Knowledge, Attitudes, PracticeNCT04697342
Nantou Hospital, Regional Teaching Hospital
A study testing strategy of education in people with Knowledge, Attitudes, Practice and Self Efficacy, run by Wen-Yi Chao at 1 site in Taiwan.
Trial summary
The incidence of crush is one of the important indicators of the quality of health care in various medical institutions in the world. The Taiwan Hospital Evaluation and Medical Quality Council (referred to as the Medical Policy Council) listed crush as a quality indicator of clinical care in 2011 (Taiwan Clinical… Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Knowledge, Attitudes, Practice, Self Efficacy, Learning
- What is being tested?
- strategy of education
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 150 participants
- Where
- 1 siteTaiwan
- Study dates
- 23 Apr 2021to 30 Nov 2021
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Have a nurse practitioner license in Nantou Hospital
- work as a clinician
Who cannot join
- Nursing student
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Nantou Hospital, Ministry of Health and Welfare, Taiwan
The incidence of crush is one of the important indicators of the quality of health care in various medical institutions in the world. The Taiwan Hospital Evaluation and Medical Quality Council (referred to as the Medical Policy Council) listed crush as a quality indicator of clinical care in 2011 (Taiwan Clinical Effectiveness indicator system, 2011), the incidence of crush is also a sensitive indicator of nursing care.
The purpose of this study: based on the nursing of crushed wounds, intervene in education and training courses, and add elements of flipped learning, to evaluate the effectiveness of KAP (knowledge, attitude, practice) and self efficacy of nursing staff for learning crushed nursing.
Read the detailed description
The incidence of crush is one of the important indicators of the quality of health care in various medical institutions in the world. The Taiwan Hospital Evaluation and Medical Quality Council (referred to as the Medical Policy Council) listed crush as a quality indicator of clinical care in 2011 (Taiwan Clinical Effectiveness indicator system, 2011), the incidence of crush is also a sensitive indicator of nursing care, reflecting the effectiveness of the structure, process and results of nursing care (Cai, Zheng, Liu, 2011). Reducing the incidence of crush has been the goal of the joint efforts of health care institutions. In 2008, the US CMS announced that it would stop paying for the treatment of crushed patients in hospitals, allowing medical institutions to pay more attention to the prevention of crushing, so many promote the quality of medical care The organizations have put forward relevant strategies, including the announcement of evidence-based tools for predicting and evaluating crush injuries, guidelines on the classification and prevention of crush injuries, and training materials for crush education (Agency for Healthcare Research and Quality, 2014; Edsberg et al ., 2016; Institute for Healthcare Improvement, 2017). The occurrence of pressure injury can be prevented. Many studies have explored the reasons why nursing staff cannot implement the behaviors of pressure injury prevention. The results show that the common obstacles are the lack of time and manpower of nursing staff, lack of relevant education and training, and failure to provide standard operations. Routine, physicians did not participate, etc. (Jankowski \& Nadzam, 2011; Moore \& Price, 2004; Worsley, Clarkson, Bader, \& Schoonhoven, 2016).
At the same time, many researchers have explored the impact of various education and training methods on nursing staff's cognition, behavior and attitude related to the prevention and treatment of crush. They can all prove that education and training measures can significantly improve nursing staff's cognition. These important changes must be carefully considered as to what learning or training methods should be used to provide first-line nursing staff to familiarize them with and correctly perform practical operations. Clinical nurses are faced with ever-changing patient situations. The goal of learning is not only to transfer knowledge to enhance cognition, but more importantly, how to transform knowledge into clinical practice skills and provide clinical decision-making with appropriate care measures in response to different situations. Ability, teaching must use multiple strategies to achieve this goal, providing a real and interactive learning environment, allowing nurses to participate in operational activities in a simulated real environment, repeatedly learning related knowledge and techniques, and strengthen the proficiency of clinical applications And to build consensus on care can improve the quality of work (Norman, 2012).
The purpose of this study: based on the nursing of crushed wounds, intervene in education and training courses, and add elements of flipped learning, to evaluate the effectiveness of KAP (knowledge, attitude, practice) and self efficacy of nursing staff for learning crushed nursing.
- Conditions
- Knowledge, Attitudes, Practice, Self Efficacy, Learning
- Being tested
- strategy of education
- Keywords
- continued learning, Knowledge, Attitudes, Practice, self efficacy
- Medical subject headings
- Behavior
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
strategy of educationBehavioural
one of the strategies is microvideo with nursing information system(NIS); another of the strategies is workshop with NIS.
