Effect of Evidence-based Nursing Practices Training Program on the Competency of Nurses Caring for Mechanically Ventilated Patients
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Cairo University
- Enrollment
- 80
- Locations
- 1
- Primary Endpoint
- competency level of nurses regards Caring for mechanically ventilated patients.
Study Overview
Brief Summary
the overall aim of this study is to examine the effect of adapted Evidence-based nursing practices training program on the competency level of nurses caring for Mechanically ventilated patients in selected ICU in Egypt.
Significant of the study:
The current study is expected to improve the nurses' practices regarding caring for mechanically ventilated patients in terms of optimal quality of care by keeping them up to date with the latest (EBP). Also, it is likely to enhance nurses' confidence and work satisfaction. Accordingly, all mentioned expected outputs will significantly impact either patients or the Healthcare Delivery System (HDS) in Egypt. The implementation of the study will be expected to positively impact minimizing mortality, morbidity, length of stay, incidence of readmission, and costs. Accordingly, all mentioned expected outputs will significantly impact either patients or the Healthcare Delivery System (HDS) in Egypt. Also increases the satisfaction of patients and their families. Also, the current study is expected to encourage health care providers in Egypt to increase the engagement of EBP as a concept in patient care since EBP is rarely adopted in health care facilities especially in Egypt [21-23]. in addition to recognizing the factors that may affect the implementation of EBP in such Egyptian hospitals.
Hypothesis: H1: Nurses who are given an evidence-based nursing practices training program (μ1) demonstrate a sustainable higher change in their level of competency than those who take the current traditional in-service education (μ2) in respect of caring for mechanically ventilated patients. (H1: μ1 > μ2).
Research Design:
A prospective, true experimental, and comparative research design will be used in the current study. The type of true experiment that will be conducted is (pretest-posttest control). The study will compare the current traditional in-service training with developed (EBNTP) regarding the care of mechanically ventilated patients. True-experiment is research design where the researcher initiates an experimental treatment, randomly assigns test units and treatments to the experimental group, and use of control group [27].
Sample and Setting
The research will take place in an adult intensive care unit (ICUs) of the National Hepatology and tropical medicine research institute (NHTMRI), Cairo, Egypt. In this study, the sample size is expected to be 80 critical care nurses working in selected (ICUs) estimated by (G Power analysis). Two groups will be selected randomly from the overall sample size (study and control). All nurses should have met the following requirements to be included:
- Willing to take part in this research.
- Hold the existing position for at least three months.
- Two years or more of critical care experience.
- Nurses who intend to leave their jobs four months from now will not be eligible.
Detailed Description
Background:
Evidence-based practices (EBP) is a universal key approach for delivering standardized care using the latest evidence to enhance healthcare quality and patient outcomes. EBP is a problem-solving method to make a clinical decision within healthcare setting. Nurses play a significant role in optimizing health service productivity. Further, they directly interact with patients, especially in Intensive Care Units (ICU). Hence, healthcare organizations should always work to make it simple for nurses on the frontlines to use the best evidence in their everyday practices.
EBP in healthcare is not conceptually new. From a nursing perspective, Florence Nightingale pioneered the concept of using research evidence to dictate care. The concept of EBP changed as the nursing profession evolved, as with any other applied science. As early as 1972, British medical researcher Archibald L. Cochrane criticized the medical discipline for providing management that lacked proof by evidence. Cochrane Center, which ultimately resulted in the founding of the Cochrane Collaboration in 1993. Cochrane continues to offer systematic evaluations of randomized controlled trials of medical management to assess the efficacy of provided care. The first detailed description of EBP and nursing in primary care was published in 1996 . EBP in nursing has continue tremendous growth in the past few decades.
ICU is the department that cares for critically ill patients with severe or life-threatening illnesses, requiring constant care, close supervision, and high-alert caregivers. For critically ill patients, mechanical ventilation (MV) is the most often employed therapeutic treatment modality. MV is a machine that helps a patient breathe better when they cannot breathe effectively. Mechanically ventilated patients are suspected of developing several complications that negatively affect patient outcomes, such as increased patient costs, length of stay, morbidity, and mortality rate.
While, EBP provides opportunities for nursing practices to be more individualized and effective, one of the main obstacles in the clinical context worldwide is turning the evidence into practice. Several of these obstacles were investigated such as lack of administrative support, deficiency of interest, negative beliefs, attitudes and values, heavy patient workloads, lack of resources, or inadequate staffing. By 2020, according to the Institute of Medicine (2009), 90% of clinical decisions should be supported by evidence.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- Double (Participant, Investigator)
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Willing to take part in this research.
- •Hold the existing position for at least three months.
- •Two years or more of critical care experience.
- •Nurses who intend to leave their jobs four months from now will not be eligible.
Exclusion Criteria
- Not provided
Arms & Interventions
control group taking the traditional education
control group taking the traditional education related to caring of mechanically ventilated patients
Intervention: Trianing program for nurse in how to provide evidence based practices for mechanically Ventilated Patients (Other)
Evidence-based nursing practices training program
Evidence-based nursing practices training program for nurses caring mechanically ventilated patients
Intervention: Trianing program for nurse in how to provide evidence based practices for mechanically Ventilated Patients (Other)
Outcomes
Primary Outcomes
competency level of nurses regards Caring for mechanically ventilated patients.
Time Frame: 3 months
Nurses' level of competency is the dependent variable and measured outcome of the current experiment that will be assessed by the Evidence-Based Nursing Competency Assessment Checklist (EBNCAC), the score value ranged from (0-148), Competency level scale: High (\>120 / \>80%) Moderate ( 74- 120 / 50-80%) Low (\< 74 / \<50%) (for caring of Mechanically ventilated patients)
Secondary Outcomes
No secondary outcomes reported
Investigators
Sameh Elhabashy
Lecturer
Cairo University