Pressure InjuryNCT06527716
Digital Multimedia in Clinical Nurse Education for Pressure Injury Prevention Via LINE@
A study testing Teaching Strategy in people with Pressure Injury, run by Asia University.
Trial summary
The goal of this clinical trial is to integrate past indicators affecting the effectiveness of pressure injury care education among nurses and to explore the learning outcomes of nurses through different educational interventions. Read more about this study
- Who is it for?
- Ages 20 to 65 yearsHealthy volunteers can take part
- Conditions the study is for
- Pressure Injury
- What is being tested?
- Teaching Strategy
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 118 participants
- Where
- No sites listed yet
- Study dates
- 1 Oct 2024to 31 Jul 2025
- 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 20 to 65 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Full-time or part-time nursing staff registered at the research site and engaged in front-line clinical care or nursing-related administrative business.
- Those who agreed to participate in the study and provided informed consent.
Who cannot join
- Nursing internship students.
Trial locations and contacts
No sites are listed yet.
About this study
Official title: Exploring the Effectiveness of Applying Digital Multimedia Materials Combined With Practical Courses in Educating Clinical Nurses on Prevention of Pressure Injuries
The goal of this clinical trial is to integrate past indicators affecting the effectiveness of pressure injury care education among nurses and to explore the learning outcomes of nurses through different educational interventions. The main questions it aims to answer are:
What are the outcomes of nurses' knowledge, attitudes, and self-efficacy in preventing pressure injuries after receiving education through traditional media? What are the outcomes of nurses' knowledge, attitudes, and self-efficacy in preventing pressure injuries after receiving education through digital multimedia combined with practical courses? What is the satisfaction level of nurses with pressure injury prevention education after receiving education through traditional media or digital multimedia combined with practical courses?
Read the detailed description
- Research Objectives:
To explore the effectiveness of different educational strategies on clinical nurses' prevention of pressure injuries.
II. Research Design:
A quasi-experimental design with purposive sampling, targeting clinical nurses from a regional teaching hospital. The participants are divided into a control group and an experimental group. The study focuses on pressure injury prevention, using digital media materials to present teaching content. The impact of digital media materials combined with practical courses on learning outcomes is examined. The control group will use digital media materials only, while the experimental group will use digital media materials and participate in a half-day practical course. Pre- and post-tests will be conducted for both groups before and after the course.
III. Research Subjects:
The study subjects are clinical nurses from a regional teaching hospital in central Taiwan. Inclusion criteria are: (1) full-time or part-time nursing staff registered at the research site, engaged in frontline clinical care or nursing administration, and (2) willing to participate and provide informed consent. Exclusion criteria are nursing interns. Participants who do not complete the entire training course (i.e., leave midway or terminate participation) will be excluded to avoid affecting the measurement of research outcomes.
Sample size calculation is based on G*power 3.1.7. Given that educational training has a moderate effect on nurses' knowledge and skills (Taylor-Piliae, 2008) and using Cohen's effect size analysis (Cohen, 1992), with a two-tailed test, α set at .05, power at 0.95, and effect size at 0.8, each group requires 42 samples. Considering a 40% dropout rate, 118 participants are planned, with 59 in the experimental group and 59 in the control group.
IV. Research Tools:
Digital Media Materials: Based on the 2019 international clinical practice guidelines for pressure ulcer prevention and treatment by the National Pressure Injury Advisory Panel (NPIAP), European Pressure Ulcer Advisory Panel (EPUAP), and Pan Pacific Pressure Injury Alliance (PPIAP), and the curriculum outline of the Taiwan Wound and Ostomy Care Society, four multimedia digital videos focused on pressure injury prevention are designed as the main study materials.
Demographic Data of Nurses: Including age, gender, marital status, education level, nursing rank, years of work experience, daily working hours, work unit, perceived workload, and past learning experience on pressure injuries, totaling 12 items.
