Ignite Creation Date:
2024-10-26 @ 3:41 PM
Last Modification Date:
2024-10-26 @ 3:41 PM
Study NCT ID:
NCT06624007
Status:
COMPLETED
Last Update Posted:
None
First Post:
2024-09-21
Brief Title:
Applying Pediatric Nursing Excellence Model to Nurses in Orthopedic Surgery Care of Children
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Application of Pediatric Nursing Excellence Model on Nurses Performance Regarding Care of Children Undergoing Orthopedic Surgeries
Status:
COMPLETED
Status Verified Date:
2024-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Problem description Orthopedic surgeries are common in pediatric orthopedics treating various conditions resulting from developmental genetic neoplastic nutritional infection neurological or physical injuries The Pediatric Nursing Excellence model helps nurses provide optimal care improve childcare systems and deliver high-quality care It also helps nurses identify trends in specialty nursing excellence The study aims to evaluate the application of the Pediatric Nursing Excellence Model on nurses performance regarding the care of children undergoing orthopedic surgeries Methodology Randomized Controlled Trial will be conducted using a sample of 100 nurses working in the pediatric inpatient surgical unit of Tanta University Hospital Three tools will be used for data collection a knowledge assessment questionnaire an orthopedic surgeries nurse practice observational checklist and the Pediatric Nursing Excellence PNE model All study participants will randomly assign to two intervention and control groups 50 each using a computer-generated table of random numbers Pediatric Nursing Excellence Model will be applied for the intervention group The Control group receive routine care The study participants will be informed about the nature and aim of the study with assuring confidentiality and anonymity Expected outcome Nurses who will participate in the pediatric nursing excellence PNE model application are expected to have an improvement in their performance regarding care of children undergoing orthopedic surgeries
Detailed Description:
Orthopedic surgeries are more prevalent among children and are the most conclusive approach of treatment in pediatric orthopedics addressing wide range of conditions and deformities resulting from developmental or genetic disorders neoplastic disorders nutritional disorders infection neurological conditions or physical injuries that necessitate extensive surgical intrusions to recover musculoskeletal alignment functional abilities control pain and advance the childs quality of life Pediatric Nursing Excellence PNE model assist nurses in providing the optimal care possible to children their work environments also to recognize their efforts to enhance childcare through system improvement Also the nursing excellence model provide nurses the necessary knowledge and practice to deliver high-quality nursing care as well to carry out their responsibilities efficiently and to identify the recent trends in specialty nursing excellence
The present study aims to evaluate application of pediatric nursing excellence model on nurses performance regarding care of children undergoing orthopedic surgeries
Hypotheses
Nurses that participate in the pediatric nursing excellence model application are expected to increase their performance when caring for children having orthopedic surgery
Design A randomized controlled trial with two parallel groups Randomization Participants will be randomly assigned to either the intervention or control group 50 per group using a computer-generated randomization sequence with block sizes of varying lengths to ensure allocation concealment
The study will be conducted in the pediatric inpatient surgical unit at Tanta University Hospital which is affiliated to the ministry of higher education and scientific research
Three tools will be employed to obtain the relevant data to the present study Tool I Nurses knowledge assessment questionnaire Part 1 Nurses Socio demographic characteristics such as age gender academic qualifications years of experience at the surgical unit and previous training courses regarding care of children undergoing orthopedic surgeries
Part 2 Nurses knowledge Assessment This part assessed nurses knowledge regarding orthopedic surgeries which included types causes complications and diagnostic methods
Part 3 Nurses knowledge regarding preoperative and post operative nursing care It included preoperative care as assess general body condition vital signs intake and output measurement of weight investigations and diagnostic tests postoperative nursing care as complications after surgery precautions to prevent infection pain management wound care intake and output discharge instructions
Scoring system Each item was scored as follows correct answers scored 2 correct and incomplete scored 1 and the incorrect or do not know answers scored 0
The nurses total knowledge was classified as the following
80 was considered high level of knowledge
60-80 was considered moderate level of knowledge
60 was considered low level of knowledge Tool II Orthopedic surgeries Nurses practice observational checklist Part I Nursing care for children on admission hand washing procedure vital signs weight measurement laboratory sampling care of intravenous infusion
Part II Preoperative nursing care which includes psychological preparation parent and child education informed consent physical preparation and safety precautions
Part III post-operative nursing care immediately post-operative nursing care Discharge from the recovery room pain management post-operative first day nursing care wound care discharge instructions for parents and child
Scoring system Each step was evaluated as follows
Done correctly scored 1 point
Not done scored zero
Total practice scores are transformed into percentages
80 considered satisfactory practice
80 considered unsatisfactory practice Tool III Pediatric nursing excellence PNE model adopted from McDowell et al 2023 It will be written in an Arabic language and consisted of 15 Likert-type questions to assess nurses general excellence level regarding the care of children undergoing orthopedic surgeries grouped under five main categories including engagement values principles care delivery and continuous improvement Each one of these categories had 3 sub items as following Engagement collaboration professionalism and professional development Values advocacy ethics and quality of life Principles equity holistic care and family centered care Care delivery care coordination care planning and health promotion and Continuous improvement evidence-based practice outcomes and quality standards Scoring system for nurses excellence level The nurses excellence level was evaluated from 0 to 30 as low excellence level 0-9 moderate excellence level 10-19 high excellence level 20-30 The questionnaire rating through a 3-point Likert scale including agree 2 neutral 1 and disagree 0
Data collection procedure through three phases
I-Assessment Phase
It will be carried out by the researchers for all nurses to assess nurses sociodemographic characteristics and knowledge about Tool I
Nurses practice regarding oral care of mechanically ventilated children will be assessed before immediate and after one month of program implementation using Tool II
Nurses will be interviewed individually or in group to fill the questionnaire sheet
II-Implementation Phase
-The educational intervention will be prepared and conducted in the previously mentioned settings during the morning shift through four sessions
The sessions will cover the following topics
The first session types causes complications and diagnostic methods
The second session preoperative and post operative nursing care for children undergoing orthopedic surgeries
The third session Pediatric excellence model and its intended purposes components general application
The fourth session Excellence criteria of nursing care for child safety and prevention of medication errors Approaches for promoting nursing excellence identification in the practice area
The quality requirements in managing human and material resources including equipment handling and nursing care Latest trends in health care services affecting nursing care provided for children undergoing orthopedic surgeries
III-Evaluation phase
Evaluation of pediatric nursing excellence model on nurses performance regarding care of children undergoing orthopedic surgeries will be done through comparing the pre and posttest This phase will be done three times before immediately and one month later
The present study aims to evaluate application of pediatric nursing excellence model on nurses performance regarding care of children undergoing orthopedic surgeries
Hypotheses
Nurses that participate in the pediatric nursing excellence model application are expected to increase their performance when caring for children having orthopedic surgery
Design A randomized controlled trial with two parallel groups Randomization Participants will be randomly assigned to either the intervention or control group 50 per group using a computer-generated randomization sequence with block sizes of varying lengths to ensure allocation concealment
The study will be conducted in the pediatric inpatient surgical unit at Tanta University Hospital which is affiliated to the ministry of higher education and scientific research
Three tools will be employed to obtain the relevant data to the present study Tool I Nurses knowledge assessment questionnaire Part 1 Nurses Socio demographic characteristics such as age gender academic qualifications years of experience at the surgical unit and previous training courses regarding care of children undergoing orthopedic surgeries
Part 2 Nurses knowledge Assessment This part assessed nurses knowledge regarding orthopedic surgeries which included types causes complications and diagnostic methods
Part 3 Nurses knowledge regarding preoperative and post operative nursing care It included preoperative care as assess general body condition vital signs intake and output measurement of weight investigations and diagnostic tests postoperative nursing care as complications after surgery precautions to prevent infection pain management wound care intake and output discharge instructions
Scoring system Each item was scored as follows correct answers scored 2 correct and incomplete scored 1 and the incorrect or do not know answers scored 0
The nurses total knowledge was classified as the following
80 was considered high level of knowledge
60-80 was considered moderate level of knowledge
60 was considered low level of knowledge Tool II Orthopedic surgeries Nurses practice observational checklist Part I Nursing care for children on admission hand washing procedure vital signs weight measurement laboratory sampling care of intravenous infusion
Part II Preoperative nursing care which includes psychological preparation parent and child education informed consent physical preparation and safety precautions
Part III post-operative nursing care immediately post-operative nursing care Discharge from the recovery room pain management post-operative first day nursing care wound care discharge instructions for parents and child
Scoring system Each step was evaluated as follows
Done correctly scored 1 point
Not done scored zero
Total practice scores are transformed into percentages
80 considered satisfactory practice
80 considered unsatisfactory practice Tool III Pediatric nursing excellence PNE model adopted from McDowell et al 2023 It will be written in an Arabic language and consisted of 15 Likert-type questions to assess nurses general excellence level regarding the care of children undergoing orthopedic surgeries grouped under five main categories including engagement values principles care delivery and continuous improvement Each one of these categories had 3 sub items as following Engagement collaboration professionalism and professional development Values advocacy ethics and quality of life Principles equity holistic care and family centered care Care delivery care coordination care planning and health promotion and Continuous improvement evidence-based practice outcomes and quality standards Scoring system for nurses excellence level The nurses excellence level was evaluated from 0 to 30 as low excellence level 0-9 moderate excellence level 10-19 high excellence level 20-30 The questionnaire rating through a 3-point Likert scale including agree 2 neutral 1 and disagree 0
Data collection procedure through three phases
I-Assessment Phase
It will be carried out by the researchers for all nurses to assess nurses sociodemographic characteristics and knowledge about Tool I
Nurses practice regarding oral care of mechanically ventilated children will be assessed before immediate and after one month of program implementation using Tool II
Nurses will be interviewed individually or in group to fill the questionnaire sheet
II-Implementation Phase
-The educational intervention will be prepared and conducted in the previously mentioned settings during the morning shift through four sessions
The sessions will cover the following topics
The first session types causes complications and diagnostic methods
The second session preoperative and post operative nursing care for children undergoing orthopedic surgeries
The third session Pediatric excellence model and its intended purposes components general application
The fourth session Excellence criteria of nursing care for child safety and prevention of medication errors Approaches for promoting nursing excellence identification in the practice area
The quality requirements in managing human and material resources including equipment handling and nursing care Latest trends in health care services affecting nursing care provided for children undergoing orthopedic surgeries
III-Evaluation phase
Evaluation of pediatric nursing excellence model on nurses performance regarding care of children undergoing orthopedic surgeries will be done through comparing the pre and posttest This phase will be done three times before immediately and one month later
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None