Nurse Based Care ManagementNCT07541846
Effect of Nasogastric Tube Care Training by Simulation-Based and Video-Based Methods on Nurses' Confidence, Satisfaction, and Practices
A study testing Simulation-Based Nasogastric Tube Care Training and Video-Based Nasogastric Tube Care Training in people with Nurse Based Care Management and Nurse Led Interventions, run by Heyam Adnan Jabbar at 2 sites in Iraq.
Trial summary
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. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Nurse Based Care Management, Nurse Led Interventions, Nurse Training
- What is being tested?
- Simulation-Based Nasogastric Tube Care Training and Video-Based Nasogastric Tube Care Training
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 83 participants
- Where
- 2 sitesIraq
- Study dates
- 20 May 2026to 20 Nov 2026
- 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 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Registered nurses working at the Pediatric Hospital or Kirkuk Teaching
- Hospital in Kirkuk
- Male or female nurses
- Age 18 years or older
- Nurses involved in direct patient care
- Nurses willing to participate in the study
- Nurses able to attend the assigned training and complete the study assessments
Who cannot join
- Nurses who do not agree to participate in the study
- Nurses who are not available during the study period
- Nurses who are unable to attend the assigned training session
- Nurses who do not complete the required study assessments
- Nurses who participated in the pilot study
Trial locations and contacts
2 sites in 1 country. Contact the study team or a site near you to ask about taking part.
Iraq2 sites
Kirkuk Teaching Hospital
Kirkuk, Kirkuk Governorate
Mahmood Maher Khudair, MD, 009647708592444, khd@kirkuk@moh.gov.iq
Pediatric Hospital
Kirkuk, Kirkuk Governorate
Taymoor Sameer Mahmood, MD, 009647708592444, khd@kirkuk@moh.gov.iq
About this study
Official title: Effect of Nasogastric Tube Care Training by Simulation-Based and Video-Based Methods on Nurses' Confidence, Satisfaction, and Practices: A Randomized Controlled Trial
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.
Read the detailed description
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.
- Conditions
- Nurse Based Care Management, Nurse Led Interventions, Nurse Training, Nurse Scope, Practice
- Being tested
- Simulation-Based Nasogastric Tube Care Training, Video-Based Nasogastric Tube Care Training
- Keywords
- Nasogastric tube care, Simulation-based training, Video-based training, Nurses, Confidence, Satisfaction, Clinical practice, Randomized controlled trial
- Medical subject headings
- Personal Satisfaction
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Simulation-Based Nasogastric Tube Care TrainingProcedure or surgery
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.
Video-Based Nasogastric Tube Care TrainingProcedure or surgery
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.
| Study group | Role | What they receive |
|---|---|---|
| Simulation Group | Experimental | Participants will receive hands-on simulation training in a realistic clinical setting to practice nasogastric tube care. Receives: Procedure: Simulation-Based Nasogastric Tube Care Training |
| Video-based Group | Experimental | Video-Based Group: Participants will receive training via instructional videos demonstrating nasogastric tube care procedures. Receives: Procedure: Video-Based Nasogastric Tube Care Training |
| Control Group | No intervention | Control Group: Participants will receive no additional intervention beyond routine standard practice. |
What is being measured
The primary outcome is the main question the study is designed to answer.
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.
Measured: Immediately after completion of the assigned training intervention (post-test 1) and 4 weeks after completion of the intervention (post-test 2).
Secondary outcomes (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.
Measured: 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.
Measured: Immediately after completion of the assigned training intervention (post-test 1) and 4 weeks after completion of the intervention (post-test 2).
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Apr 2026
- Study start20 May 2026 (estimated)
- Primary completion20 Oct 2026 (estimated)
- Study completion20 Nov 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (10)Papers the sponsor has linked to this study.
- Other trials for Nurse Based Care ManagementStudies 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
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 83 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Heyam Adnan Jabbar
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor-investigator, Heyam Adnan Jabbar, University of Baghdad
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07541846
- Sponsor's protocol ID
- UoBaghdad_HJabbar_1204b
- Status last verified
- Apr 2026
- First submitted
- 14 Apr 2026
- Last updated
- 24 Apr 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Individual participant data will not be shared because the study involves a relatively small sample from specific hospital settings, and data sharing may increase the risk of participant identification even after de-identification.
Publications
Choi KS, He X, Chiang VC, Deng Z. A virtual reality based simulator for learning nasogastric tube placement. Comput Biol Med. 2015 Feb;57:103-15. doi: 10.1016/j.compbiomed.2014.12.006. Epub 2014 Dec 17.
PubMed 25546468Bloom L, Seckel MA. Placement of Nasogastric Feeding Tube and Postinsertion Care Review. AACN Adv Crit Care. 2022 Mar 15;33(1):68-84. doi: 10.4037/aacnacc2022306.
PubMed 35259226Chan EY, Ng IH, Tan SL, Jabin K, Lee LN, Ang CC. Nasogastric feeding practices: a survey using clinical scenarios. Int J Nurs Stud. 2012 Mar;49(3):310-9. doi: 10.1016/j.ijnurstu.2011.09.014. Epub 2011 Oct 5.