Knowledge Questionnaire: Developed by Pieper and Mott in 1995 to assess healthcare workers' knowledge of pressure injury prevention. It includes questions on pressure ulcer prevention, staging, and description, with modifications to better suit healthcare settings. The final version is the 72-item Pieper-Zulkowski Pressure Ulcer Knowledge Test updated in 2021, with 31 items focused on prevention.
Attitude Questionnaire: Developed by Moore and Price in 2004 to assess nurses' attitudes toward pressure ulcer prevention. It includes 11 items rated on a Likert scale from 1 (strongly agree) to 5 (strongly disagree), with items 1, 6, 7, and 11 reverse scored. Scores range from 11 (most negative attitude) to 55 (most positive attitude).
Self-Efficacy Questionnaire: PUM-SES, published in 2019, assesses nurses' self-efficacy in managing pressure injuries. It includes 10 items across four domains: assessment, planning, supervision (two items each), and decision-making (four items). The scale uses a 5-point Likert scale, with scores ranging from 1 (cannot) to 5 (completely capable), total score from 10 to 50.
- Research Steps:
Through verbal promotion and unit supervisor recommendation, recruit willing nursing staff to participate in the study. An information session is held to explain the research process, obtain consent, and complete pre-tests and the viewing of four multimedia digital courses on pressure injury prevention.
Control Group:
After the information session, a PDF link to the pressure injury prevention course will be placed on the Nursing Information System (NIS) login interface, allowing nurses to view or download it at their convenience. A digital learning platform is also provided for downloading the self-study course materials.
Experimental Group:
After the information session, join LINE@, which provides multimedia teaching materials and clinical scenario-based learning on a digital platform. The course includes basic knowledge learning, quizzes, and unit reviews, accessible anytime and anywhere. The digital platform continuously prompts pressure injury-related care questions and key points to stimulate learning motivation, encouraging discussion and brainstorming in the platform's discussion area.
- Conditions
- Pressure Injury
- Being tested
- Teaching Strategy
- Keywords
- Pressure Injury, Nurse, Knowledge,, Attitude, Self-Efficacy
- Medical subject headings
- Pressure Ulcer, Behavior
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Teaching StrategyOther
Experimental group:
Get involved in the LINE digital media course learning platform.
- LINE digital media course study period: Research subjects need to complete the aforementioned three pre-measurement forms before they can join the LINE digital media course. In this lesson plan design, at the end of a single class, there will be a summary of the key points of the class; after the end of a single class, there will be 5 to 10 questions accompanying the class. When the research subjects have finished answering, Regardless of whether the answer is correct or not, the system will display "Problem Solution Analysis". The study time for this stage is 1 month.
- WorkShop Learning
Control group:
Intervention in regular education course learning platform. The above-mentioned digital media courses will be placed on the educational platform of the college for research subjects to watch and learn.
| Study group | Role | What they receive |
|---|---|---|
| Traditional media | No intervention | A PDF link to the pressure injury prevention course will be placed on the Nursing Information System (NIS) login interface, allowing nurses to view or download it at their convenience. A digital learning platform is also provided for downloading the self-study course materials. |
| Digital multimedia combined with practical courses | Experimental | Join LINE@, which provides multimedia teaching materials and clinical scenario-based learning on a digital platform. The course includes basic knowledge learning, quizzes, and unit reviews, accessible anytime and anywhere. The digital platform continuously prompts pressure injury-related care questions and key points to stimulate learning motivation, encouraging discussion and brainstorming in the platform's discussion area. Receives: Other: Teaching Strategy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Knowledge of Pressure injury
The Pressure Injury Care Cognition Scale (Pieper-Zulkowski Pressure Ulcer Knowledge Test, PZ-PUKT) was developed and tested by Pieper and Mott in 1995. The original version had 47 questions and is widely used to measure clinicians and nurses. and nursing students (Pieper \& Mott, 1995). This tool is designed to assess caregivers' knowledge of pressure injuries and measures knowledge in pressure injury prevention, staging, and wound description. The question type is true or false. In addition, subjects are reminded to answer honestly. If they do not understand the question, they can choose "Unclear". Each question is scored individually. A correct answer is worth 1 point, a wrong answer or an "unclear" answer is worth 0 points; the total score is 0-31 points. The measurement process takes approximately 15 minutes.
