Clinical CompetenceNCT07284537
Neurocritical Care Video Training in Palestine: RCT on Nursing Students' EVD Knowledge, Attitude, Skills, Confidence
A study testing video based education and Flashcard in people with Clinical Competence and Self-Confidence, run by Modern University College at 1 site in Palestinian Territories.
Trial summary
This randomized controlled trial aims to evaluate the effect of a video-based educational program on nursing students' knowledge, attitude, self-reported practice, and confidence related to external ventricular drainage (EVD) care. Read more about this study
- Who is it for?
- Any ageHealthy volunteers can take part
- Conditions the study is for
- Clinical Competence, Self-Confidence, Knowledge Level
- What is being tested?
- video based education and Flashcard
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 90 participants
- Where
- 1 sitePalestinian Territories
- Study dates
- 1 Oct 2025to 10 Oct 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
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 Any age
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Who may be able to join
- students registered at MUC, such as 3rd and 4th year
Who cannot join
- students in 1st and 2nd year
Trial locations and contacts
1 site in 1 country.
Palestinian Territories1 site
Modern University College
Ramallah
About this study
Official title: Pioneering Video-Based Neurocritical Care Education in Palestine: A Randomized Controlled Trial on Nursing Students' Knowledge, Attitude, Practice, and Self-Confidence Toward External Ventricular Drainage
This randomized controlled trial aims to evaluate the effect of a video-based educational program on nursing students' knowledge, attitude, self-reported practice, and confidence related to external ventricular drainage (EVD) care. The study will be conducted among third- and fourth-year undergraduate nursing students enrolled in the critical care course at Modern University College, West Bank, Palestine. Participants will be randomly assigned in a 1:1 ratio to either a structured 57-minute video-based educational session or an equivalent flashcard-based session covering the same content. All participants will complete pre- and post-intervention assessments to measure changes in EVD-related knowledge, attitude, self-reported practice, and confidence.
Read the detailed description
This single-center, single-blind randomized controlled trial is designed to compare two educational methods-video-based instruction and flashcard-based theoretical learning-among undergraduate nursing students. The purpose of the study is to examine whether a structured video-based educational session influences students' knowledge, attitude, self-reported practice, and confidence in relation to external ventricular drainage (EVD) care.
Participants will be recruited from third- and fourth-year nursing students enrolled in the critical care course who have not yet completed the neurological nursing module. Eligible students must be actively enrolled in the course, willing to participate, and able to complete all study procedures. Students with prior formal EVD training or clinical exposure to EVD care will be excluded.
A simple randomization procedure will assign participants to either the video-based education group or the flashcard-based education group. Allocation concealment will be maintained using sealed, opaque envelopes prepared by an independent researcher. Participants will be blinded to the specific intervention under investigation, and outcome assessors will be unaware of group assignments.
Interventions
Video-Based Education Group:
Participants will view a 57-minute instructional video covering essential concepts related to EVD, including indications, monitoring principles, equipment, procedures, and safety considerations. The session will be delivered in a classroom setting, and the content will align with standard neurocritical care educational materials.
Flashcard-Based Education Group:
Participants assigned to the control group will review a set of illustrated flashcards containing the same educational content presented in the video. The flashcard session will match the duration of the video-based session and will provide a structured, text-based theoretical review.
To minimize contamination, both sessions will be delivered separately on the same day in different classrooms. Access to materials will be restricted until data collection is completed.
Data Collection
Pre-intervention assessments will be administered immediately before the educational sessions, and post-intervention assessments will be collected immediately afterward. The assessment tool includes demographic questions and structured items measuring EVD-related knowledge, attitude, self-reported practice, and subjective confidence.
All data will be collected electronically using secure online forms. Responses will be coded to maintain confidentiality, and group labels will not be visible to the assessors evaluating completed questionnaires.
Data Analysis
Data will be analyzed using descriptive and inferential statistics as planned in the study protocol. Analyses will include comparisons of pre- and post-intervention scores within and between groups, as well as appropriate statistical modeling to adjust for baseline differences. A significance threshold of 0.05 will be used.
Ethical Considerations
Ethical approval was obtained from the institutional research ethics committee. Participation is voluntary, and informed consent will be obtained electronically. Confidentiality will be maintained by assigning coded identifiers, and data will be stored securely. Both groups will receive access to all educational materials after data collection is completed.
- Conditions
- Clinical Competence, Self-Confidence, Knowledge Level
- Being tested
- video based education, Flashcard
- Keywords
- Neurocritical Care Skills, Clinical Competence, Confidence, Nursing Education, knowledge
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
video based educationOther
Participants assigned to this arm will attend a 57-minute classroom session consisting of a prerecorded instructional video covering essential concepts related to external ventricular drainage (EVD). The session will be delivered once, in a group format, using a classroom projector. No additional materials or activities will be provided during the session.
