The Effect Of Training On Nursing Qualıty

NCT05853588 | Completed DMC

• 1 other identifier: IstanbulUCerrahpaşabkara
• Study Type: interventional
• Target: 77
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study, in a randomized controlled design with pretest, posttest and control groups, is to determine the effect of on-the-job (toolbox) training given to nurses on nursing-sensitive quality indicators (pain management, pressure sores, patient falls, Peripheral Venous Catheter complications and adverse event reporting). it aims to answer are: \- Does toolbox training have an effect on nursing-sensitive quality indicators? After the training, participants are expected to adapt to quality practices. This study consists of experimental and control groups. Experimental and control groups were determined by drawing lots with the help of an external expert. Nurses who met the inclusion criteria were included in the lottery. Inclusion criteria for the experimental and control groups were determined as follows:

• Working in one of the hospital's internal medicine or surgical services
• Having been working in the current service for at least 6 months, apart from past work experience
• Having completed the orientation process to the hospital and taking responsibility for patient care
• Voluntarily agree to participate in the study

Conditions

Nurse's Role

Keywords

quality indicators; quality in health; quality in nursing

Outcome Measures

Primary Outcomes (4)

• Nurse Information Form

  This form consists of 10 questions in total to determine the demographic study characteristics of the nurses participating in the research.

  before the training

• Nursing Sensitive Quality Indicators Application Information Form (pretest-posttest)

  Both groups were applied before the on-the-job training to be given to the experimental group and after all trainings were completed. It was prepared in the light of current literature in order to determine the knowledge level of nurses in the experimental and control groups about nursing-sensitive quality indicators and to evaluate the effectiveness of on-the-job training given to the experimental group. A minimum of 0 and a maximum of 100 points can be obtained from this test.

  before the training

• Nursing Sensitive Quality Indicators Implementation Checklists

  The checklists developed in line with the literature have been developed for the management of pain in the unit, pressure ulcer, risk of falling, Peripheral Venous Catheter complications and adverse event reporting, and consist of five sections.In this test, 1 point is given for each complete application.

  before the training

• Unit Quality Indicators Monitoring Form

  Data on 5 nursing-sensitive quality indicators (fall rates (in percent), patient rate with correct pain management (as a number), pressure ulcer rates (in percent), Peripheral Venous Catheter complication (as a number) and adverse event reporting rates(in percent) ) followed before and after the training, and data on the average number of hospitalization days are included.

  before the training

Secondary Outcomes (3)

• Nursing Sensitive Quality Indicators Application Information Form (pretest-posttest)

  At 8 weeks after give all trainings

• Nursing Sensitive Quality Indicators Implementation Checklists

  At 8 weeks after give all trainings

• Unit Quality Indicators Monitoring Form

  At 8 weeks after give all trainings

Other Outcomes (2)

• Nursing Sensitive Quality Indicators Implementation Checklists

  At the 12th week after all trainings are completed

• Unit Quality Indicators Monitoring Form

  At the 12th week after all trainings are completed

Study Arms (2)

Experimental group

EXPERIMENTAL

It was determined by lot by the volunteer nurses who accepted to participate in the study.

Other: training

Control group

NO INTERVENTION

It was determined by lot by the volunteer nurses who accepted to participate in the study.

Interventions

training OTHER

On-the-job (toolbox) training given to the experimental group and containing brief information, lasting at most 10 minutes

Experimental group

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Working in one of the hospital's internal medicine or surgical services
• Being working in the current service for at least 6 months apart from past work experience
• Having completed the orientation process to the hospital and taking responsibility for patient care
• To voluntarily agree to participate in the study

Sponsors & Collaborators

• Istanbul University - Cerrahpasa: lead

Study Sites (1)

İstanbul Univercity-Cerrahpaşa

Istanbul, Antakya, Turkey (Türkiye)

Location

Related Publications (7)

• Heslop L, Lu S, Xu X. Nursing-sensitive indicators: a concept analysis. J Adv Nurs. 2014 Nov;70(11):2469-82. doi: 10.1111/jan.12503. Epub 2014 Aug 12.

  PMID: 25113388 RESULT

• Driscoll A, Grant MJ, Carroll D, Dalton S, Deaton C, Jones I, Lehwaldt D, McKee G, Munyombwe T, Astin F. The effect of nurse-to-patient ratios on nurse-sensitive patient outcomes in acute specialist units: a systematic review and meta-analysis. Eur J Cardiovasc Nurs. 2018 Jan;17(1):6-22. doi: 10.1177/1474515117721561. Epub 2017 Jul 18.

  PMID: 28718658 RESULT

• Donabedian A. The quality of care. How can it be assessed? JAMA. 1988 Sep 23-30;260(12):1743-8. doi: 10.1001/jama.260.12.1743.

  PMID: 3045356 RESULT

• Cavazza, N. & Serpe, A. 2010, The Impact of Safety Training Programs on Workers' Psychosocial Orientation and Behaviour. Revue internationale de psychologie sociale, 23, 187-210.

  RESULT

• Amiri M, Khademian Z, Nikandish R. The effect of nurse empowerment educational program on patient safety culture: a randomized controlled trial. BMC Med Educ. 2018 Jul 3;18(1):158. doi: 10.1186/s12909-018-1255-6.

  PMID: 29970054 RESULT

• Burke MJ, Sarpy SA, Smith-Crowe K, Chan-Serafin S, Salvador RO, Islam G. Relative effectiveness of worker safety and health training methods. Am J Public Health. 2006 Feb;96(2):315-24. doi: 10.2105/AJPH.2004.059840. Epub 2005 Dec 27.

  PMID: 16380566 RESULT

• Kara B, Sonmez B. The Effect of Toolbox Trainings on Nursing Sensitive Quality Indicators: A Randomized Controlled Trial. J Nurs Scholarsh. 2025 May;57(3):439-451. doi: 10.1111/jnu.13051. Epub 2025 Jan 31.

  PMID: 39888187 DERIVED

Study Officials

• Betül SÖNMEZ, Ass. prof

  betul.sonmez@iuc.edu.tr

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD Stıdent

Model Details: This study in randomized controlled, pretest, posttest and experiment, control group design

Study Record Dates

• First Submitted: April 12, 2023
• First Posted: May 11, 2023
• Study Start: November 1, 2021
• Primary Completion: July 30, 2022
• Study Completion: December 30, 2022
• Last Updated: May 11, 2023

Record last verified: 2023-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)