Clinical trial NCT05238870: Prevention of Skin Damage in the Patient in Prone Position: Development of Education Interventions Based on a Training Needs Assessment Study.
Official title: 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.
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Pressure Ulcer
Skin Lesion
Acute Respiratory Distress Syndrome
Keywords: prone position
pressure ulcer
moisture-associated skin damage
medical device-related skin injury
skin tear
prone ventilation
Lead sponsor: University Ghent
Sponsor class: OTHER
Collaborators: name: Örebro University, Sweden
First posted: 2022-02-14
Enrollment: 21
Sex: ALL
Maximum age (years): 65
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Clinicians from the multidisciplinary team working with or responsible for the critically ill ventilated patient in the prone position.

Brief summary: This is study 1 of 3 - of the overall project: The ProneTection Quality Improvement Project.

The three aims of this study, study 1 are:

1. to establish the training needs critical care clinicians have regarding prone positioning,
2. to investigate the conditions for effective implementation as in an intensive care setting,
3. 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: 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

1. the results of our recently published gap-analysis study,
2. the needs assessment results from the interviews, keeping the optimal conditions (facilitators) in mind for successful implementation, and
3. the critical review and evaluation by eleven key opinion leaders from the established international expert panel

Eligibility criteria: 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

Primary outcomes:
measure: Opinion and information regarding the training needs critical care clinicians have regarding prone positioned patients, with a specific focus on skin damage prevention.
timeFrame: Interviews will be conducted within 1-2 months.
Secondary outcomes:
measure: 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
timeFrame: 2-4 months
Other outcomes:
Locations:
city: Gent
country: Belgium
facility: UZ Gent
state: Oost-Vlaanderen
city: Jette
country: Belgium
facility: Universitair Ziekenhuis Brussel
Study officials:
affiliation: University Ghent
name: Dimitri Beeckman, Prof, dr
role: PRINCIPAL_INVESTIGATOR
References:
citation: Fourie A, Ahtiala M, Black J, Hevia H, Coyer F, Gefen A, LeBlanc K, Smet S, Vollman K, Walsh Y, Beeckman D. Skin damage prevention in the prone ventilated critically ill patient: A comprehensive review and gap analysis (PRONEtect study). J Tissue Viability. 2021 Nov;30(4):466-477. doi: 10.1016/j.jtv.2021.09.005. Epub 2021 Sep 23.