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| Sponsored by: |
State University of New York - Upstate Medical University |
|---|---|
| Information provided by: | State University of New York - Upstate Medical University |
| ClinicalTrials.gov Identifier: | NCT00635869 |
Purpose
The primary aim of this pilot study is to evaluate the effects of two variations of the ARCC Intervention Program on nursing processes and outcomes (job satisfaction, group cohesion, EBP knowledge, EBP implementation, EBP beliefs), patient/family outcomes (e.g. pt/family satisfaction with care), and institutional processes and outcomes (e.g. nurse-physician collaboration, cost, RN turnover, incidence frequency relevant to the topic). Secondary aims are to test the feasibility of study methods and reliability and validity of questionnaires.
This study is designed as a three-group randomized clinical trial with repeated measures. Three inpatient units (medicine, surgery, surgical intensive care) will be randomly assigned to one of three interventions: ARCC enhanced (didactic content presentations, use of an EBP tool kit which will stay on the unit, environmental EBP prompts, availability of an EBP coach on the unit); ARCC standard (all of the above, but without the coach); non-EBP intervention (didactic content and environmental prompts, but not related to EBP; placebo). The interventions will be implemented over an estimated 14 weeks, including a 4-week training period, and an estimated 10 weeks to implement an EBP initiative that the nurses on the two ARCC intervention units will develop. Baseline information and questionnaires will be collected from nurses at the start of the study, and again at completion of the intervention phase.
Outcome data will be collected from nurses approximately 10 weeks after implementation of the ARCC interventions are completed (i.e., 22 weeks after the study is commenced). Nurse-physician collaboration data will be collected from physicians working with study unit nurses as well as from the nurses.
Patient satisfaction data will not be separately collected in this study, but will include use of unit-level Press-Ganey scores immediately prior to and over the study time period. Unit level and institutional RN turnover will be tracked monthly during the entire study period and will be compared across units at the same time as well as compared within each study over time (i.e., unit retention during those same months in the previous year). Costs of each EBP intervention will be tracked during the study and compared descriptively. Survey data will be analyzed using analysis of variance statistics.
Questionnaires will be tested for reliability and construct validity. Because this is a pilot study, statistically significant differences are not expected, however, effect sizes will be calculated
| Condition | Intervention |
|---|---|
|
Evidence-Based Medicine Physician-Nurse Relations |
Behavioral: ARCC standard information Behavioral: ARCC enhanced Behavioral: Placebo |
| Study Type: | Observational |
| Study Design: | Prospective |
| Official Title: | Advancing Research and Clinical Practice Through Close Collaboration (ARCC): A Pilot Test of an Intervention to Improve Evidence-Based Care and Patient Outcomes |
| Enrollment: | 29 |
| Study Start Date: | September 2005 |
| Study Completion Date: | August 2006 |
| Primary Completion Date: | August 2006 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
ARCC standard
RNs on unit receiving basic ARCC information with staff nurse champion
|
Behavioral: ARCC standard information
EBP didactic education sessions, EBP toolkit, environmental prompts, identification of an EBP champion among unit staff RNs
|
|
ARCC enhanced
RNs on unit receiving ARCC standard content plus with an EBP mentor
|
Behavioral: ARCC enhanced
same as ARCC standard plus EBP mentor on-site twice each week plus available by e-mail for consultation
|
|
C
RNs on the unit receiving the placebo intervention
|
Behavioral: Placebo
didactic education sessions on physical assessment
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Non-Probability Sample |
Registered Nurse staff working on inpatient study units (medicine, surgery, surgical intensive care)
Inclusion Criteria:
Exclusion Criteria:
Contacts and Locations| United States, New York | |
| University Hospital, SUNY Upstate Medical University | |
| Syracuse, New York, United States, 13210 | |
| Principal Investigator: | Priscilla S Worral, PhD, RN | State University of New York - Upstate Medical University |
More Information
| Responsible Party: | University Hospital, SUNY Upstate Medical University ( Priscilla Sandford Worral, Coordinator of Nursing Research ) |
| Study ID Numbers: | 5199 |
| Study First Received: | March 7, 2008 |
| Last Updated: | March 13, 2008 |
| ClinicalTrials.gov Identifier: | NCT00635869 History of Changes |
| Health Authority: | United States: Institutional Review Board |
|
evidence based practice beliefs evidence based practice implementation evidence based practice knowledge nurse physician collaboration |