FlashcardOther
Participants in this arm will receive a single 57-minute classroom session using printed or digital flashcards containing EVD-related theoretical content. Participants will review the flashcards individually under supervision. This group will not view any video material during the session, and no audiovisual resources will be provided.
| Study group | Role | What they receive |
|---|---|---|
| class a | Experimental | Video based education Receives: Other: video based education |
| class b | Placebo comparator | flashcards Receives: Other: Flashcard |
What is being measured
The primary outcome is the main question the study is designed to answer.
Knowledge Score Measured by the EVD Knowledge Questionnaire
Description:
Knowledge about external ventricular drainage will be assessed using an 11-item multiple-choice questionnaire. Each correct answer receives 1 point and each incorrect answer receives 0, yielding a total score of 0-11. Higher scores indicate greater knowledge.
Unit of Measure:
Score (0-11)
Measured: Baseline (pre-test) and immediately after the intervention (post-test)
Self-Confidence Visual Analog Scale (VAS)
Self-confidence in performing EVD-related procedures will be measured using a 10-point visual analog scale (VAS), where 0 indicates no confidence and 10 indicates maximum confidence.
Unit of Measure: Score (0-10)
Measured: Baseline (pre-test) and immediately after the intervention (post-test)
Attitude Score Measured by the EVD Attitude Scale
Description:
Attitude toward EVD care will be measured using a 6-item Likert scale from 1 (strongly disagree) to 5 (strongly agree), producing a total score of 6-30. Higher scores represent more positive attitudes.
Unit of Measure:
Score (6-30)
Measured: At baseline and immediately after completion of the intervention
EVD Practice Checklist
Practical EVD skills will be evaluated using a standardized 10-item EVD Practice Checklist. Each item is marked as completed (1) or not completed (0), producing a total score from 0 to 10, which is converted into a percentage. Higher percentages indicate better EVD practice performance.
Unit of Measure: Percentage (points)
Measured: Baseline (pre-test) and immediately after the intervention (post-test)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Dec 2025
- Study start1 Oct 2025
- Primary completion8 Oct 2025
- Study completion10 Oct 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Clinical CompetenceStudies of the same condition, open and under way.
- 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
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 90 participants (actual)
Sponsor and investigators
- Lead sponsor
- Modern University College
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Nawaf Raed Amro, Master Degree, Study director, Modern University College
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07284537
- Sponsor's protocol ID
- muc026\2025
- Status last verified
- Dec 2025
- First submitted
- 17 Nov 2025
- Last updated
- 16 Dec 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 16 Dec 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Pioneering Video-Based Neurocritical Care Education in Palestine: A Randomized Controlled Trial on Nursing Students' Knowledge, Attitude, Practice, and Self-Confidence Toward External Ventricular Drainage
- ClinicalTrials.gov ID
- NCT07284537
- Acronym / sponsor ID
- muc026\2025
- Conditions
- Clinical Competence, Self-Confidence, Knowledge Level
- Keywords
- Neurocritical Care Skills, Clinical Competence, Confidence, Nursing Education, knowledge
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 90 participants (actual)
- Lead sponsor
- Modern University CollegeUniversity, hospital or other
- Study start
- 1 Oct 2025 (actual)
- Primary completion
- 8 Oct 2025 (actual)
- Study completion
- 10 Oct 2025 (actual)
- First posted
- 16 Dec 2025 (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.
This randomized controlled trial aims to evaluate the effect of a video-based educational program on nursing students' knowledge, attitude, self-reported practice, and confidence related to external ventricular drainage (EVD) care. The study will be conducted among third- and fourth-year undergraduate nursing students enrolled in the critical care course at Modern University College, West Bank, Palestine. Participants will be randomly assigned in a 1:1 ratio to either a structured 57-minute video-based educational session or an equivalent flashcard-based session covering the same content. All participants will complete pre- and post-intervention assessments to measure changes in EVD-related knowledge, attitude, self-reported practice, and confidence.
Detailed description
This single-center, single-blind randomized controlled trial is designed to compare two educational methods-video-based instruction and flashcard-based theoretical learning-among undergraduate nursing students. The purpose of the study is to examine whether a structured video-based educational session influences students' knowledge, attitude, self-reported practice, and confidence in relation to external ventricular drainage (EVD) care.
Participants will be recruited from third- and fourth-year nursing students enrolled in the critical care course who have not yet completed the neurological nursing module. Eligible students must be actively enrolled in the course, willing to participate, and able to complete all study procedures. Students with prior formal EVD training or clinical exposure to EVD care will be excluded.
