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IRCT20260713070159N1 IRCT 2026-07-26 Qazvin University of Medical Sciences Training Nursing Students in ESI Triage Using the BOPPS-CBL Method The Effect of ESI Triage Training Using the BOPPS-CBL Method on Nursing Students’ Knowledge and decision-making Based on Kirkpatrick’s Evaluation Model 2026-08-23 anticipated 33 Recruiting https://irct.ir/trial/91601 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: After meeting the eligibility criteria, participants will be randomly assigned to either the intervention group (BOPPS–CBL) or the control group (LBL). Randomization will be performed by a statistician using R software. A block randomization or simple randomization method will be employed where generated random numbers will determine group assignment: even numbers will be allocated to the intervention group, and odd numbers to the control group. To ensure allocation concealment, the randomization sequence will be generated by an individual not involved in the research team. Blinding: Due to the educational nature of the intervention, blinding of participants and instructors is not feasible. However, to minimize assessment bias, the outcome assessors will be blinded to the group assignment (single-blind design). N/A . Intervention 1: The intervention group will receive triage training based on the Emergency Severity Index using a combined six-stage instructional framework consisting of bridge-in, objectives, pre-assessment, participatory learning, post-assessment, and summary, integrated with scenario-based learning. The intervention will consist of two 60-minute educational sessions delivered on the same day by master’s students in emergency nursing. The educational content will include the foundations of triage, the definition and history of triage, the need for and objectives of a triage unit, the role of triage personnel, resource-based triage, introduction to the five-level Emergency Severity Index system, and differences between the Emergency Severity Index and other triage systems. It will also cover the complete Emergency Severity Index algorithm, decision criteria, under-triage, over-triage, common errors, and prevention strategies. The training will be delivered before class, including motivation, learning objectives, and a short pre-assessment, and during class, including small-group participatory learning, analysis of clinical scenarios, determination of acuity levels and initial actions, group discussion, post-assessment, and summary. Five scenarios will be used in each session. Intervention 2: Control group: The control group will receive triage training based on the Emergency Severity Index through the conventional lecture method. The educational content in this group will be similar to that of the intervention group and will include the foundations of triage, the definition and history of triage, the need for and objectives of a triage unit, the role of triage personnel, resource-based triage, introduction to the five-level Emergency Severity Index system, the Emergency Severity Index algorithm, decision criteria at points A to D, under-triage, over-triage, common decision-making errors, and prevention strategies. The training will be delivered in two 60-minute sessions. Educational materials will be provided to students before the session, and a short period will be allocated at the end of each session for reviewing key points, discussion, questions, and answers. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is The individual participant data will not be shared to protect the confidentiality and privacy of the participating students. Overall results will be published in a peer-reviewed journal.
public Mojtaba Senmar
School of Nursing and Midwifery, Qazvin University of Medical Sciences, Bahonar Blvd., Qazvin, Iran
Qazvin Iran (Islamic Republic of) 3415868487 +98 28 3333 6001 senmarmojtaba@gmail.com Qazvin University of Medical Sciences scientific Mojtaba Senmar
School of Nursing and Midwifery, Qazvin University of Medical Sciences, Bahonar Blvd., Qazvin, Iran
Qazvin Iran (Islamic Republic of) 3415868487 +98 28 3333 6001 senmarmojtaba@gmail.com Qazvin University of Medical Sciences Iran (Islamic Republic of) Undergraduate nursing students in their 7th or 8th semesters Willingness to participate in the research No prior experience or participation in similar triage training courses before the study 18 years no limit Both Withdrawal of consent or unwillingness to continue the study Incomplete questionnaires or insufficient data (defined as having more than 5% missing data) Other Other The intervention group will receive triage training based on the Emergency Severity Index using a combined six-stage instructional framework consisting of bridge-in, objectives, pre-assessment, participatory learning, post-assessment, and summary, integrated with scenario-based learning. The intervention will consist of two 60-minute educational sessions delivered on the same day by master’s students in emergency nursing. The educational content will include the foundations of triage, the definition and history of triage, the need for and objectives of a triage unit, the role of triage personnel, resource-based triage, introduction to the five-level Emergency Severity Index system, and differences between the Emergency Severity Index and other triage systems. It will also cover the complete Emergency Severity Index algorithm, decision criteria, under-triage, over-triage, common errors, and prevention strategies. The training will be delivered before class, including motivation, learning objectives, and a short pre-assessment, and during class, including small-group participatory learning, analysis of clinical scenarios, determination of acuity levels and initial actions, group discussion, post-assessment, and summary. Five scenarios will be used in each session. Control group: The control group will receive triage training based on the Emergency Severity Index through the conventional lecture method. The educational content in this group will be similar to that of the intervention group and will include the foundations of triage, the definition and history of triage, the need for and objectives of a triage unit, the role of triage personnel, resource-based triage, introduction to the five-level Emergency Severity Index system, the Emergency Severity Index algorithm, decision criteria at points A to D, under-triage, over-triage, common decision-making errors, and prevention strategies. The training will be delivered in two 60-minute sessions. Educational materials will be provided to students before the session, and a short period will be allocated at the end of each session for reviewing key points, discussion, questions, and answers. Nursing students’ knowledge score regarding Emergency Severity Index triageNursing students’ decision-making score regarding Emergency Severity Index triage. Timepoint: Before the intervention, one week after the intervention, and one month after the intervention. Method of measurement: Emergency Severity Index Knowledge QuestionnaireTriage Decision-Making Questionnaire. Qazvin University of Medical Sciences Approved 2026-06-07 Ethics Committee of Qazvin University of Medical Sciences Ethics Committee Unit, Research Ethics Committee, Vice Presidency for Research and Technology, Qazvin University of Medical Sciences, 1st Floor, No. 16, Modat Alley, opposite Shahid Beheshti Park, before Valiasr Crossroads, Shahid Beheshti Blvd, Qazvin, Iran. Qazvin Qazvin Iran (Islamic Republic of)