The effect of an electronic software based on Nanda's standard nursing diagnoses on the amount of quality and nursing care missed by students and nurses working in teaching hospitals
Determining the impact of an electronic software based on Nanda's standard nursing diagnoses on the quality and nursing care missed by students and nurses working in teaching hospitals.
Design
Clinical trial with two intervention and control groups, without blinding (open label), randomized, on 106 patients. A simple randomization (tossing a coin) was used to select samples into the groups
Settings and conduct
This study is an interventional and clinical trial. The study population is all nursing students studying and nurses working in the special care department of teaching hospitals affiliated to Arak University of Medical Sciences. The developed software will be provided to the intervention groups and they will provide care to the patients based on it, and the control group will provide care to the patients based on the conditions of the internship routine. Blinding will not be done in the present study.
Participants/Inclusion and exclusion criteria
Inclusion criteria for students: Willingness to participate ؛Nursing internship students؛ Do not have a history of working. Exclusion criteria for students: Unwillingness to participate ؛Absence of more than two sessions in internship period ؛Incomplete completion of the questionnaire. Entry criteria for nurses: Willingness to participate ؛experience of working 6 months or more. Criteria for leaving nurses: Unwillingness to participate ؛change their working part ؛Incomplete completion of the questionnaire ؛Taking leave more than two days by the nurses during the implementation of the intervention
Intervention groups
During the study, the developed software will be provided to the intervention groups and they will provide care to the patients based on it, and the control group will provide care to the patients based on the conditions of the internship routine.
Main outcome variables
Nursing process؛ quality of care؛ Nanda standard nursing diagnosis؛ missing nursing care
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20180519039711N8
Registration date:2024-08-26, 1403/06/05
Registration timing:prospective
Last update:2024-08-26, 1403/06/05
Update count:0
Registration date
2024-08-26, 1403/06/05
Registrant information
Name
Mohamad Golitaleb
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 86 3417 3506
Email address
m.golitaleb@arakmu.ac.ir
Recruitment status
recruiting
Funding source
Expected recruitment start date
2024-08-31, 1403/06/10
Expected recruitment end date
2025-07-23, 1404/05/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
The effect of an electronic software based on Nanda's standard nursing diagnoses on the amount of quality and nursing care missed by students and nurses working in teaching hospitals
Public title
The effect of an electronic software based on nursing diagnoses on the amount of quality and nursing care missed by students and nurses working in teaching hospitals.
Purpose
Health service research
Inclusion/Exclusion criteria
Inclusion criteria:
Entry criteria for nursing students: 1) Willingness to participate in the study
2) Be a nursing internship student and have no experience as a student
Entry criteria for nurses: 1) Willingness to participate in the study
2) Have at least 6 months of work experience
Exclusion criteria:
Exclusion criteria for nurses: 1) not wanting to participate in the study
2) His/Her work department should be changed
3) Complete the questionnaire incompletely
4) Leave more than two days by the ward nurses during the implementation of the intervention.
Exit criteria for nursing students: 1) Not willing to participate in further studies
2) Absence of more than two sessions in the internship.
3) Complete the questionnaire incompletely
Age
From 18 years old
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
106
Randomization (investigator's opinion)
Randomized
Randomization description
The method of random selection of the group of nursing students:
First, a list of the names of the nursing intern students and their groupings will be received from the director of the nursing department of Arak University of Medical Sciences. In the next step, each group of students will be assigned a number and will be thrown into a container. The first group that comes out of the container will be placed in the intervention and control group by tossing a coin using a simple tap or line randomization model. In this way, if a coin comes up, that group will be in the intervention group, and if a line comes up, that group will be in the control group. The other groups will be placed in the control and intervention groups, respectively, based on the sequence of leaving the container.
