Patient's Informational Privacy in Prehospital Emergency Care: A Quasi-experimental Intervention Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- Paramedics' knowledge about patient's informational privacy
研究概览
简要总结
The main goal of this educational intervention study about patient's informational privacy (IP) is to evaluate the effect of the educational intervention into the paramedics' knowledge and attitude regarding patient's IP. The study also investigates the usability and the feasibility of the educational intervention.
The main questions it aims to answer are:
-
What is the effect of the educational intervention on the
-
theoretical knowledge of paramedics' regarding IP?
-
the paramedics' attitude towards patient's IP?
-
What is the usability and feasibility of the intervention being evaluated according to the respondents?
详细描述
The focus of this research is informational privacy (IP) in prehospital emergency care (PEC). The aim of this research is to improve the paramedics' knowledge of the patient's IP through an educational intervention. In addition, the educational intervention aims to impact positively to the paramedics' attitude towards patient's IP. The primary outcome of this research is the paramedics' knowledge about IP and the secondary outcome is the possible change in paramedics' attitude towards IP.
As a research method, a quasi-experimental research design with pre- and post-test with a comparison group is used. Sampling is purposive. Study is conducted in Finland. Advanced or basic support level paramedics working in two of the Finland's 21 rescue departments providing emergency medical services (EMS) in two of the wellbeing services counties in Finland is being recruited. These specific target rescue departments have been selected because of their similarity. Participants must also meet the separately defined inclusion criteria.
A simple random allocation is conducted to divide the rescue departments into intervention (n = 50 approximately) and control (n=50 approximately) group. Blinding is not conducted. Both, the researcher, and the participants will be aware about the result of the allocation.
The educational intervention is a self-study online course on Koulumaali (Moodle) platform about patient's IP in PEC. It includes three separate modules approximately 30 min. long: module I) the meaning and significance of IP and its protection, module II) legislation regarding IP and its protection in healthcare and module III) breaches of informational privacy and its protection in PEC. Each module contains theoretical sections as well as case-exercises and tests that allow participants to test their own skills.
The effectiveness of the educational intervention, the main and secondary outcomes, will be evaluated by the Knowledge and attitude towards patients' informational privacy (KAPIP) - instrument developed by the researcher, measuring the paramedics' subjective and actual (objective) theoretical knowledge about patient's IP as well as paramedics' attitude towards IP. In usability and feasibility evaluation, two separate questionnaires will be used. First, usability of the developed educational intervention will be measured by using the System Usability Scale (SUS), or more precisely its' Finnish version. The general feasibility of the educational intervention will be evaluated by using already existing questionnaire containing five structured items and three open ended questions. Permissions for the use of the already existing questionnaires has been received.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Basic Science
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Participating paramedic has a degree in healthcare or is in the process of completing a health care degree.
- •Participating paramedics is working as an ALS (advanced life support) or BLS (basic life support) level paramedic in one of the two target rescue departments during the entire time of the data collection.
- •Participant is capable to understand Finnish.
排除标准
- 未提供
结局指标
主要结局
Paramedics' knowledge about patient's informational privacy
时间窗: Measurements are conducted during two different time frame: first measurement before the educational intervention taking up to 4 weeks. Second measurement after educational intervention taking up to 4 weeks.
The possible change in paramedics' knowledge about patient's informational privacy (IP) will be evaluated by comparing the results from the first and second (after intervention) measurements from the both groups (experiment and control) by using the KAPIP (Knowledge and attitude towards patients' informational privacy) instrument developed for this research. It contains background factors and three separate sections. Sections I and II are providing the results for the main outcome: I) Subjective theoretical knowledge - paramedics' self-assessment of their knowledge about IP. Scaling from 1-5 (very poor, poor, fair, good, very good) II) Actual theoretical knowledge - knowledge test (objective evaluation regarding IP). Declarative sentences formed on true-or-false basis and with the option of I don't. The responses are scored as follows: In subjective and actual theoretical knowledge higher scores indicate higher level of knowledge: good, moderate, poor.
次要结局
- paramedics' attitude towards patient's informational privacy.(Measurements are conducted during two different time frame: first measurement before the educational intervention taking up to 4 weeks. Second measurement after educational intervention taking up to 4 weeks.)
研究者
Eini Koskimies
Doctoral reseacher
University of Turku