Pediatric PneumoniaNCT07913191
Effect of Nurse-Directed Therapeutic Positioning in Children With Pneumonia
A study testing Nurse - Directed Side - Lying Positioning and Nurse - Directed Semi-fowler's positioning in people with Pediatric Pneumonia, run by University of Baghdad.
Trial summary
Pneumonia is a common respiratory infection in children that may cause respiratory distress and impaired oxygenation. This quasi-experimental study aims to evaluate the effectiveness of nurse-directed therapeutic positioning on vital signs, oxygen saturation, and respiratory distress severity among children aged 3-5… Read more about this study
- Who is it for?
- Ages 3 to 5 years
- Conditions the study is for
- Pediatric Pneumonia
- What is being tested?
- Nurse - Directed Side - Lying Positioning and Nurse - Directed Semi-fowler's positioning
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 150 participants
- Where
- No sites listed yet
- Study dates
- Dec 2026to Mar 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 3 to 5 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Children aged 3-5 years.
- Children diagnosed with pneumonia.
- Children admitted to the selected pediatric hospitals.
- Children whose parents/guardians provide informed consent.
Who cannot join
- Children with chronic respiratory diseases.
- Children with congenital heart disease.
- Children with neuromuscular disorders.
- Children requiring mechanical ventilation
Trial locations and contacts
No sites are listed yet. Contact the study team or a site near you to ask about taking part.
Adraa H Shawq, Phd contact
About this study
Official title: Effectiveness of Nurse- Directed Therapeutic Positioning on Vital Signs, Oxygen Saturation, and Respiratory Distress Severity Among Children With Pneumonia: A Comparative Study
Pneumonia is a common respiratory infection in children that may cause respiratory distress and impaired oxygenation. This quasi-experimental study aims to evaluate the effectiveness of nurse-directed therapeutic positioning on vital signs, oxygen saturation, and respiratory distress severity among children aged 3-5 years diagnosed with pneumonia. The study will compare two therapeutic positioning interventions, side-lying position and semi-Fowler's position, with a control group receiving routine nursing care. The outcomes will be assessed to determine the effects of these positioning interventions on the respiratory status of children with pneumonia.
- Conditions
- Pediatric Pneumonia
- Being tested
- Nurse - Directed Side - Lying Positioning, Nurse - Directed Semi-fowler's positioning
- Keywords
- Pneumonia, Children, Therapeutic Positioning, Side - Lying position, Semi - fowler's position, Oxygen Saturation, Respiratory Distress, Vital Signs, Pediatric Nursing
- Medical subject headings
- Pneumonia, Dyspnea
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Nurse - Directed Side - Lying PositioningBehavioural
Nurse-directed therapeutic positioning will be implemented for children aged 3-5 years diagnosed with pneumonia. Children assigned to this group will be placed in the side-lying position under nursing supervision, with attention to comfort, safety, and clinical tolerance. The selected side, duration of each positioning session, frequency of application, and total intervention period will be specified in the study protocol. Vital signs, oxygen saturation, and respiratory distress severity will be assessed according to the study's measurement schedule to evaluate changes following the intervention.
Nurse - Directed Semi-fowler's positioningBehavioural
Nurse-directed therapeutic positioning will be implemented for children aged 3-5 years diagnosed with pneumonia. Children assigned to this group will be positioned in the semi-Fowler's position, with the head and upper body elevated according to the study protocol. Nursing supervision will be provided to maintain the child's comfort and safety and to monitor clinical tolerance. The elevation angle, duration of each positioning session, frequency of application, and total intervention period will be specified in the study protocol. Vital signs, oxygen saturation, and respiratory distress severity will be assessed according to the study's measurement schedule to evaluate changes following the intervention.
| Study group | Role | What they receive |
|---|---|---|
| Side - Lying position Group | Experimental | Children aged 3-5 years diagnosed with pneumonia will receive nurse-directed therapeutic positioning in the side-lying position. Vital signs, oxygen saturation, and respiratory distress severity will be assessed according to the study protocol. Receives: Behavioral: Nurse - Directed Side - Lying Positioning |
| Semi - Fowler's Position Group | Experimental | Children aged 3-5 years diagnosed with pneumonia will receive nurse-directed therapeutic positioning in the semi-Fowler's position. Vital signs, oxygen saturation, and respiratory distress severity will be assessed according to the study protocol. Receives: Behavioral: Nurse - Directed Semi-fowler's positioning |
| Control Group | No intervention | Children aged 3-5 years diagnosed with pneumonia will receive routine nursing care according to the hospital's standard practice. Vital signs, oxygen saturation, and respiratory distress severity will be assessed according to the study protocol. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Respiratory Rate
Respiratory rate will be measured in breaths per minute and compared among the semi-Fowler, side-lying, and control groups.
