is highly preferred for subcutaneous injections. The angle of entry of the needle into the tissue depends on the needle length and the thickness of the subcutaneous tissue mass. A 90-degree angle is used if the subcutaneous tissue thicknes is about 5 cm. However, when it is 2.5 cm the angle of a 45-degree angle is recommended. To check whether the needle tip is in the vein or not during the application causes the needle movement in the tissue that then results in vascular damage, bleeding, ecchymosis and hematoma formation. Airlock technique in subcutaneous inections is recommended as it ensures that the entire drug is delivered to the tissue as well as preventing the escape of the drug.
- Conditions
- Nursing Care
- Being tested
- Mobile-based video, Face-to-face
- Keywords
- Subcutaneous heparin injections, nursing, training
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Mobile-based videoOther
Also called SC Heparin Interventions
Nurses in the experimental group participated in mobile-based video learning.
Face-to-faceOther
Also called SC Heparin Interventions
Nurses in the experimental group participated in face-to-face learning.
| Study group | Role | What they receive |
|---|---|---|
| Experimental | Experimental | Nurses in the experimental group participated in mobile-based video learning. Receives: Other: Mobile-based video |
| Control | Active comparator | Nurses in the experimental group participated in face-to-face learning. Receives: Other: Face-to-face |
What is being measured
The primary outcome is the main question the study is designed to answer.
Improvement of subcutaneous heparin applications
The primary outcome of this study is the improvement of nurses' subcutaneous heparin applications. The 25-item checklist prepared by the researchers based on the literature includes the application steps of subcutaneous heparin knowledge and skill.
Measured: Through study completion, an average of 1 months
Secondary outcomes (1)
Comparision of two different method
The secondary outcome of this study is the comparison of the two different education methods.The 25-item checklist prepared by the researchers based on the literature includes the application steps of subcutaneous heparin knowledge and skill.
Measured: Through study completion, an average of 1 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Jul 2022
- Study start15 Jul 2022 (estimated)
- Primary completion10 Aug 2022 (estimated)
- Study completion30 Aug 2022 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Nursing CareStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- A randomized controlled, pre-post-test, mixed-method
- Masking
- None (open label)
- Enrolment
- 80 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Istanbul Saglik Bilimleri University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Demet İnangil, PhD, Istanbul Saglik Bilimleri University
- Investigators
- Demet İnangil, Study chair, Istanbul Sağlık Bilimleri University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05469035
- Sponsor's protocol ID
- 1640
- Status last verified
- Jul 2022
- First submitted
- 30 Jun 2022
- Last updated
- 21 Jul 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Hegland PA, Aarlie H, Stromme H, Jamtvedt G. Simulation-based training for nurses: Systematic review and meta-analysis. Nurse Educ Today. 2017 Jul;54:6-20. doi: 10.1016/j.nedt.2017.04.004. Epub 2017 Apr 19.
PubMed 28456053Demir R, Inangil D, Turkoglu I, Sendir M. Improving subcutaneous injection safety among nurses: a randomized controlled trial of video-based and face-to-face training. BMC Nurs. 2026 Jan 6;25(1):119. doi: 10.1186/s12912-025-04281-5.
PubMed 41495726
Study at a glance
From the registry record, last updated by the sponsor on 21 Jul 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Hamidiye Faculty of Nursing, University of Health Sciences
- ClinicalTrials.gov ID
- NCT05469035
- Acronym / sponsor ID
- 1640
- Conditions
- Nursing Care
- Keywords
- Subcutaneous heparin injections, nursing, training
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 80 participants (estimated)
- Lead sponsor
- Istanbul Saglik Bilimleri UniversityUniversity, hospital or other
- Study start
- 15 Jul 2022 (estimated)
- Primary completion
- 10 Aug 2022 (estimated)
- Study completion
- 30 Aug 2022 (estimated)
- First posted
- 21 Jul 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
One of the most important duties and responsibilities of nurses is drug administration. During drug administration, the nurse uses appropriate administration techniques and ensures patient safety by knowing the drugs and their side effects. This study aimed to examine the effect of nurse training on the improvement of subcutaneous heparin applications. In this study, it was planned to train nurses by using two different training methods. These methods are online and face-to-face training.
