Evidence-based PracticeNCT05941364
Factors Affecting the Sustainable Improvement of Nurses' Competency After Receiving an Evidence-based Practice Training Program
An observational study of Evidence-based Practice, run by Cairo University at 1 site in Egypt.
Trial summary
Evidence-based practice (EBP) is a problem-solving and decision-making approach to improving the quality of care and closing the malpractice gap, especially for critical care nurses. Critical care nurses are responsible for the assessment of patients and the provision of care in intensive care units (ICUs). Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Evidence-based Practice
- How many people
- 37 participants
- Where
- 1 siteEgypt
- Study dates
- 1 Jul 2023to 30 Jul 2023
- Phase
- Observational
- 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 Any age
- All sexes
- Child, Adult, Older adult
Study population: Participants sample and setting The study will be conducted in adult ICUs at the NHTMRI in Cairo, Egypt. The total capacity of the ICUs is 14 beds, divided into two sections. All nurses who participated as an intervention group (n = 37) in a previously unpublished yet study entitled "Effect of Evidence-Based Nursing Practices Training Program on the Competency of Nurses Caring for Mechanically Ventilated Patients: A Randomized Controlled Trial" who received the evidence-based nursing practice training program (EBNPTP) will be invited to participate in the current study.
Who may be able to join
- ICU nurses.
- nurses who took the EBP Training Program.
Who cannot join
- not willing to participate
Trial locations and contacts
1 site in 1 country.
About this study
Evidence-based practice (EBP) is a problem-solving and decision-making approach to improving the quality of care and closing the malpractice gap, especially for critical care nurses. Critical care nurses are responsible for the assessment of patients and the provision of care in intensive care units (ICUs). Critical care nurses need expertise and evidence to recognize clinical changes and prevent patient complications.
Despite the emphasis on EBP being applied in nurses' daily practice, a significant number of nurses have not gotten involved in EBP and are not fully aware of the concept of EBP. Nurses are unprepared to implement EBP due to a lack of information literacy skills in information searching and retrieval. Therefore, several studies have been conducted on the effects of different nursing skill training programs designed based on evidence. The almost short-term effect of the EBP training program is likely to be successful. Nevertheless, there is little evidence regarding the sustainability effects of these training activities over time. Therefore, the study aims to explore the factors affecting the sustainable improvement of nurses' competency after receiving an evidence-based practice training program.
Read more
Research question What are the factors that affect the sustainable improvement of nurses' competency after receiving an evidence-based practice training program? Study design A mixed, sequential method design with one qualitative and one quantitative method will be utilized in the study to facilitate a more comprehensive evaluation of the factors affecting the sustainable improvement of nurses' competency after receiving an EBP training program. We identified these factors from reviewing the literature
Study variables The study variables of this study are the factors affecting the sustainable improvement of nurses' competency after receiving an evidence-based practice training program. qualitative and quantitative research methods will be used, four main factors will be assessed quantitatively using the following four measurement adopted instruments.
-Sustained Implementation Support Scale (SISS)
Self-efficacy: General Self-Efficacy Scale (GSE):
Self-regulation: Self-Regulation Questionnaire (SRQ) The seven subscales
Motivation assessment scale:
The reliability and validity of the quantitative measuring tool content and face validity will be checked to ensure that the tools measure specifically what the study intends to measure. Internal consistency (Cronbach's alpha) will be used. Also, trustworthiness will be established for qualitative findings.
Read the detailed description
Evidence-based practice (EBP) is a problem-solving and decision-making approach to improving the quality of care and closing the malpractice gap, especially for critical care nurses. Critical care nurses are responsible for the assessment of patients and the provision of care in intensive care units (ICUs). Critical care nurses need expertise and evidence to recognize clinical changes and prevent patient complications.
Despite the emphasis on EBP being applied in nurses' daily practice, a significant number of nurses have not gotten involved in EBP and are not fully aware of the concept of EBP. Nurses are unprepared to implement EBP due to a lack of information literacy skills in information searching and retrieval. Therefore, several studies have been conducted on the effects of different nursing skill training programs designed based on evidence. The almost short-term effect of the EBP training program is likely to be successful. Nevertheless, there is little evidence regarding the sustainability effects of these training activities over time. Therefore, the study aims to explore the factors affecting the sustainable improvement of nurses' competency after receiving an evidence-based practice training program.
