Impact of Combining Incontinence-associated Dermatitis Prevention and Management Course and Directive Wheel Chart

Kaohsiung Medical University

Status: Completed

Conditions: Dermatitis; Knowledge, Attitudes, Practice

Treatments: Other: Experimental group; Other: Control Group

Study type: Interventional

Funder types: Other

Identifiers

NCT06835192

KMUHIRB-E(I)-20240128

Details and patient eligibility

About

Background: Knowledge, attitudes, and behaviors regarding the prevention and care of incontinence-associated dermatitis (IAD) need to be enhanced through educational training. There is a lack of innovative courses and convenient tools to assist nursing staff in learning and teaching in clinical settings.

Purpose: This study aims to investigate the learning outcomes of nursing staff in adult wards regarding the prevention and care of IAD, comparing the effectiveness of a course combined with an Directive Wheel Chart versus a course alone. Additionally, the study examines the effectiveness of nursing staff applying the course and Directive Wheel Chart in peer teaching.

Full description

Design: This study was a two-phase randomized controlled trial conducted at a regional teaching hospital in Taiwan.

Materials and Methods: The study involved eight wards, comprising a total of 106 nurses, who were initially randomly assigned to either an experimental group (EG) or a control group (CG). Subsequently, the nurses within each ward were randomly allocated to two phases. The researcher delivered a 50-minute lecture to both groups, providing the IAD directive wheel chart only to the nurses in the EG. After a two-weeks period, one or two nurses from each ward in the first phase utilized the same course and directive wheel chart to peer-teach the nurses in the second phase within the same wards. The Chinese version of the Knowledge, Attitudes and Practices of Incontinence-associated Dermatitis Questionnaire (KAP-IAD-Q-C) and the Chinese version of the attitude towards the prevention of incontinence-associated dermatitis instrument (APrIAD-C) were employed to evaluate effectiveness. The Generalized Estimating Equation (GEE) was utilized to analyze the effectiveness of the educational intervention for each phase.

Enrollment: 144 patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

(1)Nurses in the eight adult wards.

Exclusion criteria

1. New nurses had not completed the three-month probation period;
2. Nurses are holding administrative management positions
3. Nurse practitioners;
4. Nurses who expected to be employed within six months due to job transitions.

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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144 participants in 2 patient groups

Experimental group

Experimental group

Description:

Combining Incontinence-associated Dermatitis Prevention and Management Course and Directive Wheel Chart

Treatment:

Other: Control Group

Other: Experimental group

Control Group

Other group

Description:

The first author conducted a 25-minute knowledge lecture for the nurses in the CG on the same topics covered in the EG. This lecture included an explanation of IAD, its causes, the latest global classification of IAD, as well as methods for skin prevention and IAD care. Following the lecture, the same three clinical examples presented in the EG were discussed for an additional 20 minutes, during which the nurses were divided into groups for case discussions. Finally, a 5-minute quiz competition was held, featuring the same five actual clinical photographs used in the EG.

Treatment:

Other: Control Group

Other: Experimental group