Measured: At baseline (before the application of the assigned therapeutic positioning method); and immediately after completion of the intervention.
Change in Respiratory Distress Severity
Respiratory distress severity will be assessed using the Clinical Respiratory Score (CRS), which consists of six parameters: respiratory rate, auscultation, use of accessory muscles, mental status, room air oxygen saturation, and skin color. Each parameter is scored from 0 to 2, yielding a total score ranging from 0 to 12. Higher scores indicate greater respiratory distress. Change in respiratory distress severity will be compared among the semi-Fowler, side-lying, and control groups.
Measured: At baseline (before the application of the assigned therapeutic positioning method); and immediately after completion of the intervention.
Change in Peripheral Oxygen Saturation (SpO₂)
Peripheral oxygen saturation will be measured using a pulse oximeter and compared among the semi-Fowler, side-lying, and control groups.
Measured: At baseline (before the application of the assigned therapeutic positioning method); and immediately after completion of the intervention.
Change in Heart Rate
Heart rate will be measured in beats per minute and compared among the semi-Fowler, side-lying, and control groups.
Measured: At baseline (before the application of the assigned therapeutic positioning method); and immediately after completion of the intervention.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Nov 2026
- Study startDec 2026 (estimated)
- Primary completionMar 2027 (estimated)
- Study completionMar 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Pediatric PneumoniaStudies of the same condition, open and under way.
- More trials run by University of BaghdadThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 150 participants (estimated)
Sponsor and investigators
- Lead sponsor
- University of Baghdad
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Nidaa Hazem Mardan, University of Baghdad
- Investigators
- Adraa H Shawq, Phd, Principal investigator, University of Baghdad, College of Nursing
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07913191
- Sponsor's protocol ID
- NUR-TP-PNEU
- Status last verified
- Oct 2026
- First submitted
- 24 Oct 2026
- Last updated
- 3 Nov 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 with other researchers. Data confidentiality will be maintained, and study findings will be reported in aggregate form without identifying individual participants.
Study at a glance
From the registry record, last updated by the sponsor on 3 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effectiveness of Nurse- Directed Therapeutic Positioning on Vital Signs, Oxygen Saturation, and Respiratory Distress Severity Among Children With Pneumonia: A Comparative Study
- ClinicalTrials.gov ID
- NCT07913191
- Acronym / sponsor ID
- NUR-TP-PNEU
- Conditions
- Pediatric Pneumonia
- Keywords
- Pneumonia, Children, Therapeutic Positioning, Side - Lying position, Semi - fowler's position, Oxygen Saturation, Respiratory Distress, Vital Signs
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 150 participants (estimated)
- Lead sponsor
- University of BaghdadUniversity, hospital or other
- Study start
- Dec 2026 (estimated)
- Primary completion
- Mar 2027 (estimated)
- Study completion
- Mar 2027 (estimated)
- First posted
- 3 Nov 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.
Pneumonia is a common respiratory infection in children that may cause respiratory distress and impaired oxygenation. This quasi-experimental study aims to evaluate the effectiveness of nurse-directed therapeutic positioning on vital signs, oxygen saturation, and respiratory distress severity among children aged 3-5 years diagnosed with pneumonia. The study will compare two therapeutic positioning interventions, side-lying position and semi-Fowler's position, with a control group receiving routine nursing care. The outcomes will be assessed to determine the effects of these positioning interventions on the respiratory status of children with pneumonia.
