Enhancing Critical Thinking Competency and Nursing Quality in Critically Ill Patient Care

NCT ID: NCT06997614

Last Updated: 2025-05-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

84 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-01-19

Study Completion Date

2023-11-28

Brief Summary

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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

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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

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Evidence-Based Nursing Critically Ill Patient Training

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Conventional group

The conventional group adhered to conventional nutritional management methods and training

Group Type OTHER

Conventional group

Intervention Type OTHER

The conventional group adhered to conventional nutritional management methods and training

Evidence-based nursing group

The study group implemented the EBN-based protocol alongside structured training

Group Type OTHER

evidence-based nursing group

Intervention Type OTHER

The study group implemented the EBN-based protocol alongside structured training

Interventions

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Conventional group

The conventional group adhered to conventional nutritional management methods and training

Intervention Type OTHER

evidence-based nursing group

The study group implemented the EBN-based protocol alongside structured training

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* 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.

Exclusion Criteria

* 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.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Taizhou Hospital

OTHER

Sponsor Role lead

Responsible Party

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Yuexiang Zhao

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Taizhou Hospital of Traditional Chinese Medicine

Taizhou, Jiangsu, China

Site Status

Countries

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China

Other Identifiers

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No. 20240625

Identifier Type: -

Identifier Source: org_study_id

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