NCT06624540: EBP in Nursing

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

Recruiting now NA Last updated 15 December 2025

What this trial tests

NA trial testing This is a pre- and post- quasi-experimental study. in Ventilator Associated Pneumonia (VAP) in 272 participants. Currently enrolling.

Timeline

10 October 2024

Primary endpoint
28 February 2026

28 February 2026

Quick facts

Lead sponsor	Hiroshima University
Phase	NA
Status	Recruiting now
Study type	INTERVENTIONAL
Allocation	na
Design	single group
Masking	none
Primary purpose	health services research
Enrollment	272
Start date	10 October 2024
Primary completion	28 February 2026
Estimated completion	28 February 2026
Sites	2 locations across Bangladesh, Japan

Drugs / interventions tested

• This is a pre- and post- quasi-experimental study.
• Education with EBP

Conditions studied

• Ventilator Associated Pneumonia (VAP) — all drugs for Ventilator Associated Pneumonia (VAP) →
• Evidence Based Practice — all drugs for Evidence Based Practice →

Sponsor

Hiroshima University

Who can join

18 and older, any sex, with Ventilator Associated Pneumonia (VAP) or Evidence Based Practice. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

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.

General objective:

To 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.

Specific Objectives:

1. To determine the incidence of adverse events (VAP rate, MDRPU rate, PU rate, CLABSI rate), length of stay and survival rate in ICU.
2. To evaluate the effectiveness of EBP education by changing nurses' behavior and determine its impact on improving patient outcomes in the ICU.
3. 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.
4. To examine the feasibility of evaluation process and outcomes and successful implementation of EBP in ICU.

Hypothesis:

It is hypothesize that implementing EBP in ICU, including new equipment use and nurses training, will improve patient outcome.

These research consist of three studies:

Phase 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.

Phase 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.

Phase 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.

The investigators will compare the VAP infection prevalence and patients' outcomes related to ICU-acquired infection between pre- and post- test phase.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

1. Evidence-Based Practices to Prevent Ventilator-Associated Pneumonia in an Intensive Care Unit in Bangladesh.
   Akhter N, Zhou X, Elhabashy S, Huq KATME, et al · · 2025 · cited 1× · PMID 41228149 · DOI 10.3390/healthcare13212782
2. Effect of evidence-based education program with mentoring system for prevention of ventilator-associated pneumonia on nurses' competency to improve quality care for patients in the intensive care unit: a quasi-experimental study in a tertiary hospital in Bangladesh.
   Akhter N, Zhou X, Elhabashy S, Huq KATME, et al · · 2025 · PMID 41584199 · DOI 10.3389/fpubh.2025.1674223