Clinical ReasoningABOST-ENNCT07688993
Animation-Based Orotracheal Suction Training for Expert Nurses
A study testing Animation-Based Orotracheal Suction Training and PowerPoint-Supported Traditional Training in people with Clinical Reasoning and Orotracheal Suctioning, run by Bartın Unıversity at 1 site in Turkey (Türkiye).
Trial summary
This randomized controlled trial aimed to evaluate the effect of animation-based orotracheal suction training on the clinical reasoning competency and knowledge levels of expert pediatric nurses. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Clinical Reasoning, Orotracheal Suctioning, Nursing Education
- What is being tested?
- Animation-Based Orotracheal Suction Training and PowerPoint-Supported Traditional Training
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 66 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 1 Jan 2026to 30 Apr 2026
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Registered nurses working in pediatric clinics.
- Having at least five years of clinical nursing experience.
- Meeting expert-level criteria according to Patricia Benner's Novice-to-Expert Model.
- Willing to participate voluntarily in the study.
- Providing written informed consent.
- Having access to a smartphone or mobile device to access the educational materials.
Who cannot join
- Having less than five years of clinical nursing experience.
- Being on leave or absent during the study period.
- Failing to complete the educational intervention or posttest assessments.
- Withdrawing from the study at any stage.
- Submitting incomplete questionnaires.
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Kartal Dr. Lutfi Kirdar City Hospital
Istanbul, 34083
About this study
Official title: Effect of Animation-Based Orotracheal Suction Training on Clinical Reasoning Competency and Knowledge Level of Expert Nurses: A Randomized Controlled Trial
This randomized controlled trial aimed to evaluate the effect of animation-based orotracheal suction training on the clinical reasoning competency and knowledge levels of expert pediatric nurses. Orotracheal suctioning is a complex and invasive nursing procedure requiring advanced clinical reasoning, rapid decision-making, and patient safety awareness. Although digital learning approaches are increasingly used in nursing education, evidence regarding their effectiveness among expert nurses remains limited.
A total of 66 pediatric nurses with at least five years of clinical experience and classified as expert nurses according to Patricia Benner's Novice-to-Expert Model were randomly assigned to either an intervention group receiving animation-based mobile training or a control group receiving PowerPoint-supported traditional training. Clinical reasoning competency and knowledge regarding orotracheal suctioning were assessed before and after the educational intervention.
Read the detailed description
Background:
Orotracheal suctioning is an essential but invasive nursing intervention frequently performed in pediatric clinical settings. Safe and effective implementation of this procedure requires advanced clinical reasoning skills, prioritization, rapid decision-making, and patient safety awareness. Expert nurses are expected to integrate experiential knowledge and clinical judgment during such complex procedures. However, traditional in-service educational approaches may not sufficiently support the development of clinical reasoning competencies.
Animation-based educational technologies provide opportunities for repeated observation, visualization of procedural steps, and reinforcement of clinical decision-making processes. Despite increasing interest in digital educational approaches, evidence regarding their effectiveness among expert nurses remains limited.
Objective:
This study aimed to examine the effect of animation-based orotracheal suction training on expert nurses' clinical reasoning competency and knowledge regarding orotracheal suctioning.
Methods:
This study was designed as a single-blind, parallel-group, pretest-posttest randomized controlled trial. The study was conducted between January and April 2026 in pediatric clinics of a city hospital in Istanbul, Türkiye.
Participants were pediatric nurses with at least five years of clinical nursing experience who met the expert-level criteria defined by Patricia Benner's Novice-to-Expert Model. Participants were randomly assigned to either the intervention group (animation-based mobile training) or the control group (PowerPoint-supported traditional training).
Data were collected using a Descriptive Characteristics Form, the Orotracheal Suction Knowledge Test, and the Clinical Reasoning Competency Scale for Nurses. Outcomes were evaluated before and after the intervention.
Primary Outcome:
Clinical reasoning competency measured by the Clinical Reasoning Competency Scale for Nurses.
Secondary Outcome:
Knowledge regarding orotracheal suctioning measured using the Orotracheal Suction Knowledge Test.
Significance:
The findings of this study are expected to contribute to the development of innovative, technology-enhanced educational strategies aimed at strengthening clinical reasoning, decision-making, and patient safety among expert nurses.
- Being tested
- Animation-Based Orotracheal Suction Training, PowerPoint-Supported Traditional Training
- Keywords
- Animation-Based Training, Clinical Reasoning, Expert Nurses, Orotracheal Suctioning, Pediatric Nursing, Benner Model, Nursing Education
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Animation-Based Orotracheal Suction TrainingOther
A mobile-supported animation-based educational intervention designed to improve expert nurses' clinical reasoning competency and knowledge regarding pediatric orotracheal suctioning. Participants accessed the educational content through QR code-enabled mobile devices.
