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CompletedNCT06523907Updated Apr 9, 2026

"Effectiveness of Basic Nursing Educational Interventions on Primary Healthcare Paramedics: A Quasi-Experimental Approach"

An interventional study of Intervention Basic Nursing skills and Control Present Knowledge about basic nursing skill in Education Training, Nursing Skills and Primary Healthcare, sponsored by SINA Health Education and Welfare Trust. Completed at 1 site in Pakistan. Open to participants aged 18 Years to 49 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-04-09.

Sponsored by SINA Health Education and Welfare Trust · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
230
Allocation
Non-randomized
Ages
18 Years to 49 Years
Sex
All
01

Study summary

Expected Significance of the Study:

Improved Patient Outcomes: Paramedics often serve as the first point of contact for patients in primary healthcare settings. Ensuring that they possess adequate knowledge and skills in basic nursing care can lead to improved patient outcomes, including better management of chronic conditions, reduced incidence of complications, and enhanced overall quality of care.

Enhanced Healthcare Delivery: By equipping paramedics with basic nursing care education, healthcare systems can optimize resource utilization and improve the efficiency of care delivery. Paramedics may be better equipped to handle a wider range of patient needs, reducing the burden on other healthcare professionals and streamlining the referral process.

Addressing Skills Gaps: Many paramedics receive training primarily focused on emergency medical care rather than comprehensive nursing skills. This research addresses an important gap in paramedic education by evaluating the effectiveness of additional training in basic nursing care, potentially filling a critical need in the healthcare workforce.

Professional Development: Providing paramedics with opportunities for ongoing education and professional development can enhance job satisfaction, increase retention rates, and contribute to a more skilled and competent workforce. This research could inform the development of training programs tailored to the specific needs of paramedics in primary healthcare settings.

Cost-Effectiveness: Investing in education and training programs for paramedics may yield long-term cost savings for healthcare systems by reducing hospital admissions, emergency department visits, and unnecessary medical interventions. Assessing the effectiveness of such programs is crucial for allocating resources effectively and maximizing their impact.

Evidence-Based Practice: By conducting a quasi-experimental study to evaluate the effectiveness of basic nursing care education among paramedics, this research contributes valuable evidence to the field of healthcare education and practice. Evidence-based findings can inform policy decisions, curriculum development, and clinical guidelines, ultimately benefiting both patients and healthcare providers.

Read the detailed description

Nursing care is the cornerstone of primary healthcare organizations, playing a vital role in promoting health, preventing illness, and managing chronic conditions within communities. At the forefront of patient interaction, nurses in primary healthcare settings provide comprehensive and holistic care that addresses individuals' physical, emotional, and social needs. In these settings, nursing care encompasses a wide range of services, including health assessments, health education, disease prevention, and health promotion initiatives. Nurses collaborate closely with other healthcare professionals, such as physicians, pharmacists, and allied health workers, to deliver coordinated and patient-centered care.

Moreover, nursing care in primary healthcare organizations extends beyond individual patient encounters to encompass community-based initiatives and population health management strategies. Nurses engage in community outreach programs, health education workshops, and health promotion campaigns aimed at empowering individuals and communities to adopt healthy behaviors and lifestyles.

In essence, nursing care at primary healthcare organizations embodies the principles of accessibility, continuity, comprehensiveness, and patient-centeredness. Through their expertise, dedication, and advocacy, nurses contribute significantly to improving health outcomes and fostering wellness in the communities they serve.

Rationale:

Paramedics play a crucial role in primary healthcare, often being the first point of contact for patients in need of medical assistance. However, their training may not always encompass the depth of nursing care required in certain situations. This study seeks to bridge this gap by evaluating the outcomes of implementing a structured basic nursing care education program tailored to the needs of paramedics.