Research question What are the factors that affect the sustainable improvement of nurses' competency after receiving an evidence-based practice training program? Study design A mixed, sequential method design with one qualitative and one quantitative method will be utilized in the study to facilitate a more comprehensive evaluation of the factors affecting the sustainable improvement of nurses' competency after receiving an EBP training program.
The inductive, category-generating qualitative approach will be employed using in-depth focus group semi-structured interview techniques to explore the participants' own experiences, beliefs, and perceptions using an open-ended question based on the participants' statements for addressing the contributing factors that affect the sustained implementation of the given EBPNTP into real-world practices. without the influence of supplementary texts or the researcher's internal suppositions.
Study variables The study variables of this study are the factors affecting the sustainable improvement of nurses' competency after receiving an evidence-based practice training program. qualitative and quantitative research methods will be used, four main factors will be assessed quantitatively using the following four measurement adopted instruments.
-Sustained Implementation Support Scale (SISS)
Self-efficacy: General Self-Efficacy Scale (GSE):
Self-regulation: Self-Regulation Questionnaire (SRQ) The seven subscales
Motivation assessment scale:
The reliability and validity of the quantitative measuring tool content and face validity will be checked to ensure that the tools measure specifically what the study intends to measure. Internal consistency (Cronbach's alpha) will be used. Also, trustworthiness will be established for qualitative findings.
Data collection procedure After obtaining the ethical approval of the IRB and the nurses' agreement to participate, the purpose and method of the research will be explained to nurses. the qualitative will start first by establishing a focus group interview based on predetermined interview guidelines. Then quantitative method will start by asking the nurses to respond to the self-reported questionnaires.
- Conditions
- Evidence-based Practice
- Keywords
- Evidence-based Practice, Clinical Competency, Sustainability, Nurses
What is being measured
The primary outcome is the main question the study is designed to answer.
This is an observational study. Four questionnaires will be aggregated to assess one reported variable : The variable is (factor affecting the sustainable improvement of nurses' competency after receiving an EBP training program).
The four specific inventories are;
- Sustained Implementation Support Scale: 28-item measure assessing five categories of common barriers and enablers of sustained educational program implementation, 5-point scale from 1 (strongly disagree) to 5 (strongly agree).
- Self-efficacy Scale: 10 items used to measure how much people believe they can achieve their goals, despite difficulties, 4-point scale from 1 (Not at all true) to 4 (Exactly true).
- Self-regulation Questionnaire: 63 items, employed to measure the generalized ability to regulate behavior, 5-point scale from 1 (strongly disagree) to 5 (strongly agree).
- Motivation assessment scale: 12 items were used that correspond to intrinsic and extrinsic self-motivating factors, 5-point scale from 1 (strongly disagree) to 5 (strongly agree).
The average item score will be used; the assessed factors with higher scores mean it has a higher contribution.
Measured: up to 3 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Jul 2023
- Study start1 Jul 2023
- Primary completion30 Jul 2023
- Study completion30 Jul 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Evidence-based PracticeStudies of the same condition, open and under way.
- More trials run by Cairo UniversityThe sponsor's other registered studies.
- 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
- Observational
- Observational model
- Other
- Time perspective
- Other
- Enrolment
- 37 participants (actual)
Sponsor and investigators
- Lead sponsor
- Cairo University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Sameh Elhabashy, Cairo University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05941364
- Sponsor's protocol ID
- NHTMRI-IRB 13-23
- Status last verified
- Sep 2023
- First submitted
- 24 May 2023
- Last updated
- 13 Sep 2023
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Elhabashy S, Moriyama M, Saleh MA. Factors Affecting Sustainable Improvement of Nurses' EBP Competency After Receiving an EBP Training Program: A Mixed-Methods Study. J Clin Nurs. 2026 Mar;35(3):1222-1233. doi: 10.1111/jocn.70100. Epub 2025 Sep 9.
