Evidence Based PracticeRCTNCT06569407
Education Program on Evidence-based Practices on Nurses' Competencies and Clinical Decision-Making Levels
A study testing Online Educational Intervention and Educational Booklet in people with Evidence Based Practice, run by Koç University at 1 site in Turkey (Türkiye).
Trial summary
This clinical trial aims to develop an online education program and an educational booklet for nurses on EBP and to compare the evidence-based competencies and clinical decision-making levels of nurses trained with these two methods. Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Evidence Based Practice
- What is being tested?
- Online Educational Intervention and Educational Booklet
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 70 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- Aug 2025to Nov 2027
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Nurses who agree to participate in the study and work in inpatient wards will be included.
Who cannot join
- Nurses who do not agree to participate in the study and do not work in inpatient wards will not be included in the sample.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Turkey (Türkiye)1 site
Koc University School of Nursing
Istanbul, 34450
SEDA SARIKOSE, RN, PhD, +905452722549, sesarikose@ku.edu.tr
About this study
Official title: The Effect of Online Training Program on Evidence-Based Practices on Nurses' Competencies for Evidence-Based Practices and Clinical Decision-Making Levels: A Randomized Controlled Trial
This clinical trial aims to develop an online education program and an educational booklet for nurses on EBP and to compare the evidence-based competencies and clinical decision-making levels of nurses trained with these two methods.
Hypotheses of the Study Ho: There is no statistically significant difference between the nurses' competency levels who participated in the online education developed for evidence-based practices and those who were informed of the educational booklet.
Read more
H1. The nurses' competency levels who participated in the online education developed for evidence-based practices are statistically higher than those who were informed of the educational booklet.
Ho: There is no statistically significant difference between the clinical decision-making levels of nurses who participated in the online education developed for evidence-based practices and nurses who were informed with the educational booklet.
H1: The clinical decision-making levels of the nurses who participated in the online education developed for evidence-based practices are statistically higher than those informed with the educational booklet.
Participants will:
The nurses in the intervention group are expected to fill in the data collection tools (Introductory Information Form for Nurses, Evidence-Based Practice Competency Scale, Clinical Decision Making Scale in Nursing) before the education and then participate in the education about evidence-based practices on the online platform and fill in the data collection tools (Evidence-Based Practice Competency Scale, Clinical Decision Making Scale in Nursing and Education Evaluation Form) 20 days after the education.
The nurses in the control group were expected to complete the data collection tools (Introductory Information Form for Nurses, Evidence-Based Practice Competency Scale, Clinical Decision Making Scale in Nursing) before the education booklet was given and 20 days after the education.
Read the detailed description
One of the specific highlights of this project is that nurses' competencies and clinical decision-making skills can be increased with an education program developed for EBP. In addition, the online education design of the education program in this project will facilitate the integration of education into orientation programs and in-service training for nurses working in institutions where healthcare services are provided. At the same time, the fact that the education program has an online design and consists of an online education that includes modules compatible with smartphones without time and space restrictions shows the original value of the study. Therefore, this study aims to develop an innovative and generalizable online education program for nurses at EBP, contribute to the literature, and indirectly reduce the cost of care and contribute to safe patient care.
- Conditions
- Evidence Based Practice
- Being tested
- Online Educational Intervention, Educational Booklet
- Keywords
- Evidence Based Practice, Clinical Desicion Making, Educational Program, Online Training, Nurse, Randomized Controlled Trial, Educational Intervention
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Online Educational InterventionOther
Also called Online education program and educational booklet for nurses on EBP
An educational program for EBP based on the online learning model was planned to be developed based on the literature and expert opinions. In the program, in line with the literature, the introduction to the EBP, the importance of EBP, EBP steps, clinical research question design in line with PICO, and introduction of EBP databases. It is planned to include topics such as literature search strategies, types of research, use of scientific research and evidence evaluation tools, introduction of clinical decision support systems, reflection of EBP on patient care and clinical decision-making processes, and it is planned to determine the final version of the education content with expert opinions. The program will include recorded videos, slides and documents for each module. The content of the program will be integrated into the Koç University Online Programs Platform by the experts working at Koç University Educational Technologies Unit.
