Ignite Creation Date:
2024-07-17 @ 11:58 AM
Last Modification Date:
2024-10-26 @ 3:33 PM
Study NCT ID:
NCT06475144
Status:
NOT_YET_RECRUITING
Last Update Posted:
2024-06-26
First Post:
2024-06-20
Brief Title:
RCT How an Online Escape Room Game Enhances Nurses Learning Outcomes Regarding ESW Signs
Sponsor:
Xin-Ning Lee
Organization:
National Taipei University of Nursing and Health Sciences
Study Overview
Official Title:
Effects of an Online Escape Room on Enhancing Nurses Knowledge Clinical Reasoning and Self-Efficacy Regarding Early Warning Signs of Sepsis A Randomized Controlled Trial
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-06
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Research Objectives
Clinical trial
To develop an online escape room teaching program and instructional materials aimed at enhancing clinical nursing personnels awareness of early sepsis warning signs clinical reasoning ability and self-efficacy
To investigate the effects of the online escape room teaching on learning outcomes related to early sepsis warning signs among clinical nursing personnel immediately after the intervention and at various time points up to one month later including cognition clinical reasoning ability self-efficacy and learning satisfaction
To explore the relationships between early sepsis warning signs awareness clinical reasoning ability self-efficacy and learning satisfaction among clinical nursing personnel as well as the influencing factors
To understand nursing professionals satisfaction with the online escape room teaching
Experimental Group The intervention measure involves utilizing an online escape room teaching approach to provide participants with an online escape room experience
Through the escape room activity participants are encouraged to enhance their cognition clinical reasoning ability self-efficacy and learning satisfaction Prior to the intervention participants undergo a pre-test questionnaire followed by post-intervention assessments and satisfaction surveys
The completion of the game intervention and related assessments takes approximately 80-90 minutes Learning outcomes are evaluated four weeks later encompassing cognition clinical reasoning ability and self-efficacy
Clinical trial
To develop an online escape room teaching program and instructional materials aimed at enhancing clinical nursing personnels awareness of early sepsis warning signs clinical reasoning ability and self-efficacy
To investigate the effects of the online escape room teaching on learning outcomes related to early sepsis warning signs among clinical nursing personnel immediately after the intervention and at various time points up to one month later including cognition clinical reasoning ability self-efficacy and learning satisfaction
To explore the relationships between early sepsis warning signs awareness clinical reasoning ability self-efficacy and learning satisfaction among clinical nursing personnel as well as the influencing factors
To understand nursing professionals satisfaction with the online escape room teaching
Experimental Group The intervention measure involves utilizing an online escape room teaching approach to provide participants with an online escape room experience
Through the escape room activity participants are encouraged to enhance their cognition clinical reasoning ability self-efficacy and learning satisfaction Prior to the intervention participants undergo a pre-test questionnaire followed by post-intervention assessments and satisfaction surveys
The completion of the game intervention and related assessments takes approximately 80-90 minutes Learning outcomes are evaluated four weeks later encompassing cognition clinical reasoning ability and self-efficacy
Detailed Description:
1 Introduction This study aims to explore the effectiveness of Online Escape Room Teaching on the early warning signs of sepsis learning among nursing staff A random sampling method was adopted and a specific regional hospital was selected as the research site The sample size for this study was determined using GPower 3192 software with an effect size set at 03 α 005 and power of 08 The estimated sample size for both the experimental and control groups was 31 individuals totaling 62 participants Considering a potential dropout rate of 30 it was estimated that a minimum of 40 individuals per group would be required To enhance the accuracy of the experiment enrollment is expected to reach 100 participants
2 Methodology 21 Screening Criteria
Full-time nurses holding a valid nursing license
Willing to participate in the study and sign the informed consent form 22 Exclusion Criteria
Nurse practitioners
Nursing administrative supervisors eg directors supervisors 23 Number of Participants
50 participants in the experimental group and 50 in the control group totaling 100 participants
24 Recruitment Method
The researcher will upload an electronic poster with a QR code linking to a Google Form for registration to participate in the Early Warning Signs of Sepsis Course on the hospitals internal group The course will be conducted in the hospitals computer lab
25 Research Design and Implementation Methods 251 Research Design or Implementation Methods
This study employs a quasi-experimental design with a two-group pre-test and post-test design
Experimental Group
Intervention Online Escape Room Teaching
