Prevention of Skin Damage in the Patient in Prone Position: Development of Education Interventions Based on a Training Needs Assessment Study.

Prevention of Skin Damage in the Patient in Prone Position: Development of the "ProneTection" Education and Training Package and Study of Implementation Conditions in an Intensive Care Setting in Belgium and Sweden.

This is study 1 of 3 - of the overall project: The ProneTection Quality Improvement Project.

The three aims of this study, study 1 are:

1. to establish the training needs critical care clinicians have regarding prone positioning,
2. to investigate the conditions for effective implementation as in an intensive care setting,
3. to develop an education and training package (The ProneTection package) for an interdisciplinary team of clinicians on skin damage prevention of patients in the prone position

Study Overview

• Status: Completed
• Conditions: Acute Respiratory Distress Syndrome; Skin Lesion; Pressure Ulcer
• Intervention / Treatment: Other: Interviews for the needs analysis. No intervention.

Detailed Description

Conduct a needs assessment by using semi-structured interviews with an interdisciplinary team of clinicians (Ghent University Hospital (UZ Gent), Brussels University Hospital (UZ Brussel) and several institutions in Sweden, mainly Örebro University Hospital).

Concurrently, investigate the conditions for effective implementation in a critical care facility using the same interviews and participants (interviewees).

Develop the education and training package (the ProneTection package). The ProneTection package will be based on

1. the results of our recently published gap-analysis study,
2. the needs assessment results from the interviews, keeping the optimal conditions (facilitators) in mind for successful implementation, and
3. the critical review and evaluation by eleven key opinion leaders from the established international expert panel

• Study Type: Observational
• Enrollment (Actual): 21

Contacts and Locations

Study Locations

• Belgium
  • Jette, Belgium, 1090
    • Universitair Ziekenhuis Brussel
  • Oost-Vlaanderen
    • Gent, Oost-Vlaanderen, Belgium
      • UZ Gent

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: No older than 65 years (Child, Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

Clinicians from the multidisciplinary team working with or responsible for the critically ill ventilated patient in the prone position.

Description

Inclusion Criteria:

• • Clinicians (nurses, allied health professionals and doctors) working in intensive care units (ICU) are eligible to participate. This can include critical care nurses, respiratory therapists, physiotherapists etc.

and/or

• Nurses studying towards their speciality as critical care nurses. and/or
• Wound care specialists or those responsible for advising on skin damage prevention or managing skin damage/ wounds of the patient in the prone position.

and/or

• Educators / clinical training facilitators within the hospital or teaching at the university.

and/or

• Quality assurance managers or hospital managers. and
• Signed informed consent and voluntary participation.

Exclusion Criteria:

• Other than the inclusion criteria

Study Plan

How is the study designed?

Design Details

• Observational Models: Other
• Time Perspectives: Prospective

Number of groups / cohorts

3

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Clinicians (interviewees) from Ghent University Hospital, Belgium; Semi-structured interviews with clinicians	Other: Interviews for the needs analysis. No intervention.; To develop the education and training package, a needs-analysis is necessary. The clinicians' training needs will be established through interviews.
Clinicians (interviewees) from Brussels University Hospital, Belgium; Semi-structured interviews with clinicians	Other: Interviews for the needs analysis. No intervention.; To develop the education and training package, a needs-analysis is necessary. The clinicians' training needs will be established through interviews.
Clinicians (interviewees) from Orebro University Hospital, Sweden; Semi-structured interviews with clinicians	Other: Interviews for the needs analysis. No intervention.; To develop the education and training package, a needs-analysis is necessary. The clinicians' training needs will be established through interviews.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Opinion and information regarding the training needs critical care clinicians have regarding prone positioned patients, with a specific focus on skin damage prevention.	Information regarding the training needs critical care clinicians have regarding prone positioning,; Opinions regarding the optimal conditions for effective implementation of the educational interventions in an intensive care setting,	Interviews will be conducted within 1-2 months.

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The development of an education and training package (The ProneTection package) for an interdisciplinary team of clinicians on skin damage prevention of patients in the prone position	Development of online educational materials based on evidence, training needs assessments and expert opinions.	2-4 months

Collaborators and Investigators

• Sponsor: University Ghent
• Collaborators: Örebro University, Sweden
• Investigators: Principal Investigator: Dimitri Beeckman, Prof, dr, University Ghent

Publications and helpful links

General Publications

• Fourie A, Ahtiala M, Black J, Hevia H, Coyer F, Gefen A, LeBlanc K, Smet S, Vollman K, Walsh Y, Beeckman D. Skin damage prevention in the prone ventilated critically ill patient: A comprehensive review and gap analysis (PRONEtect study). J Tissue Viability. 2021 Nov;30(4):466-477. doi: 10.1016/j.jtv.2021.09.005. Epub 2021 Sep 23.

Study record dates

Study Major Dates

• Study Start (Actual): July 8, 2022
• Primary Completion (Actual): August 1, 2022
• Study Completion (Actual): September 1, 2022

Study Registration Dates

• First Submitted: February 3, 2022
• First Submitted That Met QC Criteria: February 3, 2022
• First Posted (Actual): February 14, 2022

Study Record Updates

• Last Update Posted (Actual): October 13, 2022
• Last Update Submitted That Met QC Criteria: October 10, 2022
• Last Verified: February 1, 2022

More Information

Terms related to this study

• Keywords: prone position; pressure ulcer; moisture-associated skin damage; medical device-related skin injury; skin tear; prone ventilation
• Additional Relevant MeSH Terms: Skin Diseases; Respiratory Tract Diseases; Respiration Disorders; Lung Diseases; Infant, Newborn, Diseases; Skin Ulcer; Lung Injury; Infant, Premature, Diseases; Respiratory Distress Syndrome; Respiratory Distress Syndrome, Newborn; Acute Lung Injury; Pressure Ulcer
• Other Study ID Numbers: ProneTection#1

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No