PubMed 21974794Xu LC, Huang XJ, Lin BX, Zheng JY, Zhu HH. Clinical nurses' nasogastric feeding practices in adults: a multicenter cross-sectional survey in China. J Int Med Res. 2020 Apr;48(4):300060520920051. doi: 10.1177/0300060520920051.
PubMed 32349566Guerrero Marquez G, Martinez Serrano A, Gutierrez Juarez M, Garcia Lozano A, Mayordomo Casado B, Torrijos Rodriguez MI, Verges Pernia C, Fernandez Morales E, Sanchez P, Medina Duran A, Miguez Navarro MC. Effectiveness of an educational intervention to improve nurses' knowledge on pediatric nasogastric intubation. Arch Argent Pediatr. 2018 Dec 1;116(6):402-408. doi: 10.5546/aap.2018.eng.402. English, Spanish.
PubMed 30457718Yang FH, Lin FY, Hwu YJ. The Feasibility Study of a Revised Standard Care Procedure on the Capacity of Nasogastric Tube Placement Verification Among Critical Care Nurses. J Nurs Res. 2019 Aug;27(4):e31. doi: 10.1097/jnr.0000000000000302.
PubMed 30747820Yu TY, Huang TW, Huang HC, Li SY, Chuang YH. Effects of an Interactive e-Book on Enhancing Nursing Students' Knowledge, Confidence, and Learning Self-efficacy of Nursing Skills: A Randomized Controlled Trial. Nurse Educ. 2024 Jan-Feb 01;49(1):E20-E25. doi: 10.1097/NNE.0000000000001490. Epub 2023 Aug 30.
PubMed 37647544Lo YT, Yang CC, Yeh TF, Tu HY, Chang YC. Effectiveness of immersive virtual reality training in nasogastric tube feeding education: A randomized controlled trial. Nurse Educ Today. 2022 Dec;119:105601. doi: 10.1016/j.nedt.2022.105601. Epub 2022 Oct 12.
PubMed 36244254Chao YC, Hu SH, Chiu HY, Huang PH, Tsai HT, Chuang YH. The effects of an immersive 3d interactive video program on improving student nurses' nursing skill competence: A randomized controlled trial study. Nurse Educ Today. 2021 Aug;103:104979. doi: 10.1016/j.nedt.2021.104979. Epub 2021 May 18.
PubMed 34049120Yavuz B, Koc G, Yuce Basaran HD, Ciftci B. Watch and learn your performance: The effect of self-assessment with video recording on nursing students' knowledge and skills of nasogastric catheter placement-A randomized controlled trial. Nurse Educ Pract. 2025 Feb;83:104251. doi: 10.1016/j.nepr.2025.104251. Epub 2025 Jan 10.
PubMed 39826351
Study at a glance
From the registry record, last updated by the sponsor on 24 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Nasogastric Tube Care Training by Simulation-Based and Video-Based Methods on Nurses' Confidence, Satisfaction, and Practices: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT07541846
- Acronym / sponsor ID
- UoBaghdad_HJabbar_1204b
- Conditions
- Nurse Based Care Management, Nurse Led Interventions, Nurse Training, Nurse Scope, Practice
- Keywords
- Nasogastric tube care, Simulation-based training, Video-based training, Nurses, Confidence, Satisfaction, Clinical practice, Randomized controlled trial
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 83 participants (estimated)
- Lead sponsor
- Heyam Adnan JabbarUniversity, hospital or other
- Study start
- 20 May 2026 (estimated)
- Primary completion
- 20 Oct 2026 (estimated)
- Study completion
- 20 Nov 2026 (estimated)
- First posted
- 21 Apr 2026 (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 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.
Detailed description
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 design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Simulation Group | Experimental | Procedure: Simulation-Based Nasogastric Tube Care TrainingParticipants will receive hands-on simulation training in a realistic clinical setting to practice nasogastric tube care. |
| Video-based Group | Experimental | Procedure: Video-Based Nasogastric Tube Care TrainingVideo-Based Group: Participants will receive training via instructional videos demonstrating nasogastric tube care procedures. |
| Control Group | No intervention | –Control Group: Participants will receive no additional intervention beyond routine standard practice. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Registered nurses working at the Pediatric Hospital or Kirkuk Teaching
- Hospital in Kirkuk
- Male or female nurses
- Age 18 years or older
- Nurses involved in direct patient care
Key exclusion criteria (5 listed)
- Nurses who do not agree to participate in the study
- Nurses who are not available during the study period
- Nurses who are unable to attend the assigned training session
- Nurses who do not complete the required study assessments
- Nurses who participated in the pilot study
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 |
|---|---|---|
| Simulation-Based Nasogastric Tube Care TrainingA 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. | Procedure or surgery | Simulation Group |
| Video-Based Nasogastric Tube Care TrainingParticipants 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. | Procedure or surgery | Video-based Group |
Primary outcome
Nurses' clinical practice in nasogastric tube care
Time frame: Immediately after completion of the assigned training intervention (post-test 1) and 4 weeks after completion of the intervention (post-test 2).