Educational BookletOther
Also called An educational booklet for EBP
An educational booklet for EBP was planned to be developed based on the literature and expert opinions. The learning objectives and content of the educational booklet to be developed will be created by considering Bloom\'s taxonomy. In line with the literature, it is planned to include topics such as introduction to EBP, importance of EBP, evidence-based practice steps, clinical research question design in line with PICO, introduction of evidence-based databases, literature search strategies, research types, use of scientific research and evidence evaluation tools, introduction of clinical decision support systems, reflections of EBP on patient care and clinical decision-making processes, and finalization of the booklet topics with expert opinions.
| Study group | Role | What they receive |
|---|---|---|
| Experimental group nurses working in the inpatient wards | Experimental | The nurses in the experimental group are expected to fill in the data collection tools (Introductory Information Form for Nurses, Evidence-Based Practice Competency Scale, Clinical Decision Making Scale in Nursing) before the education and then participate in the education about evidence-based practices on the online platform and fill in the data collection tools (Evidence-Based Practice Competency Scale, Clinical Decision Making Scale in Nursing and Education Evaluation Form) 20 days after the education. Receives: Other: Online Educational Intervention |
| Control group nurses working in the inpatient wards | Placebo comparator | The nurses in the control group were expected to complete the data collection tools (Introductory Information Form for Nurses, Evidence-Based Practice Competency Scale, Clinical Decision Making Scale in Nursing) before the educational booklet was given and 20 days after the education. Receives: Other: Educational Booklet |
What is being measured
The primary outcome is the main question the study is designed to answer.
Clinical decision making levels of nurses
The Clinical Decision-Making in Nursing Scale (CDMNS): This scale was developed by Jenkins in 1983 in the USA to determine nursing students' clinical decision-making level based on their statements. Although the scale was developed by applying it to nursing students, it can also be applied to clinical nurses involved in patient care. Edeer and Sarıkaya, in 2015, conducted the Turkish validity and reliability study. The scale consists of 40 items and four sub-dimensions. The subscales of the scale are "exploring options and ideas", "investigating goals and values", "evaluating results", and "investigating knowledge and adopting new knowledge impartially". Each subscale consists of 10 items. 22 items on the scale are positively significant. The 18 negatively significant items are reverse coded. Each item on the scale is evaluated as 5: always, 1: never. The total Cronbach Alpha value of the scale was found to be 0.78.
Measured: Measured before the education program and 20 days after the implementation of the education program.
Nurses' competencies for evidence-based practice
Evidence-based Practice Evaluation Competence Questionnaire (EBP-COQ). The scale was developed by Ruzafa-Martinez in 2013 to determine the competency levels of nurses and nursing students towards EBP-COQ, and its Turkish validity and reliability were conducted by Yildiz and Güngörmüş in 2016. The scale consists of three sub-dimensions and 25 items. The attitude sub-dimension of the scale consists of items 1-13, the skill sub-dimension consists of items 14-16, and the knowledge sub-dimension consists of items 20-25. The scale is a five-point Likert scale (1: Strongly disagree, 5: Strongly agree), and the minimum score is 25, and the maximum score is 125. Negative items are reverse-coded. A higher score on the scale indicates more self-perceived competence, knowledge, and skills towards EBP and a more positive attitude towards EBP. The total Cronbach Alpha value of the scale was found to be 0.82.
Measured: Measured before the education program and 20 days after the implementation of the education program.
Secondary outcomes (1)
Education Evaluation
Education Evaluation Form: This form includes questions about the content of the education program, its implementation, end-of-education outcomes, and the opinions and suggestions of the participants to evaluate the education program to be developed. This form will be integrated into the Koç University Online Programs Platform, where the training will take place, and it can be accessed at the end of the program.