NIS of PI education is the routine education
| Study group | Role | What they receive |
|---|---|---|
| NIS with pressure injury(PI) education | Active comparator | Clinical nurses use Nursing information system(NIS) to log in nursing records every day, and pressure injury (PI) education pops out of the NIS window for teaching Receives: Behavioral: strategy of education |
| NIS with PI education, and microvideo | Active comparator | In addition to the built-in PI education in the NIS that nurses use every day, it also provides a flipped digital learning plan course unit, which can be self-study courses anytime, anywhere, without being restricted by time and space. And hold a 4-hour physical course for participants. Receives: Behavioral: strategy of education |
| NIS with PI education, and workshop | Experimental | In addition to the built-in PI education in the NIS that nurses use every day, an 8-hour physical course is also provided. Receives: Behavioral: strategy of education |
What is being measured
The primary outcome is the main question the study is designed to answer.
Knowledge of pressure ulcer
The section measure nurses" knowledge regarding pressure ulcer prevention, staging, and wound description. The researcher used a known, public and validated available tool of Pieper Pressure Ulcer Knowledge Test. (Pieper and oton,1959). The tool has 39 items of yes, no, I don"t know.
=90%-100% showed a very high level of knowledge, 80%-89,99% showed a high level of knowledge, 70%-79, 99% showed a moderate level of knowledge, 60%-69, 99% showed a low level of knowledge, And a percentage below 60% showed a very low level of knowledge.
Measured: 2days
Attitude of pressure ulcer
The section has 11 items describing the nurses "attitudes regarding pressure ulcer prevention. The researcher used the validate "Staff Attitude Scale" adapted from a scale used by Moore and Price which is also an a scale open to the public (to use the instrument does not require permission). Each item has 5 point scoring system ranging from strongly agree to strongly disagree." Here, "strongly disagree" = 5 points, "disagree" = 4 points, "Neither agree nor disagree"=3 points, Agree=2 points and "Strongly agree"=1 point. (Moore Z, Price P, 2004).
Measured: 2days
Practice of pressure ulcer
This tool originally consisted of multiple-choice questions with "Yes", "no", "responsible person" and "comment" as options but after adaptation, only "yes" or "no" remained as options.
The McDonald"s standard of learning outcome was used to interpret the level of practice as either low or high as follow.(McDonald, 2002): A percentage of 60% indicated a very low level of practices, A percentage of 60%-69,99% indicated a low level of practices , A percentage of 70%-79,99% indicated a moderate level of practices, A percentage of 80%-89, 99% indicated a high level of practices, A percentage of 90%-100% indicated a very high-level of practices.
Measured: 2days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Jan 2021
- Study start23 Apr 2021
- Primary completion30 Jun 2021
- Study completion30 Nov 2021 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Knowledge, Attitudes, PracticeStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 150 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Wen-Yi Chao
- Sponsor type
- Other government
- Responsible party
- Sponsor-investigator, Wen-Yi Chao, Nantou Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04697342
- Sponsor's protocol ID
- NantouH
- Status last verified
- Sep 2021
- First submitted
- 29 Dec 2020
- Last updated
- 10 Sep 2021
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 10 Sep 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Nantou Hospital, Ministry of Health and Welfare, Taiwan
- ClinicalTrials.gov ID
- NCT04697342
- Acronym / sponsor ID
- NantouH
- Conditions
- Knowledge, Attitudes, Practice, Self Efficacy, Learning
- Keywords
- continued learning, Knowledge, Attitudes, Practice, self efficacy
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 150 participants (estimated)
- Lead sponsor
- Wen-Yi ChaoOther government
- Study start
- 23 Apr 2021 (actual)
- Primary completion
- 30 Jun 2021 (actual)
- Study completion
- 30 Nov 2021 (estimated)
- First posted
- 6 Jan 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The incidence of crush is one of the important indicators of the quality of health care in various medical institutions in the world. The Taiwan Hospital Evaluation and Medical Quality Council (referred to as the Medical Policy Council) listed crush as a quality indicator of clinical care in 2011 (Taiwan Clinical Effectiveness indicator system, 2011), the incidence of crush is also a sensitive indicator of nursing care.
The purpose of this study: based on the nursing of crushed wounds, intervene in education and training courses, and add elements of flipped learning, to evaluate the effectiveness of KAP (knowledge, attitude, practice) and self efficacy of nursing staff for learning crushed nursing.
Detailed description
The incidence of crush is one of the important indicators of the quality of health care in various medical institutions in the world. The Taiwan Hospital Evaluation and Medical Quality Council (referred to as the Medical Policy Council) listed crush as a quality indicator of clinical care in 2011 (Taiwan Clinical Effectiveness indicator system, 2011), the incidence of crush is also a sensitive indicator of nursing care, reflecting the effectiveness of the structure, process and results of nursing care (Cai, Zheng, Liu, 2011). Reducing the incidence of crush has been the goal of the joint efforts of health care institutions. In 2008, the US CMS announced that it would stop paying for the treatment of crushed patients in hospitals, allowing medical institutions to pay more attention to the prevention of crushing, so many promote the quality of medical care The organizations have put forward relevant strategies, including the announcement of evidence-based tools for predicting and evaluating crush injuries, guidelines on the classification and prevention of crush injuries, and training materials for crush education (Agency for Healthcare Research and Quality, 2014; Edsberg et al ., 2016; Institute for Healthcare Improvement, 2017). The occurrence of pressure injury can be prevented. Many studies have explored the reasons why nursing staff cannot implement the behaviors of pressure injury prevention. The results show that the common obstacles are the lack of time and manpower of nursing staff, lack of relevant education and training, and failure to provide standard operations. Routine, physicians did not participate, etc. (Jankowski \& Nadzam, 2011; Moore \& Price, 2004; Worsley, Clarkson, Bader, \& Schoonhoven, 2016).
