Capnography At the Bedside: Leading Educational Efforts (CapABLE Trial)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 902
- 主要终点
- Average Monitoring Frequency
研究概览
简要总结
The purpose of this dual-site quasi-experimental pilot study is to evaluate if the implementation of an educational intervention paired with an environmental assessment to address accessibility barriers is associated with improvement in staff knowledge and skills, and adherence to national guidelines for use (evaluation in the knowledge transfer framework) in an emergency department (ED) setting.
详细描述
The objective of this study is to develop a multi-faceted implementation program (referred to as the Capnography At the Bedside: Leading Emergency Education (CapABLE Trial)) to increase the use of capnography during two critical events in the emergency department, intubation and CPR, for better detection of endotracheal intubation, endotracheal tube dislodgement, and quality CPR.
The specific aims of the proposed study are to examine:
- the effect of a comprehensive theory-based educational intervention on staff knowledge and skills related to capnography (outcome measure).
- the effect of a multi-faceted implementation program on the adherence to national guidelines regarding the use of capnography during critical events in the emergency department (process measure).
- the sustainability of effects of the implementation program on adherence, knowledge and skills (outcome and process measure).
The design and methods of this study are based on the knowledge transfer framework, which dictates identification of the message, target audience, messenger, process and communication, and evaluation.
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
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Emergency department (ED) staff
- •Staff will include registered nurses, respiratory therapists, technical associates, physicians, physician's assistants and advanced practice nurse practitioners who fulfill the majority of their clinical duties in the ED.
排除标准
- •Staff who are assigned to work on other units, but who work in the ED on a casual or per diem status will be excluded.
研究组 & 干预措施
Education and Reminder
This arm will consist of participants in a location that receive with web based training and exposure to reminder posters in the workplace.
干预措施: Education and Reminder Posters (Behavioral)
Policy Change
This arm's participants will not receive an active intervention (education and reminders), however, policy change will take place in this location.
干预措施: Policy Change (Other)
结局指标
主要结局
Average Monitoring Frequency
时间窗: Pre intervention 3 months and Post intervention about 6 months
This outcome will reflect the number of patients the staff applied the monitoring to pre and post intervention.
次要结局
- Knowledge(Post intervention (within 1 month of intervention))