Effectiveness of Online Training Course to Improve Evidence-based Leadership Practices: a Cluster Randomised Two-arm Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 300
- 试验地点
- 2
- 主要终点
- The Evidence-based Practice Questionnaire (EBPQ)
研究概览
简要总结
The goal of this cluster clinical trial is to evaluate the effectiveness of online training course, targeted to unit leaders to improve staff's evidence-based skills (individual outcomes), EBP implementation (team-based outcomes), and the quality of care (organisational outcomes). Feasibility and fidelity of the intervention will be assessed as well. The main questions it aims to answer are:
- Does online training course improve staff's evidence-based practice?
- Does online training course improve staff's self-esteem and self-efficacy?
- Does online training course improve leadership for EBP implementation on organisational level?
- Does online training course improve the quality of patient care?
- Does online training course reduce staff's absence (sick leaves, intention to leave the ward or hospital)?
Participants will:
- Participants will join in a seven-months online training course in small group or practice as usual.
- Seven course modules, read course material, prepare assignments, join in peer discussions.
- Self-assessment, self-reflection and give course feedback.
详细描述
This cluster randomisation study will evaluate the effectiveness of online training course, targeted to unit leaders. The intervention will be delivered at the level of the cluster, i.e. professionals within clusters (education of unit leaders). Cluster randomisation study fits our purposes because our intention is to enhance the application of evidence by entire unit teams; the whole groups of collections of individuals in ward units are randomly assigned to receive educational intervention in groups, referred to as clusters.
This cluster trial will be conducted in two Finnish Wellbeing Services counties in southern Finland. The target group of study are unit leaders working in social and health care sector in a managerial position.
The units will be randomised into two groups: evidence-based leadership training (experimental group) or passive control group. The participants in the experimental group will join a seven months online course aiming to improve the evidence-based leadership competences.
All eligible unit leaders who have shown their interest to participate the study will receive an invitation email from the contact person of the study (the Chief Executive Officer). The email will include a link to study information and electronic informed consent in the Research Electronic Data Capture tool (REDCap). After given an electronic informed consent, the REDCap will lead to a baseline survey (background information of the participants of the specific units, baseline data). Unit leaders will be allocated into the study group as their unit.
All staff members who are working in the same unit with the unit leaders will be invited to join the study. First, staff members will receive an invitation email (sent by a Contact person) to explain the purpose of the study and its practical arrangements. If the staff member is willing to join the study, she or he will give an electronic content (REDCap) and respond to electronic surveys - but they do not join online training. After filling electronic forms, each staff members will be allocated into the same study group as their unit.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
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
- •have shown their willingness to join the study,
- •unit leaders have an official managerial position at the study organisation,
- •unit have a leaders with a professional licence to work in health or social care sector,
- •unit leaders represent any gender,
- •are able to speak, read and write in Finnish, and
- •have given informed consent to join the study.
排除标准
- •Those staff members who are off duty during the recruitment period (family leave, long-term sick leave, study leave, or any other reason).
结局指标
主要结局
The Evidence-based Practice Questionnaire (EBPQ)
时间窗: From enrollment to the end of training at 7 months.
The Evidence-based Practice Questionnaire (EBPQ) assess the implementation of evidence-based practice (24 items, score 1-7, three sub-scales: 1) the knowledge/skills (14 items, score 1-7, 1=Poor-7=Best, the range 14-98, a higher score represents greater knowledge in EBP); 2) the attitudes (4 items, score 1-7, the range 4-28; a higher score represents more a positive attitude toward EBP; 3) an evidence-based practice (6 items, score 1-7, 1=Never, 7=Frequently, range 6-42); the higher score is better.
次要结局
- Self-Esteem Scale (RSE)(From enrollment to the end of training at 7 months.)
- The General Self-Efficacy Scale (GSE)(From enrollment to the end of training at 7 months.)
- The Implementation Leadership Scale (ILS) - Staff version(From enrollment to the end of training at 7 months.)
- The Implementation Leadership Scale (ILS) - Supervisor version(From enrollment to the end of training at 7 months.)
- The quality of care: Number of Patient Deaths (Register Data)(From enrollment to the end of training at 7 months.)
- The quality of care: Number of Treatment Complaints (Register Data)(From enrollment to the end of training at 7 months.)
- The quality of care: Number of Medication Errors (Register Data)(From enrollment to the end of training at 7 months.)
- Work absence: Number of Staff Absence Days (Register Data)(From enrollment to the end of training at 7 months.)
- Intention to leave the ward - survey(From enrollment to the end of training at 7 months.)
- Intention to leave hospital - survey(From enrollment to the end of training at 7 months.)
- Intention to leave profession - survey(From enrollment to the end of training at 7 months.)
研究者
Maritta Välimäki
Professor
University of Helsinki