Impact of Combining Course on Incontinence-associated Dermatitis Prevention and Management with Directive Wheel Chart for Nurses in Adult Wards
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 144
- 试验地点
- 1
- 主要终点
- The incontinence associated dermatitis knowledge, attitude and practice questionnaire (KAP-IAD-Q)
研究概览
简要总结
Background: Knowledge, attitudes, and behaviors regarding the prevention and care of incontinence-associated dermatitis (IAD) need to be enhanced through educational training. There is a lack of innovative courses and convenient tools to assist nursing staff in learning and teaching in clinical settings.
Purpose: This study aims to investigate the learning outcomes of nursing staff in adult wards regarding the prevention and care of IAD, comparing the effectiveness of a course combined with an Directive Wheel Chart versus a course alone. Additionally, the study examines the effectiveness of nursing staff applying the course and Directive Wheel Chart in peer teaching.
详细描述
Design: This study was a two-phase randomized controlled trial conducted at a regional teaching hospital in Taiwan.
Materials and Methods
The study involved eight wards, comprising a total of 106 nurses, who were initially randomly assigned to either an experimental group (EG) or a control group (CG). Subsequently, the nurses within each ward were randomly allocated to two phases. The researcher delivered a 50-minute lecture to both groups, providing the IAD directive wheel chart only to the nurses in the EG. After a two-weeks period, one or two nurses from each ward in the first phase utilized the same course and directive wheel chart to peer-teach the nurses in the second phase within the same wards. The Chinese version of the Knowledge, Attitudes and Practices of Incontinence-associated Dermatitis Questionnaire (KAP-IAD-Q-C) and the Chinese version of the attitude towards the prevention of incontinence-associated dermatitis instrument (APrIAD-C) were employed to evaluate effectiveness. The Generalized Estimating Equation (GEE) was utilized to analyze the effectiveness of the educational intervention for each phase.
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
盲法说明
educational intervention
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •(1)Nurses in the eight adult wards.
排除标准
- •New nurses had not completed the three-month probation period;
- •Nurses are holding administrative management positions
- •Nurse practitioners;
- •Nurses who expected to be employed within six months due to job transitions.
研究组 & 干预措施
Experimental group
Combining Incontinence-associated Dermatitis Prevention and Management Course and Directive Wheel Chart
干预措施: Experimental group (Other)
Experimental group
Combining Incontinence-associated Dermatitis Prevention and Management Course and Directive Wheel Chart
干预措施: Control Group (Other)
Control Group
The first author conducted a 25-minute knowledge lecture for the nurses in the CG on the same topics covered in the EG. This lecture included an explanation of IAD, its causes, the latest global classification of IAD, as well as methods for skin prevention and IAD care. Following the lecture, the same three clinical examples presented in the EG were discussed for an additional 20 minutes, during which the nurses were divided into groups for case discussions. Finally, a 5-minute quiz competition was held, featuring the same five actual clinical photographs used in the EG.
干预措施: Experimental group (Other)
Control Group
The first author conducted a 25-minute knowledge lecture for the nurses in the CG on the same topics covered in the EG. This lecture included an explanation of IAD, its causes, the latest global classification of IAD, as well as methods for skin prevention and IAD care. Following the lecture, the same three clinical examples presented in the EG were discussed for an additional 20 minutes, during which the nurses were divided into groups for case discussions. Finally, a 5-minute quiz competition was held, featuring the same five actual clinical photographs used in the EG.
干预措施: Control Group (Other)
结局指标
主要结局
The incontinence associated dermatitis knowledge, attitude and practice questionnaire (KAP-IAD-Q)
时间窗: Four weeks prior to the course, after the teaching courses, four weeks after the course
The total score ranges from 22 to 110 with higher scores indicating better the knowledge, attitude, and practical behaviors concerning IAD.
The attitude towards the prevention of incontinence-associated dermatitis instrument (APrIAD)
时间窗: Four weeks prior to the course, after the teaching courses, four weeks after the course
The questionnaire consists of 14 questions, each scored on a 4-point Likert scale., with a total score ranging from 0 to 42.
次要结局
未报告次要终点