Evidence-Based NursingNCT06997614
Enhancing Critical Thinking Competency and Nursing Quality in Critically Ill Patient Care
A study testing Conventional group and evidence-based nursing group in people with Evidence-Based Nursing and Critically Ill Patient, run by Taizhou Hospital at 1 site in China.
Trial summary
The EBN-based nutritional management protocol effectively enhances junior nurses' specialized critical thinking competency and improves patient nutritional outcomes and satisfaction, demonstrating its potential to optimize critical care quality. Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Evidence-Based Nursing, Critically Ill Patient, Training
- What is being tested?
- Conventional group and evidence-based nursing group
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 84 participants
- Where
- 1 siteChina
- Study dates
- 25 May 2025to 30 Nov 2025
- 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 Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- diagnosis of critical illness by attending physicians or higher-qualified specialists according to established critical care diagnostic standards
- requirement for ICU admission with full access to standardized critical care and medical resources
- preserved partial gastrointestinal function without severe intestinal obstruction or perforation confirmed by certified nutritionists or senior nurses, enabling potential enteral nutrition (EN) or combined EN-parenteral nutrition (PN) support.
Who cannot join
- patients with severe cognitive impairment or psychiatric instability (e.g., advanced dementia, schizophrenia, status epilepticus) impairing capacity to engage in nutritional assessments or adhere to clinical protocols, which would jeopardize data collection reliability
- terminal-stage conditions (malignancies, renal/hepatic failure) with life expectancy < 7 days or exclusively receiving palliative care, leading to misalignment between their palliative nutritional goals and the study's therapeutic intervention objectives
- congenital metabolic disorders (e.g., phenylketonuria) or short bowel syndrome requiring specialized nutritional protocols, which were incompatible with conventional critical care nutritional protocols and could compromise the generalizability of study findings
- pregnancy/lactation due to unique nutritional demands and potential risks to fetal/infant development inherent in the study design, contravening established ethical standards
- cases involving transfer, voluntary discharge, or withdrawal of consent that compromised data completeness.
Trial locations and contacts
1 site in 1 country.
China1 site
Taizhou Hospital of Traditional Chinese Medicine
Taizhou, Jiangsu, 225300
About this study
Official title: Enhancing Critical Thinking Competency and Nursing Quality in Critically Ill Patient Care: A Quasi-Experimental Study of an Evidence-Based Nutritional Management Protocol
The EBN-based nutritional management protocol effectively enhances junior nurses' specialized critical thinking competency and improves patient nutritional outcomes and satisfaction, demonstrating its potential to optimize critical care quality. However, further validation through multicenter studies with larger cohorts, extended follow-up periods, and additional outcome measures is warranted.
Read the detailed description
This study aims to develop an evidence-based nursing (EBN)-based nutritional management protocol for critically ill patients and assess its effects on junior nurses' specialized critical thinking competency and nursing quality. A quasi-experimental design was employed, involving 7 junior nurses and 84 critically ill patients in each of the study and control groups. The study group implemented the EBN-based protocol alongside structured training, while the control group adhered to conventional practices. Nursing quality outcomes included assessments of nurses' specialized critical thinking skills, patient nutritional biomarkers (serum albumin, prealbumin), complication rates (aspiration, diarrhea, abdominal distension), and patient satisfaction. Multivariate binary logistic regression analysis identified influencing factors.
- Conditions
- Evidence-Based Nursing, Critically Ill Patient, Training
- Being tested
- Conventional group, evidence-based nursing group
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Conventional groupOther
The conventional group adhered to conventional nutritional management methods and training
evidence-based nursing groupOther
The study group implemented the EBN-based protocol alongside structured training
| Study group | Role | What they receive |
|---|---|---|
| Conventional group | Other | The conventional group adhered to conventional nutritional management methods and training Receives: Other: Conventional group |
| Evidence-based nursing group | Other | The study group implemented the EBN-based protocol alongside structured training Receives: Other: evidence-based nursing group |
What is being measured
The primary outcome is the main question the study is designed to answer.
Improvement in Junior Nurses' Specialized Critical Thinking Competency
Change in critical thinking scores measured by the Chinese Critical Thinking Disposition Inventory (CTDI-CV), a 70-item scale evaluating 7 dimensions (truth-seeking, open-mindedness, analyticity, systematicity, self-confidence, inquisitiveness, cognitive maturity) on a 6-point Likert scale. Higher scores indicate superior competency.
Measured: Baseline: Before training (Day 0). Post-intervention: 3 months after protocol implementation.
Secondary outcomes (3)
Serum Albumin Levels
Objective nutritional biomarker (g/L) measured via venous blood sampling.
Measured: ICU admission (Day 0) and Day 14.
Serum Prealbumin Levels
Short-term nutritional status marker (mg/L) assessed alongside albumin.
Measured: Day 0 and Day 14.
Patient Satisfaction
Self-reported satisfaction rated on a 5-point Likert scale (1: extremely dissatisfied, 5: extremely satisfied).
