Pan African Clinical Trials Registry
South African Medical Research Council, South African Cochrane Centre
PO Box 19070, Tygerberg, 7505, South Africa
Telephone: +27 21 938 0506 / +27 21 938 0834 Fax: +27 21 938 0836
Email: pactradmin@mrc.ac.za Website: pactr.samrc.ac.za
Trial no.: PACTR202102876580185 Date of Approval: 16/02/2021
Trial Status: Registered in accordance with WHO and ICMJE standards
TRIAL DESCRIPTION
Public title The influence of technology on academic motivation and clinical meta-competencies among nursing students in Tanzania
Official scientific title A pilot randomized controlled trials to evaluate the acceptability and feasibility of an interactive web-based clinical monitoring system towards improving academic motivation and clinical meta-competencies among nursing students in Tanzania
Brief summary describing the background and objectives of the trial Changes in population demographics, technological advancements, and the increased communicable and non-communicable diseases, have resulted in the need for changing the nursing healthcare delivery systems(World Health Organization, 2016). However, owing to the shortage of competent and experienced professional nurses, healthcare systems are forced to hire newly graduate nurses by hoping that, they have achieved a maximum level of clinical meta-competencies to function independently, in delivering a quality and cost-effective care among people(Kaphagawani & Useh, 2018). Scholars have linked the issues of incompetent nurses who are available in the system with the predominant use of conversational pedagogical approaches that have argued to have little influence in clinical meta-competence among nursing graduates. Worth noting the use of technology promises to bring a sustainable academic solution in nursing worldwide. As it has worked elsewhere, the uses of Web-based learning (WBL), for example, has become an increasingly vital instructional tool in nursing education, as it offers the potentials for promoting academic motivation and clinical competencies among nursing students. Despite its popularity, little has been demonstrated on its application and use in Tanzanian nursing education system. Therefore, this study intends to explore the acceptability and feasibility of an interactive web-based clinical practice monitoring system towards improving academic motivation and clinical meta-competencies among nursing students in Tanzania.
Type of trial RCT
Acronym (If the trial has an acronym then please provide) CPMS
Disease(s) or condition(s) being studied Academic motivation and clinical meta-metacompetncies among nursing students
Sub-Disease(s) or condition(s) being studied
Purpose of the trial Education /Training
Anticipated trial start date 29/11/2020
Actual trial start date 03/05/2021
Anticipated date of last follow up 01/07/2021
Actual Last follow-up date 01/09/2021
Anticipated target sample size (number of participants) 589
Actual target sample size (number of participants) 589
Recruitment status Recruiting
Publication URL
Secondary Ids Issuing authority/Trial register
STUDY DESIGN
Intervention assignment Allocation to intervention If randomised, describe how the allocation sequence was generated Describe how the allocation sequence/code was concealed from the person allocating the participants to the intervention arms Masking If masking / blinding was used
Parallel: different groups receive different interventions at same time during study Randomised Simple randomization using a randomization table created by a computer software program Allocation was determined by the holder of the sequence who is situated off site Masking/blinding used Outcome Assessors,Participants
INTERVENTIONS
Intervention type Intervention name Dose Duration Intervention description Group size Nature of control
Experimental Group A web based clinical practice monitoring system One topic/clinical procedure in one shift for three days a week Four months Nursing students will receive paediatric, medical, surgical, and midwifery clinical contents through the web-based clinical practice monitoring system within seven hours in One shift( morning shift) under the supervision of assigned clinical instructors. Nursing students will have to login into the system in the presence of clinical instructor through and instructors generated for then to access the system services including the selection of clinical procedures, access to clinical reading materials, and an opportunity to share feedback and experiences with peer groups, clinical instructors and academic faculty. At the end of the shift, nursing students will have to submit an evaluation form concerning the success, challenges, and area to be improved when carrying patients through the CPMS before logging out of the system. Clinical instructors will have to mentor nursing students in their clinical placement, select one topic to teach them per shift, and submit an evaluation form about the success, challenges, and area of improved in managing and handling nursing students through the use of CPMS. The feedback report from nursing students and clinical instructors will help to assess how the system works to demonstrate its intended abilities. 147
