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COMPLETED
NCT07820826
NA

Theory-Based Educational Program for VAP Prevention and Nursing Care in Intensive Care Units

Sponsor: JAWAD AHMAD ABU-SHENNAR

View on ClinicalTrials.gov

Summary

Ventilator-associated pneumonia (VAP) is an important challenge in intensive care and requires nurses to apply evidence-based preventive practices consistently in mechanically ventilated patients. This multicenter cluster-randomized controlled trial evaluates the effectiveness of a theory-based structured educational program designed to improve VAP prevention knowledge, reflective nursing practice related to invasive mechanical ventilation, quality of nursing care, and family satisfaction with intensive care unit (ICU) care. The program integrates evidence-based VAP prevention education with clinical decision-making, case-based learning, simulation, reflective exercises, structured debriefing, and practice-improvement planning. Adult ICU nurses working in Ministry of Health hospitals in Jordan are assigned by ICU cluster to either the educational intervention or usual care. Outcomes are assessed at baseline, immediately after the intervention, and six months after completion to evaluate immediate effects and sustainability. VAP prevention knowledge is the primary outcome, while reflective nursing practice, quality of nursing care, and family satisfaction with ICU care are secondary outcomes.

Official title: Effectiveness of a Theory-Based Structured Educational Program on VAP Prevention Knowledge, Reflective Nursing Practice, Quality of Nursing Care, and Family Satisfaction With ICU Care: A Multicenter Cluster-Randomized Controlled Trial

Key Details

Gender

All

Age Range

Any - Any

Study Type

INTERVENTIONAL

Enrollment

600

Start Date

2025-08-01

Completion Date

2026-09-01

Last Updated

2026-09-15

Healthy Volunteers

Yes

Interventions

BEHAVIORAL

Theory-Based Structured Educational Program

A standardized, theory-based structured educational program developed for ICU nurses and grounded in Schön's Reflective Practice Theory. The program consists of four weekly sessions, each lasting approximately three hours, for approximately 12 total contact hours. The sessions integrate evidence-based VAP prevention education, clinical decision-making, invasive mechanical ventilation nursing care, case-based learning, simulation-based learning, reflective exercises, structured debriefing, and practice-improvement planning. The intervention is designed to support the application of VAP prevention knowledge through clinical reasoning and reflective nursing practice.

BEHAVIORAL

Usual Care

Usual institutional care and education provided to ICU nurses according to routine hospital policies and clinical practices. Routine institutional education, patient-safety procedures, and standard clinical care are not withheld. The study-specific theory-based structured educational program is not provided to control ICUs during the active intervention period.

Locations (1)

Jerash University

Amman, Dours, Jordan