A simple randomization procedure will assign participants to either the video-based education group or the flashcard-based education group. Allocation concealment will be maintained using sealed, opaque envelopes prepared by an independent researcher. Participants will be blinded to the specific intervention under investigation, and outcome assessors will be unaware of group assignments.
Interventions
Video-Based Education Group:
Participants will view a 57-minute instructional video covering essential concepts related to EVD, including indications, monitoring principles, equipment, procedures, and safety considerations. The session will be delivered in a classroom setting, and the content will align with standard neurocritical care educational materials.
Flashcard-Based Education Group:
Participants assigned to the control group will review a set of illustrated flashcards containing the same educational content presented in the video. The flashcard session will match the duration of the video-based session and will provide a structured, text-based theoretical review.
To minimize contamination, both sessions will be delivered separately on the same day in different classrooms. Access to materials will be restricted until data collection is completed.
Data Collection
Pre-intervention assessments will be administered immediately before the educational sessions, and post-intervention assessments will be collected immediately afterward. The assessment tool includes demographic questions and structured items measuring EVD-related knowledge, attitude, self-reported practice, and subjective confidence.
All data will be collected electronically using secure online forms. Responses will be coded to maintain confidentiality, and group labels will not be visible to the assessors evaluating completed questionnaires.
Data Analysis
Data will be analyzed using descriptive and inferential statistics as planned in the study protocol. Analyses will include comparisons of pre- and post-intervention scores within and between groups, as well as appropriate statistical modeling to adjust for baseline differences. A significance threshold of 0.05 will be used.
Ethical Considerations
Ethical approval was obtained from the institutional research ethics committee. Participation is voluntary, and informed consent will be obtained electronically. Confidentiality will be maintained by assigning coded identifiers, and data will be stored securely. Both groups will receive access to all educational materials after data collection is completed.
Study design
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| class a | Experimental | Other: video based educationVideo based education |
| class b | Placebo comparator | Other: Flashcardflashcards |
Who may qualify
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (1 listed)
- students registered at MUC, such as 3rd and 4th year
Key exclusion criteria (1 listed)
- students in 1st and 2nd year
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 |
|---|---|---|
| video based educationParticipants assigned to this arm will attend a 57-minute classroom session consisting of a prerecorded instructional video covering essential concepts related to external ventricular drainage (EVD). The session will be delivered once, in a group format, using a classroom projector. No additional materials or activities will be provided during the session. | Other | class a |
| FlashcardParticipants in this arm will receive a single 57-minute classroom session using printed or digital flashcards containing EVD-related theoretical content. Participants will review the flashcards individually under supervision. This group will not view any video material during the session, and no audiovisual resources will be provided. | Other | class b |
Primary outcome
Knowledge Score Measured by the EVD Knowledge Questionnaire
Time frame: Baseline (pre-test) and immediately after the intervention (post-test)
Description: Knowledge about external ventricular drainage will be assessed using an 11-item multiple-choice questionnaire. Each correct answer receives 1 point and each incorrect answer receives 0, yielding a total score of 0-11. Higher scores indicate greater knowledge. Unit of Measure: Score (0-11)
Self-Confidence Visual Analog Scale (VAS)
Time frame: Baseline (pre-test) and immediately after the intervention (post-test)
Self-confidence in performing EVD-related procedures will be measured using a 10-point visual analog scale (VAS), where 0 indicates no confidence and 10 indicates maximum confidence. Unit of Measure: Score (0-10)
Attitude Score Measured by the EVD Attitude Scale
Time frame: At baseline and immediately after completion of the intervention
Description: Attitude toward EVD care will be measured using a 6-item Likert scale from 1 (strongly disagree) to 5 (strongly agree), producing a total score of 6-30. Higher scores represent more positive attitudes. Unit of Measure: Score (6-30)
EVD Practice Checklist
Time frame: Baseline (pre-test) and immediately after the intervention (post-test)
Practical EVD skills will be evaluated using a standardized 10-item EVD Practice Checklist. Each item is marked as completed (1) or not completed (0), producing a total score from 0 to 10, which is converted into a percentage. Higher percentages indicate better EVD practice performance. Unit of Measure: Percentage (points)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Dec 2025.
- Google scholar ProfileLink provided by the sponsor.
- Individual participant dataSharing planned: No
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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. This study is not recruiting at the moment.
Nawaf Raed Amro, Master Degree study director
Modern University College
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing video based education and Flashcard in people with Clinical Competence and Self-Confidence, run by Modern University College at 1 site in Palestinian Territories.
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 1 inclusion and 1 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: finished, as of the sponsor's last update on 16 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Palestinian Territories. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Knowledge Score Measured by the EVD Knowledge Questionnaire (time frame: Baseline (pre-test) and immediately after the intervention (post-test)). 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 16 Dec 2025.