Measured: Immediately after the intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Aug 2024
- Study startAug 2025 (estimated)
- Primary completionAug 2027 (estimated)
- Study completionNov 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Evidence Based PracticeStudies 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
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- The study is planned as an open-label, randomized and controlled experimental research.
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 70 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Koç University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Seda Sariköse, Koç University
- Investigators
- SEDA SARIKOSE, RN, PhD, Study director, Koc University School of Nursing
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06569407
- Sponsor's protocol ID
- 2024.227.IRB3.093
- Acronym
- RCT
- Status last verified
- Mar 2025
- First submitted
- 9 Aug 2024
- Last updated
- 10 Mar 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: The data of the experimental study can be shared with the researcher's approval following ethical conditions. However, the individual data of the participants participating in the study cannot be shared.
Publications
Ruzafa-Martinez M, Lopez-Iborra L, Moreno-Casbas T, Madrigal-Torres M. Development and validation of the competence in evidence based practice questionnaire (EBP-COQ) among nursing students. BMC Med Educ. 2013 Feb 7;13:19. doi: 10.1186/1472-6920-13-19.
PubMed 23391040Yildiz E, Gungormus Z. The validity and reliability study of the Turkish version of the evidence based practice evaluation competence questionnaire. Nurse Educ Today. 2016 Oct;45:91-5. doi: 10.1016/j.nedt.2016.05.030. Epub 2016 Jun 7.
PubMed 27429412Jenkins, H. Perceptions of decision making among baccalaureate nursing students as measured by the clinical decision making in nursing scale. 1983. doctors of thesess, University of Maryland.
Durmaz Edeer, A., Sarıkaya, A. Adaptation of Clinical Decision Making in Nursing Scale to Undergraduate Students of Nursing: The Study of Reliability and Validity. International Journal of Psychology and Educational Studies. 2015; 2(3): 1-9. https://doi.org/10.17220/ijpes.2015.03.001
Wu Y, Brettle A, Zhou C, Ou J, Wang Y, Wang S. Do educational interventions aimed at nurses to support the implementation of evidence-based practice improve patient outcomes? A systematic review. Nurse Educ Today. 2018 Nov;70:109-114. doi: 10.1016/j.nedt.2018.08.026. Epub 2018 Aug 29.
PubMed 30179782
Study at a glance
From the registry record, last updated by the sponsor on 10 Mar 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Online Training Program on Evidence-Based Practices on Nurses' Competencies for Evidence-Based Practices and Clinical Decision-Making Levels: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT06569407
- Acronym / sponsor ID
- RCT / 2024.227.IRB3.093
- Conditions
- Evidence Based Practice
- Keywords
- Evidence Based Practice, Clinical Desicion Making, Educational Program, Online Training, Nurse, Randomized Controlled Trial, Educational Intervention
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 70 participants (estimated)
- Lead sponsor
- Koç UniversityUniversity, hospital or other
- Study start
- Aug 2025 (estimated)
- Primary completion
- Aug 2027 (estimated)
- Study completion
- Nov 2027 (estimated)
- First posted
- 26 Aug 2024 (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.
This clinical trial aims to develop an online education program and an educational booklet for nurses on EBP and to compare the evidence-based competencies and clinical decision-making levels of nurses trained with these two methods.
Hypotheses of the Study Ho: There is no statistically significant difference between the nurses' competency levels who participated in the online education developed for evidence-based practices and those who were informed of the educational booklet.
H1. The nurses' competency levels who participated in the online education developed for evidence-based practices are statistically higher than those who were informed of the educational booklet.
Ho: There is no statistically significant difference between the clinical decision-making levels of nurses who participated in the online education developed for evidence-based practices and nurses who were informed with the educational booklet.
H1: The clinical decision-making levels of the nurses who participated in the online education developed for evidence-based practices are statistically higher than those informed with the educational booklet.
Participants will:
The nurses in the intervention group are expected to fill in the data collection tools (Introductory Information Form for Nurses, Evidence-Based Practice Competency Scale, Clinical Decision Making Scale in Nursing) before the education and then participate in the education about evidence-based practices on the online platform and fill in the data collection tools (Evidence-Based Practice Competency Scale, Clinical Decision Making Scale in Nursing and Education Evaluation Form) 20 days after the education.
