Capnography At the Bedside: Leading Educational Efforts

Not Applicable

Completed

• Conditions: Emergency
• Interventions: Other: Policy Change; Behavioral: Education and Reminder Posters

• Registration Number: NCT02901197
• Lead Sponsor: Yale University

Brief Summary

The purpose of this dual-site quasi-experimental pilot study is to evaluate if the implementation of an educational intervention paired with an environmental assessment to address accessibility barriers is associated with improvement in staff knowledge and skills, and adherence to national guidelines for use (evaluation in the knowledge transfer framework) in an emergency department (ED) setting.

Detailed Description

The objective of this study is to develop a multi-faceted implementation program (referred to as the Capnography At the Bedside: Leading Emergency Education (CapABLE Trial)) to increase the use of capnography during two critical events in the emergency department, intubation and CPR, for better detection of endotracheal intubation, endotracheal tube dislodgement, and quality CPR.

The specific aims of the proposed study are to examine:

1. the effect of a comprehensive theory-based educational intervention on staff knowledge and skills related to capnography (outcome measure).

2. the effect of a multi-faceted implementation program on the adherence to national guidelines regarding the use of capnography during critical events in the emergency department (process measure).

3. the sustainability of effects of the implementation program on adherence, knowledge and skills (outcome and process measure).

The design and methods of this study are based on the knowledge transfer framework, which dictates identification of the message, target audience, messenger, process and communication, and evaluation.

Study Timeline

• Study First Submitted: 2016-09-09
• Study First Submitted QC: 2016-09-09
• Study Start: 2016-09-15
• Study First Posted: 2016-09-15
• Primary Completion: 2017-09-15
• Study Completion: 2017-10-17
• Status Verified: 2018-08
• Last Update Submitted: 2018-08-20
• Last Update Posted: 2018-08-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 902

Inclusion Criteria

• Emergency department (ED) staff
• Staff will include registered nurses, respiratory therapists, technical associates, physicians, physician's assistants and advanced practice nurse practitioners who fulfill the majority of their clinical duties in the ED.

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Exclusion Criteria

• Staff who are assigned to work on other units, but who work in the ED on a casual or per diem status will be excluded.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Policy Change	Policy Change	This arm's participants will not receive an active intervention (education and reminders), however, policy change will take place in this location.
Education and Reminder	Education and Reminder Posters	This arm will consist of participants in a location that receive with web based training and exposure to reminder posters in the workplace.

Primary Outcome Measures

Name	Time	Method
Average Monitoring Frequency	Pre intervention 3 months and Post intervention about 6 months	This outcome will reflect the number of patients the staff applied the monitoring to pre and post intervention.

Secondary Outcome Measures

Name	Time	Method
Knowledge	Post intervention (within 1 month of intervention)	A tool will be developed as part of the study to assess knowledge and how that might change over time (from pre to post)