[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"evidence-based-practice\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:evidence-based-practice":69},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,5,0,[8,52,87,115,142],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":16,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":31,"overallStatus":39,"whyStopped":4,"lastUpdateSubmitDate":40,"lastUpdatePostDateStruct":41,"startDateStruct":44,"completionDateStruct":46,"leadSponsor":48,"locationsCount":51},"100632279","a-multi-level-strategy-for-de-implementing-mammography-overuse-among-older-women-100632279",false,"NCT07511621","A Multi-Level Strategy for De-implementing Mammography Overuse Among Older Women","De-implementation of Overuse of Mammography Screening in Older Racially and Ethnically Diverse Women","Patient level criteria\n\nInclusion criteria\n\n* English- or Spanish-speaking women based on preferred language in electronic health record\n* Aged 75 and older at the time of their scheduled primary care visit\n* Women who have a primary care visit scheduled within the next 2-4 weeks\n* Women who have not had a screening mammogram 6 months prior to their scheduled primary care visit but have had a screening mammogram 7-18 months prior to their scheduled primary care visit\n\nExclusion Criteria\n\n* Women with a history of atypical ductal hyperplasia (ADH) or non-invasive or invasive breast cancer (assessed via ICD 10 code)\n* Women with dementia (assessed via ICD 10 code)\n* ICD codes to use across exclusion criteria: F01-F03, Z85.3, G30-G31, N60, C50, or D05\n\nProvider level criteria\n\nInclusion Criteria\n\n• Primary care clinicians attributed to the 2 intervention clinics that serve adult patients, including those ≥75 years\n\nExclusion Criteria\n\n* Specialists\n* Primary care clinicians for patients \\\u003C 18 years old\n* Non-clinicians\n* Physician assistants",true,"ALL","18 Years",{"count":20,"type":21},500,"ESTIMATED","INTERVENTIONAL",[24],"NA","This project aims to advance methodological and theoretical approaches for developing, selecting, refining, and piloting a multilevel de-implementation strategy to reduce the overuse of screening mammography in women aged ≥75 years. Informed by an innovative participatory, stakeholder-driven innovation tournament and a discrete choice experiment, the research team identified, prioritized, and tailored a multilevel de-implementation strategy. The research team will conduct a cluster randomized controlled trial (at the provider level) to test the impact of the provider- and patient-level components of the multilevel strategy on screening mammography use, and secondarily, on provider referrals\u002Forders for screening mammography. The organizational level components of the multilevel strategy will be implemented among all participants, not via random assignment.",[27,28,29,30],"Mammography","Medical Overuse","Evidence-based Practice","Older Adults",[27,32,33,34,35,36,37,38],"Medical overuse","Implementation science","Aging","Women","Randomized controlled trial","Screening cessation","De-implementation","RECRUITING","2026-03-30",{"date":42,"type":43},"2026-04-06","ACTUAL",{"date":45,"type":43},"2026-03-11",{"date":47,"type":21},"2028-03",{"name":49,"class":50},"Columbia University","OTHER",1,{"id":53,"slug":54,"hasResults":11,"nctId":55,"briefTitle":56,"officialTitle":57,"acronym":4,"eligibilityCriteria":58,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":59,"enrollmentInfo":60,"targetDuration":4,"studyType":22,"phases":62,"briefSummary":63,"conditions":64,"keywords":70,"overallStatus":77,"whyStopped":4,"lastUpdateSubmitDate":78,"lastUpdatePostDateStruct":79,"startDateStruct":81,"completionDateStruct":83,"leadSponsor":85,"locationsCount":51},"100628900","the-effect-of-digital-storytelling-on-nursing-students-nursing-process-education-100628900","NCT07467655","THE EFFECT OF DIGITAL STORYTELLING ON NURSING STUDENTS' NURSING PROCESS EDUCATION","THE EFFECT OF DIGITAL STORYTELLING ON NURSING STUDENTS' NURSING PROCESS EDUCATION: AN EXPERIMENTAL STUDY","Inclusion Criteria:\n\n* Undergraduate nursing students enrolled in the Nursing Fundamentals I course for the first time\n* Students who attend and complete all educational activities related to the course\n* Students who voluntarily agree to participate in the study\n\nExclusion Criteria:\n\n* Graduates of a health vocational high school\n* Students who report prior knowledge or formal education related to the nursing process\n* Students who are currently employed in any healthcare institution","45 Years",{"count":61,"type":21},104,[24],"Study Type: Randomized Controlled Experimental Study\n\nPurpose:\n\nThis study aims to evaluate the effects of digital storytelling-enhanced nursing process education on nursing students' knowledge, nursing process competency, and clinical reasoning skills. The nursing process, which includes assessment, diagnosis, planning, implementation, and evaluation, forms the foundation of evidence-based and holistic care. However, the literature indicates that nursing students often face difficulties in assessment, prioritization, and individualization of care interventions and frequently apply the process mechanically.