Nursing Care With Patients With Venous Leg Ulcers
- Conditions
- - Venous Leg Ulcers
- Interventions
- Behavioral: Internet-based education of venous leg ulcer nursing care
- Registration Number
- NCT02224300
- Lead Sponsor
- University of Turku
- Brief Summary
Aims are:
* develop an Internet-based education programme about venous leg ulcer nursing care (ELC)
* evaluate the clinical, cognitive and economical outcomes of education programme
Research questions are:
1. What are the cognitive outcomes of ELC (perceived knowledge, attitudes towards venous leg ulcer nursing care, theoretical knowledge level and practical knowledge)?
Hypotheses for research question 1 are:
1. Nurses using the ELC will have better knowledge (perceived, practical and theoretical knowledge) than those who will not use the ELC.
2. Nurses using the ELC will have more positive attitudes towards venous leg ulcer nursing care than those who will not use the ELC.
2. What are the clinical outcomes of ELC (ulcer healing, ulcer size, treatment supplies)?
Hypotheses for research question 2 are:
1. Ulcer healing progresses better among patients who are taken care by nurses using the ELC.
2. Ulcer sizes will be 10 % smaller among the patients cared for nurses using the ELC.
3. Nurses using the ELC will use mire adequate treatment supplies than those who will not use the ELC.
3. What are the economical outcomes (treatment time and supply usage) of ELC?
Hypothesis for research question 3 is:
1. The economical expenditures will be lower among nurses using the ELC.
The ultimate aim is to promote evidence-based nursing care among patients with venous leg ulcer.
- Detailed Description
The study takes place in home-care in two Finnish municipality, which are similar size and staff structure and working ideology are basically the same.
Enrolment of participants has started with information occasion in both municipalities in June 2014. Nurses were asked to fill the Patients Clinical Situation Questionnaire, handouts and forms for informed consent were delivered. (Figure 1) All eligible nurses and patients will be identified with Patient Clinical Assessment. The sample size was determined with power analysis and the result was that 200 nurses are needed in the intervention group and 100 nurses in the comparison group.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 300
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Education Internet-based education of venous leg ulcer nursing care Intervention group will receive the ELC for six weeks (15.9. - 26.10.2014) and comparison group will not receive it. Members of the intervention group in will work in teams of 10 nurses with weekly questions (released in Mondays) based on patient-description existing in Moodle. One member of the team will send the solutions to questions once a week (in Thursdays) Moodle. Researcher will download the model-answer to Moodle once a week (in Fridays) and nurses will compare their answer to model answer (self-evaluation).
- Primary Outcome Measures
Name Time Method Changes in nurses´ knowledge before and after the education Baseline, Week 8 and Week 12 Knowledge is divided into nurses´ perceived knowledge, practical and theoretical knowledge.
Changes in perceived knowledge will be measured with structured self-completed questionnaire.
Changes in practical knowledge will be measured with structured observation. Changes in theoretical knowledge will be measured with structured questionnaire (knowledge-test).
- Secondary Outcome Measures
Name Time Method Changes in clinical variables; adequacy of the supplies used. Baseline, Week 8 and Week 12 Changes in adequacy of supplies used will be measured with structured observation.
Changes in nurses´ attitudes towards patients with venous leg ulcers before and after the education Baseline, Week 8 and Week 12 Changes in attitudes will be measured with structured questionnaire.
Changes in clinical variables; venous leg ulcer size. Baseline, Week 8 and Week 12 Changes in venous leg sizes variables will be measured during observations. Each venous leg ulcer will measured with paper ruler.
Changes in economical variables cost of supplies and treatment time. Baseline, Week 8 and Week 12 Changes in economical variables will be measured with structured observation.
Trial Locations
- Locations (1)
Homecare
🇫🇮Turku, Finland