PowerPoint-Supported Traditional TrainingOther
Traditional educational training delivered using PowerPoint presentations covering pediatric orotracheal suctioning procedures and related theoretical content.
| Study group | Role | What they receive |
|---|---|---|
| Animation-Based Training Group | Experimental | Participants in this group received animation-based orotracheal suction training delivered through QR code-enabled mobile access. The educational intervention included animated visualization of procedural steps and clinical decision-making processes related to pediatric orotracheal suctioning. Receives: Other: Animation-Based Orotracheal Suction Training |
| Traditional Training Group | Other | Participants in this group received PowerPoint-supported traditional training on pediatric orotracheal suctioning delivered through conventional face-to-face educational methods. Receives: Other: PowerPoint-Supported Traditional Training |
What is being measured
The primary outcome is the main question the study is designed to answer.
Clinical Reasoning Competency
Clinical reasoning competency will be assessed using the Clinical Reasoning Competency Scale for Nurses. Higher scores indicate higher levels of clinical reasoning competency.
Measured: Baseline and immediately after completion of the educational intervention (approximately 2 weeks)
Secondary outcomes (1)
Orotracheal Suction Knowledge Level
Knowledge regarding pediatric orotracheal suctioning will be assessed using the Orotracheal Suction Knowledge Test. Higher scores indicate greater knowledge regarding evidence-based orotracheal suction practices.
Measured: Baseline and immediately after completion of the educational intervention (approximately 2 weeks)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Jul 2026
- Study start1 Jan 2026
- Primary completion30 Apr 2026
- Study completion30 Apr 2026
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 Clinical ReasoningStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Participants were randomly assigned to one of two parallel groups. The intervention group received animation-based orotracheal suction training delivered through QR code-enabled mobile access, whereas the control group received PowerPoint-supported traditional training. Both groups completed pretest and posttest assessments to evaluate changes in clinical reasoning competency and knowledge regarding orotracheal suctioning.
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 66 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bartın Unıversity
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Makbule YILMAZ, Bartın Unıversity
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07688993
- Sponsor's protocol ID
- BARU-OTOA-2026
- Acronym
- ABOST-EN
- Status last verified
- Jun 2026
- First submitted
- 30 Jun 2026
- Last updated
- 7 Jul 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: De-identified individual participant data underlying the results reported in this study will be made available upon reasonable request to the corresponding author. Data will be available beginning 6 months and ending 5 years following publication. Requests will be reviewed by the principal investigator, and access will be granted for scientifically sound research purposes after approval and signing of a data access agreement.
Publications
Bae J, Lee J, Choi M, Jang Y, Park CG, Lee YJ. Development of the clinical reasoning competency scale for nurses. BMC Nurs. 2023 Apr 25;22(1):138. doi: 10.1186/s12912-023-01244-6.
PubMed 37098564
Study at a glance
From the registry record, last updated by the sponsor on 7 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Animation-Based Orotracheal Suction Training on Clinical Reasoning Competency and Knowledge Level of Expert Nurses: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT07688993
- Acronym / sponsor ID
- ABOST-EN / BARU-OTOA-2026
- Keywords
- Animation-Based Training, Clinical Reasoning, Expert Nurses, Orotracheal Suctioning, Pediatric Nursing, Benner Model, Nursing Education
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 66 participants (actual)
- Lead sponsor
- Bartın UnıversityUniversity, hospital or other
- Study start
- 1 Jan 2026 (actual)
- Primary completion
- 30 Apr 2026 (actual)
- Study completion
- 30 Apr 2026 (actual)
- First posted
- 7 Jul 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 aimed to evaluate the effect of animation-based orotracheal suction training on the clinical reasoning competency and knowledge levels of expert pediatric nurses. Orotracheal suctioning is a complex and invasive nursing procedure requiring advanced clinical reasoning, rapid decision-making, and patient safety awareness. Although digital learning approaches are increasingly used in nursing education, evidence regarding their effectiveness among expert nurses remains limited.
A total of 66 pediatric nurses with at least five years of clinical experience and classified as expert nurses according to Patricia Benner's Novice-to-Expert Model were randomly assigned to either an intervention group receiving animation-based mobile training or a control group receiving PowerPoint-supported traditional training. Clinical reasoning competency and knowledge regarding orotracheal suctioning were assessed before and after the educational intervention.
Detailed description
Background:
Orotracheal suctioning is an essential but invasive nursing intervention frequently performed in pediatric clinical settings. Safe and effective implementation of this procedure requires advanced clinical reasoning skills, prioritization, rapid decision-making, and patient safety awareness. Expert nurses are expected to integrate experiential knowledge and clinical judgment during such complex procedures. However, traditional in-service educational approaches may not sufficiently support the development of clinical reasoning competencies.
