Clarification of Nurses' Expected Role in Health Promotion

NCT04726696 | Unknown

• 1 other identifier: GºNa15/19
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to implement and evaluate ROLE-AP, a multi-component program to clarify primary care nurses' expected role in health promotion. It is hypothesized that, in comparison with the control group, participants in the experimental group will increase their degree of agreement on nurses' role in health promotion.

Conditions

Role, Nurses

Keywords

Role clarification; Nurses' role; Health promotion; Prevention

Outcome Measures

Primary Outcomes (1)

• Changes on nurses' agreement on their role using the Spanish version of "Nurses' Role in Health Promotion Questionnaire"

  Nurses will complete the questionnaire at 3 time points.

  Baseline (T0), immediately after intervention (T1) and 3 months follow up (T2)

Other Outcomes (5)

• Barriers to program implementation assessed by the researcher's field diary (Feasibility)

  Baseline (T0)

• Fidelity of the program assessed by the "ROLE-AP program checklist" (Quality)

  During the intervention

• Acceptability of the program by nurses, assessed by the "Nurses' satisfaction with the ROLE-AP program questionnaire"

  Immediately after intervention

Study Arms (2)

Control group

NO INTERVENTION

None intervention to be administered, they continue their normal routine.

Intervention group

EXPERIMENTAL

ROLE-AP is a multifaceted program offered over a month period to participating primary care nurses and includes three interactive workshops. Each workshop will be 4 hours long.

Behavioral: ROLE-AP programme

Interventions

ROLE-AP programme BEHAVIORAL

The intervention group will be split in two groups of 7-8 primary care nurses each. These two groups will receive the ROLE-AP program over a three weeks period. Each workshop will be divided into two sessions of 90-120min. The first workshop focuses on the clarification of health promotion concepts and the discussion of the state of nursing practice in health promotion. Participants will discuss the misalignments between this description of nursing practice and the ideal one portrayed by the Ottawa Charter. The second workshop will allow the presentation of the objectives of the health care organization, showing its alignment with the Ottawa Charter areas of action. In addition, it will present a standardized instrument that reflects expectations about nurses' activities in health promotion that will serve for discussing and realigning participants' expectations on nurses' role in health promotion. The third workshop will continue with the discussion of nurses' expected activities.

Intervention group

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• being a primary care nurse in the Navarre health service.
• have two years of professional experience in primary health care
• be a nurse attending either adult or pediatric population
• have signed the consent form for participation in the study

You may not qualify if:

• \- not planning to be in clinical practice for the whole duration of the study.

Sponsors & Collaborators

• Clinica Universidad de Navarra, Universidad de Navarra: lead
• Gobierno de Navarra: collaborator
• Universidad Pública de Navarra: collaborator

Study Sites (1)

University of Navarra

Pamplona, Navarre, 31008, Spain

Location

Related Publications (1)

• Iriarte-Roteta A, Lopez-Dicastillo O, Mujika A, Antonanzas-Baztan E, Hernantes N, Galan Espinilla MJ, Pumar-Mendez MJ. Building capacity for health promotion by addressing nurses' role confusion: Study protocol of a pilot clustered randomised controlled trial. J Adv Nurs. 2021 Nov;77(11):4574-4585. doi: 10.1111/jan.15018. Epub 2021 Aug 21.

  PMID: 34418139 DERIVED

Study Officials

• Iriarte

  University of Navarra

  PRINCIPAL INVESTIGATOR

Study Design

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

Model Details: The study will be conducted in the province of Navarra (Spain), in the primary health care service. The study will follow a cluster randomised design with primary care teams (PCT) as sampling units. A PCT consists of a group of family physicians who work in close cooperation with nurses and social workers to offer primary care services to registered individuals in the area. Each cluster will be randomly assigned to one of the two groups, control or intervention. The main reason for using a cluster design is to avoid contamination, which could occur among nurses working in the same PCT. This is more likely given the particular characteristics of this complex intervention in which masking is not possible. The R software (version 3.3.0) will be used to choose an allocation at random. The randomisation of the study groups will be stratified according to the scope of work (rural / urban), to guarantee the representativeness of the different segments of the study population.

Study Record Dates

• First Submitted: January 14, 2021
• First Posted: January 27, 2021
• Study Start: February 21, 2021
• Primary Completion: July 1, 2021
• Study Completion: July 1, 2021
• Last Updated: June 22, 2021

Record last verified: 2020-07

Locations

ES (1)