Evaluate the Effectiveness of First Aid E-book Intervention Among New Nurses

NCT06000878 | Completed DMC

• 1 other identifier: KMUHIRB-SV(I)-20210025
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

Background: First aid skills are clinical performance ability requiring a higher level of skills for new nurses. At present, the focus of first aid-related teaching materials and methods remain on books and physical courses. E-books have not yet been applied to first aid skills training for new nurses despite their advantage of making reading, learning, and reviewing available at any time. Objective: To assess the effect of receiving interactive first aid e-book interventions on new nurses in a medical center in southern Taiwan in respect of first aid knowledge, self-efficacy, and first aid skills. Methods: A two-group three-time repeated measures experimental design was adopted. 70 qualified new nurses were randomly assigned to the experimental group and the control group, each composed of 35 nurses. The experimental group received a one-hour e-book course plus one month of first aid e-book intervention and regular training, whereas the control group only received one month of regular training. Performance indicators included administering the objective structured clinical examination (OSCE) on first aid skills, and questionnaires for knowledge and self-efficacy related to first aid skills. The experimental group received qualitative interviews and filled out the system usability scale one month after the intervention. Data were analyzed using the independent samples t-test, chi-squared test, paired samples t-test, and generalized estimating equations (GEE).

Conditions

First Aid; Knowledge; Self-efficacy

Keywords

e-book; first aid knowledge; self-efficacy; first aid skills

Outcome Measures

Primary Outcomes (3)

• First Aid Knowledge Questionnaire

  The first aid knowledge questionnaire was based on the 2020 American Heart Association First Aid Guidelines Update (Cummins \& Hazinski, 2020), and American Heart Association Cardiopulmonary Resuscitation and Cardiovascular Emergency Guidelines (Craig-Brangan \& Day, 2020). The questionnaire included five items with a total of 20 questions to test the new nurses' concept and understanding of first aid: first aid assessment and initial treatment (four questions), maintenance of airway and circulation (four questions), interpretation and treatment of abnormal heart rhythm (five questions), teamwork and abnormal handling (six questions), and communication and coordination with the patient's family members (one question). Each question is 5 points and measured on a five-point scale, with the total score being 0 to 100 points for 20 questions. The higher the score, the better was the awareness of first aid.

  pre-test, immediate post-test, and one-month post-test

• First Aid Self-Efficacy Scale

  This study modified the "Self-efficacy Scale of First Aid Ability for Nurses" developed by Xie et al. (2014) to measure the self-efficacy of first aid ability assessed by new nurses themselves (Xie et al., 2014). The self-efficacy scale has six items with a total of 30 questions: maintenance of the respiratory tract and circulation (seven questions), teamwork and abnormal handling (twelve questions), communication and coordination between patients and their families (three questions), and abnormal heart rhythm interpretation and treatment (three questions), first aid assessment and initial treatment (four questions), demonstration of nursing first aid role and function (one question). Each question was answered on a five-point Likert Scale, with a total score ranging between 30-150 points; the higher the score, the higher the confidence level.

  pre-test, immediate post-test, and one-month post-test

• First aid skills OSCE

  A modified first aid skill measurement OSCE based on Li Huizhen et al. (2016) OSCE was used (Li Huizhen et al., 2016). A standardized clinical scenario was employed, and the examiner provided prompts during the test to assess the participants' first aid skills. The test was divided into three dimensions, with a total of 30 questions. The first dimension was pre-emergency assessment, performing cardiac compressions, and first aid balls (9 questions). The second dimension was the use of electric shock device and electric shock, and placing the endotracheal tube to confirm the position and fix it (11 questions). The third dimension was communication and coordination between first aid administration, and patient's family members (10 questions). The test time was 15 min, and each question was scored on five points. The total score on this scale ranges from 0 to 150 points. The higher the score, the better the first aid skill.

  pre-test, immediate post-test, and one-month post-test

Secondary Outcomes (2)

• System usability scale (SUS)

  one-month post-test

• Qualitative interview

  one-month post-test

Study Arms (2)

experimental group

EXPERIMENTAL

The experimental group received a one-hour e-book course plus one month of first aid e-book intervention and regular training

Other: first aid e-book

control group

NO INTERVENTION

The control group only received one month of regular training.

Interventions

first aid e-book OTHER

interactive first aid e-book interventions

experimental group

Eligibility Criteria

• Age: 20 Years - 25 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• In medicine within 2 years after graduation New nurses working in the center who have passed the probationary period and have a basic first aid BLS certificate.
• Willing to participate with this researcher.

You may not qualify if:

• Injured hands and unable to perform CPR

Sponsors & Collaborators

• Kaohsiung Medical University Chung-Ho Memorial Hospital: lead

Study Sites (1)

Kaohsiung Medical University Hospital, Kaohsiung Medical University

Kaohsiung City, No.100, Tzyou 1st Rd., Sanmin District, 80708, Taiwan

Location

Study Officials

• CHIA-KUEI HU

  Kaohsiung Medical University Hospital, Kaohsiung Medical University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 14, 2023
• First Posted: August 21, 2023
• Study Start: July 19, 2021
• Primary Completion: January 21, 2022
• Study Completion: January 21, 2022
• Last Updated: August 21, 2023

Record last verified: 2022-01

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)