"Effectiveness of Basic Nursing Educational Interventions on Primary Healthcare Paramedics: A Quasi-Experimental Approach"

Expected Significance of the Study:

Improved Patient Outcomes: Paramedics often serve as the first point of contact for patients in primary healthcare settings. Ensuring that they possess adequate knowledge and skills in basic nursing care can lead to improved patient outcomes, including better management of chronic conditions, reduced incidence of complications, and enhanced overall quality of care.

Enhanced Healthcare Delivery: By equipping paramedics with basic nursing care education, healthcare systems can optimize resource utilization and improve the efficiency of care delivery. Paramedics may be better equipped to handle a wider range of patient needs, reducing the burden on other healthcare professionals and streamlining the referral process.

Addressing Skills Gaps: Many paramedics receive training primarily focused on emergency medical care rather than comprehensive nursing skills. This research addresses an important gap in paramedic education by evaluating the effectiveness of additional training in basic nursing care, potentially filling a critical need in the healthcare workforce.

Professional Development: Providing paramedics with opportunities for ongoing education and professional development can enhance job satisfaction, increase retention rates, and contribute to a more skilled and competent workforce. This research could inform the development of training programs tailored to the specific needs of paramedics in primary healthcare settings.

Cost-Effectiveness: Investing in education and training programs for paramedics may yield long-term cost savings for healthcare systems by reducing hospital admissions, emergency department visits, and unnecessary medical interventions. Assessing the effectiveness of such programs is crucial for allocating resources effectively and maximizing their impact.

Evidence-Based Practice: By conducting a quasi-experimental study to evaluate the effectiveness of basic nursing care education among paramedics, this research contributes valuable evidence to the field of healthcare education and practice. Evidence-based findings can inform policy decisions, curriculum development, and clinical guidelines, ultimately benefiting both patients and healthcare providers.

Study Overview

• Status: Completed
• Conditions: Education, Nursing; Primary Healthcare; Education Training; Nursing Skills
• Intervention / Treatment: Other: Intervention Basic Nursing skills; Other: Control Present Knowledge about basic nursing skill

Detailed Description

Nursing care is the cornerstone of primary healthcare organizations, playing a vital role in promoting health, preventing illness, and managing chronic conditions within communities. At the forefront of patient interaction, nurses in primary healthcare settings provide comprehensive and holistic care that addresses individuals' physical, emotional, and social needs. In these settings, nursing care encompasses a wide range of services, including health assessments, health education, disease prevention, and health promotion initiatives. Nurses collaborate closely with other healthcare professionals, such as physicians, pharmacists, and allied health workers, to deliver coordinated and patient-centered care.

Moreover, nursing care in primary healthcare organizations extends beyond individual patient encounters to encompass community-based initiatives and population health management strategies. Nurses engage in community outreach programs, health education workshops, and health promotion campaigns aimed at empowering individuals and communities to adopt healthy behaviors and lifestyles.

In essence, nursing care at primary healthcare organizations embodies the principles of accessibility, continuity, comprehensiveness, and patient-centeredness. Through their expertise, dedication, and advocacy, nurses contribute significantly to improving health outcomes and fostering wellness in the communities they serve.

Rationale:

Paramedics play a crucial role in primary healthcare, often being the first point of contact for patients in need of medical assistance. However, their training may not always encompass the depth of nursing care required in certain situations. This study seeks to bridge this gap by evaluating the outcomes of implementing a structured basic nursing care education program tailored to the needs of paramedics.

• Study Type: Interventional
• Enrollment (Actual): 230
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • Karachi, Pakistan
    • SINA Health Education & Welfare Trust

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

The inclusion criteria include at least one year of working experience in the hospital, willingness to participate in the study, and not participating in similar training courses

Exclusion Criteria:

• The exclusion criteria include not attending more than two training sessions will exclude from the study

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Non-Randomized
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Control " Present Knowledge about the Basic Nursing skills"
Experimental: Intervention " Educational Intervention from Registered Nurse"	Other: Intervention Basic Nursing skills; Evaluating the effectiveness of the education program in improving paramedics' knowledge of essential nursing care principles, such as hygiene practice, infection control, safe administration of injection, blood draw, vital sign monitoring, respiratory rate; Other Names: Educational Intervention; Other: Control Present Knowledge about basic nursing skill; Assess the current and baseline knowledge status of the participants about the hygiene practice, infection control, safe administration of injection, blood draw, vital sign monitoring, respiratory rate

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pre and post assessment of Paramedics' Knowledge after educational intervention	Baseline knowledge about the primary healthcare settings among the paramedics before the intervention given	One month

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pre and Post Intramuscular injection administration Knowledge	Comparing the pre- and post-intervention knowledge among paramedics about how to administer I/V injection, who underwent the education program.	One month
Pre and Post Intramuscular injection administration Knowledge	Identifying any barriers or challenges encountered in implementing the education program and suggesting recommendations for future improvements or modifications.	One month
Pre and Post Sub-cutaneous injection administration knowledge	Investigating any changes in paramedics' attitudes towards nursing care, including their perceived importance of nursing interventions in primary healthcare contexts.	one month
Pre and Post Needle Stick Injury administration Knowledge	Investigating any changes in paramedics' attitudes towards nursing care, including their perceived importance of nursing interventions in primary healthcare contexts.	one month
Pre and Post educational intervention of Hygiene practice knowledge	Investigating any changes in paramedics' attitudes towards nursing care, including their perceived importance of nursing interventions in primary healthcare contexts.	one month
Pre and Post educational intervention of vital sign knowledge	Investigating any changes in paramedics' attitudes towards nursing care, including their perceived importance of nursing interventions in primary healthcare contexts.	one month
Pre and Post educational intervention of anthropometric measurement (weight in Kg) knowledge	Investigating any changes in paramedics' attitudes towards nursing care, including their perceived importance of nursing interventions in primary healthcare contexts.	one month
Pre and Post educational intervention of anthropometric measurement (Height in cm) knowledge	Investigating any changes in paramedics' attitudes towards nursing care, including their perceived importance of nursing interventions in primary healthcare contexts.	one month

Collaborators and Investigators

• Sponsor: SINA Health Education and Welfare Trust

Study record dates

Study Major Dates

• Study Start (Actual): July 30, 2024
• Primary Completion (Actual): August 31, 2024
• Study Completion (Actual): September 30, 2024

Study Registration Dates

• First Submitted: July 17, 2024
• First Submitted That Met QC Criteria: July 23, 2024
• First Posted (Actual): July 26, 2024

Study Record Updates

• Last Update Posted (Actual): April 9, 2026
• Last Update Submitted That Met QC Criteria: April 3, 2026
• Last Verified: April 1, 2026

More Information

Terms related to this study

• Keywords: Nurse; Education status; nursing skills; needle stick injury; safe injection administration
• Additional Relevant MeSH Terms: Wounds and Injuries; Wounds, Penetrating; Wounds, Stab; Needlestick Injuries; Health Services; Health Care Facilities Workforce and Services; Child Health Services; Community Health Services; Preventive Health Services; Early Intervention, Educational
• Other Study ID Numbers: 00005

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: De-identified data will be shared upon suitable request

Drug and device information, study documents

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