Procedure Participants experience an online escape room activity designed to enhance cognition clinical reasoning self-efficacy and learning satisfaction Participants will complete a pre-test questionnaire before the Online Escape Room Teaching and a post-test and satisfaction survey afterward The entire intervention and related assessments will take approximately 80-90 minutes Four weeks later the learning outcomes including cognition clinical reasoning and self-efficacy will be measured again
Control Group
Intervention Online Video-Based Teaching
Procedure Participants will receive the same instructional content as the experimental group but in a video format They can pause and re-watch the videos during the course Participants will complete a pre-test questionnaire before the Online Video-Based Teaching and a post-test and satisfaction survey afterward The entire intervention and related assessments will take approximately 80-90 minutes Four weeks later the learning outcomes including cognition clinical reasoning and self-efficacy will be measured again
252 Randomization
Sequence Generation
The first step in the study is to determine the block size and randomize the blocks The block size is chosen based on the following standard the number of participants in each block must be at least twice the number of groups A computer-generated random assignment table using Excel will be used for group allocation operated by a research assistant who is not involved in the study There will be four participant blocks in this study
Allocation
The researcher will prepare 100 opaque envelopes and 100 blank papers Each paper will be labeled with a number from 1 to 10 with ten papers for each group According to the first steps results one paper will be placed in each envelope and each envelope will be numbered consecutively All envelopes will be sealed and the researchers surname will be signed on the top of the envelope with a permanent marker
Concealment
An education specialist who is not part of the research team will create two identical online learning courses on the hospitals online learning platform
Mechanism
Researchers will randomly assign numbers from 1 to 100 to participants who have signed the consent form The researchers will match these numbers with the numbers on the envelopes open the envelopes to identify the participants groups and then add them to the online learning platform accordingly as either the experimental or control group
Implementation
The education specialist will notify the participants via email before the course including the course name location date and time and ask the head nurse to assist in notifying them
Blinding
To maintain randomness participants will draw lots to determine whether they belong to the control or experimental group before the course starts
Ensuring Fair Educational Rights
The game link used by the experimental group will be opened to all hospital nursing staff after the study concludes
Confirmation of Understanding
Before implementing the teaching the researcher will explain the course and game rules and confirm that learners understand the teaching method Both groups will complete the teaching online with a brief feedback session after the course Aside from the different interventions there will be no other teaching differences
26 Project Duration and Expected Progress
The project duration is from the date of IRB approval to December 30 2025 with the following expected progress
1 Completion and compilation of relevant domestic and international literature
2 Implementation of the online escape room teaching intervention 3 Pre-test and post-test of the Sepsis Early Warning Knowledge Scale Sepsis Clinical Reasoning Ability Scale Sepsis Early Warning Self-Efficacy Scale and Sepsis Early Warning Teaching Material Satisfaction Questionnaire
4 Analysis of quantitative data 5 Writing and completion of the research report 27 Statistical Methods and Result Evaluation
To ensure the rigor of the study research data will include quantitative data for cross-examination Data processing and analysis will be conducted using SPSS Statistics Version 220 software including descriptive and inferential statistics
28 Protection of Participants Rights and Consent Method All members of the research team have received training in research ethics Participants hospital nurses will provide informed consent and sign a Participant Consent Form Consent forms and personal data of participants will be securely stored and accessible only to the research team members Research data will be processed anonymously and coded used solely for academic purposes Upon IRB approval the researchers will explain the studys purpose and methods to the participants detailing the benefits potential risks and mitigation strategies associated with participation Participants will then make an informed decision regarding their involvement Data collection and recording will only commence for those who consent to participate Participants are free to withdraw from the study at any time without any impact on their rights or benefits
29 Research Personnel and Equipment Requirements The primary personnel for this study will be members of the research team The research setting will provide the necessary equipment including desktop computers and pen-and-paper supplies An undisturbed computer lab will be used to conduct the online escape room teaching and online video-based teaching 210 Potential Harm and Remedial Measures Participation in this study will not cause any physical or psychological discomfort or side effects If participants experience any physiological or psychological discomfort or stress during the process they may withdraw from the study unconditionally
