None listed
Conditions
Brief summary
This pilot RCT involves a new Clinical Decision Support System (CDSS) that will assist community nurses select appropriate ulcer dressings and will be integrated into a mobile application (it is not artificial intelligence). The CDSS, aims to simplify the complex decision-making process of selecting appropriate dressings for various types of ulcers. It has been designed to help community nurses choose the right ulcer dressing by providing an easy-to-use resource. It will suggest evidence-based dressing options. This pilot RCT will test the feasibility and acceptability of using this digital tool in community settings.
Interventions
a new Clinical Decision Support System (CDSS) that will assist community nurses select appropriate ulcer dressings and will be integrated into a mobile application (it is not artificial intelligence).
A Clinical Decision Support System (CDSS) has been designed by Elise Stevenson, the PhD candidate and has been peer-review by wound care specialists from NSW Health. A CDSS is a health information technology designed to deliver knowledge and personalised information to clinicians, staff, patients,
a new Clinical Decision Support System (CDSS) that will assist community nurses select appropriate ulcer dressings and will be integrated into a mobile application (it is not artificial intelligence). A Clinical Decision Support System (CDSS) has been designed by Elise Stevenson, the PhD candidate and has been peer-review by wound care specialists from NSW Health. A CDSS is a health information technology designed to deliver knowledge and personalised information to clinicians, staff, patients, and other stakeholders, aiding in health and healthcare decision-making. CDSSs can be defined as ”any computer program designed to assist health professionals in clinical decision making”. The main goal of modern CDSS is to aid clinicians at the point of care. Intervention: community nursers will access the CDSS via their NSW Health staff phone. They will use the CDSS only with consenting patients who have chronic ulcers on the lower extremity (below the knee on the ankle and/or foot) including venous let ulcer (VLUs), diabetic foot ulcer (DFUs), arterial ulcer and pressure injuries, or mixed aetiology ulcers. Ulcers will be photographed using the CDSS and measured with the leg ulcer measurment tool (LUMT) at baseline and at the conclusion of the study (3 months), or earlier if healing occurs. Consented community nurses will complete a short online training module on using the CDSS and randomly assigned to either the intervention or control group. They will then complete a 10-question quiz. Feedback will be provided for incorrect answers, and participants may repeat the quiz until achieving a 100% score. The adherence will be monitored two ways: 1. a logbook will be used by the community nurse to self-report the use of the app; 2. the app itself has a function that the research team can monitor the access time.
Sponsors
University of Newcastle
Study design
Allocation
Randomised controlled trial
Primary purpose
Treatment
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Nurses: • Holds Australian Health Professionals Regulatory Agency (AHPRA) registered nurses’ registration • Work in the community service at the research sites. • Have access to a HNE work device (mobile phone or tablet device) that has access to data. Patients: • Aged 18 years or older. • Have a chronic ulcer on their lower leg (ankle and/or foot). The chronic ulcer aetiology must be a VLU, DFU, AU, PI, or mixed aetiology. • Have dressing attended by a community nurse with the HNELHD 2-3 times per week
Exclusion criteria
• Unable to provide informed consent.
Outcome results
None listed