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NCT Number: NCT06811987

Artificial Intelligence-Based Emergency Triage Education Tool in Enhancing Clinical Critical Thinking and Triage Practice

The study aims to develop an artificial intelligence (AI) based emergency triage education tool for providing critical thinking and questioning skills training to nursing students. It also aims to contribute valuable implications by collecting the knowledge, attitudes, and compassion aspects of nursing students toward AI-based education

The objectives of the study:

1. To evaluate the effectiveness of instructor-led and self-play pedagogy approaches in enhancing students' critical thinking by an AI-based emergency triage education tool. 2. To evaluate the effectiveness of instructor-led and self-play pedagogy approaches in enhancing students' triage skill retention by an AI-based emergency triage education tool. 3. To evaluate students' learning motivation, simulation-based experience, and usability towards AI-based technology learning.

Participants will

1. play the education tool in different pedagogy approaches 2. answer the questionnaires and receive a qualitative interview

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Key information

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Aged 18 or above;
  • Currently studying the NURS 225F of the Bachelor of Nursing (General) at Hong Kong Metropolitan University;
  • Able to use electronic devices to accomplish an online survey and participate in the AI-based emergency triage education tool

Exclusion criteria

  • Currently working in emergency department

Treatment and study plan

Instructor-led AI-Triage educational serious game

Behavioral

Participants will use the AI-triage serious game guided by the instructors.

Self play AI-Triage educational serious game

Behavioral

Participants will self-play the AI-Triage serious game during the class.

Primary outcomes

  1. Triage skill retention

    Time frame: Baseline, 1 month and 1 year

    short-term and long-term triage skill retention based on different pedagogy approaches The checklist is based on the Hospital Authority, Hong Kong triage guidelines. There are a total of 35 items that test the triage practice's specificity, which focuses on triage questioning and assessment selection in the game scenarios.

    For every corrected item, 1 score will be given. Therefore the maximum value is 35, presenting the best outcome in skill specificity; the minimum value is 0, the worst outcome.

    Moreover, 4 items are testing the triage accuracy of decision-making and management. The maximum value is 4, presenting the best outcome in skill accuracy; the minimum value is 0, the worst outcome.

Secondary outcomes

  1. Cognitive Engagement

    Time frame: Immediately post intervention

    The cognitive engagement will be using the Situational Cognitive Engagement Measurements tools to evaluate.

    The tool consisted of three elements, measured by four items: (1) engagement with the task at hand, (2) effort and persistence, and (3) experience of flow or having been totally absorbed by the activity. The items were scored on a 5-point Likert scale: 1 (not true et al for me), 2 (not true for me), 3 (neutral), 4 (true for me), and 5 (very true for me). A higher total score presents a better cognitive engagement.

    Moreover, qualitative interviews to ask about their feeling and experiences towards cognitive engagement during the intervention.

  2. Critical thinking

    Time frame: Base-line and 1 Month

    To evaluate the effectiveness of different pedagogies on students' critical thinking, the tool of Northeastern Illinois University's Critical Thinking Rubric is used to assess.

    Student performance is evaluated across four proficiency levels, ranging from 'limited or no proficiency' (scored at one point) to 'high proficiency' (scored at four points). The total rubric scores for a simulated scenario ranged from 6 to 24 (Higher scores represented a better critical thinking performance). is a comprehensive tool to assess critical thinking skills in six key dimensions.

  3. Self-rated critical thinking

    Time frame: Baseline, 1 month

    by different pedagogies, the tool of Short Form English version of the Critical Thinking Disposition Inventory will be used to evaluate students' self-rated critical thinking index.

    It includes a series of statements related to critical thinking on a Likert scale (1: strongly disagree; 5: strongly agree), The tool may cover systematic analysis (5 items), thinking within the box (8 items) and outside the box (5 items). A higher score means better self-rated critical thinking.

  4. Usability

    Time frame: Immediately post intervention

    The usability will be using the System Usability Scale tools to evaluate. The tool measured 10 items. The items were scored on a 5-point Likert scale: 1 (strongly disagree) to 5 (strongly agree). A higher total score presents a better system usability.

    Moreover, qualitative interviews to ask about their feeling and experiences towards system usability during the intervention.

  5. simulation-based experience

    Time frame: Immediately post intervention

    The simulation-based experience will be using the Simulation Effectiveness Tool - Modified tools to evaluate.

    It is a 19-item tool that includes a 2-item pre-briefing, a 12-item scenario and a 5-item debriefing. A higher score on the tool reflects students' favourable perceptions of the simulation. Moreover, qualitative interviews to ask about their feeling and experiences towards simulation-based experience during the intervention.

Study contacts

Contact information is provided by the study sponsor or research team.

Chun Kit Danny Hung, MN, BN

CONTACT

[email protected]

85235887917

Sponsors and collaborators

Lead sponsor

Hong Kong Metropolitan University

Other

Registry information

Official study title

Instructor-led Artificial Intelligence-Based Emergency Triage Education Tool in Enhancing Clinical Critical Thinking and Triage Practice: Randomized Control Trial

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Feb 6, 2025
Registry last updated
Feb 6, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.