Measured: 15 minutes
Attitude of Pressure injury
The Attitudes to Prevent Pressure Injury Scale was derived from Moore and Price (2004) and was designed to measure nursing staff's attitudes toward preventing pressure injuries. The scale has 11 items and is scored according to a five-point Likert scale. 5 points (strongly disagree), 1 point (strongly agree) and so on. Question numbers 1, 6, 7 and 11 are reverse scored, and the points in the reverse questions range from 1 (strongly disagree) to 5 (strongly agree) and so on. The total score ranges from 11 to 55, with higher scores indicating a more positive attitude towards preventing pressure injuries.
Measured: 10 minutes
Self-Efficacy of Pressure injury
The Pressure Injury Prevention and Management Self-Efficacy Scale is derived from Dellafiore et al. (2019). It aims to measure the self-efficacy of nurses in wound management when facing patients with pressure injuries. The scale has 10 items in total, including four Areas: There are 2 items in each of the three areas of assessment, planning and supervision, and 4 items in the decision-making area. The four areas are positively correlated. The question on the scale is: "Considering your (subject) experience working with pressure injury patients, how capable do you (subject) feel you are to face the following situations?" It is a five-point Likert scale. Scores are scored on a scale from 5 (completely in control), 1 (completely incompetent), and so on. The total score is 10-50, with higher scores indicating better self-efficacy for pressure injury prevention and management. The measurement process takes about 3-5 minutes.
Measured: 5 minutes
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Jul 2024
- Study start1 Oct 2024 (estimated)
- Primary completion31 May 2025 (estimated)
- Study completion31 Jul 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Pressure InjuryStudies 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
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Model description
- Control Group and Experimental Group
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 118 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Asia University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Wen-Yi Chao, Asia University
- Investigators
- Hua-Shan Wu, Study chair, Asia University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06527716
- Sponsor's protocol ID
- AsiaU
- Status last verified
- Jul 2024
- First submitted
- 23 Jul 2024
- Last updated
- 30 Jul 2024
- Results posted
- No
- Data monitoring committee
- No
- 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 30 Jul 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Exploring the Effectiveness of Applying Digital Multimedia Materials Combined With Practical Courses in Educating Clinical Nurses on Prevention of Pressure Injuries
- ClinicalTrials.gov ID
- NCT06527716
- Acronym / sponsor ID
- AsiaU
- Conditions
- Pressure Injury
- Keywords
- Pressure Injury, Nurse, Knowledge,, Attitude, Self-Efficacy
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 118 participants (estimated)
- Lead sponsor
- Asia UniversityUniversity, hospital or other
- Study start
- 1 Oct 2024 (estimated)
- Primary completion
- 31 May 2025 (estimated)
- Study completion
- 31 Jul 2025 (estimated)
- First posted
- 30 Jul 2024 (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 goal of this clinical trial is to integrate past indicators affecting the effectiveness of pressure injury care education among nurses and to explore the learning outcomes of nurses through different educational interventions. The main questions it aims to answer are:
What are the outcomes of nurses' knowledge, attitudes, and self-efficacy in preventing pressure injuries after receiving education through traditional media? What are the outcomes of nurses' knowledge, attitudes, and self-efficacy in preventing pressure injuries after receiving education through digital multimedia combined with practical courses? What is the satisfaction level of nurses with pressure injury prevention education after receiving education through traditional media or digital multimedia combined with practical courses?
Detailed description
- Research Objectives:
To explore the effectiveness of different educational strategies on clinical nurses' prevention of pressure injuries.
II. Research Design:
A quasi-experimental design with purposive sampling, targeting clinical nurses from a regional teaching hospital. The participants are divided into a control group and an experimental group. The study focuses on pressure injury prevention, using digital media materials to present teaching content. The impact of digital media materials combined with practical courses on learning outcomes is examined. The control group will use digital media materials only, while the experimental group will use digital media materials and participate in a half-day practical course. Pre- and post-tests will be conducted for both groups before and after the course.
