The Effect Of Training On Nursing Qualıty

The Effect Of Toolbox Trainings On Nursing Sensitive Quality Indıcators

The aim of this study, in a randomized controlled design with pretest, posttest and control groups, is to determine the effect of on-the-job (toolbox) training given to nurses on nursing-sensitive quality indicators (pain management, pressure sores, patient falls, Peripheral Venous Catheter complications and adverse event reporting). it aims to answer are:

- Does toolbox training have an effect on nursing-sensitive quality indicators? After the training, participants are expected to adapt to quality practices.

This study consists of experimental and control groups. Experimental and control groups were determined by drawing lots with the help of an external expert. Nurses who met the inclusion criteria were included in the lottery.

Inclusion criteria for the experimental and control groups were determined as follows:

• Working in one of the hospital's internal medicine or surgical services
• Having been working in the current service for at least 6 months, apart from past work experience
• Having completed the orientation process to the hospital and taking responsibility for patient care
• Voluntarily agree to participate in the study

Study Overview

• Status: Completed
• Conditions: Nurse's Role
• Intervention / Treatment: Other: training

Detailed Description

This study was carried out to determine the effect of toolbox training on nursing-sensitive quality indicators (pain management, pressure sores, patient falls, peripheral venous catheter complications and adverse event reporting) in a randomized controlled, pre-test, post-test, experimental and control group design.

The population of the study consisted of nurses working in the inpatient services (except the intensive care units) of a training and research hospital in Hatay. A total of 77 nurses working in the experimental and control group services determined by randomization constituted the sample of the research (experimental group: 38 nurses, control group: 39 nurses).

• Study Type: Interventional
• Enrollment (Actual): 77
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Antakya
    • Istanbul, Antakya, Turkey
      • Istanbul Univercity-Cerrahpasa

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Working in one of the hospital's internal medicine or surgical services
• Being working in the current service for at least 6 months apart from past work experience
• Having completed the orientation process to the hospital and taking responsibility for patient care
• To voluntarily agree to participate in the study

Exclusion Criteria:

• Participants who did not meet the inclusion criteria were excluded.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Experimental group; It was determined by lot by the volunteer nurses who accepted to participate in the study.	Other: training; On-the-job (toolbox) training given to the experimental group and containing brief information, lasting at most 10 minutes
No Intervention: Control group; It was determined by lot by the volunteer nurses who accepted to participate in the study.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Nurse Information Form	This form consists of 10 questions in total to determine the demographic study characteristics of the nurses participating in the research.	before the training
Nursing Sensitive Quality Indicators Application Information Form (pretest-posttest)	Both groups were applied before the on-the-job training to be given to the experimental group and after all trainings were completed. It was prepared in the light of current literature in order to determine the knowledge level of nurses in the experimental and control groups about nursing-sensitive quality indicators and to evaluate the effectiveness of on-the-job training given to the experimental group. A minimum of 0 and a maximum of 100 points can be obtained from this test.	before the training
Nursing Sensitive Quality Indicators Implementation Checklists	The checklists developed in line with the literature have been developed for the management of pain in the unit, pressure ulcer, risk of falling, Peripheral Venous Catheter complications and adverse event reporting, and consist of five sections.In this test, 1 point is given for each complete application.	before the training
Unit Quality Indicators Monitoring Form	Data on 5 nursing-sensitive quality indicators (fall rates (in percent), patient rate with correct pain management (as a number), pressure ulcer rates (in percent), Peripheral Venous Catheter complication (as a number) and adverse event reporting rates(in percent) ) followed before and after the training, and data on the average number of hospitalization days are included.	before the training