The method of random selection of the group of nurses:
The group of nurses will be selected as available and will be randomly assigned to two intervention and control groups using the alternative block randomization technique. 6 blocks with 10 modes will be used. The letter A will represent the participant of the intervention group and the letter B will represent the participant of the control group. The samples will be selected in the intervention and control groups based on the sequence of entry and according to the block pattern and will be assigned to the intervention and control groups.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Other
Other design features
The present study is a production study in terms of its purpose, application and execution method. This study will be carried out in two separate phases as follows: first stage: Compilation and validation of electronic software content based on Nanda's standard nursing diagnoses, which includes the following 4 phases: First phase: needs assessment Today, one of the main challenges of the health care system is the increase in the number of patients visiting hospitals, which requires complex processes and care. Sometimes these processes are forgotten due to the excessive work load of nurses and affect the quality of appropriate, complete and comprehensive services provided by nurses. Currently, the nursing process as a standard that prevents forgetting the care provided and reducing the quality of nursing care is not given much attention by nursing students and professors in higher education centers. This is while providing care with the traditional routine method and not using the professional nursing process as a guide and standard care strategy can lead to the degradation of nursing from a scientific and practical point of view, reducing the quality of care services and providing one-dimensional care. . According to the experience of master's degree and doctorate in nursing, educational and clinical records, as well as the executive positions of the main owners of the process, as well as the colleagues of the research team, the initial idea of this project was formed as an effective strategy in clinical education and a support assistant for the selection of nursing diagnoses. The standard and promotion of quality nursing care and reduction of lost care. The second phase: formation of the expert panel team The specialized team for deciding the content of the application program includes the research team and experienced and experienced professors in the field of nursing and the application of software in the field of nursing and nurses working in the special care department of teaching hospitals affiliated to Arak University of Medical Sciences who have work experience. are older than 6 months, they will be selected. The third phase: preparing the educational content of the software In this phase, the educational content of the software will be designed and compiled under the supervision of the expert panel team members during various meetings. It will be used for content creation of nursing diagnoses based on the latest list of Nanda nursing diagnoses 2021-2023, focusing on common signs and symptoms in various diseases. In the next step, the NOC & NIC list will be used to design the care plan for planning and nursing measures. The fourth phase: design and development of electronic software This phase will be designed and implemented by the specialized software and informatics nursing team. At this stage, the different menus of the software; It will include signs and symptoms of the disease, nursing diagnosis and care plan, and tools to measure the quality of care provided and nursing care lost. second stage: At this stage, after designing and developing the electronic software in the first stage, a study was carried out to determine the effectiveness of the electronic program on a number of nursing students and nurses working in the special care department of teaching hospitals affiliated to Arak University of Medical Sciences. will be. This study will be a clinical trial with the design of two groups before and after. In this study, the effect of electronic software based on Nanda standard nursing diagnoses on the quality of nursing care and missed nursing care in nursing students and nurses working in the special care department of teaching hospitals affiliated to Arak University of Medical Sciences will be investigated. . The research units will be selected as available and will be randomly assigned in two intervention and control groups.
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics Committee of Arak University of Medical Sciences
Street address
University complex of the great prophet, Sardasht, Arak
City
Arak
Province
Markazi
Postal code
3848176341
Approval date
2024-06-23, 1403/04/03
Ethics committee reference number
IR.ARAKMU.REC.1403.134
Health conditions studied
1
Description of health condition studied
The subject of the research does not include the disease
ICD-10 code
ICD-10 code description
Primary outcomes
1
Description
Quality of nursing care
Timepoint
The beginning of the study and the end of the study
Method of measurement
Nursing care quality questionnaire
2
Description
Missed nursing care
Timepoint
The beginning of the study and the end of the study
Method of measurement
Kalish and Williams two-part questionnaire
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: During the study, the developed software will be available to the intervention groups (nurses and nursing students) (to prevent the content of the designed program from being disseminated to other students and nurses of the control group and to prevent the creation of information leakage of the software in such a way It will be designed to be installed in each mobile phone with only one password so that other people cannot use it) and they will provide their care to patients based on the developed program, and the control group will provide care to patients based on the conditions of the internship routine. will give Information will be collected using quality nursing care questionnaires and the two-part questionnaire of Kalish and Williams on a daily basis in the designed software.
