The Effect Of Training On Nursing Qualıty

Study Overview
=================
Brief Summary
-----------------
The aim of this study, in a randomized controlled design with pretest, posttest and control groups, is to determine the effect of on-the-job (toolbox) training given to nurses on nursing-sensitive quality indicators (pain management, pressure sores, patient falls, Peripheral Venous Catheter complications and adverse event reporting). it aims to answer are: - Does toolbox training have an effect on nursing-sensitive quality indicators? After the training, participants are expected to adapt to quality practices. This study consists of experimental and control groups. Experimental and control groups were determined by drawing lots with the help of an external expert. Nurses who met the inclusion criteria were included in the lottery. Inclusion criteria for the experimental and control groups were determined as follows: Working in one of the hospital's internal medicine or surgical services Having been working in the current service for at least 6 months, apart from past work experience Having completed the orientation process to the hospital and taking responsibility for patient care Voluntarily agree to participate in the study

Detailed Description
-----------------
This study was carried out to determine the effect of toolbox training on nursing-sensitive quality indicators (pain management, pressure sores, patient falls, peripheral venous catheter complications and adverse event reporting) in a randomized controlled, pre-test, post-test, experimental and control group design. The population of the study consisted of nurses working in the inpatient services (except the intensive care units) of a training and research hospital in Hatay. A total of 77 nurses working in the experimental and control group services determined by randomization constituted the sample of the research (experimental group: 38 nurses, control group: 39 nurses).

Official Title
-----------------
The Effect Of Toolbox Trainings On Nursing Sensitive Quality Indıcators

Conditions
-----------------
Nurse's Role

Intervention / Treatment
-----------------
* Other: training


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Working in one of the hospital's internal medicine or surgical services Being working in the current service for at least 6 months apart from past work experience Having completed the orientation process to the hospital and taking responsibility for patient care To voluntarily agree to participate in the study Exclusion Criteria: Participants who did not meet the inclusion criteria were excluded.
Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: This study in randomized controlled, pretest, posttest and experiment, control group design
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental group<br>It was determined by lot by the volunteer nurses who accepted to participate in the study. | Other: training<br>* On-the-job (toolbox) training given to the experimental group and containing brief information, lasting at most 10 minutes<br>|
| No Intervention: Control group<br>It was determined by lot by the volunteer nurses who accepted to participate in the study. | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Nurse Information Form | This form consists of 10 questions in total to determine the demographic study characteristics of the nurses participating in the research. | before the training | 
| Nursing Sensitive Quality Indicators Application Information Form (pretest-posttest) | Both groups were applied before the on-the-job training to be given to the experimental group and after all trainings were completed. It was prepared in the light of current literature in order to determine the knowledge level of nurses in the experimental and control groups about nursing-sensitive quality indicators and to evaluate the effectiveness of on-the-job training given to the experimental group. A minimum of 0 and a maximum of 100 points can be obtained from this test. | before the training | 
| Nursing Sensitive Quality Indicators Implementation Checklists | The checklists developed in line with the literature have been developed for the management of pain in the unit, pressure ulcer, risk of falling, Peripheral Venous Catheter complications and adverse event reporting, and consist of five sections.In this test, 1 point is given for each complete application. | before the training | 
| Unit Quality Indicators Monitoring Form | Data on 5 nursing-sensitive quality indicators (fall rates (in percent), patient rate with correct pain management (as a number), pressure ulcer rates (in percent), Peripheral Venous Catheter complication (as a number) and adverse event reporting rates(in percent) ) followed before and after the training, and data on the average number of hospitalization days are included. | before the training | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Nursing Sensitive Quality Indicators Application Information Form (pretest-posttest) | Both groups were applied before the on-the-job training to be given to the experimental group and after all trainings were completed. It was prepared in the light of current literature in order to determine the knowledge level of nurses in the experimental and control groups about nursing-sensitive quality indicators and to evaluate the effectiveness of on-the-job training given to the experimental group. A minimum of 0 and a maximum of 100 points can be obtained from this test. | At 8 weeks after give all trainings | 
| Nursing Sensitive Quality Indicators Implementation Checklists | The checklists developed in line with the literature have been developed for the management of pain in the unit, pressure ulcer, risk of falling, Peripheral Venous Catheter complications and adverse event reporting, and consist of five sections.In this test, 1 point is given for each complete application. | At 8 weeks after give all trainings | 
| Unit Quality Indicators Monitoring Form | Data on 5 nursing-sensitive quality indicators (fall rates (in percent), patient rate with correct pain management (as a number), pressure ulcer rates (in percent), Peripheral Venous Catheter complication (as a number) and adverse event reporting rates(in percent) ) followed before and after the training, and data on the average number of hospitalization days are included. | At 8 weeks after give all trainings | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
quality indicators, quality in health, quality in nursing