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Nursing Sensitive Quality Indicators Application Information Form (pretest-posttest)	Both groups were applied before the on-the-job training to be given to the experimental group and after all trainings were completed. It was prepared in the light of current literature in order to determine the knowledge level of nurses in the experimental and control groups about nursing-sensitive quality indicators and to evaluate the effectiveness of on-the-job training given to the experimental group. A minimum of 0 and a maximum of 100 points can be obtained from this test.	At 8 weeks after give all trainings
Nursing Sensitive Quality Indicators Implementation Checklists	The checklists developed in line with the literature have been developed for the management of pain in the unit, pressure ulcer, risk of falling, Peripheral Venous Catheter complications and adverse event reporting, and consist of five sections.In this test, 1 point is given for each complete application.	At 8 weeks after give all trainings
Unit Quality Indicators Monitoring Form	Data on 5 nursing-sensitive quality indicators (fall rates (in percent), patient rate with correct pain management (as a number), pressure ulcer rates (in percent), Peripheral Venous Catheter complication (as a number) and adverse event reporting rates(in percent) ) followed before and after the training, and data on the average number of hospitalization days are included.	At 8 weeks after give all trainings

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Nursing Sensitive Quality Indicators Implementation Checklists	The checklists developed in line with the literature have been developed for the management of pain in the unit, pressure ulcer, risk of falling, Peripheral Venous Catheter complications and adverse event reporting, and consist of five sections.In this test, 1 point is given for each complete application.	At the 12th week after all trainings are completed
Unit Quality Indicators Monitoring Form	Data on 5 nursing-sensitive quality indicators (fall rates (in percent), patient rate with correct pain management (as a number), pressure ulcer rates (in percent), Peripheral Venous Catheter complication (as a number) and adverse event reporting rates(in percent) ) followed before and after the training, and data on the average number of hospitalization days are included.	At the 12th week after all trainings are completed

Collaborators and Investigators

• Sponsor: Istanbul University - Cerrahpasa (IUC)
• Investigators: Study Director: Betül SÖNMEZ, Ass. prof, betul.sonmez@iuc.edu.tr

Publications and helpful links

General Publications

• Heslop L, Lu S, Xu X. Nursing-sensitive indicators: a concept analysis. J Adv Nurs. 2014 Nov;70(11):2469-82. doi: 10.1111/jan.12503. Epub 2014 Aug 12. Erratum In: J Adv Nurs. 2019 Dec;75(12):3844.
• Driscoll A, Grant MJ, Carroll D, Dalton S, Deaton C, Jones I, Lehwaldt D, McKee G, Munyombwe T, Astin F. The effect of nurse-to-patient ratios on nurse-sensitive patient outcomes in acute specialist units: a systematic review and meta-analysis. Eur J Cardiovasc Nurs. 2018 Jan;17(1):6-22. doi: 10.1177/1474515117721561. Epub 2017 Jul 18.
• Donabedian A. The quality of care. How can it be assessed? JAMA. 1988 Sep 23-30;260(12):1743-8. doi: 10.1001/jama.260.12.1743.
• Cavazza, N. & Serpe, A. 2010, The Impact of Safety Training Programs on Workers' Psychosocial Orientation and Behaviour. Revue internationale de psychologie sociale, 23, 187-210.
• Amiri M, Khademian Z, Nikandish R. The effect of nurse empowerment educational program on patient safety culture: a randomized controlled trial. BMC Med Educ. 2018 Jul 3;18(1):158. doi: 10.1186/s12909-018-1255-6.
• Burke MJ, Sarpy SA, Smith-Crowe K, Chan-Serafin S, Salvador RO, Islam G. Relative effectiveness of worker safety and health training methods. Am J Public Health. 2006 Feb;96(2):315-24. doi: 10.2105/AJPH.2004.059840. Epub 2005 Dec 27.

Study record dates

Study Major Dates

• Study Start (Actual): November 1, 2021
• Primary Completion (Actual): July 30, 2022
• Study Completion (Actual): December 30, 2022

Study Registration Dates

• First Submitted: April 12, 2023
• First Submitted That Met QC Criteria: May 2, 2023
• First Posted (Estimate): May 11, 2023

Study Record Updates

• Last Update Posted (Estimate): May 11, 2023
• Last Update Submitted That Met QC Criteria: May 2, 2023
• Last Verified: May 1, 2023

More Information

Terms related to this study

• Keywords: quality indicators; quality in health; quality in nursing
• Other Study ID Numbers: IstanbulUCerrahpaşabkara

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