At the same time, many researchers have explored the impact of various education and training methods on nursing staff's cognition, behavior and attitude related to the prevention and treatment of crush. They can all prove that education and training measures can significantly improve nursing staff's cognition. These important changes must be carefully considered as to what learning or training methods should be used to provide first-line nursing staff to familiarize them with and correctly perform practical operations. Clinical nurses are faced with ever-changing patient situations. The goal of learning is not only to transfer knowledge to enhance cognition, but more importantly, how to transform knowledge into clinical practice skills and provide clinical decision-making with appropriate care measures in response to different situations. Ability, teaching must use multiple strategies to achieve this goal, providing a real and interactive learning environment, allowing nurses to participate in operational activities in a simulated real environment, repeatedly learning related knowledge and techniques, and strengthen the proficiency of clinical applications And to build consensus on care can improve the quality of work (Norman, 2012).
The purpose of this study: based on the nursing of crushed wounds, intervene in education and training courses, and add elements of flipped learning, to evaluate the effectiveness of KAP (knowledge, attitude, practice) and self efficacy of nursing staff for learning crushed nursing.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| NIS with pressure injury(PI) education | Active comparator | Behavioral: strategy of educationClinical nurses use Nursing information system(NIS) to log in nursing records every day, and pressure injury (PI) education pops out of the NIS window for teaching |
| NIS with PI education, and microvideo | Active comparator | Behavioral: strategy of educationIn addition to the built-in PI education in the NIS that nurses use every day, it also provides a flipped digital learning plan course unit, which can be self-study courses anytime, anywhere, without being restricted by time and space. And hold a 4-hour physical course for participants. |
| NIS with PI education, and workshop | Experimental | Behavioral: strategy of educationIn addition to the built-in PI education in the NIS that nurses use every day, an 8-hour physical course is also provided. |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (2 listed)
- Have a nurse practitioner license in Nantou Hospital
- work as a clinician
Key exclusion criteria (1 listed)
- Nursing student
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| strategy of educationone of the strategies is microvideo with nursing information system(NIS); another of the strategies is workshop with NIS. NIS of PI education is the routine education | Behavioural | NIS with PI education, and microvideo, NIS with PI education, and workshop, NIS with pressure injury(PI) education |
Primary outcome
Knowledge of pressure ulcer
Time frame: 2days
The section measure nurses" knowledge regarding pressure ulcer prevention, staging, and wound description. The researcher used a known, public and validated available tool of Pieper Pressure Ulcer Knowledge Test. (Pieper and oton,1959). The tool has 39 items of yes, no, I don"t know. =90%-100% showed a very high level of knowledge, 80%-89,99% showed a high level of knowledge, 70%-79, 99% showed a moderate level of knowledge, 60%-69, 99% showed a low level of knowledge, And a percentage below 60% showed a very low level of knowledge.
Attitude of pressure ulcer
Time frame: 2days
The section has 11 items describing the nurses "attitudes regarding pressure ulcer prevention. The researcher used the validate "Staff Attitude Scale" adapted from a scale used by Moore and Price which is also an a scale open to the public (to use the instrument does not require permission). Each item has 5 point scoring system ranging from strongly agree to strongly disagree." Here, "strongly disagree" = 5 points, "disagree" = 4 points, "Neither agree nor disagree"=3 points, Agree=2 points and "Strongly agree"=1 point. (Moore Z, Price P, 2004).
Practice of pressure ulcer
Time frame: 2days
This tool originally consisted of multiple-choice questions with "Yes", "no", "responsible person" and "comment" as options but after adaptation, only "yes" or "no" remained as options. The McDonald"s standard of learning outcome was used to interpret the level of practice as either low or high as follow.(McDonald, 2002): A percentage of 60% indicated a very low level of practices, A percentage of 60%-69,99% indicated a low level of practices , A percentage of 70%-79,99% indicated a moderate level of practices, A percentage of 80%-89, 99% indicated a high level of practices, A percentage of 90%-100% indicated a very high-level of practices.
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Sep 2021.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing strategy of education in people with Knowledge, Attitudes, Practice and Self Efficacy, run by Wen-Yi Chao at 1 site in Taiwan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 10 Sep 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Knowledge of pressure ulcer (time frame: 2days). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Sep 2021.