Improving the Endotracheal Tube Cuff Pressure Control Knowledge

NCT05797844 | Completed

• 1 other identifier: 2020-KAEK-143-59
• Study Type: interventional
• Target: 88
• Locations: 1 country
• Sites: 1

Brief Summary

This study aimed to evaluate how an educational intervention based on the existing evidence-based guidelines, using both active and passive educational implementetion strategies, could improve the knowledge of nurses regarding managing ETT cuff pressure control. Hypothesis H1: There is a difference between the training given with the active and passive implementation strategies method in improving the endotracheal cuff pressure control knowledge of intensive care nurses.

Conditions

Nurse's Role

Keywords

cuff pressure management; endotracheal tube cuff; educational intervention; intensive care nurses; nurses' knowledge

Outcome Measures

Primary Outcomes (2)

• The Knowledge Level Evaluation Form- Pre- test

  Knowledge level evaluation form on endotracheal tube cuff pressure control consists of 20 questions about the safe limits of endotracheal tube cuff pressure, complications of endotracheal tube cuff pressure that is not within safe limits, the factors affecting endotracheal cuff pressure, and the level of knowledge about endotracheal tube cuff pressure control methods and was prepared by researchers in line with the literature. While creating the survey, expert opinion was obtained. The 20-item knowledge level form was developed to assess the knowledge of nurses on ETT cuff pressure control by researchers. Only one item (part 1) had four answers options the range of ETT cuff pressure, "10-20cmH2O", "20-30 cmH2O", "30-40 cmH2O" and "above 40cmH2 O". Another items had two answers options, "correct" and "incorrect". While scoring, correct answers scored one point each, when incorrect answers options scored zero

  before theoretical training

• The Knowledge Level Evaluation Form-Post-test

  Knowledge level evaluation form on endotracheal tube cuff pressure control consists of 20 questions about the safe limits of endotracheal tube cuff pressure, complications of endotracheal tube cuff pressure that is not within safe limits, the factors affecting endotracheal cuff pressure, and the level of knowledge about endotracheal tube cuff pressure control methods and was prepared by researchers in line with the literature. While creating the survey, expert opinion was obtained. The 20-item knowledge level form was developed to assess the knowledge of nurses on ETT cuff pressure control by researchers. Only one item (part 1) had four answers options the range of ETT cuff pressure, "10-20cmH2O", "20-30 cmH2O", "30-40 cmH2O" and "above 40cmH2 O". Another items had two answers options, "correct" and "incorrect". While scoring, correct answers scored one point each, when incorrect answers options scored zero

  3 months after theoretical training

Study Arms (2)

Experimental Group

EXPERIMENTAL

Nurses included in experimental group were trained through a 4-hour presentation (passive implementation strategy) prepared in the presence of evidence-based guidelines and literature, in addition, they were given a brochure about cuff pressure measurement and a brochure about cuff pressure was hung in the intensive care units where there are handwashing sinks. In addition, 4 follow-up visits (active strategy) were carried out for ETT cuff pressure management using the one-on-one demonstration technique every 21 days.

Other: Active implementational educational strategy; Other: Passive implementational educational strategy

Control Group

ACTIVE COMPARATOR

Nurses included in control group were trained through a 4-hour presentation (passive implementation strategy) prepared in the presence of evidence-based guidelines and literature, in addition, they were given a brochure about cuff pressure measurement and a brochure about cuff pressure was hung in the intensive care units where there are handwashing sinks.No follow-up visits were made to this group

Other: Passive implementational educational strategy

Interventions

Active implementational educational strategy OTHER

4 follow-up visits (active implemantation strategy) were carried out for ETT cuff pressure management using the one-on-one demonstration technique every 21 days. These follow-ups included adherence to evidence-based guidelines, nurses' application of endotracheal cuff pressure measurement and solving the problems encountered during its implementation. Uncertainties associated with evidence-based guidance on endotracheal tube cuff pressure control were clarified during these sessions.

Also known as: Experimental group

Experimental Group

Passive implementational educational strategy OTHER

Theoretical training on endotracheal tube cuff pressure management through a 4-hour presentation prepared with evidence-based guide and literature. A PowerPoint presentation including endotracheal tube cuff pressure normal values, complications related to endotracheal tube cuff pressure, management of endotracheal tube cuff pressure, endotracheal tube cuff pressure control methods, methods affecting endotracheal tube cuff pressure, how to measure endotracheal tube cuff pressure was made.

Also known as: Control group

Control Group; Experimental Group

Eligibility Criteria

• Age: 18 Years - 47 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Working as a nurse in intensive care units
• Nurses who participated in the theoretical training and visited for follow-up
• Volunteer to participate in the study

You may not qualify if:

• Not willing to participate in the study
• Forms with missing answers were not included in the evaluation

Sponsors & Collaborators

• Kastamonu University: lead

Study Sites (1)

Kastamonu University

Kastamonu, 37100, Turkey (Türkiye)

Location

Related Publications (3)

• Mpasa F, van Rooyen DRM, Venter D, Jordan P, Ten Ham-Baloyi W. Improving nurses' knowledge of managing endotracheal tube cuff pressure in intensive care units: A quasi-experimental study. Health SA. 2020 Dec 18;25:1479. doi: 10.4102/hsag.v25i0.1479. eCollection 2020.

  PMID: 33391829 RESULT

• Soyer Ö, Özyürek P, Yavuz van Giersbergen M. The Effect of Endotracheal Tube Cuff Pressure Control Training on Nurses' Knowledge Level. Turk J Intensive Care 2020;18:146-54.

  RESULT

• Murugiah UR, Ramoo V, Jamaluddin MFH, Yahya A, Baharudin AA, Abu H, Thinagaran RRR. Knowledge acquisition and retention among nurses after an educational intervention on endotracheal cuff pressure. Nurs Crit Care. 2021 Sep;26(5):363-371. doi: 10.1111/nicc.12600. Epub 2021 Feb 10.

  PMID: 33569880 RESULT

MeSH Terms

Interventions

Control Groups

Intervention Hierarchy (Ancestors)

Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Officials

• Selda Karaveli Cakir

  Kastamonu Universty

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant professor

Study Record Dates

• First Submitted: March 3, 2023
• First Posted: April 4, 2023
• Study Start: June 7, 2022
• Primary Completion: December 29, 2022
• Study Completion: December 29, 2022
• Last Updated: April 4, 2023

Record last verified: 2023-03

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)