The nurses in the control group were expected to complete the data collection tools (Introductory Information Form for Nurses, Evidence-Based Practice Competency Scale, Clinical Decision Making Scale in Nursing) before the education booklet was given and 20 days after the education.
Detailed description
One of the specific highlights of this project is that nurses' competencies and clinical decision-making skills can be increased with an education program developed for EBP. In addition, the online education design of the education program in this project will facilitate the integration of education into orientation programs and in-service training for nurses working in institutions where healthcare services are provided. At the same time, the fact that the education program has an online design and consists of an online education that includes modules compatible with smartphones without time and space restrictions shows the original value of the study. Therefore, this study aims to develop an innovative and generalizable online education program for nurses at EBP, contribute to the literature, and indirectly reduce the cost of care and contribute to safe patient care.
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
- Model description
- The study is planned as an open-label, randomized and controlled experimental research.
| Arm | Type | Receives |
|---|---|---|
| Experimental group nurses working in the inpatient wards | Experimental | Other: Online Educational InterventionThe nurses in the experimental group are expected to fill in the data collection tools (Introductory Information Form for Nurses, Evidence-Based Practice Competency Scale, Clinical Decision Making Scale in Nursing) before the education and then participate in the education about evidence-based practices on the online platform and fill in the data collection tools (Evidence-Based Practice Competency Scale, Clinical Decision Making Scale in Nursing and Education Evaluation Form) 20 days after the education. |
| Control group nurses working in the inpatient wards | Placebo comparator | Other: Educational BookletThe nurses in the control group were expected to complete the data collection tools (Introductory Information Form for Nurses, Evidence-Based Practice Competency Scale, Clinical Decision Making Scale in Nursing) before the educational booklet was given and 20 days after the education. |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (1 listed)
- Nurses who agree to participate in the study and work in inpatient wards will be included.
Key exclusion criteria (1 listed)
- Nurses who do not agree to participate in the study and do not work in inpatient wards will not be included in the sample.
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 |
|---|---|---|
| Online Educational InterventionAlso: Online education program and educational booklet for nurses on EBPAn educational program for EBP based on the online learning model was planned to be developed based on the literature and expert opinions. In the program, in line with the literature, the introduction to the EBP, the importance of EBP, EBP steps, clinical research question design in line with PICO, and introduction of EBP databases. It is planned to include topics such as literature search strategies, types of research, use of scientific research and evidence evaluation tools, introduction of clinical decision support systems, reflection of EBP on patient care and clinical decision-making processes, and it is planned to determine the final version of the education content with expert opinions. The program will include recorded videos, slides and documents for each module. The content of the program will be integrated into the Koç University Online Programs Platform by the experts working at Koç University Educational Technologies Unit. | Other | Experimental group nurses working in the inpatient wards |
| Educational BookletAlso: An educational booklet for EBPAn educational booklet for EBP was planned to be developed based on the literature and expert opinions. The learning objectives and content of the educational booklet to be developed will be created by considering Bloom\'s taxonomy. In line with the literature, it is planned to include topics such as introduction to EBP, importance of EBP, evidence-based practice steps, clinical research question design in line with PICO, introduction of evidence-based databases, literature search strategies, research types, use of scientific research and evidence evaluation tools, introduction of clinical decision support systems, reflections of EBP on patient care and clinical decision-making processes, and finalization of the booklet topics with expert opinions. | Other | Control group nurses working in the inpatient wards |
Primary outcome
Clinical decision making levels of nurses
Time frame: Measured before the education program and 20 days after the implementation of the education program.