\n\nThe study addresses the following primary questions:\n\nDoes digital storytelling improve nursing students' knowledge of the nursing process?\n\nDoes digital storytelling enhance students' nursing process competency and clinical reasoning skills?\n\nStudy Design and Comparison:\n\nParticipants will be assigned to either the intervention or control group based on their Nursing Process knowledge scores. Groups will be stratified by gender and knowledge test scores using a stratified randomization method to ensure balanced distribution and group homogeneity. Researchers will compare outcomes between groups to evaluate the effectiveness of the educational approach.\n\nParticipants' Key Activities:\n\nParticipants must be first-time enrollees in the Fundamentals of Nursing I course, have completed all course content, and have voluntarily agreed to attend.\n\nComplete pre- and post-intervention assessments, including the Nursing Process Knowledge Test, Nursing Process Competency Scale, Clinical Reasoning Assessment Rubric, and Instructional Material Motivation Scales.\n\nEngage in follow-up evaluations immediately after the intervention and three months later to assess the retention and sustainability of learning outcomes.\n\nAdditional Notes:\n\nDigital storytelling materials will be validated through expert review and pilot testing. The Clinical Reasoning Assessment Rubric will undergo Turkish-language validity and reliability evaluation. Findings are expected to provide evidence on the effectiveness of digital storytelling in nursing process education, support curriculum development at the undergraduate level, and guide the broader implementation of technology-enhanced, reflective learning approaches in nursing education.",[65,66,67,68,69],"Education, Nursing","Students, Nursing","Clinical Competence","Clinical Decision-Making in Nursing","Evidence-Based Practice",[71,72,73,74,75,76],"Nursing Education","Digital Storytelling","Nursing Process","Clinical Reasoning","Educational Intervention","Undergraduate Nursing Students","NOT_YET_RECRUITING","2026-03-22",{"date":80,"type":43},"2026-03-25",{"date":82,"type":21},"2026-10-30",{"date":84,"type":21},"2027-01-30",{"name":86,"class":50},"Sakarya University",{"id":88,"slug":89,"hasResults":11,"nctId":90,"briefTitle":91,"officialTitle":91,"acronym":92,"eligibilityCriteria":93,"healthyVolunteers":16,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":94,"targetDuration":4,"studyType":22,"phases":96,"briefSummary":97,"conditions":98,"keywords":101,"overallStatus":39,"whyStopped":4,"lastUpdateSubmitDate":105,"lastUpdatePostDateStruct":106,"startDateStruct":108,"completionDateStruct":110,"leadSponsor":112,"locationsCount":114},"100564082","effect-of-implementing-evidence-based-practice-and-nurses-behavior-change-on-quality-of-care-in-intensive-care-unit-focus-on-ventilator-associated-pneumonia-in-a-tertiary-hospital-in-bangladesh-100564082","NCT06624540","Effect of Implementing Evidence-based Practice and Nurse's Behavior Change on Quality of Care in Intensive Care Unit: Focus on Ventilator Associated Pneumonia in a Tertiary Hospital in Bangladesh","EBP in Nursing","Study 2:\n\nInclusion criteria:\n\n* Who will be a registered nurse in Bangladesh.\n* Who will agree to participate in this study and the EBP training.\n\nExclusion criteria:\n\n* Who will not directly involve patient care in ICU.\n\nStudy 3:\n\nInclusion Criteria:\n\n* Irrespective of age and sex, participant must be 18 years old.\n* Legal guardian of a patient consents to participation in the study\n* Intubated patients after admission.\n\nExclusion Criteria:\n\n* Who stays less than 2 days at the GICU.\n* Who dies or is extubated within 2 days after admitted in the GICU.\n* ICU readmission.",{"count":95,"type":21},272,[24],"Quality of care is crucial for preventing adverse events such as infection in the intensive care units (ICUs). The most common ICU-acquired infections include pneumonia such as ventilator-associated pneumonia (VAP), Central Line Bloodstream Infection (CLABSI), catheter-associated urinary tract in, Medical Device Related Pressure Ulcer (MDRPU) and Pressure Ulcer (PU). This study explores the patient outcome in ICU by examining the causes and prevalence of ICU-acquired infection. The implementation of evidence-based practice (EBP) to reduce infection and change the nurses practice (behavioral changes) to adhere with EBP based on simulation-based training.