Prevention of Skin Damage in the Patient in Prone Position: Development of Education Interventions Based on a Training Needs Assessment Study.

Study Overview
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Brief Summary
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This is study 1 of 3 - of the overall project: The ProneTection Quality Improvement Project. The three aims of this study, study 1 are: to establish the training needs critical care clinicians have regarding prone positioning, to investigate the conditions for effective implementation as in an intensive care setting, to develop an education and training package (The ProneTection package) for an interdisciplinary team of clinicians on skin damage prevention of patients in the prone position

Detailed Description
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Conduct a needs assessment by using semi-structured interviews with an interdisciplinary team of clinicians (Ghent University Hospital (UZ Gent), Brussels University Hospital (UZ Brussel) and several institutions in Sweden, mainly Örebro University Hospital). Concurrently, investigate the conditions for effective implementation in a critical care facility using the same interviews and participants (interviewees). Develop the education and training package (the ProneTection package). The ProneTection package will be based on the results of our recently published gap-analysis study, the needs assessment results from the interviews, keeping the optimal conditions (facilitators) in mind for successful implementation, and the critical review and evaluation by eleven key opinion leaders from the established international expert panel

Official Title
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Prevention of Skin Damage in the Patient in Prone Position: Development of the ProneTection Education and Training Package and Study of Implementation Conditions in an Intensive Care Setting in Belgium and Sweden.

Conditions
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Pressure Ulcer, Skin Lesion, Acute Respiratory Distress Syndrome

Intervention / Treatment
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* Other: Interviews for the needs analysis. No intervention.


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: • Clinicians (nurses, allied health professionals and doctors) working in intensive care units (ICU) are eligible to participate. This can include critical care nurses, respiratory therapists, physiotherapists etc. and/or Nurses studying towards their speciality as critical care nurses. and/or Wound care specialists or those responsible for advising on skin damage prevention or managing skin damage/ wounds of the patient in the prone position. and/or • Educators / clinical training facilitators within the hospital or teaching at the university. and/or Quality assurance managers or hospital managers. and Signed informed consent and voluntary participation. Exclusion Criteria: Other than the inclusion criteria

Ages Eligible for Study
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Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Clinicians (interviewees) from Ghent University Hospital, Belgium<br>Semi-structured interviews with clinicians | Other: Interviews for the needs analysis. No intervention.<br>* To develop the education and training package, a needs-analysis is necessary. The clinicians' training needs will be established through interviews.<br>|
| Clinicians (interviewees) from Brussels University Hospital, Belgium<br>Semi-structured interviews with clinicians | Other: Interviews for the needs analysis. No intervention.<br>* To develop the education and training package, a needs-analysis is necessary. The clinicians' training needs will be established through interviews.<br>|
| Clinicians (interviewees) from Orebro University Hospital, Sweden<br>Semi-structured interviews with clinicians | Other: Interviews for the needs analysis. No intervention.<br>* To develop the education and training package, a needs-analysis is necessary. The clinicians' training needs will be established through interviews.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Opinion and information regarding the training needs critical care clinicians have regarding prone positioned patients, with a specific focus on skin damage prevention. | Information regarding the training needs critical care clinicians have regarding prone positioning, Opinions regarding the optimal conditions for effective implementation of the educational interventions in an intensive care setting, | Interviews will be conducted within 1-2 months. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The development of an education and training package (The ProneTection package) for an interdisciplinary team of clinicians on skin damage prevention of patients in the prone position | Development of online educational materials based on evidence, training needs assessments and expert opinions. | 2-4 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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prone position, pressure ulcer, moisture-associated skin damage, medical device-related skin injury, skin tear, prone ventilation