PubMed 40922703
Study at a glance
From the registry record, last updated by the sponsor on 13 Sep 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Factors Affecting the Sustainable Improvement of Nurses' Competency After Receiving an Evidence-based Practice Training Program
- ClinicalTrials.gov ID
- NCT05941364
- Acronym / sponsor ID
- NHTMRI-IRB 13-23
- Conditions
- Evidence-based Practice
- Keywords
- Evidence-based Practice, Clinical Competency, Sustainability, Nurses
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 37 participants (actual)
- Lead sponsor
- Cairo UniversityUniversity, hospital or other
- Study start
- 1 Jul 2023 (actual)
- Primary completion
- 30 Jul 2023 (actual)
- Study completion
- 30 Jul 2023 (actual)
- First posted
- 12 Jul 2023 (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.
Evidence-based practice (EBP) is a problem-solving and decision-making approach to improving the quality of care and closing the malpractice gap, especially for critical care nurses. Critical care nurses are responsible for the assessment of patients and the provision of care in intensive care units (ICUs). Critical care nurses need expertise and evidence to recognize clinical changes and prevent patient complications.
Despite the emphasis on EBP being applied in nurses' daily practice, a significant number of nurses have not gotten involved in EBP and are not fully aware of the concept of EBP. Nurses are unprepared to implement EBP due to a lack of information literacy skills in information searching and retrieval. Therefore, several studies have been conducted on the effects of different nursing skill training programs designed based on evidence. The almost short-term effect of the EBP training program is likely to be successful. Nevertheless, there is little evidence regarding the sustainability effects of these training activities over time. Therefore, the study aims to explore the factors affecting the sustainable improvement of nurses' competency after receiving an evidence-based practice training program.
Research question What are the factors that affect the sustainable improvement of nurses' competency after receiving an evidence-based practice training program? Study design A mixed, sequential method design with one qualitative and one quantitative method will be utilized in the study to facilitate a more comprehensive evaluation of the factors affecting the sustainable improvement of nurses' competency after receiving an EBP training program. We identified these factors from reviewing the literature
Study variables The study variables of this study are the factors affecting the sustainable improvement of nurses' competency after receiving an evidence-based practice training program. qualitative and quantitative research methods will be used, four main factors will be assessed quantitatively using the following four measurement adopted instruments.
-Sustained Implementation Support Scale (SISS)
Self-efficacy: General Self-Efficacy Scale (GSE):
Self-regulation: Self-Regulation Questionnaire (SRQ) The seven subscales
Motivation assessment scale:
The reliability and validity of the quantitative measuring tool content and face validity will be checked to ensure that the tools measure specifically what the study intends to measure. Internal consistency (Cronbach's alpha) will be used. Also, trustworthiness will be established for qualitative findings.
Detailed description
Evidence-based practice (EBP) is a problem-solving and decision-making approach to improving the quality of care and closing the malpractice gap, especially for critical care nurses. Critical care nurses are responsible for the assessment of patients and the provision of care in intensive care units (ICUs). Critical care nurses need expertise and evidence to recognize clinical changes and prevent patient complications.
Despite the emphasis on EBP being applied in nurses' daily practice, a significant number of nurses have not gotten involved in EBP and are not fully aware of the concept of EBP. Nurses are unprepared to implement EBP due to a lack of information literacy skills in information searching and retrieval. Therefore, several studies have been conducted on the effects of different nursing skill training programs designed based on evidence. The almost short-term effect of the EBP training program is likely to be successful. Nevertheless, there is little evidence regarding the sustainability effects of these training activities over time. Therefore, the study aims to explore the factors affecting the sustainable improvement of nurses' competency after receiving an evidence-based practice training program.
Research question What are the factors that affect the sustainable improvement of nurses' competency after receiving an evidence-based practice training program? Study design A mixed, sequential method design with one qualitative and one quantitative method will be utilized in the study to facilitate a more comprehensive evaluation of the factors affecting the sustainable improvement of nurses' competency after receiving an EBP training program.
