Evidence map›Paper›PMID 42144875›Full record

Trial reportJournal of nursing management2026

The Effect of a WhatsApp Chatbot-Based Training Program on Infection Control Knowledge and Practices Among Hemodialysis Nurses: A Cluster-Randomized Controlled Trial.

Hossam Alhawatmeh, Seba M Issa, Ibrahim Alasqah

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Hossam AlhawatmehDepartment of Adult Health Nursing, College of Nursing, Jordan University of Science and Technology, Irbid, 44220, Jordan, just.edu.jo.ORCID https://orcid.org/0000-0001-6370-8311
Seba M IssaDepartment of Adult Health Nursing, College of Nursing, Jordan University of Science and Technology, Irbid, 44220, Jordan, just.edu.jo.ORCID https://orcid.org/0009-0005-8688-4541
Ibrahim AlasqahDepartment of Community, Psychiatric and Mental Health Nursing, College of Nursing, Qassim University, Buraydah, 52571, Saudi Arabia, qu.edu.sa.ORCID https://orcid.org/0000-0002-0316-1374

Funding

Jordan University of Science and Technology 20240058
6 · The paper itself

Abstract

backgroundPatients undergoing hemodialysis are highly susceptible to infection; however, evidence suggests variability in nurses' infection control competencies. Although digital learning tools are increasingly used in nursing, there have been few randomized controlled trials assessing WhatsApp chatbot-based infection control training for hemodialysis nurses. Thus, the purpose of this study was to assess the effect of a WhatsApp chatbot-based training program on nurses' knowledge and practices related to infection control in hemodialysis units.

methodsA cluster-randomized controlled trial was conducted from July to September 2024, involving 50 hemodialysis nurses recruited via convenience sampling from five hospitals in Jordan. Ten clusters, defined by hospital site and work shift, were randomly assigned using a computer-generated sequence prepared by an independent researcher to either an intervention group, which received the WhatsApp chatbot-based training program, or a control group. Guided by constructivist learning theory, the intervention facilitated active knowledge construction through an interactive, automated chatbot dialogue delivered over 4 weeks. Outcome measures were collected using a self-reporting questionnaire at baseline and 4 weeks after completion of the 5-day intervention.

resultsMixed-model repeated-measures ANOVA revealed that the intervention group showed statistically significant improvements in both knowledge (F (1, 48) = 19.34, p < 0.0001, η

conclusionThe study results indicate that the WhatsApp chatbot-based training program is an effective e-learning approach that helped hemodialysis nurses develop their infection control knowledge and practice. The results suggest that WhatsApp chatbot-based education provides nurse managers with a flexible and scalable method to enhance infection control competencies and improve patient safety in hemodialysis units.

Indexed as

Health Knowledge, Attitudes, PracticeInfection ControlMobile ApplicationsNursesRenal DialysisAdultFemaleHumansJordanMaleMiddle AgedSurveys and Questionnairesartificial intelligencedistanceeducationinfection controlknowledgenursespractice patternsrenal dialysis

Identifiers

PMID42144875
PMCPMC13181213

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.