Improving nurses' continuing vocational training in psychiatric hospitals and inpatient units

ISRCTN ISRCTN32869544
DOI https://doi.org/10.1186/ISRCTN32869544
Secondary identifying numbers FI-06-B-F-PP-160701
Submission date
30/09/2010
Registration date
24/11/2010
Last edited
06/05/2014
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Not provided at time of registration

Study website

Contact information

Prof Maritta Välimäki
Scientific

Department of Nursing Science
Turku
20014
Finland

Phone +358 (0)2 333 8495
Email mava@utu.fi

Study information

Study designMulticentre randomised controlled open label study
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeQuality of life
Scientific titleThe impact of eLearning course on nurses’ professional competence in psychiatric nursing: a multicentre, randomised controlled open label study
Study acronymPsychEduNurse.Net
Study hypothesisThe primary hypothesis of the study is that nurses working in those wards who participate in eLearning course (ePsychNurse.Net) would have better knowledge on coercion-related legislation, physical restraint and seclusion comparing to nurses working in wards who would not participate in the course.

The secondary hypothesis is that nurses working in those wards who participate in eLearning course would have less favourable attitudes towards physical restraint and seclusion and improved job satisfaction compared to nurses working in those wards who would not participate in the course.

We will also hypothesise that ePsychNurse.Net would decrease the seclusion and restraint incidents and length on the wards comparing to those wards who not participate in the course. Further, the costs of eLearning course will be lower than by traditional methods (e.g., education sessions alone).
Ethics approval(s)Ethics Committee of Helsinki and Uusimaa Hospital District,13/03/2007, 73/E7/2007 HUS
ConditionNurses' continuing vocational training
InterventionIntervention group:
Nurses participated in eLearning course. Nurses receive needs-based education. eLearning course was built up using the Moodle platform and includes following six main themes related to the taking care of this patient group:
1. