Infection Control, Preventive Measures
Conditions
Keywords
nursery care, nursery infection, online learning
Brief summary
This study evaluates if the implementation of an online platform with procedures and protocols, improve the knowledge of professionals and can have a health impact related to decreased contamination of blood cultures.
Detailed description
This is a Quasi-experimental study, with parallel groups (experimental and control). The aim of this study is to evaluate the efficacy of an Online Learning Platform used by nurses to improve the results of a blood culture technique. The online learning tool is studied in two of four internal medicine units of a tertiary hospital in Madrid. These two units have similar characteristics of personnel, materials and structure. Both units are at a great distance, preventing a professional talk to each other.
Interventions
PROCEDUREOnline training of a nursing technique
The professionals with participant in the experimental arm receive an online training of a technique of extraction of blood culture and other arm the professionals no receive any training. They work as usual.
Sponsors
Hospital Universitario 12 de Octubre
Ignacio Zaragoza García
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
22 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Be nurse of the nursing unit selected. * Foreseeing to remain in service during the study. * Acceptance of voluntary participation in the study, prior information. * Signature of informed consent.
Exclusion criteria
* Those professionals who for reasons beyond their control are transferred to other services or are on leave (in any form). They can not complete the various phases of the study. * Professionals who, for whatever reason, decide to withdraw their consent to participate in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Contaminated Cultures in the Control and Experimental Group Before Intervention and After the Learning Obtained With the Online Training Platform. | assessed monthly, month 6 and 9 reported. | The results obtained in each arm of the study are collected month by month in both groups (Experimental and control). The data for each month are summarized for 6 months, reporting the pre-intervention result (for both groups: experimental and control). The data collected during the 3 months following the intervention are also summed during the 3 months, giving a value at the end of this time (month 9 of the study). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Score on the Knowledge Test Related to Blood Culture Extraction Technique for Nurses (K-Blood-CT) | 6 month and 9 month of study. | The improvement in the learning of the technique is measured with a test with 20 questions created ad hoc related of blood culture intervention (Blood culture collection knowledge test for nurses). The score ranges from 0 points (worst level of knowledge) to 10 points (best level of knowledge). The results can be divided into intervals: 0-2.99 very deficient; 3- 4.99 insufficient; 5-6.9 good; 7-8.9 notable; \> 9 outstanding. |
Countries
Spain
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Online Training of a Nursing Technique Participants receives an individual online training of extraction of blood culture for 3 months (This platform aims to improve knowledge and skills), they are sent 3 homework (one per month) and are evaluated at the end of each.
Online training of a nursing technique: The professionals with participant in the experimental arm receive an online training of a technique of extraction of blood culture and other arm the professionals no receive any training. They work as usual. | 26 |
| Not Receive Online Training Participants don´t receives an individual online training of extraction of blood culture.Do their work as usual. | 22 |
| Total | 48 |
Baseline characteristics
| Characteristic | Not Receive Online Training | Online Training of a Nursing Technique | Total |
|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 22 Participants | 26 Participants | 48 Participants |
| Age, Continuous | 39.77 years STANDARD_DEVIATION 8.03 | 40.08 years STANDARD_DEVIATION 8.8 | 39.86 years STANDARD_DEVIATION 8.3 |
| Region of Enrollment Spain | 22 participants | 26 participants | 48 participants |
| Sex: Female, Male Female | 21 Participants | 23 Participants | 44 Participants |
| Sex: Female, Male Male | 1 Participants | 3 Participants | 4 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 0 / 26 | 0 / 22 |
| serious Total, serious adverse events | 0 / 26 | 0 / 22 |
Outcome results
Primary
Number of Contaminated Cultures in the Control and Experimental Group Before Intervention and After the Learning Obtained With the Online Training Platform.
The results obtained in each arm of the study are collected month by month in both groups (Experimental and control). The data for each month are summarized for 6 months, reporting the pre-intervention result (for both groups: experimental and control). The data collected during the 3 months following the intervention are also summed during the 3 months, giving a value at the end of this time (month 9 of the study).
Time frame: assessed monthly, month 6 and 9 reported.
Population: Number of Blood culture extracted. Any blood culture is likely to be contaminated by an inadequate technique.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Online Training of a Nursing Technique Before Intervention. | Number of Contaminated Cultures in the Control and Experimental Group Before Intervention and After the Learning Obtained With the Online Training Platform. | 17 Contaminated blood cultures |
| Not Received Online Training Before Intervention. | Number of Contaminated Cultures in the Control and Experimental Group Before Intervention and After the Learning Obtained With the Online Training Platform. | 15 Contaminated blood cultures |
| Online Training of a Nursing Technique After Intervention. | Number of Contaminated Cultures in the Control and Experimental Group Before Intervention and After the Learning Obtained With the Online Training Platform. | 5 Contaminated blood cultures |
| Not Received Online Training After Intervention. | Number of Contaminated Cultures in the Control and Experimental Group Before Intervention and After the Learning Obtained With the Online Training Platform. | 15 Contaminated blood cultures |
Secondary
Score on the Knowledge Test Related to Blood Culture Extraction Technique for Nurses (K-Blood-CT)
The improvement in the learning of the technique is measured with a test with 20 questions created ad hoc related of blood culture intervention (Blood culture collection knowledge test for nurses). The score ranges from 0 points (worst level of knowledge) to 10 points (best level of knowledge). The results can be divided into intervals: 0-2.99 very deficient; 3- 4.99 insufficient; 5-6.9 good; 7-8.9 notable; \> 9 outstanding.
Time frame: 6 month and 9 month of study.
Population: Nurses who Work in the Internal Medicine Service of university hospital 12 de Octubre Madrid.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Online Training of a Nursing Technique Before Intervention. | Score on the Knowledge Test Related to Blood Culture Extraction Technique for Nurses (K-Blood-CT) | 4.62 Score on K-Blood-CT test | Standard Deviation 1.57 |
| Not Received Online Training Before Intervention. | Score on the Knowledge Test Related to Blood Culture Extraction Technique for Nurses (K-Blood-CT) | 4.88 Score on K-Blood-CT test | Standard Deviation 0.86 |
| Online Training of a Nursing Technique After Intervention. | Score on the Knowledge Test Related to Blood Culture Extraction Technique for Nurses (K-Blood-CT) | 8.2 Score on K-Blood-CT test | Standard Deviation 0.72 |
| Not Received Online Training After Intervention. | Score on the Knowledge Test Related to Blood Culture Extraction Technique for Nurses (K-Blood-CT) | 4.6 Score on K-Blood-CT test | Standard Deviation 0.9 |