III. Research Subjects:
The study subjects are clinical nurses from a regional teaching hospital in central Taiwan. Inclusion criteria are: (1) full-time or part-time nursing staff registered at the research site, engaged in frontline clinical care or nursing administration, and (2) willing to participate and provide informed consent. Exclusion criteria are nursing interns. Participants who do not complete the entire training course (i.e., leave midway or terminate participation) will be excluded to avoid affecting the measurement of research outcomes.
Sample size calculation is based on G*power 3.1.7. Given that educational training has a moderate effect on nurses' knowledge and skills (Taylor-Piliae, 2008) and using Cohen's effect size analysis (Cohen, 1992), with a two-tailed test, α set at .05, power at 0.95, and effect size at 0.8, each group requires 42 samples. Considering a 40% dropout rate, 118 participants are planned, with 59 in the experimental group and 59 in the control group.
IV. Research Tools:
Digital Media Materials: Based on the 2019 international clinical practice guidelines for pressure ulcer prevention and treatment by the National Pressure Injury Advisory Panel (NPIAP), European Pressure Ulcer Advisory Panel (EPUAP), and Pan Pacific Pressure Injury Alliance (PPIAP), and the curriculum outline of the Taiwan Wound and Ostomy Care Society, four multimedia digital videos focused on pressure injury prevention are designed as the main study materials.
Demographic Data of Nurses: Including age, gender, marital status, education level, nursing rank, years of work experience, daily working hours, work unit, perceived workload, and past learning experience on pressure injuries, totaling 12 items.
Knowledge Questionnaire: Developed by Pieper and Mott in 1995 to assess healthcare workers' knowledge of pressure injury prevention. It includes questions on pressure ulcer prevention, staging, and description, with modifications to better suit healthcare settings. The final version is the 72-item Pieper-Zulkowski Pressure Ulcer Knowledge Test updated in 2021, with 31 items focused on prevention.
Attitude Questionnaire: Developed by Moore and Price in 2004 to assess nurses' attitudes toward pressure ulcer prevention. It includes 11 items rated on a Likert scale from 1 (strongly agree) to 5 (strongly disagree), with items 1, 6, 7, and 11 reverse scored. Scores range from 11 (most negative attitude) to 55 (most positive attitude).
Self-Efficacy Questionnaire: PUM-SES, published in 2019, assesses nurses' self-efficacy in managing pressure injuries. It includes 10 items across four domains: assessment, planning, supervision (two items each), and decision-making (four items). The scale uses a 5-point Likert scale, with scores ranging from 1 (cannot) to 5 (completely capable), total score from 10 to 50.
- Research Steps:
Through verbal promotion and unit supervisor recommendation, recruit willing nursing staff to participate in the study. An information session is held to explain the research process, obtain consent, and complete pre-tests and the viewing of four multimedia digital courses on pressure injury prevention.
Control Group:
After the information session, a PDF link to the pressure injury prevention course will be placed on the Nursing Information System (NIS) login interface, allowing nurses to view or download it at their convenience. A digital learning platform is also provided for downloading the self-study course materials.
Experimental Group:
After the information session, join LINE@, which provides multimedia teaching materials and clinical scenario-based learning on a digital platform. The course includes basic knowledge learning, quizzes, and unit reviews, accessible anytime and anywhere. The digital platform continuously prompts pressure injury-related care questions and key points to stimulate learning motivation, encouraging discussion and brainstorming in the platform's discussion area.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
- Model description
- Control Group and Experimental Group
| Arm | Type | Receives |
|---|---|---|
| Traditional media | No intervention | –A PDF link to the pressure injury prevention course will be placed on the Nursing Information System (NIS) login interface, allowing nurses to view or download it at their convenience. A digital learning platform is also provided for downloading the self-study course materials. |
| Digital multimedia combined with practical courses | Experimental | Other: Teaching StrategyJoin LINE@, which provides multimedia teaching materials and clinical scenario-based learning on a digital platform. The course includes basic knowledge learning, quizzes, and unit reviews, accessible anytime and anywhere. The digital platform continuously prompts pressure injury-related care questions and key points to stimulate learning motivation, encouraging discussion and brainstorming in the platform's discussion area. |
Who may qualify
- Ages
- 20 to 65 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Full-time or part-time nursing staff registered at the research site and engaged in front-line clinical care or nursing-related administrative business.
