Creating a Safe Inpatient Environment-Can Virtual Reality Fall Education Change Caregiver's Attitudes and Behaviors?
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 入组人数
- 288
- 试验地点
- 4
- 主要终点
- Change from baseline rating of self-reported use of environmental fall prevention interventions at 1 month and 3 months post intervention
研究概览
简要总结
Falls place a huge financial burden on healthcare delivery systems, as well as physical and emotional harm to patients and families. Nurses are responsible for identifying fall risks and educating patients about fall risks and prevention, but first must have a thorough understanding of fall risk hazards themselves. The purpose of the study is to determine if enhanced education for caregivers using Virtual Reality simulation increases self-reported use of environmental fall risk interventions, and perceived effectiveness of those interventions, for caregivers on a medical-surgical unit. A secondary purpose is to explore the relationship between perceived effectiveness, unit norms, availability of resources, and self-reported behavior related to the use environmental interventions.
The study will use a matched-pair, clustered randomized controlled trial design. The setting is eight medical-surgical units across four hospitals. Unit-pairs at each hospital will be randomly assigned to control or intervention group. The sample will consist of clinical registered nurses and patient care nursing assistants. All participants will receive standard online fall risk education. Participants from the intervention units will also complete virtual reality simulation education delivered via an app on an iPhone that is attached to a headset. The Injurious Fall Risk Factors and Fall Prevention Interventions Survey will be used at baseline, 1 month post-, and 3 months post-education to measure perceived effectiveness, self-reported use, unit peer use, and availability of resources for use of environmental fall prevention interventions. A sample size of 30 participants per nursing unit will be needed for 90% power to detect mean differences of at least 0.5 points between groups.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •part-time and full-time registered nurses (RNs), Assistant Nurse Managers (ANMs), and patient care nursing assistants (PCNAs);
- •participants must have greater than 50% of work time in direct patient care
排除标准
- •holds PRN (as needed) or float position
- •newly employed or in orientation at the time of the study
- •reported history of dizziness or motion sickness
结局指标
主要结局
Change from baseline rating of self-reported use of environmental fall prevention interventions at 1 month and 3 months post intervention
时间窗: baseline, 1 month after intervention, and 3 months after intervention
Using the Injurious Fall Risk Factors and Fall Prevention Interventions Survey, Part II (Tzeng \& Yin, 2013), caregivers are asked to rate 23 interventions for reducing falls or injuries using a 5-point likert scale. Self-reported use of environmental fall prevention interventions is measured by rating the frequency of each intervention used by the participant in his or her practice over the last 30 days (1=rarely, 2=occasionally, 3=sometimes, 4=often, 5=always, or NA=not applicable/no knowledge).
次要结局
- Change from baseline rating of perceived effectiveness of environmental fall prevention interventions at 1 month and 3 months post intervention(baseline, 1 month after intervention, and 3 months after intervention)
研究者
Rose Hosler
Healing Solutions Coordinator
The Cleveland Clinic