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.
2 secondary outcomes
Nurses' self-confidence in performing nasogastric tube care procedures
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
Time frame: Immediately after completion of the assigned training intervention (post-test 1) and 4 weeks after completion of the intervention (post-test 2).
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 24 Apr 2026.
- Background: PubMed 25546468Choi KS, He X, Chiang VC, Deng Z. A virtual reality based simulator for learning nasogastric tube placement. Comput Biol Med. 2015 Feb;57:103-15. doi: 10.1016/j.compbiomed.2014.12.006. Epub 2014 Dec 17.
- Background: PubMed 35259226Bloom L, Seckel MA. Placement of Nasogastric Feeding Tube and Postinsertion Care Review. AACN Adv Crit Care. 2022 Mar 15;33(1):68-84. doi: 10.4037/aacnacc2022306.
- Background: PubMed 21974794Chan EY, Ng IH, Tan SL, Jabin K, Lee LN, Ang CC. Nasogastric feeding practices: a survey using clinical scenarios. Int J Nurs Stud. 2012 Mar;49(3):310-9. doi: 10.1016/j.ijnurstu.2011.09.014. Epub 2011 Oct 5.
- Background: PubMed 32349566Xu LC, Huang XJ, Lin BX, Zheng JY, Zhu HH. Clinical nurses' nasogastric feeding practices in adults: a multicenter cross-sectional survey in China. J Int Med Res. 2020 Apr;48(4):300060520920051. doi: 10.1177/0300060520920051.
- Background: PubMed 30457718Guerrero Marquez G, Martinez Serrano A, Gutierrez Juarez M, Garcia Lozano A, Mayordomo Casado B, Torrijos Rodriguez MI, Verges Pernia C, Fernandez Morales E, Sanchez P, Medina Duran A, Miguez Navarro MC. Effectiveness of an educational intervention to improve nurses' knowledge on pediatric nasogastric intubation. Arch Argent Pediatr. 2018 Dec 1;116(6):402-408. doi: 10.5546/aap.2018.eng.402. English, Spanish.
- Background: PubMed 30747820Yang FH, Lin FY, Hwu YJ. The Feasibility Study of a Revised Standard Care Procedure on the Capacity of Nasogastric Tube Placement Verification Among Critical Care Nurses. J Nurs Res. 2019 Aug;27(4):e31. doi: 10.1097/jnr.0000000000000302.
- Background: PubMed 37647544Yu TY, Huang TW, Huang HC, Li SY, Chuang YH. Effects of an Interactive e-Book on Enhancing Nursing Students' Knowledge, Confidence, and Learning Self-efficacy of Nursing Skills: A Randomized Controlled Trial. Nurse Educ. 2024 Jan-Feb 01;49(1):E20-E25. doi: 10.1097/NNE.0000000000001490. Epub 2023 Aug 30.
- Background: PubMed 36244254Lo YT, Yang CC, Yeh TF, Tu HY, Chang YC. Effectiveness of immersive virtual reality training in nasogastric tube feeding education: A randomized controlled trial. Nurse Educ Today. 2022 Dec;119:105601. doi: 10.1016/j.nedt.2022.105601. Epub 2022 Oct 12.
- Background: PubMed 34049120Chao YC, Hu SH, Chiu HY, Huang PH, Tsai HT, Chuang YH. The effects of an immersive 3d interactive video program on improving student nurses' nursing skill competence: A randomized controlled trial study. Nurse Educ Today. 2021 Aug;103:104979. doi: 10.1016/j.nedt.2021.104979. Epub 2021 May 18.
- Background: PubMed 39826351Yavuz B, Koc G, Yuce Basaran HD, Ciftci B. Watch and learn your performance: The effect of self-assessment with video recording on nursing students' knowledge and skills of nasogastric catheter placement-A randomized controlled trial. Nurse Educ Pract. 2025 Feb;83:104251. doi: 10.1016/j.nepr.2025.104251. Epub 2025 Jan 10.
- Individual participant dataSharing planned: No. Individual participant data will not be shared because the study involves a relatively small sample from specific hospital settings, and data sharing may increase the risk of participant identification even after de-identification.
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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.
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Simulation-Based Nasogastric Tube Care Training and Video-Based Nasogastric Tube Care Training in people with Nurse Based Care Management and Nurse Led Interventions, run by Heyam Adnan Jabbar at 2 sites in Iraq.
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 7 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: opening soon, as of the sponsor's last update on 24 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Iraq. 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?
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 Heyam Adnan Jabbar, PhD (009647700982933, hiam.adnan1204b@conursing.uobaghdad.edu.iq), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Nurses' clinical practice in nasogastric tube care (time frame: Immediately after completion of the assigned training intervention (post-test 1) and 4 weeks after completion of the intervention (post-test 2).). 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 NCT07541846, which also lists 10 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 24 Apr 2026.