Measured: Day 15.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 May 2025
- Study start25 May 2025
- Primary completion5 Oct 2025
- Study completion30 Nov 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Evidence-Based NursingStudies 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
- Masking
- None (open label)
- Enrolment
- 84 participants (actual)
Sponsor and investigators
- Lead sponsor
- Taizhou Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Yuexiang Zhao, Taizhou Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06997614
- Sponsor's protocol ID
- No. 20240625
- Status last verified
- Feb 2026
- First submitted
- 21 May 2025
- Last updated
- 19 Mar 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 19 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Enhancing Critical Thinking Competency and Nursing Quality in Critically Ill Patient Care: A Quasi-Experimental Study of an Evidence-Based Nutritional Management Protocol
- ClinicalTrials.gov ID
- NCT06997614
- Acronym / sponsor ID
- No. 20240625
- Conditions
- Evidence-Based Nursing, Critically Ill Patient, Training
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 84 participants (actual)
- Lead sponsor
- Taizhou HospitalUniversity, hospital or other
- Study start
- 25 May 2025 (actual)
- Primary completion
- 5 Oct 2025 (actual)
- Study completion
- 30 Nov 2025 (actual)
- First posted
- 30 May 2025 (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.
The EBN-based nutritional management protocol effectively enhances junior nurses' specialized critical thinking competency and improves patient nutritional outcomes and satisfaction, demonstrating its potential to optimize critical care quality. However, further validation through multicenter studies with larger cohorts, extended follow-up periods, and additional outcome measures is warranted.
Detailed description
This study aims to develop an evidence-based nursing (EBN)-based nutritional management protocol for critically ill patients and assess its effects on junior nurses' specialized critical thinking competency and nursing quality. A quasi-experimental design was employed, involving 7 junior nurses and 84 critically ill patients in each of the study and control groups. The study group implemented the EBN-based protocol alongside structured training, while the control group adhered to conventional practices. Nursing quality outcomes included assessments of nurses' specialized critical thinking skills, patient nutritional biomarkers (serum albumin, prealbumin), complication rates (aspiration, diarrhea, abdominal distension), and patient satisfaction. Multivariate binary logistic regression analysis identified influencing factors.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Conventional group | Other | Other: Conventional groupThe conventional group adhered to conventional nutritional management methods and training |
| Evidence-based nursing group | Other | Other: evidence-based nursing groupThe study group implemented the EBN-based protocol alongside structured training |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (3 listed)
- diagnosis of critical illness by attending physicians or higher-qualified specialists according to established critical care diagnostic standards
- requirement for ICU admission with full access to standardized critical care and medical resources
- preserved partial gastrointestinal function without severe intestinal obstruction or perforation confirmed by certified nutritionists or senior nurses, enabling potential enteral nutrition (EN) or combined EN-parenteral nutrition (PN) support.
Key exclusion criteria (5 listed)
- patients with severe cognitive impairment or psychiatric instability (e.g., advanced dementia, schizophrenia, status epilepticus) impairing capacity to engage in nutritional assessments or adhere to clinical protocols, which would jeopardize data collection reliability
- terminal-stage conditions (malignancies, renal/hepatic failure) with life expectancy < 7 days or exclusively receiving palliative care, leading to misalignment between their palliative nutritional goals and the study's therapeutic intervention objectives
- congenital metabolic disorders (e.g., phenylketonuria) or short bowel syndrome requiring specialized nutritional protocols, which were incompatible with conventional critical care nutritional protocols and could compromise the generalizability of study findings
- pregnancy/lactation due to unique nutritional demands and potential risks to fetal/infant development inherent in the study design, contravening established ethical standards
- cases involving transfer, voluntary discharge, or withdrawal of consent that compromised data completeness.
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 |
|---|---|---|
| Conventional groupThe conventional group adhered to conventional nutritional management methods and training | Other | Conventional group |
| evidence-based nursing groupThe study group implemented the EBN-based protocol alongside structured training | Other | Evidence-based nursing group |
Primary outcome
Improvement in Junior Nurses' Specialized Critical Thinking Competency
Time frame: Baseline: Before training (Day 0). Post-intervention: 3 months after protocol implementation.
Change in critical thinking scores measured by the Chinese Critical Thinking Disposition Inventory (CTDI-CV), a 70-item scale evaluating 7 dimensions (truth-seeking, open-mindedness, analyticity, systematicity, self-confidence, inquisitiveness, cognitive maturity) on a 6-point Likert scale. Higher scores indicate superior competency.
3 secondary outcomes
Serum Albumin Levels
Time frame: ICU admission (Day 0) and Day 14.
Serum Prealbumin Levels
Time frame: Day 0 and Day 14.
Patient Satisfaction
Time frame: Day 15.
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 19 Mar 2026.
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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?
A study testing Conventional group and evidence-based nursing group in people with Evidence-Based Nursing and Critically Ill Patient, run by Taizhou Hospital at 1 site in China.
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 3 inclusion and 5 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 19 Mar 2026. 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 China. 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?
Improvement in Junior Nurses' Specialized Critical Thinking Competency (time frame: Baseline: Before training (Day 0). Post-intervention: 3 months after protocol implementation.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 19 Mar 2026.