The Effect Of Training On Nursing Qualıty

Nurse's Role Clinical Trial

Official title:

The Effect Of Toolbox Trainings On Nursing Sensitive Quality Indıcators

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05853588
• Other study ID #: IstanbulUCerrahpasabkara
• Status: Completed
• Phase: N/A
• Start date: November 1, 2021
• Est. completion date: December 30, 2022

Study information

• Verified date: May 2023
• Source: Istanbul University - Cerrahpasa (IUC)
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The aim of this study, in a randomized controlled design with pretest, posttest and control groups, is to determine the effect of on-the-job (toolbox) training given to nurses on nursing-sensitive quality indicators (pain management, pressure sores, patient falls, Peripheral Venous Catheter complications and adverse event reporting). it aims to answer are:

• Does toolbox training have an effect on nursing-sensitive quality indicators? After the training, participants are expected to adapt to quality practices.

This study consists of experimental and control groups. Experimental and control groups were determined by drawing lots with the help of an external expert. Nurses who met the inclusion criteria were included in the lottery.

Inclusion criteria for the experimental and control groups were determined as follows:

• Working in one of the hospital's internal medicine or surgical services

• Having been working in the current service for at least 6 months, apart from past work experience

• Having completed the orientation process to the hospital and taking responsibility for patient care

• Voluntarily agree to participate in the study

Description:

This study was carried out to determine the effect of toolbox training on nursing-sensitive quality indicators (pain management, pressure sores, patient falls, peripheral venous catheter complications and adverse event reporting) in a randomized controlled, pre-test, post-test, experimental and control group design.

The population of the study consisted of nurses working in the inpatient services (except the intensive care units) of a training and research hospital in Hatay. A total of 77 nurses working in the experimental and control group services determined by randomization constituted the sample of the research (experimental group: 38 nurses, control group: 39 nurses).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 77
• Est. completion date: December 30, 2022
• Est. primary completion date: July 30, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Working in one of the hospital's internal medicine or surgical services

• Being working in the current service for at least 6 months apart from past work experience

• Having completed the orientation process to the hospital and taking responsibility for patient care

• To voluntarily agree to participate in the study

Exclusion Criteria:

• Participants who did not meet the inclusion criteria were excluded.

Related Conditions & MeSH terms

• Nurse's Role

Intervention

Other:
• training
On-the-job (toolbox) training given to the experimental group and containing brief information, lasting at most 10 minutes

Locations

Country	Name	City	State
Turkey	Istanbul Univercity-Cerrahpasa	Istanbul	Antakya

Sponsors (1)

Lead Sponsor	Collaborator
Istanbul University - Cerrahpasa (IUC)

Country where clinical trial is conducted

Turkey, 

References & Publications (6)

Amiri M, Khademian Z, Nikandish R. The effect of nurse empowerment educational program on patient safety culture: a randomized controlled trial. BMC Med Educ. 2018 Jul 3;18(1):158. doi: 10.1186/s12909-018-1255-6. — View Citation

Burke MJ, Sarpy SA, Smith-Crowe K, Chan-Serafin S, Salvador RO, Islam G. Relative effectiveness of worker safety and health training methods. Am J Public Health. 2006 Feb;96(2):315-24. doi: 10.2105/AJPH.2004.059840. Epub 2005 Dec 27. — View Citation

Cavazza, N. & Serpe, A. 2010, The Impact of Safety Training Programs on Workers' Psychosocial Orientation and Behaviour. Revue internationale de psychologie sociale, 23, 187-210.

Donabedian A. The quality of care. How can it be assessed? JAMA. 1988 Sep 23-30;260(12):1743-8. doi: 10.1001/jama.260.12.1743. — View Citation

Driscoll A, Grant MJ, Carroll D, Dalton S, Deaton C, Jones I, Lehwaldt D, McKee G, Munyombwe T, Astin F. The effect of nurse-to-patient ratios on nurse-sensitive patient outcomes in acute specialist units: a systematic review and meta-analysis. Eur J Card — View Citation

Heslop L, Lu S, Xu X. Nursing-sensitive indicators: a concept analysis. J Adv Nurs. 2014 Nov;70(11):2469-82. doi: 10.1111/jan.12503. Epub 2014 Aug 12. Erratum In: J Adv Nurs. 2019 Dec;75(12):3844. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Nursing Sensitive Quality Indicators Implementation Checklists	The checklists developed in line with the literature have been developed for the management of pain in the unit, pressure ulcer, risk of falling, Peripheral Venous Catheter complications and adverse event reporting, and consist of five sections.In this test, 1 point is given for each complete application.	At the 12th week after all trainings are completed
Other	Unit Quality Indicators Monitoring Form	Data on 5 nursing-sensitive quality indicators (fall rates (in percent), patient rate with correct pain management (as a number), pressure ulcer rates (in percent), Peripheral Venous Catheter complication (as a number) and adverse event reporting rates(in percent) ) followed before and after the training, and data on the average number of hospitalization days are included.	At the 12th week after all trainings are completed
Primary	Nurse Information Form	This form consists of 10 questions in total to determine the demographic study characteristics of the nurses participating in the research.	before the training
Primary	Nursing Sensitive Quality Indicators Application Information Form (pretest-posttest)	Both groups were applied before the on-the-job training to be given to the experimental group and after all trainings were completed. It was prepared in the light of current literature in order to determine the knowledge level of nurses in the experimental and control groups about nursing-sensitive quality indicators and to evaluate the effectiveness of on-the-job training given to the experimental group. A minimum of 0 and a maximum of 100 points can be obtained from this test.	before the training
Primary	Nursing Sensitive Quality Indicators Implementation Checklists	The checklists developed in line with the literature have been developed for the management of pain in the unit, pressure ulcer, risk of falling, Peripheral Venous Catheter complications and adverse event reporting, and consist of five sections.In this test, 1 point is given for each complete application.	before the training
Primary	Unit Quality Indicators Monitoring Form	Data on 5 nursing-sensitive quality indicators (fall rates (in percent), patient rate with correct pain management (as a number), pressure ulcer rates (in percent), Peripheral Venous Catheter complication (as a number) and adverse event reporting rates(in percent) ) followed before and after the training, and data on the average number of hospitalization days are included.	before the training
Secondary	Nursing Sensitive Quality Indicators Application Information Form (pretest-posttest)	Both groups were applied before the on-the-job training to be given to the experimental group and after all trainings were completed. It was prepared in the light of current literature in order to determine the knowledge level of nurses in the experimental and control groups about nursing-sensitive quality indicators and to evaluate the effectiveness of on-the-job training given to the experimental group. A minimum of 0 and a maximum of 100 points can be obtained from this test.	At 8 weeks after give all trainings
Secondary	Nursing Sensitive Quality Indicators Implementation Checklists	The checklists developed in line with the literature have been developed for the management of pain in the unit, pressure ulcer, risk of falling, Peripheral Venous Catheter complications and adverse event reporting, and consist of five sections.In this test, 1 point is given for each complete application.	At 8 weeks after give all trainings
Secondary	Unit Quality Indicators Monitoring Form	Data on 5 nursing-sensitive quality indicators (fall rates (in percent), patient rate with correct pain management (as a number), pressure ulcer rates (in percent), Peripheral Venous Catheter complication (as a number) and adverse event reporting rates(in percent) ) followed before and after the training, and data on the average number of hospitalization days are included.	At 8 weeks after give all trainings