In both methods, it was planned to evaluate the subcutaneous drug administration knowledge and skill of nurses before and after the training.
Detailed description
Drug administration is a common nursing clinical intervention. The nurse ensures patient safety by using compatible administration techniques and being aware of the side effects of medications. Pharmacological agents such as heparins, vaccines, insulin, hormone drugs, etc., are generally inappropriate with oral, intravenous or intamuscular intake. Thereupon, they have to be administered by means of subcutaneous (SC) injection. Subcutaneous medications are injected into the tissue layer between the skin and the muscle that is called subcutaneous tissue where does not have a rich blood supply. Suitable areas for subcutaneous injction application are the lateral aspect of the upper arms, posterior aspect of the upper arms, anterior surface of the thigh, unders the scapulas and abdomen in the umbilical region. For the reason that abdominal region has an excess subcutaneous fat tissue, enough space for repeated injections and less muscle activity, it is highly preferred for subcutaneous injections. The angle of entry of the needle into the tissue depends on the needle length and the thickness of the subcutaneous tissue mass. A 90-degree angle is used if the subcutaneous tissue thicknes is about 5 cm. However, when it is 2.5 cm the angle of a 45-degree angle is recommended. To check whether the needle tip is in the vein or not during the application causes the needle movement in the tissue that then results in vascular damage, bleeding, ecchymosis and hematoma formation. Airlock technique in subcutaneous inections is recommended as it ensures that the entire drug is delivered to the tissue as well as preventing the escape of the drug.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- A randomized controlled, pre-post-test, mixed-method
| Arm | Type | Receives |
|---|---|---|
| Experimental | Experimental | Other: Mobile-based videoNurses in the experimental group participated in mobile-based video learning. |
| Control | Active comparator | Other: Face-to-faceNurses in the experimental group participated in face-to-face learning. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- volunteering to participate in the study
Key exclusion criteria (1 listed)
- not have administered subcutaneous heparin in the clinical practice
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Mobile-based videoAlso: SC Heparin InterventionsNurses in the experimental group participated in mobile-based video learning. | Other | Experimental |
| Face-to-faceAlso: SC Heparin InterventionsNurses in the experimental group participated in face-to-face learning. | Other | Control |
Primary outcome
Improvement of subcutaneous heparin applications
Time frame: Through study completion, an average of 1 months
The primary outcome of this study is the improvement of nurses' subcutaneous heparin applications. The 25-item checklist prepared by the researchers based on the literature includes the application steps of subcutaneous heparin knowledge and skill.
1 secondary outcome
Comparision of two different method
Time frame: Through study completion, an average of 1 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Jul 2022.
- Background: PubMed 28456053Hegland PA, Aarlie H, Stromme H, Jamtvedt G. Simulation-based training for nurses: Systematic review and meta-analysis. Nurse Educ Today. 2017 Jul;54:6-20. doi: 10.1016/j.nedt.2017.04.004. Epub 2017 Apr 19.
- Derived from this study: PubMed 41495726Demir R, Inangil D, Turkoglu I, Sendir M. Improving subcutaneous injection safety among nurses: a randomized controlled trial of video-based and face-to-face training. BMC Nurs. 2026 Jan 6;25(1):119. doi: 10.1186/s12912-025-04281-5.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Demet İnangil study chair
Istanbul Sağlık Bilimleri University
Questions about this trial
What is this clinical trial studying?
A study testing Mobile-based video and Face-to-face in people with Nursing Care, run by Istanbul Saglik Bilimleri University.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 21 Jul 2022. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Demet İnangil (05303021160, demet.inangil@sbu.edu.tr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Improvement of subcutaneous heparin applications (time frame: Through study completion, an average of 1 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05469035, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Jul 2022.