The Clinical Decision-Making in Nursing Scale (CDMNS): This scale was developed by Jenkins in 1983 in the USA to determine nursing students' clinical decision-making level based on their statements. Although the scale was developed by applying it to nursing students, it can also be applied to clinical nurses involved in patient care. Edeer and Sarıkaya, in 2015, conducted the Turkish validity and reliability study. The scale consists of 40 items and four sub-dimensions. The subscales of the scale are "exploring options and ideas", "investigating goals and values", "evaluating results", and "investigating knowledge and adopting new knowledge impartially". Each subscale consists of 10 items. 22 items on the scale are positively significant. The 18 negatively significant items are reverse coded. Each item on the scale is evaluated as 5: always, 1: never. The total Cronbach Alpha value of the scale was found to be 0.78.
Nurses' competencies for evidence-based practice
Time frame: Measured before the education program and 20 days after the implementation of the education program.
Evidence-based Practice Evaluation Competence Questionnaire (EBP-COQ). The scale was developed by Ruzafa-Martinez in 2013 to determine the competency levels of nurses and nursing students towards EBP-COQ, and its Turkish validity and reliability were conducted by Yildiz and Güngörmüş in 2016. The scale consists of three sub-dimensions and 25 items. The attitude sub-dimension of the scale consists of items 1-13, the skill sub-dimension consists of items 14-16, and the knowledge sub-dimension consists of items 20-25. The scale is a five-point Likert scale (1: Strongly disagree, 5: Strongly agree), and the minimum score is 25, and the maximum score is 125. Negative items are reverse-coded. A higher score on the scale indicates more self-perceived competence, knowledge, and skills towards EBP and a more positive attitude towards EBP. The total Cronbach Alpha value of the scale was found to be 0.82.
1 secondary outcome
Education Evaluation
Time frame: Immediately after the intervention
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Mar 2025.
- Background: PubMed 23391040Ruzafa-Martinez M, Lopez-Iborra L, Moreno-Casbas T, Madrigal-Torres M. Development and validation of the competence in evidence based practice questionnaire (EBP-COQ) among nursing students. BMC Med Educ. 2013 Feb 7;13:19. doi: 10.1186/1472-6920-13-19.
- Background: PubMed 27429412Yildiz E, Gungormus Z. The validity and reliability study of the Turkish version of the evidence based practice evaluation competence questionnaire. Nurse Educ Today. 2016 Oct;45:91-5. doi: 10.1016/j.nedt.2016.05.030. Epub 2016 Jun 7.
- BackgroundJenkins, H. Perceptions of decision making among baccalaureate nursing students as measured by the clinical decision making in nursing scale. 1983. doctors of thesess, University of Maryland.
- BackgroundDurmaz Edeer, A., Sarıkaya, A. Adaptation of Clinical Decision Making in Nursing Scale to Undergraduate Students of Nursing: The Study of Reliability and Validity. International Journal of Psychology and Educational Studies. 2015; 2(3): 1-9. https://doi.org/10.17220/ijpes.2015.03.001
- Background: PubMed 30179782Wu Y, Brettle A, Zhou C, Ou J, Wang Y, Wang S. Do educational interventions aimed at nurses to support the implementation of evidence-based practice improve patient outcomes? A systematic review. Nurse Educ Today. 2018 Nov;70:109-114. doi: 10.1016/j.nedt.2018.08.026. Epub 2018 Aug 29.
- Individual participant dataSharing planned: Yes. The data of the experimental study can be shared with the researcher's approval following ethical conditions. However, the individual data of the participants participating in the study cannot be shared.
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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.
SEDA SARIKOSE, RN, PhD study director
Koc University School of Nursing
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Online Educational Intervention and Educational Booklet in people with Evidence Based Practice, run by Koç University at 1 site in Turkey (Türkiye).
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: opening soon, as of the sponsor's last update on 10 Mar 2025. 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 Turkey (Türkiye). 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. Some participants in this study may receive a placebo. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact SEDA SARIKOSE, RN, PhD (800-555-5555, sesarikose@ku.edu.tr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Clinical decision making levels of nurses (time frame: Measured before the education program and 20 days after the implementation of the education program.). The study lists 2 primary outcomes in all. 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 NCT06569407, which also lists 5 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 10 Mar 2025.