Category
Other
Recruitment centers
1
Recruitment center
Name of recruitment center
AmiralMomenin Hospital
Full name of responsible person
Fatemeh Moghadasi
Street address
Amir al-Momenin hospital, next to medical faculty, Basij square (Sardasht), Arak city, Central province
City
Arak
Province
Markazi
Postal code
3848176941
Phone
+98 86 3836 2302
Fax
+98 86 3417 3619
Email
it-amiralmomenin@arakmu.ac.ir
2
Recruitment center
Name of recruitment center
Valiasr Hospital
Full name of responsible person
Fatemeh Moghadasi
Street address
Hazrat Valiasr Education and Treatment Center, Hazrat Valiasr Square, Arak
City
Arak
Province
Markazi
Postal code
3814957558
Phone
+98 86 3222 2003
Fax
+98 86 3223 1283
Email
pr_valieasr@arakmu.ac.ir
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Arak University of Medical Sciences
Full name of responsible person
Dr Davood Hekmatpoo
Street address
University complex of the great prophet, Sardasht, Arak
City
Arak
Province
Markazi
Postal code
3848176341
Phone
+98 86 3383 8319
Email
dr_hekmat@arakmu.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Arak University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic
Person responsible for general inquiries
Contact
Name of organization / entity
Arak University of Medical Sciences
Full name of responsible person
Fatemeh Moghadasi
Position
Nurse
Latest degree
Bachelor
Other areas of specialty/work
Nursery
Street address
3rd floor, corner of Nizamzadeh Alley, Shahid Abdullahi Alley, Abuzar Street
City
Arak
Province
Markazi
Postal code
3814187476
Phone
+98 86 3221 9231
Email
fatemehmoghadasi03@gmail.com
Person responsible for scientific inquiries
Contact
Name of organization / entity
Arak University of Medical Sciences
Full name of responsible person
Fatemeh Moghadasi
Position
Nurse
Latest degree
Bachelor
Other areas of specialty/work
Nursery
Street address
3rd floor, corner of Nizamzadeh Alley, Shahid Abdullahi Alley, Abuzar Street
City
Arak
Province
Markazi
Postal code
3814187476
Phone
+98 86 3221 9231
Email
fatemehmoghadasi03@gmail.com
Person responsible for updating data
Contact
Name of organization / entity
Arak University of Medical Sciences
Full name of responsible person
Fatemeh Moghadasi
Position
Nurse
Latest degree
Bachelor
Other areas of specialty/work
Nursery
Street address
3rd floor, corner of Nizamzadeh Alley, Shahid Abdullahi Alley, Abuzar Street
City
Arak
Province
Markazi
Postal code
3814187476
Phone
+98 86 3221 9231
Email
fatemehmoghadasi03@gmail.com
Sharing plan
Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Yes - There is a plan to make this available
Data Dictionary
Yes - There is a plan to make this available
Title and more details about the data/document
All potential data can be shared after identifying individuals requesting research information.
When the data will become available and for how long
It can be accessed after 2025/08/23.
To whom data/document is available
Researchers working in academic and scientific institutions and anyone who wants to access the data and details of researchers' research.
Under which criteria data/document could be used
Researchers working in academic and scientific institutions and anyone who wants to access the data and details of researchers' research. Please mention in your request for what purpose you want to use the sources and data from our research.
From where data/document is obtainable
Please contact Miss. Fatemeh Moghadasi at Arak University of Medical Sciences.
Email:fatemehmoghadasi03@gmail.com
contact number: 09184879389.
What processes are involved for a request to access data/document
Please contact Miss. Fatemeh Moghadasi at Arak University of Medical Sciences.
Email:fatemehmoghadasi03@gmail.com
contact number: 09184879389.