Control Group Bedside tutorials One topic/clinical procedure per shift for three days Four months Nursing students in the control arm will be allocated to the paediatric, medical, surgical and midwifery clinical contents through conventional teaching pedagogical approaches ( bedside tutorials) within seven hours in one shift(morning shift) under the same supervision of clinical instructors. Nursing students will be using their conventional registration book to sign in to their shift as they have used to do. The students will continue to perform ward/unit activities and clinical procedures. The nursing student will give and receive the end of shift report before signing out. 442 Active-Treatment of Control Group
ELIGIBILITY CRITERIA
List inclusion criteria List exclusion criteria Age Category Minimum age Maximum age Gender
All consented registered nursing students from the selected higher training institutions and clinical instructors from the sampled training hospitals (with working experience of at least >6 months) will be included in this study. Nursing students who stay on or off-campus and who will be in their clinical placements for the clinical practices based on the institutional academic calendar included in the study. On the other hand, academic faculty, information technology and communication technician and curriculum developers with at least >1 year of working experience will be consulted during the designing (prototyping) phase of the system to be tested in this study. Nursing students who will be sick and those who will not be present during the time of the study. Clinical instructors and nursing students who are pregnant or breastfeed Adult: 19 Year-44 Year,Middle Aged: 45 Year(s)-64 Year(s) 19 Year(s) 45 Year(s) Both
ETHICS APPROVAL
Has the study received appropriate ethics committee approval Date the study will be submitted for approval Date of approval Name of the ethics committee
Yes 29/11/2020 DIRRC
Ethics Committee Address
Street address City Postal code Country
Dodoma Dodoma 295 Tanzania
OUTCOMES
Type of outcome Outcome Timepoint(s) at which outcome measured
Primary Outcome Acceptability After 4 months
Secondary Outcome Feasibility After 4 months
Secondary Outcome Academic motivation and clinical meta-competencies Four months
RECRUITMENT CENTRES
Name of recruitment centre Street address City Postal code Country
Traininh Hospitals Dodoma Municipal council Dodoma 904 United Republic of Tanzania
Higher and lower training institutions in Dodoma Dodoma Municipal council Dodoma 295 United Republic of Tanzania
FUNDING SOURCES
Name of source Street address City Postal code Country
Patricia Herman Dodoma Municipal Dodoma 395 Tanzania
SPONSORS
Sponsor level Name Street address City Postal code Country Nature of sponsor
Primary Sponsor Patricia Herman Dodoma Municipal Council Dodoma 295 Tanzania Individual
COLLABORATORS
Name Street address City Postal code Country
Walter C. Millanzi Dodoma Municipal Council Dodoma 395 Tanzania
CONTACT PEOPLE
Role Name Email Phone Street address
Principal Investigator Patricia Herman patriciaz1006@gmail.com +255788315184 Dodoma Municipal
City Postal code Country Position/Affiliation
Dodoma 295 Tanzania The University of Dodoma
Role Name Email Phone Street address
Scientific Enquiries Walter Millanzi walter.millanzi@udom.ac.tz +255768969530 Dodoma Municipal council
City Postal code Country Position/Affiliation
Dodoma 295 Tanzania The University of Dodoma
Role Name Email Phone Street address
Public Enquiries Kalafunja Osaki kalafunja@gmail.com +255754296381 Dar es Salaam
City Postal code Country Position/Affiliation
Dar es Salaam Tanzania St. Augustine University of Dar es Salaam
REPORTING
Share IPD Description Additional Document Types Sharing Time Frame Key Access Criteria
Yes Data from the participants will be handled, secured, accessed and shared under request to the principal investigator or The University of Dodoma. Study Protocol 12 months( November 29, 2020, to November 29 2021) For research, project and nursing professional development purpose
URL Results Available Results Summary Result Posting Date First Journal Publication Date
No
Result Upload 1: Result Upload 2: Result Upload 3: Result Upload 4: Result Upload 5:
Result URL Hyperlinks Link To Protocol
Result URL Hyperlinks
Changes to trial information