Prevention of Skin Damage in the Patient in Prone Position: Development of Education Interventions Based on a Training Needs Assessment Study.

Completed

• Conditions: Acute Respiratory Distress Syndrome; Skin Lesion; Pressure Ulcer
• Interventions: Other: Interviews for the needs analysis. No intervention.

• Registration Number: NCT05238870
• Lead Sponsor: University Ghent

Brief Summary

This is study 1 of 3 - of the overall project: The ProneTection Quality Improvement Project.

The three aims of this study, study 1 are:

1. to establish the training needs critical care clinicians have regarding prone positioning,

2. to investigate the conditions for effective implementation as in an intensive care setting,

3. to develop an education and training package (The ProneTection package) for an interdisciplinary team of clinicians on skin damage prevention of patients in the prone position

Detailed Description

Conduct a needs assessment by using semi-structured interviews with an interdisciplinary team of clinicians (Ghent University Hospital (UZ Gent), Brussels University Hospital (UZ Brussel) and several institutions in Sweden, mainly Örebro University Hospital).

Concurrently, investigate the conditions for effective implementation in a critical care facility using the same interviews and participants (interviewees).

Develop the education and training package (the ProneTection package). The ProneTection package will be based on

1. the results of our recently published gap-analysis study,

2. the needs assessment results from the interviews, keeping the optimal conditions (facilitators) in mind for successful implementation, and

3. the critical review and evaluation by eleven key opinion leaders from the established international expert panel

Study Timeline

• Status Verified: 2022-02
• Study First Submitted: 2022-02-03
• Study First Submitted QC: 2022-02-03
• Study First Posted: 2022-02-14
• Study Start: 2022-07-08
• Primary Completion: 2022-08-01
• Study Completion: 2022-09-01
• Last Update Submitted: 2022-10-10
• Last Update Posted: 2022-10-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 21

Inclusion Criteria

• • Clinicians (nurses, allied health professionals and doctors) working in intensive care units (ICU) are eligible to participate. This can include critical care nurses, respiratory therapists, physiotherapists etc.

and/or

• Nurses studying towards their speciality as critical care nurses. and/or
• Wound care specialists or those responsible for advising on skin damage prevention or managing skin damage/ wounds of the patient in the prone position.

and/or

• Educators / clinical training facilitators within the hospital or teaching at the university.

and/or

• Quality assurance managers or hospital managers. and
• Signed informed consent and voluntary participation.

Exclusion Criteria

• Other than the inclusion criteria

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Clinicians (interviewees) from Ghent University Hospital, Belgium	Interviews for the needs analysis. No intervention.	Semi-structured interviews with clinicians
Clinicians (interviewees) from Brussels University Hospital, Belgium	Interviews for the needs analysis. No intervention.	Semi-structured interviews with clinicians
Clinicians (interviewees) from Orebro University Hospital, Sweden	Interviews for the needs analysis. No intervention.	Semi-structured interviews with clinicians

Primary Outcome Measures

Name	Time	Method
Opinion and information regarding the training needs critical care clinicians have regarding prone positioned patients, with a specific focus on skin damage prevention.	Interviews will be conducted within 1-2 months.	1. Information regarding the training needs critical care clinicians have regarding prone positioning,; 2. Opinions regarding the optimal conditions for effective implementation of the educational interventions in an intensive care setting,

Secondary Outcome Measures

Name	Time	Method
The development of an education and training package (The ProneTection package) for an interdisciplinary team of clinicians on skin damage prevention of patients in the prone position	2-4 months	Development of online educational materials based on evidence, training needs assessments and expert opinions.

Trial Locations

Locations (2)

UZ Gent; 🇧🇪 Gent, Oost-Vlaanderen, Belgium

Universitair Ziekenhuis Brussel; 🇧🇪 Jette, Belgium