02

Conditions studied

  • Education Training
  • Nursing Skills
  • Primary Healthcare
  • Education, Nursing

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Keywords

  • Education status
  • nursing skills
  • Nurse
  • needle stick injury
  • safe injection administration
03

Who can participate

Ages eligible
18 Years to 49 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

The inclusion criteria include at least one year of working experience in the hospital, willingness to participate in the study, and not participating in similar training courses

Exclusion criteria

Exclusion Criteria:

  • The exclusion criteria include not attending more than two training sessions will exclude from the study
04

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
230 participants (actual)

Study arms

  • No intervention
    Control " Present Knowledge about the Basic Nursing skills"
  • Experimental
    Intervention " Educational Intervention from Registered Nurse"

    Other: Intervention Basic Nursing skills · Other: Control Present Knowledge about basic nursing skill

Interventions

  • OtherIntervention Basic Nursing skills

    Evaluating the effectiveness of the education program in improving paramedics' knowledge of essential nursing care principles, such as hygiene practice, infection control, safe administration of injection, blood draw, vital sign monitoring, respiratory rate

    Also known as: Educational Intervention

  • OtherControl Present Knowledge about basic nursing skill

    Assess the current and baseline knowledge status of the participants about the hygiene practice, infection control, safe administration of injection, blood draw, vital sign monitoring, respiratory rate

05

What researchers measure

Primary outcomes

  1. Pre and post assessment of Paramedics' Knowledge after educational intervention

    Baseline knowledge about the primary healthcare settings among the paramedics before the intervention given

    Time frame: One month

Secondary outcomes

  1. Pre and Post Intramuscular injection administration Knowledge

    Comparing the pre- and post-intervention knowledge among paramedics about how to administer I/V injection, who underwent the education program.

    Time frame: One month

  2. Pre and Post Intramuscular injection administration Knowledge

    Identifying any barriers or challenges encountered in implementing the education program and suggesting recommendations for future improvements or modifications.

    Time frame: One month

  3. Pre and Post Sub-cutaneous injection administration knowledge

    Investigating any changes in paramedics' attitudes towards nursing care, including their perceived importance of nursing interventions in primary healthcare contexts.

    Time frame: one month

  4. Pre and Post Needle Stick Injury administration Knowledge

    Investigating any changes in paramedics' attitudes towards nursing care, including their perceived importance of nursing interventions in primary healthcare contexts.

    Time frame: one month

  5. Pre and Post educational intervention of Hygiene practice knowledge

    Investigating any changes in paramedics' attitudes towards nursing care, including their perceived importance of nursing interventions in primary healthcare contexts.

    Time frame: one month

  6. Pre and Post educational intervention of vital sign knowledge

    Investigating any changes in paramedics' attitudes towards nursing care, including their perceived importance of nursing interventions in primary healthcare contexts.

    Time frame: one month

  7. Pre and Post educational intervention of anthropometric measurement (weight in Kg) knowledge

    Investigating any changes in paramedics' attitudes towards nursing care, including their perceived importance of nursing interventions in primary healthcare contexts.

    Time frame: one month

  8. Pre and Post educational intervention of anthropometric measurement (Height in cm) knowledge

    Investigating any changes in paramedics' attitudes towards nursing care, including their perceived importance of nursing interventions in primary healthcare contexts.

    Time frame: one month

06

Study locations

1 site
  • SINA Health Education & Welfare Trust
    Karachi, Pakistan
07

References and documents

Publications

  • Sharif H, Ali RR, Syed S, Khan W, Sheikh SS, Imam A. Impact of structured refresher training on clinical competence of primary healthcare nurses in Karachi, Pakistan: a quasi-experimental study. BMC Nurs. 2026 Jul 21. doi: 10.1186/s12912-026-05096-8. Online ahead of print. PubMed 42482091 ↗

Individual participant data

Plan to share: No — De-identified data will be shared upon suitable request

08

Registry details

Key details

Study ID
NCT06523907
Lead sponsor
SINA Health Education and Welfare Trust
Responsible party
Sponsor
First posted
Jul 26, 2024
Start date
Jul 30, 2024
Primary completion
Aug 31, 2024
Completion
Sep 30, 2024
Last update
Apr 9, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
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