Clinical Trial Details
— Status: Completed
Administrative data
NCT number |
NCT05939375 |
Other study ID # |
MersinU-HB-OGP-01 |
Secondary ID |
|
Status |
Completed |
Phase |
N/A
|
First received |
|
Last updated |
|
Start date |
February 20, 2021 |
Est. completion date |
June 20, 2021 |
Study information
Verified date |
July 2023 |
Source |
Mersin University |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Interventional
|
Clinical Trial Summary
Family-Centered Care (FCC) is a care approach based on mutual respect, knowledge sharing, and
collaboration among children, families, and healthcare professionals during the planning,
implementation, and evaluation of healthcare. Nurses' supportive attitudes may positively
influence their care practices and behaviors towards FCC. In this regard, educational
training related to FCC may affect nurses' attitudes and behaviors. In the literature, it's
evident that there is a need for studies examining how both the attitudes of nurses towards
FCC a key determinant of their behavioral predispositions, and the parental satisfaction with
healthcare services change in response to the provision of educational training. This study
aims to determine the impact of the FCC educational training administered to nurses in
pediatric clinics, primarily on nurses' attitudes towards FCC, and secondarily on parental
satisfaction with healthcare. With this in mind, this study aims to determine the primary
impact of the nurse centered FCC educational training, provided to nurses in pediatric
clinics, on nurses' attitudes towards FCC, and its secondary impact on parental satisfaction
with healthcare.
Description:
Research Hypotheses H1: There is a difference between the mean scores of nurses' attitudes
towards FCC before and after the educational training.
H2: There is a difference between the mean scores of parental satisfaction with healthcare
before and after the educational training.
This study employs a non randomized experimental design with a pre test, post test format. It
was conducted between February and June 2021 in the pediatric units of a university hospital
in the Eastern Mediterranean region of Turkey. The target population comprised 134 nurses
working across a variety of specializations including pediatric hematology, pediatric
surgery, pediatric emergency care, pediatric intensive care (PICU), neonatal intensive care
(NICU), pediatric infectious diseases, and general pediatrics. In this study, where specific
sample selection was not applied, the aim was to reach at least 80% of the total population.
The research was undertaken with the participation of 130 nurses, which accounted for 97% of
the targeted population.
Data collection tools; Nurse Information Form: These questions pertain to the nurses' age,
gender, education, length of professional experience, duration spent in pediatric clinics,
and prior participation in FCC training.
Family Centered Care Attitude Scale (FCCAS): The measurement tool, developed by Kara and
Güdücü Tüfekçi, is used to identify the attitudes of nurses providing care to children and
their parents towards FCC. This self-report tool is composed of 58 Likert scale items
distributed across two subscales. An increase in the scale score indicates an increase in
positive attitudes of nurses towards FCC.
PedsQL Health Care Parents Satisfaction Scale (PedsQL HCPSS): The PedsQL Health Care Parents
Satisfaction Scale, originally designed by Varni and later adapted for Turkish audiences by
Ulus and Kublay, is a self-report instrument used for assessing the satisfaction levels of
parents whose children are utilizing healthcare services. Comprising 25 items divided into
six subscales. A higher score on this scale signifies increased satisfaction among parents
with the provided healthcare services.
Interventions The planning of the educational intervention process, the development of
e-learning modules, and the organization of nurse centered interactions benefited from expert
opinions in three nursing education, ten pediatric nursing, and two educational sciences. A
six week period February - April 2021 was planned for the educational training. One week
before the educational training, the nurses were administered the Nurse Information Form and
FCCAS pre tests, which were conducted using an online form. Immediately following the
administration of the pre tests, the planning of the educational process, including the
development of e-learning modules and video lectures, was shared with the nurses. Each week,
the topics were delivered to the nurses through online interactive methods, with each session
lasting approximately 45-60 minutes. Complementing these sessions, video lectures of around
30 minutes duration were prepared for each topic. The flexibility of the e-learning format
allowed nurses to access these modules and video lectures from any location. From the second
week of the educational training, nurse centered interactions and group discussions were
initiated within the clinical setting, providing a platform for collaborative learning and
engagement among the nurses. In this process, at the beginning of each shift, FCC practices
for children and their parents were discussed. In intra team interactions, group discussions
were to explore the content of each week's module. Six weeks after the completion of the six
week educational training, the nurses were administered the FCCAS post test via an online
form. The PedsQL HCPSS was utilized to assess the level of healthcare satisfaction among
parents whose children received care in pediatric clinics.
Statistical Methods Data analysis was conducted using SPSS version 21 (Statistical Package
for Social Sciences) software. The Kolmogorov-Smirnov test was utilized to assess the normal
distribution of the scale scores. Descriptive statistics such as mean, standard deviation,
confidence interval, frequency, percentage, and effect size (d) were used to present the
data. Paired sample t tests were employed to compare the mean scores of the FCCAS before and
after the training among the nurses. Furthermore, the mean scores of the PedsQL HCPSS in the
post training period were compared to the pre training institutional data of the hospital
using a one sample t test.
Ethical Considerations The study obtained approval from the clinical research ethics
committee, written institutional permission from the hospital, and informed consent from both
the participating nurses and parents.