211 Potential Inconveniences and Requirements for Participants Participants will need to complete the game intervention and related assessments which will take a total of 80-90 minutes Additionally a follow-up post-test taking approximately 10 minutes will be required four weeks later
212 Preservation Period and Utilization Plan for Research Materials 1 The primary data provided by participants will be exclusively used for the study titled Enhancing Nursing Staffs Recognition of Early Sepsis Warnings Clinical Reasoning Ability and Self-Efficacy through Online Escape Room Teaching A Randomized Controlled Trial These data will not be shared with any other individuals or entities If there is a need for the data in other research projects related to public welfare or other institutions we will seek the participants consent again before sharing Otherwise the data will not be provided to any third parties
2 The data provided by participants will be handled and stored by the co-principal investigator Dr Xin-Ning Lee The data will be backed up electronically on the computer in the principal investigators office with all files encrypted Physical documents will be stored in a locked cabinet in a separate office with the key held by an authorized person Access to the data will be restricted to the research team ensuring confidentiality A research code will replace participants names to maintain anonymity Except as required by law for investigative purposes the principal investigator will ensure participants privacy is protected One year after the publication of the research results Dr Chien-Lin Kuo will be responsible for destroying the data The identity of participants will remain confidential when the results are published
3 Data obtained from the research may be published in academic journals but participants names will not be disclosed The principal investigator will carefully protect participants privacy rights treating information such as names and identification numbers as confidential and securely storing these details
4 Participants understand that without compromising personal privacy they have the legal right to review their data to ensure that the research process and data comply with relevant laws and regulations The aforementioned personnel will also adhere to confidentiality ethics
2 Methodology 21 Screening Criteria
Full-time nurses holding a valid nursing license
Willing to participate in the study and sign the informed consent form 22 Exclusion Criteria
Nurse practitioners
Nursing administrative supervisors eg directors supervisors 23 Number of Participants
50 participants in the experimental group and 50 in the control group totaling 100 participants
24 Recruitment Method
The researcher will upload an electronic poster with a QR code linking to a Google Form for registration to participate in the Early Warning Signs of Sepsis Course on the hospitals internal group The course will be conducted in the hospitals computer lab
25 Research Design and Implementation Methods 251 Research Design or Implementation Methods
This study employs a quasi-experimental design with a two-group pre-test and post-test design
Experimental Group
Intervention Online Escape Room Teaching
Procedure Participants experience an online escape room activity designed to enhance cognition clinical reasoning self-efficacy and learning satisfaction Participants will complete a pre-test questionnaire before the Online Escape Room Teaching and a post-test and satisfaction survey afterward The entire intervention and related assessments will take approximately 80-90 minutes Four weeks later the learning outcomes including cognition clinical reasoning and self-efficacy will be measured again
Control Group
Intervention Online Video-Based Teaching
Procedure Participants will receive the same instructional content as the experimental group but in a video format They can pause and re-watch the videos during the course Participants will complete a pre-test questionnaire before the Online Video-Based Teaching and a post-test and satisfaction survey afterward The entire intervention and related assessments will take approximately 80-90 minutes Four weeks later the learning outcomes including cognition clinical reasoning and self-efficacy will be measured again
252 Randomization
Sequence Generation
The first step in the study is to determine the block size and randomize the blocks The block size is chosen based on the following standard the number of participants in each block must be at least twice the number of groups A computer-generated random assignment table using Excel will be used for group allocation operated by a research assistant who is not involved in the study There will be four participant blocks in this study
Allocation
The researcher will prepare 100 opaque envelopes and 100 blank papers Each paper will be labeled with a number from 1 to 10 with ten papers for each group According to the first steps results one paper will be placed in each envelope and each envelope will be numbered consecutively All envelopes will be sealed and the researchers surname will be signed on the top of the envelope with a permanent marker
Concealment
An education specialist who is not part of the research team will create two identical online learning courses on the hospitals online learning platform
Mechanism
Researchers will randomly assign numbers from 1 to 100 to participants who have signed the consent form The researchers will match these numbers with the numbers on the envelopes open the envelopes to identify the participants groups and then add them to the online learning platform accordingly as either the experimental or control group
Implementation