The inductive, category-generating qualitative approach will be employed using in-depth focus group semi-structured interview techniques to explore the participants' own experiences, beliefs, and perceptions using an open-ended question based on the participants' statements for addressing the contributing factors that affect the sustained implementation of the given EBPNTP into real-world practices. without the influence of supplementary texts or the researcher's internal suppositions.
Study variables The study variables of this study are the factors affecting the sustainable improvement of nurses' competency after receiving an evidence-based practice training program. qualitative and quantitative research methods will be used, four main factors will be assessed quantitatively using the following four measurement adopted instruments.
-Sustained Implementation Support Scale (SISS)
Self-efficacy: General Self-Efficacy Scale (GSE):
Self-regulation: Self-Regulation Questionnaire (SRQ) The seven subscales
Motivation assessment scale:
The reliability and validity of the quantitative measuring tool content and face validity will be checked to ensure that the tools measure specifically what the study intends to measure. Internal consistency (Cronbach's alpha) will be used. Also, trustworthiness will be established for qualitative findings.
Data collection procedure After obtaining the ethical approval of the IRB and the nurses' agreement to participate, the purpose and method of the research will be explained to nurses. the qualitative will start first by establishing a focus group interview based on predetermined interview guidelines. Then quantitative method will start by asking the nurses to respond to the self-reported questionnaires.
Study design
- Observational model
- Other
- Time perspective
- Other
Who may qualify
- Sex
- All
- Age groups
- Child, Adult, Older adult
- Study population
- Participants sample and setting The study will be conducted in adult ICUs at the NHTMRI in Cairo, Egypt. The total capacity of the ICUs is 14 beds, divided into two sections. All nurses who participated as an intervention group (n = 37) in a previously unpublished yet study entitled "Effect of Evidence-Based Nursing Practices Training Program on the Competency of Nurses Caring for Mechanically Ventilated Patients: A Randomized Controlled Trial" who received the evidence-based nursing practice training program (EBNPTP) will be invited to participate in the current study.
Key inclusion criteria (2 listed)
- ICU nurses.
- nurses who took the EBP Training Program.
Key exclusion criteria (1 listed)
- not willing to participate
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
This is an observational study. Four questionnaires will be aggregated to assess one reported variable : The variable is (factor affecting the sustainable improvement of nurses' competency after receiving an EBP training program).
Time frame: up to 3 weeks
The four specific inventories are; 1. Sustained Implementation Support Scale: 28-item measure assessing five categories of common barriers and enablers of sustained educational program implementation, 5-point scale from 1 (strongly disagree) to 5 (strongly agree). 2. Self-efficacy Scale: 10 items used to measure how much people believe they can achieve their goals, despite difficulties, 4-point scale from 1 (Not at all true) to 4 (Exactly true). 3. Self-regulation Questionnaire: 63 items, employed to measure the generalized ability to regulate behavior, 5-point scale from 1 (strongly disagree) to 5 (strongly agree). 4. Motivation assessment scale: 12 items were used that correspond to intrinsic and extrinsic self-motivating factors, 5-point scale from 1 (strongly disagree) to 5 (strongly agree). The average item score will be used; the assessed factors with higher scores mean it has a higher contribution.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Sep 2023.
- Derived from this study: PubMed 40922703Elhabashy S, Moriyama M, Saleh MA. Factors Affecting Sustainable Improvement of Nurses' EBP Competency After Receiving an EBP Training Program: A Mixed-Methods Study. J Clin Nurs. 2026 Mar;35(3):1222-1233. doi: 10.1111/jocn.70100. Epub 2025 Sep 9.
- Individual participant dataSharing planned: Undecided
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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.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Evidence-based Practice, run by Cairo University at 1 site in Egypt.
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 2 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: finished, as of the sponsor's last update on 13 Sep 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.
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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
This is an observational study. Four questionnaires will be aggregated to assess one reported variable : The variable is (factor affecting the sustainable improvement of nurses' competency after receiving an EBP training program). (time frame: up to 3 weeks). 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 NCT05941364, which also lists 1 linked publication.
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 13 Sep 2023.