Animation-based educational technologies provide opportunities for repeated observation, visualization of procedural steps, and reinforcement of clinical decision-making processes. Despite increasing interest in digital educational approaches, evidence regarding their effectiveness among expert nurses remains limited.
Objective:
This study aimed to examine the effect of animation-based orotracheal suction training on expert nurses' clinical reasoning competency and knowledge regarding orotracheal suctioning.
Methods:
This study was designed as a single-blind, parallel-group, pretest-posttest randomized controlled trial. The study was conducted between January and April 2026 in pediatric clinics of a city hospital in Istanbul, Türkiye.
Participants were pediatric nurses with at least five years of clinical nursing experience who met the expert-level criteria defined by Patricia Benner's Novice-to-Expert Model. Participants were randomly assigned to either the intervention group (animation-based mobile training) or the control group (PowerPoint-supported traditional training).
Data were collected using a Descriptive Characteristics Form, the Orotracheal Suction Knowledge Test, and the Clinical Reasoning Competency Scale for Nurses. Outcomes were evaluated before and after the intervention.
Primary Outcome:
Clinical reasoning competency measured by the Clinical Reasoning Competency Scale for Nurses.
Secondary Outcome:
Knowledge regarding orotracheal suctioning measured using the Orotracheal Suction Knowledge Test.
Significance:
The findings of this study are expected to contribute to the development of innovative, technology-enhanced educational strategies aimed at strengthening clinical reasoning, decision-making, and patient safety among expert nurses.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
- Model description
- Participants were randomly assigned to one of two parallel groups. The intervention group received animation-based orotracheal suction training delivered through QR code-enabled mobile access, whereas the control group received PowerPoint-supported traditional training. Both groups completed pretest and posttest assessments to evaluate changes in clinical reasoning competency and knowledge regarding orotracheal suctioning.
| Arm | Type | Receives |
|---|---|---|
| Animation-Based Training Group | Experimental | Other: Animation-Based Orotracheal Suction TrainingParticipants in this group received animation-based orotracheal suction training delivered through QR code-enabled mobile access. The educational intervention included animated visualization of procedural steps and clinical decision-making processes related to pediatric orotracheal suctioning. |
| Traditional Training Group | Other | Other: PowerPoint-Supported Traditional TrainingParticipants in this group received PowerPoint-supported traditional training on pediatric orotracheal suctioning delivered through conventional face-to-face educational methods. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Registered nurses working in pediatric clinics.
- Having at least five years of clinical nursing experience.
- Meeting expert-level criteria according to Patricia Benner's Novice-to-Expert Model.
- Willing to participate voluntarily in the study.
- Providing written informed consent.
Key exclusion criteria (5 listed)
- Having less than five years of clinical nursing experience.
- Being on leave or absent during the study period.
- Failing to complete the educational intervention or posttest assessments.
- Withdrawing from the study at any stage.
- Submitting incomplete questionnaires.
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 |
|---|---|---|
| Animation-Based Orotracheal Suction TrainingA mobile-supported animation-based educational intervention designed to improve expert nurses' clinical reasoning competency and knowledge regarding pediatric orotracheal suctioning. Participants accessed the educational content through QR code-enabled mobile devices. | Other | Animation-Based Training Group |
| PowerPoint-Supported Traditional TrainingTraditional educational training delivered using PowerPoint presentations covering pediatric orotracheal suctioning procedures and related theoretical content. | Other | Traditional Training Group |
Primary outcome
Clinical Reasoning Competency
Time frame: Baseline and immediately after completion of the educational intervention (approximately 2 weeks)
Clinical reasoning competency will be assessed using the Clinical Reasoning Competency Scale for Nurses. Higher scores indicate higher levels of clinical reasoning competency.
1 secondary outcome
Orotracheal Suction Knowledge Level
Time frame: Baseline and immediately after completion of the educational intervention (approximately 2 weeks)
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 7 Jul 2026.
- Background: PubMed 37098564Bae J, Lee J, Choi M, Jang Y, Park CG, Lee YJ. Development of the clinical reasoning competency scale for nurses. BMC Nurs. 2023 Apr 25;22(1):138. doi: 10.1186/s12912-023-01244-6.
- ClinicalTrials.gov information resourceLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. De-identified individual participant data underlying the results reported in this study will be made available upon reasonable request to the corresponding author. Data will be available beginning 6 months and ending 5 years following publication. Requests will be reviewed by the principal investigator, and access will be granted for scientifically sound research purposes after approval and signing of a data access agreement.
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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 Animation-Based Orotracheal Suction Training and PowerPoint-Supported Traditional Training in people with Clinical Reasoning and Orotracheal Suctioning, run by Bartın Unıversity 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 6 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 7 Jul 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 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. 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?
Clinical Reasoning Competency (time frame: Baseline and immediately after completion of the educational intervention (approximately 2 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 NCT07688993, 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 7 Jul 2026.