Nursing Care With Patients With Venous Leg Ulcers - Developing an Internet-based Education Program and Evaluation of Its Effectiveness
试验速览
- 阶段
- 2 期
- 入组人数
- 300
- 试验地点
- 1
- 主要终点
- Changes in nurses´ knowledge before and after the education
研究概览
简要总结
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:
- 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:
-
Nurses using the ELC will have better knowledge (perceived, practical and theoretical knowledge) than those who will not use the ELC.
-
Nurses using the ELC will have more positive attitudes towards venous leg ulcer nursing care than those who will not use the ELC.
-
What are the clinical outcomes of ELC (ulcer healing, ulcer size, treatment supplies)?
Hypotheses for research question 2 are:
-
Ulcer healing progresses better among patients who are taken care by nurses using the ELC.
-
Ulcer sizes will be 10 % smaller among the patients cared for nurses using the ELC.
-
Nurses using the ELC will use mire adequate treatment supplies than those who will not use the ELC.
-
What are the economical outcomes (treatment time and supply usage) of ELC?
Hypothesis for research question 3 is:
- 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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 60 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •for nurses:
- •Working in municipality home-care
- •Permanent attachment or three months or longer temporary post in municipality home-care
- •Working in home-care area where patients with chronic leg ulcer are taken care during the study
排除标准
- •for nurses:
- •Working in other place than home-care There are no other exclusion criteria.
- •Inclusion criteria for patients to observation are:
- •Home health-care patient aged 60 or over
- •Venous leg ulcer diagnosis
- •Chronic ulcer in the lower leg without diagnosis
- •Exclusion criteria for patients:
- •An ulcer with other diagnosis than venous leg ulcer diagnosis There are no other exclusion criteria for patients.
研究组 & 干预措施
Education
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).
干预措施: Internet-based education of venous leg ulcer nursing care (Behavioral)
结局指标
主要结局
Changes in nurses´ knowledge before and after the education
时间窗: 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).
次要结局
- Changes in clinical variables; adequacy of the supplies used.(Baseline, Week 8 and Week 12)
- Changes in nurses´ attitudes towards patients with venous leg ulcers before and after the education(Baseline, Week 8 and Week 12)
- Changes in clinical variables; venous leg ulcer size.(Baseline, Week 8 and Week 12)
- Changes in economical variables cost of supplies and treatment time.(Baseline, Week 8 and Week 12)
研究者
Minna Ylönen
PhD candidate
University of Turku