\n\nGeneral objective:\n\nTo evaluate the effect of EBP by using recent technologies-based equipment to prevent VAP and promote behavior change among nurses for better outcome of the patient in ICU.\n\nSpecific Objectives:\n\n1. To determine the incidence of adverse events (VAP rate, MDRPU rate, PU rate, CLABSI rate), length of stay and survival rate in ICU.\n2. To evaluate the effectiveness of EBP education by changing nurses' behavior and determine its impact on improving patient outcomes in the ICU.\n3. To evaluate the effectiveness of EBP including proper equipment use and changed nurses behavior acquired through the training for better patient outcome (VAP ratio) in the ICU.\n4. To examine the feasibility of evaluation process and outcomes and successful implementation of EBP in ICU.\n\nHypothesis:\n\nIt is hypothesize that implementing EBP in ICU, including new equipment use and nurses training, will improve patient outcome.\n\nThese research consist of three studies:\n\nPhase 1: Incidence of adverse events (VAP rate, MDRPU rate, PU rate, CLABSI rate), length of stay and survival rate in ICU. The patients of General ICU will be followed up after admission up to discharge or death at ICU. The investigators use the study findings for our subsequent intervention study 3 as historical data.\n\nPhase 2: A pre- and post- quasi-experimental study will be conducted for 6 months to evaluate the nurse's competency on EBP after getting 1-month EBP training. This study has 3 steps: (1) Pre-observation period to measure nurse's competency level for 2-month, (2) nurse's EBP training period with preparation for 1 month, and (3) post-implementation period to measure nurse's competency and implementation of EBP practice for 2 months. Study nurses will receive EBP training, EBP and proper equipment for patient management. The nurses will receive EBP education and training with necessary equipment, such as a close suction catheter, an endotracheal tube, a suction device, and a mouth care brush. In this study, use global standard equipment for the patients safety.\n\nPhase 3: A pre- and post- quasi-experimental study will be implemented to evaluate the efficacy of EBP implementation. The investigators use new equipment and implement EBP for patients and assess the patient outcomes. The investigators compare the findings from study 1 (as historical data) with the data from this study 3.\n\nThe investigators will compare the VAP infection prevalence and patients' outcomes related to ICU-acquired infection between pre- and post- test phase.",[99,100],"Ventilator Associated Pneumonia (VAP)","Evidence Based Practice",[102,103,104],"evidence based practice","Ventilator Associated Pneumonia","Nurses Knowledge","2025-12-09",{"date":107,"type":43},"2025-12-15",{"date":109,"type":43},"2024-10-10",{"date":111,"type":21},"2026-02-28",{"name":113,"class":50},"Hiroshima University",2,{"id":116,"slug":117,"hasResults":11,"nctId":118,"briefTitle":119,"officialTitle":120,"acronym":121,"eligibilityCriteria":122,"healthyVolunteers":16,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":123,"targetDuration":4,"studyType":22,"phases":125,"briefSummary":126,"conditions":127,"keywords":129,"overallStatus":39,"whyStopped":4,"lastUpdateSubmitDate":133,"lastUpdatePostDateStruct":134,"startDateStruct":136,"completionDateStruct":138,"leadSponsor":140,"locationsCount":51},"100584226","online-training-course-to-improve-evidence-based-leadership-100584226","NCT06886581","Online Training Course to Improve Evidence-based Leadership","Effectiveness of Online Training Course to Improve Evidence-based Leadership Practices: a Cluster Randomised Two-arm Controlled Trial","EVILEAD","Inclusion Criteria:\n\n* have shown their willingness to join the study,\n* unit leaders have an official managerial position at the study organisation,\n* unit have a leaders with a professional licence to work in health or social care sector,\n* unit leaders represent any gender,\n* are able to speak, read and write in Finnish, and\n* have given informed consent to join the study.\n\nExclusion Criteria:\n\n* Those staff members who are off duty during the recruitment period (family leave, long-term sick leave, study leave, or any other reason).",{"count":124,"type":21},300,[24],"The goal of this cluster clinical trial is to evaluate the effectiveness of online training course, targeted to unit leaders to improve staff's evidence-based skills (individual outcomes), EBP implementation (team-based outcomes), and the quality of care (organisational outcomes). Feasibility and fidelity of the intervention will be assessed as well. The main questions it aims to answer are:\n\n1. Does online training course improve staff's evidence-based practice?