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Effectiveness of two distinct web-based education tools for bedside nurses on medication administration practice for venous thromboembolism prevention: A randomized clinical trial
- Source :
- PLoS ONE, PLoS ONE, Vol 12, Iss 8, p e0181664 (2017)
- Publication Year :
- 2017
-
Abstract
- Background Venous thromboembolism (VTE) is a common cause of preventable harm in hospitalized patients. While numerous successful interventions have been implemented to improve prescription of VTE prophylaxis, a substantial proportion of doses of prescribed preventive medications are not administered to hospitalized patients. The purpose of this trial was to evaluate the effectiveness of nurse education on medication administration practice. Methods This was a double-blinded, cluster randomized trial in 21 medical or surgical floors of 933 nurses at The Johns Hopkins Hospital, an academic medical center, from April 1, 2014 –March 31, 2015. Nurses were cluster-randomized by hospital floor to receive either a linear static education (Static) module with voiceover or an interactive learner-centric dynamic scenario-based education (Dynamic) module. The primary and secondary outcomes were non-administration of prescribed VTE prophylaxis medication and nurse-reported satisfaction with education modules, respectively. Results Overall, non-administration improved significantly following education (12.4% vs. 11.1%, conditional OR: 0.87, 95% CI: 0.80–0.95, p = 0.002) achieving our primary objective. The reduction in non-administration was greater for those randomized to the Dynamic arm (10.8% vs. 9.2%, conditional OR: 0.83, 95% CI: 0.72–0.95) versus the Static arm (14.5% vs. 13.5%, conditional OR: 0.92, 95% CI: 0.81–1.03), although the difference between arms was not statistically significant (p = 0.26). Satisfaction scores were significantly higher (p
- Subjects :
- Health Care Providers
Psychological intervention
lcsh:Medicine
Nurses
030204 cardiovascular system & hematology
Surveys
Vascular Medicine
law.invention
0302 clinical medicine
Randomized controlled trial
law
Surveys and Questionnaires
Early Intervention, Educational
Odds Ratio
Medicine and Health Sciences
Medicine
Public and Occupational Health
030212 general & internal medicine
Cluster randomised controlled trial
lcsh:Science
Education, Nursing
Multidisciplinary
Practice Patterns, Nurses'
Pharmaceutics
Venous Thromboembolism
Nursing Education
3. Good health
Professions
Research Design
Research Article
medicine.medical_specialty
Drug Administration
Patients
MEDLINE
Surgical and Invasive Medical Procedures
Research and Analysis Methods
03 medical and health sciences
Nursing Science
Drug Therapy
Thromboembolism
Humans
Nurse education
Medical prescription
Internet
Survey Research
business.industry
Prophylaxis
lcsh:R
Odds ratio
Clinical trial
Health Care
Emergency medicine
People and Places
Physical therapy
lcsh:Q
Perception
Population Groupings
Preventive Medicine
business
Subjects
Details
- ISSN :
- 19326203
- Volume :
- 12
- Issue :
- 8
- Database :
- OpenAIRE
- Journal :
- PloS one
- Accession number :
- edsair.doi.dedup.....dafb1476faf25d8831c3ae95f7e4d6f5