Effectiveness of Nurse-Led Education Programmes to Enhance Infection Prevention and Control Among Childcare Workers in Bangkok Daycare Centres, Thailand

University of Putra Malaysia (UPM)

Status: Enrolling

Conditions: Infection Prevention; Hand Hygiene Behavior; Infection Control

Treatments: Behavioral: The Onsite Nurse-Led Education Programme on IPC; Behavioral: The Online Nurse-Led Education Programme on IPC

Study type: Interventional

Funder types: Other

Identifiers

NCT06736977

COA.1-051/2024

Details and patient eligibility

About

The goal of this clinical trial is to evaluate the effects of nurse-led education programmes on childcare workers (CCWs) in improving infection prevention and control (IPC) practices in daycare centres. The main questions it aims to answer are:

1. Is there an increase in IPC knowledge, attitudes, practices, and self-efficacy, as well as hand hygiene intention and compliance of CCWs after receiving the online or onsite IPC nurse-led education programme?
2. Do CCWs who receive the online programme exhibit higher IPC knowledge, attitudes, practices, and self-efficacy, as well as hand hygiene intention and compliance compared to those who do not receive any programme?
3. Do CCWs who receive the onsite programme exhibit higher IPC knowledge, attitudes, practices, and self-efficacy, as well as hand hygiene intention and compliance compared to those who do not receive any programme?
4. Is there a difference in IPC knowledge, attitudes, practices, and self-efficacy, as well as hand hygiene intention and compliance between CCWs who receive the online programme and those who receive the onsite programme?

Full description

Despite the crucial role of infection prevention and control (IPC) in daycare centers (DCCs), research reveals significant gaps. Based on the systematic review of the IPC programmes among childcare workers (CCWs), most studies focus mainly on hand hygiene, neglecting other IPC components like environmental cleaning, waste management, vaccination, and triage of infectious disease patients. Research on the role of nurses in developing and implementing these programmes is also limited. Existing studies often emphasize outcomes related to children and parents rather than assessing the impact on CCWs. Only two studies used a cluster randomized controlled trial (RCT) design, essential for evaluating group interventions.

Additionally, the emergence of online, on-demand, and hybrid learning methods highlights a gap in IPC training, with limited exploration of online learning for IPC education. Comprehensive IPC programmes for CCWs, incorporating various IPC components, clearly defined roles for nurses, and modern educational methods, are urgently needed. These programmes should be rigorously evaluated using cluster RCT designs to provide robust evidence of their effectiveness. Therefore, this clinical trial is aimed to evaluate the effects of nurse-led education programmes on IPC knowledge, attitudes, and practices, as well as hand hygiene intention and compliance among CCWs in daycare centres in Bangkok, Thailand.

Enrollment: 180 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Registered DCCs in Bangkok, as listed in the Bangkok Metropolis Administrative information.
• At least two or more CCWs work in DCC at the time of recruitment.
• Participants aged 18 years or over.
• Participants had been employed for at least three months at registered DCCs in Bangkok at the time of recruitment.
• Participants provided care for children 0-5 years of age.
• Participants could read and speak Thai language.

Exclusion criteria

• Participants are attending any IPC training at the time of recruitment.
• Participants are planning to attend another IPC training within six months after the time of recruitment.
• Participants have completed another IPC training programme within the six months prior to the time of recruitment.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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180 participants in 3 patient groups

The Onsite Nurse-Led Education Programme on IPC

Experimental group

Description:

The researcher will conduct the Nurse-Led Education Programme on IPC for one experimental group through face-to-face/onsite delivery.

Treatment:

Behavioral: The Onsite Nurse-Led Education Programme on IPC

The Online Nurse-Led Education Programme on IPC

Experimental group

Description:

The researcher will conduct the Nurse-Led Education Programme on IPC for another experimental group through online platform delivery.

Treatment:

Behavioral: The Online Nurse-Led Education Programme on IPC

The Control Group

No Intervention group

Description:

Participants in the control group will continue their usual practice without receiving any intervention and materials until the post-intervention assessment at six months. After that, the researcher will provide the online or onsite programmes and distribute all materials.