Study design
- Primary purpose
- Supportive care
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Side - Lying position Group | Experimental | Behavioral: Nurse - Directed Side - Lying PositioningChildren aged 3-5 years diagnosed with pneumonia will receive nurse-directed therapeutic positioning in the side-lying position. Vital signs, oxygen saturation, and respiratory distress severity will be assessed according to the study protocol. |
| Semi - Fowler's Position Group | Experimental | Behavioral: Nurse - Directed Semi-fowler's positioningChildren aged 3-5 years diagnosed with pneumonia will receive nurse-directed therapeutic positioning in the semi-Fowler's position. Vital signs, oxygen saturation, and respiratory distress severity will be assessed according to the study protocol. |
| Control Group | No intervention | –Children aged 3-5 years diagnosed with pneumonia will receive routine nursing care according to the hospital's standard practice. Vital signs, oxygen saturation, and respiratory distress severity will be assessed according to the study protocol. |
Who may qualify
- Ages
- 3 to 5 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (4 listed)
- Children aged 3-5 years.
- Children diagnosed with pneumonia.
- Children admitted to the selected pediatric hospitals.
- Children whose parents/guardians provide informed consent.
Key exclusion criteria (4 listed)
- Children with chronic respiratory diseases.
- Children with congenital heart disease.
- Children with neuromuscular disorders.
- Children requiring mechanical ventilation
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 |
|---|---|---|
| Nurse - Directed Side - Lying PositioningNurse-directed therapeutic positioning will be implemented for children aged 3-5 years diagnosed with pneumonia. Children assigned to this group will be placed in the side-lying position under nursing supervision, with attention to comfort, safety, and clinical tolerance. The selected side, duration of each positioning session, frequency of application, and total intervention period will be specified in the study protocol. Vital signs, oxygen saturation, and respiratory distress severity will be assessed according to the study's measurement schedule to evaluate changes following the intervention. | Behavioural | Side - Lying position Group |
| Nurse - Directed Semi-fowler's positioningNurse-directed therapeutic positioning will be implemented for children aged 3-5 years diagnosed with pneumonia. Children assigned to this group will be positioned in the semi-Fowler's position, with the head and upper body elevated according to the study protocol. Nursing supervision will be provided to maintain the child's comfort and safety and to monitor clinical tolerance. The elevation angle, duration of each positioning session, frequency of application, and total intervention period will be specified in the study protocol. Vital signs, oxygen saturation, and respiratory distress severity will be assessed according to the study's measurement schedule to evaluate changes following the intervention. | Behavioural | Semi - Fowler's Position Group |
Primary outcome
Change in Respiratory Rate
Time frame: At baseline (before the application of the assigned therapeutic positioning method); and immediately after completion of the intervention.
Respiratory rate will be measured in breaths per minute and compared among the semi-Fowler, side-lying, and control groups.
Change in Respiratory Distress Severity
Time frame: At baseline (before the application of the assigned therapeutic positioning method); and immediately after completion of the intervention.
Respiratory distress severity will be assessed using the Clinical Respiratory Score (CRS), which consists of six parameters: respiratory rate, auscultation, use of accessory muscles, mental status, room air oxygen saturation, and skin color. Each parameter is scored from 0 to 2, yielding a total score ranging from 0 to 12. Higher scores indicate greater respiratory distress. Change in respiratory distress severity will be compared among the semi-Fowler, side-lying, and control groups.
Change in Peripheral Oxygen Saturation (SpO₂)
Time frame: At baseline (before the application of the assigned therapeutic positioning method); and immediately after completion of the intervention.
Peripheral oxygen saturation will be measured using a pulse oximeter and compared among the semi-Fowler, side-lying, and control groups.
Change in Heart Rate
Time frame: At baseline (before the application of the assigned therapeutic positioning method); and immediately after completion of the intervention.
Heart rate will be measured in beats per minute and compared among the semi-Fowler, side-lying, and control groups.
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 3 Nov 2026.
- Individual participant dataSharing planned: No. Individual participant data will not be shared with other researchers. Data confidentiality will be maintained, and study findings will be reported in aggregate form without identifying individual participants.
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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.
Adraa H Shawq, Phd contact
Adraa H Shawq, Phd principal investigator
University of Baghdad, College of Nursing
Questions about this trial
What is this clinical trial studying?
A study testing Nurse - Directed Side - Lying Positioning and Nurse - Directed Semi-fowler's positioning in people with Pediatric Pneumonia, run by University of Baghdad.
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 4 inclusion and 4 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 3 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
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 Nidaa H Mardan (+9647807779284, nedaa.hazem2504m@conursing.uobaghdad.edu.iq), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in Respiratory Rate (time frame: At baseline (before the application of the assigned therapeutic positioning method); and immediately after completion of the intervention.). The study lists 4 primary outcomes in all. 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 3 Nov 2026.