Paediatric Chronic Tracheostomy Care: An Evaluation of an Innovative Competency-based Education Program for Community Health Care Providers
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 44
- Locations
- 2
- Primary Endpoint
- The difference in the immediate knowledge retention scores of tracheostomy course participants versus controls at 6 week follow-up
Study Overview
Brief Summary
This project will evaluate a new course developed for nurses that provide care to children with breathing technology including breathing tubes and home breathing machines. The investigators plan to assess the nurses' knowledge and comfort of their ability to care for these medical technologies prior to the course as well as their ability to retain their knowledge 6 weeks and 6 months after course completion.
Detailed Description
A structured program evaluation considering a hierarchy of outcomes is essential to determine whether the tracheostomy module is associated with improved knowledge and skills for CHPs (community health providers). This investigators proposed study is guided by the evaluation of knowledge acquisition and self-efficacy as a theoretical framework 24. CHPs' sense of self-efficacy or perceived capability in caring for this population is important to foster to potentially mitigate significant morbidity and mortality, while ultimately striving for safe, high-quality clinical care for these medically complex children.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- — to 99 Years (Child, Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Course registrants for the competency-based tracheostomy education course from VHA Home Healthcare agency
- •Consent to study participation
- •English speaking
Exclusion Criteria
- •Previously attended the competency-based tracheostomy course at SickKids
Outcomes
Primary Outcomes
The difference in the immediate knowledge retention scores of tracheostomy course participants versus controls at 6 week follow-up
Time Frame: 6 weeks
Knowledge Assessment - Tracheostomy Tubes: Multiple choice question (MCQ) tests have been developed by clinical experts. These tests focus on the important knowledge required to care for a child with a tracheostomy tube. Major themes include: i) clinical assessment; ii) safety; iii) general care; iv) troubleshooting/ emergency management. Higher Scores mean better knowledge retention.
Secondary Outcomes
- The difference in the self-efficacy scores of course participants versus controls at 6 weeks and 6 month follow-up(6 weeks and 6 months)
- The difference in the sustained knowledge retention scores of course participants versus controls at 6 month follow-up(6 weeks and 6 months)
Investigators
Reshma Amin
Associate Professor
The Hospital for Sick Children