Educating Nurses About Venous Thromboembolism Prevention
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 933
- 试验地点
- 1
- 主要终点
- Non Administration of Prescribed VTE Prophylaxis Medication Doses
研究概览
简要总结
As part of mandatory on-going nursing education, the investigators have incorporated identical information into two distinct web-based learning formats - the traditional linear PowerPoint format (with voice-over) and a new interactive format developed with central nursing education.
The investigators will cluster randomize nurses by floor to receive either the traditional education or the new interactive education, and evaluate the impact on administration of VTE prophylaxis doses administered by nurses before and after education. All nurses on a floor will receive the same educational format. If one method of education results in statistically significant improvement in VTE prophylaxis administration, the investigators will cross over to deliver the superior education format to all nurses who originally were given the less effective method.
详细描述
BACKGROUND
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In an attempt to improve venous thromboembolism (VTE) prophylaxis adherence the investigators carried out qualitative studies to obtain patients' viewpoints on how nurses should be educated about VTE prevention and to assess nurses' beliefs and perceptions about pharmacologic VTE prophylaxis
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The investigators observed deficiencies in nurses' knowledge and misconceptions about VTE prophylaxis that likely lowers adherence to administration of prescribed VTE prophylaxis doses
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As a part of our original Patient-Centered Outcomes Research Institute (PCORI) proposal, the investigators planned to educate nurses to address the observed deficiencies and misconceptions and improve their ability to communicate effectively with patients
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Historically, nurse education has been done via a linear, PowerPoint-based platform with voice-over but with no interactive component (TRADITIONAL)
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A newer platform for nurse education became available for use and includes scenario-based teaching, ongoing assessment, and immediate remediation. Most importantly, it is a highly interactive product (CONTEMPORARY)
STUDY DESIGN AND ANALYTIC PLAN
- Research hypotheses
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Double (Participant, Outcomes Assessor)
盲法说明
Within strata, a coin toss (ERH) was used to randomize floors into either the Dynamic education arm or the Static education arm. Based on the outcome of the coin toss, nurses were then remotely assigned the online education module by an institutional nurse educator (DLS). The assigned educational module then appeared in the nurse's list of education assignments for completion within the institutional Learning Management System. Nurses are required to complete clinically relevant education regularly as part of ongoing professional practice and a waiver of consent was provided by the IRB; therefore nurses were not aware of their participation in a trial nor were they aware that two education modules existed. Additionally, the VTE prophylaxis medication non-administration dataset provided to the biostatistical team (i.e. outcomes assessors) for analysis was blinded by treatment arm and department.
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Nurses on selected surgical and medical floors at Johns Hopkins Hospital
排除标准
- •Nurses who were not permanently associated with one of the 21 hospital floors (e.g. traveling nurse, float nurse) were excluded from this study
研究组 & 干预措施
Contemporary Education Format
Nurses in this arm received education about venous thromboembolism (VTE) in a web-based contemporary interactive format.
Intervention: Nurse education in contemporary format
干预措施: Nurse education in contemporary format (Behavioral)
Traditional Education Format
Nurses in this arm received education about venous thromboembolism (VTE) in a web-based traditional linear PowerPoint format with voice over.
Intervention: Nurse education in traditional format
干预措施: Nurse education in traditional format (Behavioral)
结局指标
主要结局
Non Administration of Prescribed VTE Prophylaxis Medication Doses
时间窗: (Baseline); approximately 3 months later (Post-Education)
This is the percentage of VTE prophylaxis doses that were not administered for any reason as documented in the electronic health record by a nurse
次要结局
- Rates of All VTE Among Hospitalized Patients(3-12 months after end of study)
- Rates of Pulmonary Embolism (PE) Among Hospitalized Patients(3-12 months after end of study)
- Rates of Deep Vein Thrombosis (DVT) Among Hospitalized Patients(3-12 months after end of study)
- Proportion of Non Administration of Prescribed VTE Prophylaxis Medication Doses Which Are Documented as Patient Refusal(Baseline; approximately 3 months later (post education))