Education Intervention as a Patient Safety Strategy in the Care of Nasoenteric Tube

NCT03497221 | Unknown

• 1 other identifier: 63247916500005327
• Study Type: interventional
• Target: 1,084
• Locations: 1 country
• Sites: 1

Brief Summary

The safety of the patient using a nasoenteral tube depends on the constant evaluation of the nursing team. The most implemented strategies for safe practice are education interventions, however, seem insufficient to change behavior. Active methodologies may be more promising alternatives for the development of these competencies. The objective is evaluate the effect of an isolated education intervention and combined with a visual identity campaign on the safe practice in the use of nursing care to the patient in use nasoenteral tubes. The clinical trial will be carried out in 2017, in a university hospital. Two profiles of participants will be included in the study: the first one refers to the nursing technicians of the hospital areas, part of them will receive a set of interventions, and the second one refers to the patients in use nasoenteral tube, considering that the effect of intervention will be measured by assessing compliance with care routines.

Conditions

Patient Safety; Enteral Nutrition

Keywords

Nursing Education

Outcome Measures

Primary Outcomes (1)

• Absence of conformity of nursing care in enteral nutritional therapy (ENT) with recommendations of good practices according to institutional protocols.

  This outcome have been measured by means of a Nasoenteric Tube (NT) care checklist observed at the patient's bedside. The checklist contains 25 items that evaluate: Conference of labels and validity of the diets and water bottles and devices used for administration at NT; observation of head of bed routines during enteral infusions, correct NT fixation, hygiene of devices and infusion pumps used ENT.

  12 months

Secondary Outcomes (7)

• The presence of adverse event related to obstruction NT

  12 months

• The presence of adverse event related to displacement NT non-programmed

  12 months

• The presence of adverse event related to withdrawal NT non-programmed

  12 months

• The presence of adverse event related to administration of enteral diet by probe not positioned in the gastrointestinal tract

  12 months

• The presence of adverse event related to non-administration of enteral diet (partial or full) when suspension was not planned

  12 months

Study Arms (2)

Education intervention

OTHER

The educational intervention is based on a hospital institutional protocol for patient using enteral tubes. A clinical simulation will be performed using a low fidelity manikin, where nursing technicians will identify and correct erros, such as: inconsistency between the patient's identification and the diet label, the administration of the diet with a low headboard, fixation of tube not detached and dirty, delay of the diet and others. The simulation will be described through a guide.

Behavioral: Education intervention

Visual identity campaign

OTHER

The visual identity will be given by a set of actions, called "campaign". The campaign consists in the creation and implantation of different materials to be used at the bedside of the patients in use of diet by SNE, such as: (a) poster summarizing care, (b) colored adhesive label to identify devices (c) badge with safety care reminders.

Behavioral: Visual identity campaign

Interventions

Education intervention BEHAVIORAL

The same description of arm Education intervention.

Education intervention

Visual identity campaign BEHAVIORAL

The same description of arm Visual identity campaign.

Visual identity campaign

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Nursing technicians: All nursing technicians of the intervention units will be potentially eligible for the study.
• Patients: with nasoenteral tube, adults (18 years of age or older) and who are hospitalized in the IG or CG units.

You may not qualify if:

• Workers who are not working during data collection. The nursing technicians who are part of the IG will be that could be reassigned to one of the units of the CG and vice versa.
• Patient: unaccompanied patients who are confused and / or disoriented.

Sponsors & Collaborators

• Hospital de Clinicas de Porto Alegre: lead
• Coordenação de Aperfeiçoamento de Pessoal de Nível Superior.: collaborator

Study Sites (1)

Hospital de Clínicas de Porto Alegre

Porto Alegre, Rio Grande do Sul, 90035007, Brazil

Location

MeSH Terms

Interventions

Early Intervention, Educational

Intervention Hierarchy (Ancestors)

Child Health Services; Community Health Services; Health Services; Health Care Facilities Workforce and Services; Preventive Health Services

Study Officials

• Mariur G Beghetto, PhD

  Federal University of Rio Grande do Sul

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 6, 2018
• First Posted: April 13, 2018
• Study Start: June 3, 2017
• Primary Completion: May 1, 2021
• Study Completion: July 1, 2021
• Last Updated: February 11, 2021

Record last verified: 2021-02

Locations

BR (1)