The education specialist will notify the participants via email before the course including the course name location date and time and ask the head nurse to assist in notifying them
Blinding
To maintain randomness participants will draw lots to determine whether they belong to the control or experimental group before the course starts
Ensuring Fair Educational Rights
The game link used by the experimental group will be opened to all hospital nursing staff after the study concludes
Confirmation of Understanding
Before implementing the teaching the researcher will explain the course and game rules and confirm that learners understand the teaching method Both groups will complete the teaching online with a brief feedback session after the course Aside from the different interventions there will be no other teaching differences
26 Project Duration and Expected Progress
The project duration is from the date of IRB approval to December 30 2025 with the following expected progress
1 Completion and compilation of relevant domestic and international literature
2 Implementation of the online escape room teaching intervention 3 Pre-test and post-test of the Sepsis Early Warning Knowledge Scale Sepsis Clinical Reasoning Ability Scale Sepsis Early Warning Self-Efficacy Scale and Sepsis Early Warning Teaching Material Satisfaction Questionnaire
4 Analysis of quantitative data 5 Writing and completion of the research report 27 Statistical Methods and Result Evaluation
To ensure the rigor of the study research data will include quantitative data for cross-examination Data processing and analysis will be conducted using SPSS Statistics Version 220 software including descriptive and inferential statistics
28 Protection of Participants Rights and Consent Method All members of the research team have received training in research ethics Participants hospital nurses will provide informed consent and sign a Participant Consent Form Consent forms and personal data of participants will be securely stored and accessible only to the research team members Research data will be processed anonymously and coded used solely for academic purposes Upon IRB approval the researchers will explain the studys purpose and methods to the participants detailing the benefits potential risks and mitigation strategies associated with participation Participants will then make an informed decision regarding their involvement Data collection and recording will only commence for those who consent to participate Participants are free to withdraw from the study at any time without any impact on their rights or benefits
29 Research Personnel and Equipment Requirements The primary personnel for this study will be members of the research team The research setting will provide the necessary equipment including desktop computers and pen-and-paper supplies An undisturbed computer lab will be used to conduct the online escape room teaching and online video-based teaching 210 Potential Harm and Remedial Measures Participation in this study will not cause any physical or psychological discomfort or side effects If participants experience any physiological or psychological discomfort or stress during the process they may withdraw from the study unconditionally
211 Potential Inconveniences and Requirements for Participants Participants will need to complete the game intervention and related assessments which will take a total of 80-90 minutes Additionally a follow-up post-test taking approximately 10 minutes will be required four weeks later
212 Preservation Period and Utilization Plan for Research Materials 1 The primary data provided by participants will be exclusively used for the study titled Enhancing Nursing Staffs Recognition of Early Sepsis Warnings Clinical Reasoning Ability and Self-Efficacy through Online Escape Room Teaching A Randomized Controlled Trial These data will not be shared with any other individuals or entities If there is a need for the data in other research projects related to public welfare or other institutions we will seek the participants consent again before sharing Otherwise the data will not be provided to any third parties
2 The data provided by participants will be handled and stored by the co-principal investigator Dr Xin-Ning Lee The data will be backed up electronically on the computer in the principal investigators office with all files encrypted Physical documents will be stored in a locked cabinet in a separate office with the key held by an authorized person Access to the data will be restricted to the research team ensuring confidentiality A research code will replace participants names to maintain anonymity Except as required by law for investigative purposes the principal investigator will ensure participants privacy is protected One year after the publication of the research results Dr Chien-Lin Kuo will be responsible for destroying the data The identity of participants will remain confidential when the results are published
3 Data obtained from the research may be published in academic journals but participants names will not be disclosed The principal investigator will carefully protect participants privacy rights treating information such as names and identification numbers as confidential and securely storing these details
4 Participants understand that without compromising personal privacy they have the legal right to review their data to ensure that the research process and data comply with relevant laws and regulations The aforementioned personnel will also adhere to confidentiality ethics
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None