Effectiveness of a Online Training Program With a Clinical Procedure Standardized in Units of Nursing (CPSUN)

• Sponsor: Ignacio Zaragoza García (Other)
• Overall Status: Completed
• CT.gov ID: NCT02965989
• Collaborator: Hospital Universitario 12 de Octubre (Other)
• Enrollment: 48
• Location: 1
• Arms: 2
• Duration (Months): 14
• Patients Per Site Per Month: 3.4

Study Details

Study Description

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.

Condition or Disease	Intervention/Treatment	Phase
Infection Control; Preventive Measures	Procedure: Online training of a nursing technique	N/A

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.

Study Design

• Study Type: Interventional
• Actual Enrollment: 48 participants
• Allocation: Non-Randomized
• Intervention Model: Parallel Assignment
• Masking: Single (Participant)
• Primary Purpose: Prevention
• Official Title: Effectiveness of a Online Training Program With a Clinical Procedure Standardized: "Blood Culture in Units of Nursing". Quasi-experimental Study
• Study Start Date: May 1, 2015
• Actual Primary Completion Date: Jan 1, 2016
• Actual Study Completion Date: Jul 1, 2016

Arms and Interventions

Arm	Intervention/Treatment
Experimental: 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.	Procedure: 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.; Other Names: Elsevier Clinical Skills
No Intervention: not receive online training Participants don´t receives an individual online training of extraction of blood culture.Do their work as usual.

Outcome Measures

Primary Outcome Measures

1. 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 Outcome Measures

1. 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.

Eligibility Criteria

Criteria

• Ages Eligible for Study: 22 Years to 65 Years
• Sexes Eligible for Study: All
• Accepts 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.

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Hospital Universitario 12 de Octubre de Madrid	Madrid		Spain	28041

Sponsors and Collaborators

• Ignacio Zaragoza García
• Hospital Universitario 12 de Octubre

Investigators

• Principal Investigator: Ignacio Zaragoza GArcía, PhD, Hospital 12 de Octubre de Madrid

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

• Responsible Party: Ignacio Zaragoza García, Principal Investigator, Hospital Universitario 12 de Octubre
• ClinicalTrials.gov Identifier: NCT02965989
• Other Study ID Numbers: InveCuidSkill16
• First Posted: Nov 17, 2016
• Last Update Posted: Mar 30, 2021
• Last Verified: Mar 1, 2021

• Individual Participant Data (IPD) Sharing Statement: No
• Plan to Share IPD: No
• Keywords provided by Ignacio Zaragoza García, Principal Investigator, Hospital Universitario 12 de Octubre: nursery care; nursery infection; online learning
• Additional relevant MeSH terms: Infections

Study Results

Participant Flow

Arm/Group Title	Online Training of a Nursing Technique	Not Receive Online Training
Arm/Group Description	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.	Participants don´t receives an individual online training of extraction of blood culture. Do their work as usual.
Period Title: Overall Study
STARTED	26	22
COMPLETED	26	22
NOT COMPLETED	0	0

Baseline Characteristics

Arm/Group Title	Online Training of a Nursing Technique	Not Receive Online Training	Total
Arm/Group Description	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.	Participants don´t receives an individual online training of extraction of blood culture.Do their work as usual.	Total of all reporting groups
Overall Participants	26	22	48
Age (Count of Participants)
<=18 years	0 0%	0 0%	0 0%
Between 18 and 65 years	26 100%	22 100%	48 100%
>=65 years	0 0%	0 0%	0 0%
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]	40.08 (8.8)	39.77 (8.03)	39.86 (8.3)
Sex: Female, Male (Count of Participants)
Female	23 88.5%	21 95.5%	44 91.7%
Male	3 11.5%	1 4.5%	4 8.3%
Region of Enrollment (participants) [Number]
Spain	26 100%	22 100%	48 100%

Outcome Measures

1. Primary Outcome

Title	Number of Contaminated Cultures in the Control and Experimental Group Before Intervention and After the Learning Obtained With the Online Training Platform.
Description	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.

Outcome Measure Data

Analysis Population Description

Number of Blood culture extracted. Any blood culture is likely to be contaminated by an inadequate technique.

Arm/Group Title	Online Training of a Nursing Technique Before Intervention.	Not Received Online Training Before Intervention.	Online Training of a Nursing Technique After Intervention.	Not Received Online Training After Intervention.
Arm/Group Description	Participants perform the technique of blood culture extraction in a conventional way. After 6 months of monitoring of contaminated blood cultures, this group will receive online training to improve the performance of this technique. Report of month 6 (amount of the first 6 months).	Participants perform the technique of blood culture extraction in a conventional way. This group will not receives an individual online training of extraction of blood culture in any time during the study. Perform the technique as usual way. Report of month 6 (amount of the first 6 months).	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 ("Not receive online training after intervention") They will not receive any training. They work as usual. Report of month 9 (amount between the 6 to 9 months).	Participants don´t receives an individual online training of extraction of blood culture.Do their work as usual. Report of month 9 (amount between the 6 to 9 months).
Measure Participants	26	22	26	22
Measure Blood cultures	258	325	168	158
Number [Contaminated blood cultures]	17	15	5	15

2. Secondary Outcome

Title	Score on the Knowledge Test Related to Blood Culture Extraction Technique for Nurses (K-Blood-CT)
Description	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.

Outcome Measure Data

Analysis Population Description

Nurses who Work in the Internal Medicine Service of university hospital 12 de Octubre Madrid.

Arm/Group Title	Online Training of a Nursing Technique Before Intervention.	Not Received Online Training Before Intervention.	Online Training of a Nursing Technique After Intervention.	Not Received Online Training After Intervention.
Arm/Group Description	Participants don´t receives any added knowledge or training in the 6 month before intervention. Maintain a regular training within their professional recycling. Those professionals were avaluated before starting the intervention for to know the previous level of Knowledge.	Participants don´t receives an individual online training of extraction of blood culture.Do their work as usual. Maintain a regular training within their professional recycling. Those professionals were avaluated before starting the intervention for to know the previous level of Knowledge.	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. Those professionals were evaluated after finished the intervention for to know the level of Knowledge.	Participants don´t receives an individual online training of extraction of blood culture.Do their work as usual.Maintain a regular training within their professional recycling. Those professionals were evaluated after finished the intervention for to know the level of Knowledge.
Measure Participants	26	22	26	22
Mean (Standard Deviation) [Score on K-Blood-CT test]	4.62 (1.57)	4.88 (0.86)	8.2 (0.72)	4.6 (0.9)

Adverse Events

Arm/Group Title	Online Training of a Nursing Technique		Not Receive Online Training
Arm/Group Description	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.		Participants don´t receives an individual online training of extraction of blood culture. Do their work as usual.
All Cause Mortality
	Online Training of a Nursing Technique		Not Receive Online Training
	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events
Total	/ (NaN)		/ (NaN)
Serious Adverse Events
	Online Training of a Nursing Technique		Not Receive Online Training
	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events
Total	0/26 (0%)		0/22 (0%)
Other (Not Including Serious) Adverse Events
	Online Training of a Nursing Technique		Not Receive Online Training
	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events
Total	0/26 (0%)		0/22 (0%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

All Principal Investigators ARE employed by the organization sponsoring the study.

There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.