\n2. Does online training course improve staff's self-esteem and self-efficacy?\n3. Does online training course improve leadership for EBP implementation on organisational level?\n4. Does online training course improve the quality of patient care?\n5. Does online training course reduce staff's absence (sick leaves, intention to leave the ward or hospital)?\n\nParticipants will:\n\n* Participants will join in a seven-months online training course in small group or practice as usual.\n* Seven course modules, read course material, prepare assignments, join in peer discussions.\n* Self-assessment, self-reflection and give course feedback.",[69,128],"Leadership",[130,131,132],"cluster randomised trial","evidence-based","leadership","2025-06-10",{"date":135,"type":43},"2025-06-13",{"date":137,"type":43},"2025-06-05",{"date":139,"type":21},"2026-12-31",{"name":141,"class":50},"University of Turku",{"id":143,"slug":144,"hasResults":11,"nctId":145,"briefTitle":146,"officialTitle":147,"acronym":148,"eligibilityCriteria":149,"healthyVolunteers":11,"sex":17,"minAge":4,"maxAge":4,"enrollmentInfo":150,"targetDuration":4,"studyType":22,"phases":152,"briefSummary":153,"conditions":154,"keywords":155,"overallStatus":77,"whyStopped":4,"lastUpdateSubmitDate":161,"lastUpdatePostDateStruct":162,"startDateStruct":164,"completionDateStruct":166,"leadSponsor":168,"locationsCount":51},"100559843","education-program-on-evidence-based-practices-on-nurses-competencies-and-clinical-decision-making-levels-100559843","NCT06569407","Education Program on Evidence-based Practices on Nurses' Competencies and Clinical Decision-Making Levels","The Effect of Online Training Program on Evidence-Based Practices on Nurses' Competencies for Evidence-Based Practices and Clinical Decision-Making Levels: A Randomized Controlled Trial","RCT","Inclusion Criteria:\n\n* Nurses who agree to participate in the study and work in inpatient wards will be included.\n\nExclusion Criteria:\n\n* Nurses who do not agree to participate in the study and do not work in inpatient wards will not be included in the sample.",{"count":151,"type":21},70,[24],"This clinical trial aims to develop an online education program and an educational booklet for nurses on EBP and to compare the evidence-based competencies and clinical decision-making levels of nurses trained with these two methods.\n\nHypotheses of the Study Ho: There is no statistically significant difference between the nurses' competency levels who participated in the online education developed for evidence-based practices and those who were informed of the educational booklet.\n\nH1. The nurses' competency levels who participated in the online education developed for evidence-based practices are statistically higher than those who were informed of the educational booklet.\n\nHo: There is no statistically significant difference between the clinical decision-making levels of nurses who participated in the online education developed for evidence-based practices and nurses who were informed with the educational booklet.\n\nH1: The clinical decision-making levels of the nurses who participated in the online education developed for evidence-based practices are statistically higher than those informed with the educational booklet.\n\nParticipants will:\n\nThe nurses in the intervention group are expected to fill in the data collection tools (Introductory Information Form for Nurses, Evidence-Based Practice Competency Scale, Clinical Decision Making Scale in Nursing) before the education and then participate in the education about evidence-based practices on the online platform and fill in the data collection tools (Evidence-Based Practice Competency Scale, Clinical Decision Making Scale in Nursing and Education Evaluation Form) 20 days after the education.\n\nThe nurses in the control group were expected to complete the data collection tools (Introductory Information Form for Nurses, Evidence-Based Practice Competency Scale, Clinical Decision Making Scale in Nursing) before the education booklet was given and 20 days after the education.",[100],[100,156,157,158,159,160,75],"Clinical Desicion Making","Educational Program","Online Training","Nurse","Randomized Controlled Trial","2025-03-05",{"date":163,"type":43},"2025-03-10",{"date":165,"type":21},"2025-08",{"date":167,"type":21},"2027-11",{"name":169,"class":50},"Koç University"]