None listed
Conditions
Brief summary
This study aims to determine the benefit, effectiveness, and sustainability of a facilitated and structured educational support program versus no facilitation or educational support program in the uptake and adherence to NHF therapy guidelines for infants less than 12 months old admitted with bronchiolitis. The key stakeholders (nursing and medical workforce) have been familiarised with the use of NHF therapy within the boundaries of the completed NHMRC PARIS I trial, 2013-2016. Our study group has developed a comprehensive education program, which includes visual education, paper and signage resources, face to face teaching and online video postings.
Interventions
The intervention is a facilitated, structured educational support program dedicated to observing adherence to statewide NHF guidelines for infants admitted to hospital with bronchiolitis over a 3-4 month winter period. Education material such as printed information sheets and power point presentation will be provided to the local Nurse Educator to perform the education as part of their standard education sessions. Three of the six participating hospitals will receive the face-to-face intervent
The intervention is a facilitated, structured educational support program dedicated to observing adherence to statewide NHF guidelines for infants admitted to hospital with bronchiolitis over a 3-4 month winter period. Education material such as printed information sheets and power point presentation will be provided to the local Nurse Educator to perform the education as part of their standard education sessions. Three of the six participating hospitals will receive the face-to-face intervention at the start of the study by study nurses to the local Nurse Educator. Records on hospital education sessions, content and frequency will be obtained. Additionally a questionnaire on current knowledge on bronchiolitis treatment will be distributed to medical and nursing staff. Knowledge will then again be assessed at end of the study. Education will be delivered face to face and via powerpoint presentation by the Nurse Educator locally. This would be 15-20mins education 1-2 times/nurse over the winter period. Research Nurses will screen patients during study period every 2 weeks to monitor adherence to educational materials provided. Attendance records, hospital checklists and patient observation charts will be monitored during these site visits.
Sponsors
Lady Cilento Children's Hospital
Study design
Allocation
Randomised controlled trial
Intervention model
Factorial
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
0 to No maximum
Healthy volunteers
Yes
Inclusion criteria
Inclusion criteria for patients: Infants less than 12 months old with bronchiolitis who are admitted to hospital and have an oxygen requirement with SpO2<92% Inclusion criteria for nurses receiving educational support • Registered or Enrolled nurse • Current employees of the health care facility • Nurses permanently on the roster for the participating ward/ED for the duration of the study. Inclusion criteria for medical staff • Residents, Registrars, Fellows and Consultants • Current employees of the Health care facility • Medical staff who will be on the roster for the participating ward/ED for the duration of the study.
Exclusion criteria
Exclusion criteria for patients • Critically ill with immediate need for NIV/Intubation • Apnoeas requiring NIV/ Intubation • Blocked nasal passages/choanal atresia • Upper airway obstruction • Craniofacial malformations • Trauma/surgery to nasopharynx • Pneumothorax • Cyanotic congenital heart disease • Decreased level of consciousness • Oncology patients • Foreign body aspiration- suspected or confirmed • Any patient with known lung disease or other conditions that have not been discussed with either the Respiratory Consultant or the treating Paediatrician Exclusion criteria for nursing and medical staff • Students • Agency or casual pool nurses • Locums (medical)
Outcome results
None listed