Nursing Care With Patients With Venous Leg Ulcers
1 other identifier
interventional
300
1 country
1
Brief Summary
Aims are:
- develop an Internet-based education programme about venous leg ulcer nursing care (ELC)
- evaluate the clinical, cognitive and economical outcomes of education programme Research questions are: 1\. What are the cognitive outcomes of ELC (perceived knowledge, attitudes towards venous leg ulcer nursing care, theoretical knowledge level and practical knowledge)? Hypotheses for research question 1 are:
- Nurses using the ELC will have better knowledge (perceived, practical and theoretical knowledge) than those who will not use the ELC.
- Nurses using the ELC will have more positive attitudes towards venous leg ulcer nursing care than those who will not use the ELC.
- Ulcer healing progresses better among patients who are taken care by nurses using the ELC.
- Ulcer sizes will be 10 % smaller among the patients cared for nurses using the ELC.
- Nurses using the ELC will use mire adequate treatment supplies than those who will not use the ELC.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Aug 2014
Shorter than P25 for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2014
CompletedFirst Submitted
Initial submission to the registry
August 9, 2014
CompletedFirst Posted
Study publicly available on registry
August 25, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2014
CompletedAugust 25, 2014
August 1, 2014
2 months
August 9, 2014
August 22, 2014
Conditions
Outcome Measures
Primary Outcomes (1)
Changes in nurses´ knowledge before and after the education
Knowledge is divided into nurses´ perceived knowledge, practical and theoretical knowledge. Changes in perceived knowledge will be measured with structured self-completed questionnaire. Changes in practical knowledge will be measured with structured observation. Changes in theoretical knowledge will be measured with structured questionnaire (knowledge-test).
Baseline, Week 8 and Week 12
Secondary Outcomes (4)
Changes in nurses´ attitudes towards patients with venous leg ulcers before and after the education
Baseline, Week 8 and Week 12
Changes in clinical variables; venous leg ulcer size.
Baseline, Week 8 and Week 12
Changes in clinical variables; adequacy of the supplies used.
Baseline, Week 8 and Week 12
Changes in economical variables cost of supplies and treatment time.
Baseline, Week 8 and Week 12
Study Arms (1)
Education
EXPERIMENTALIntervention group will receive the ELC for six weeks (15.9. - 26.10.2014) and comparison group will not receive it. Members of the intervention group in will work in teams of 10 nurses with weekly questions (released in Mondays) based on patient-description existing in Moodle. One member of the team will send the solutions to questions once a week (in Thursdays) Moodle. Researcher will download the model-answer to Moodle once a week (in Fridays) and nurses will compare their answer to model answer (self-evaluation).
Interventions
Intervention is delivering the ELC (Electronic Learning of venous leg ulcer nursing care) to home health-care nurses (registered nurses, public health nurses and licensed practical nurses) . The ELC development was based on the integrative literature review about nurses' knowledge gaps on venous leg ulcer nursing care. The pedagogical basis of the ELC is constructivism and blended learning approach. The ELC comprises contact learning and distance learning. Content of ELC is evidence-based information already existing in Internet and the basis of the information is the Finnish Current Care Guidelines for Chronic leg ulcers (2014), which are evidence-based clinical practice guidelines. They are intended as basis for ulcer treatment decisions, and guidelines can be used by nurses and other healthcare professionals.
Eligibility Criteria
You may qualify if:
- Working in municipality home-care
- Permanent attachment or three months or longer temporary post in municipality home-care
- Working in home-care area where patients with chronic leg ulcer are taken care during the study
You may not qualify if:
- Home health-care patient aged 60 or over
- Venous leg ulcer diagnosis
- Chronic ulcer in the lower leg without diagnosis
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Homecare
Turku, Finland
Related Publications (1)
Ylonen M, Viljamaa J, Isoaho H, Junttila K, Leino-Kilpi H, Suhonen R. Effectiveness of an Internet-based learning program on venous leg ulcer nursing care in home health care--study protocol. J Adv Nurs. 2015 Oct;71(10):2413-25. doi: 10.1111/jan.12683. Epub 2015 May 14.
PMID: 25976713DERIVED
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- PhD candidate
Study Record Dates
First Submitted
August 9, 2014
First Posted
August 25, 2014
Study Start
August 1, 2014
Primary Completion
October 1, 2014
Study Completion
December 1, 2014
Last Updated
August 25, 2014
Record last verified: 2014-08