- Those who agreed to participate in the study and provided informed consent.
Key exclusion criteria (1 listed)
- Nursing internship students.
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 |
|---|---|---|
| Teaching StrategyExperimental group: Get involved in the LINE digital media course learning platform. 1. LINE digital media course study period: Research subjects need to complete the aforementioned three pre-measurement forms before they can join the LINE digital media course. In this lesson plan design, at the end of a single class, there will be a summary of the key points of the class; after the end of a single class, there will be 5 to 10 questions accompanying the class. When the research subjects have finished answering, Regardless of whether the answer is correct or not, the system will display "Problem Solution Analysis". The study time for this stage is 1 month. 2. WorkShop Learning Control group: Intervention in regular education course learning platform. The above-mentioned digital media courses will be placed on the educational platform of the college for research subjects to watch and learn. | Other | Digital multimedia combined with practical courses |
Primary outcome
Knowledge of Pressure injury
Time frame: 15 minutes
The Pressure Injury Care Cognition Scale (Pieper-Zulkowski Pressure Ulcer Knowledge Test, PZ-PUKT) was developed and tested by Pieper and Mott in 1995. The original version had 47 questions and is widely used to measure clinicians and nurses. and nursing students (Pieper \& Mott, 1995). This tool is designed to assess caregivers' knowledge of pressure injuries and measures knowledge in pressure injury prevention, staging, and wound description. The question type is true or false. In addition, subjects are reminded to answer honestly. If they do not understand the question, they can choose "Unclear". Each question is scored individually. A correct answer is worth 1 point, a wrong answer or an "unclear" answer is worth 0 points; the total score is 0-31 points. The measurement process takes approximately 15 minutes.
Attitude of Pressure injury
Time frame: 10 minutes
The Attitudes to Prevent Pressure Injury Scale was derived from Moore and Price (2004) and was designed to measure nursing staff's attitudes toward preventing pressure injuries. The scale has 11 items and is scored according to a five-point Likert scale. 5 points (strongly disagree), 1 point (strongly agree) and so on. Question numbers 1, 6, 7 and 11 are reverse scored, and the points in the reverse questions range from 1 (strongly disagree) to 5 (strongly agree) and so on. The total score ranges from 11 to 55, with higher scores indicating a more positive attitude towards preventing pressure injuries.
Self-Efficacy of Pressure injury
Time frame: 5 minutes
The Pressure Injury Prevention and Management Self-Efficacy Scale is derived from Dellafiore et al. (2019). It aims to measure the self-efficacy of nurses in wound management when facing patients with pressure injuries. The scale has 10 items in total, including four Areas: There are 2 items in each of the three areas of assessment, planning and supervision, and 4 items in the decision-making area. The four areas are positively correlated. The question on the scale is: "Considering your (subject) experience working with pressure injury patients, how capable do you (subject) feel you are to face the following situations?" It is a five-point Likert scale. Scores are scored on a scale from 5 (completely in control), 1 (completely incompetent), and so on. The total score is 10-50, with higher scores indicating better self-efficacy for pressure injury prevention and management. The measurement process takes about 3-5 minutes.
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Jul 2024.
- 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.
Hua-Shan Wu study chair
Asia University
Questions about this trial
What is this clinical trial studying?
A study testing Teaching Strategy in people with Pressure Injury, run by Asia University.
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 30 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.
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?
Contact Wen-Yi Chao (+886932934340, wenyichao@asia.edu.tw), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Knowledge of Pressure injury (time frame: 15 minutes). 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 30 Jul 2024.