About this trial
New nurses often find it difficult to adjust when they start working in fast-paced, high-pressure trauma units, and many leave their jobs within the first two years. This study looks at whether a two-day training programme, called Basic Trauma Training (BTT), helps newly graduated nurses in Saudi trauma hospitals feel more confident, satisfied and engaged in their work, and more likely to stay in the nursing profession.
The study takes place at two trauma hospitals in Saudi Arabia. Because it is not practical to randomly assign nurses to groups in this real-world hospital setting, the study compares an earlier group of new nurses, who receive standard hospital orientation only, with a later group, who receive standard orientation plus the two-day BTT training. Both groups complete questionnaires before and after their orientation or training period, answering questions about job satisfaction, engagement, stress and their plans to stay in the role. The study also looks at actual staff retention using hospital employment records at 6 and 12 months. Nurses in the comparison group are offered the BTT training later, once their part of the study is complete, so that everyone has the chance to take part in the training.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Saudi Commission for Health Specialties (SCFHS) licensure
Less than 12 months of post-licensure clinical experience at baseline
Current direct patient-facing employment in a trauma-related intensive care unit at King Saud Medical City or Northern Medical Tower
Willing and able to provide written informed consent
Disqualifiers
More than 12 months of post-licensure clinical experience
Employment outside trauma-related ICU settings
Agency or temporary staffing status
Extended leave during the intervention or data-collection period
Trial design
Parallel
Treatments tested in this trial
Basic Trauma Training (BTT) Programme
BehavioralA structured two-day, 14-contact-hour educational programme comprising five modules: trauma systems and primary survey principles; advanced trauma assessment and clinical reasoning; critical trauma interventions and patient safety; interprofessional communication and team leadership; and psychological preparedness, peer support and self-care. Delivered via didactic teaching, high-fidelity simulation using the PEARLS debriefing framework, and facilitated reflective discussion.
Standard Institutional Orientation
Other interventionStandard existing onboarding programme for newly employed nursing staff, comprising approximately five days of general clinical induction without trauma-specific structured training. Content and duration are documented at baseline to characterise the comparator condition precisely.
Treatment groups
Trial outcomes
Primary outcomes
Workforce Sustainability (Composite Index)
A formative composite index of four equally weighted, standardised (z-score) components: job satisfaction (Michigan Organizational Assessment Questionnaire Job Satisfaction Subscale, MOAQ-JSS, 3 items, 7-point Likert), work engagement (Utrecht Work Engagement Scale, UWES-9, 0-6 frequency scale), personal burnout (Copenhagen Burnout Inventory, CBI-PB, 6 items, 0-100 scale, reverse scored), and retention intention (validated instrument, to be finalised). Each component is standardised using the pooled baseline mean and SD across both arms at T0, and the four standardised components are averaged.
Secondary outcomes
Job Satisfaction
Measured using the Michigan Organizational Assessment Questionnaire Job Satisfaction Subscale (MOAQ-JSS, 3 items, 7-point Likert scale)
Sponsors and contacts
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Lincoln University College
Lead sponsor
King Saud Medical City
Collaborator
Lincoln University College Malaysia
Collaborator
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