Effect of Nasogastric Tube Care Training by Simulation-Based and Video-Based Methods on Nurses' Confidence, Satisfaction, and Practices

This randomized controlled trial will evaluate the effect of simulation-based and video-based training on nurses' confidence, satisfaction, and clinical practice related to nasogastric tube care, compared with a control group receiving routine training or usual practice. Nasogastric tube care is an essential nursing procedure that requires adequate knowledge, practical skills, and confidence to ensure safe and effective patient care. Participants will be randomly assigned to one of three groups: simulation-based training, video-based training, or control. The findings of this study will provide evidence on effective educational methods to improve nurses' performance in nasogastric tube care and support better quality of care.

Nasogastric tube care is a common and important nursing procedure that requires sound knowledge, technical competence, and confidence. Inadequate training may affect nurses' performance and the quality of care provided to patients with nasogastric tubes. Educational approaches such as simulation-based training and video-based training are increasingly used in nursing education and clinical training; however, limited evidence is available regarding their comparative effect on nurses' confidence, satisfaction, and actual practice in nasogastric tube care. This study will be conducted as a randomized controlled trial at the Pediatric Hospital and Kirkuk Teaching Hospital in Kirkuk. A total of 83 nurses will be enrolled and randomly assigned to one of three groups: a simulation-based training group, a video-based training group, or a control group. The simulation-based group will receive structured training through simulated clinical practice, while the video-based group will receive standardized training through an instructional video. The control group will receive routine training or usual practice in the study setting. Data will be collected using a questionnaire and an observational checklist. The questionnaire will include nurses' demographic characteristics, self-confidence in performing nasogastric tube care procedures, and satisfaction with the educational method. Clinical practice related to nasogastric tube care will be assessed using an observation checklist. The study will compare the effects of the training methods on nurses' confidence, satisfaction, and practice, and will also examine the relationship between confidence and practical performance after training.

Inclusion Criteria: * Registered nurses working at the Pediatric Hospital or Kirkuk Teaching * Hospital in Kirkuk * Male or female nurses * Age 18 years or older * Nurses involved in direct patient care * Nurses willing to participate in the study * Nurses able to attend the assigned training and complete the study assessments Exclusion Criteria: * Nurses who do not agree to participate in the study * Nurses who are not available during the study period * Nurses who are unable to attend the assigned training session * Nurses who do not complete the required study assessments * Nurses who participated in the pilot study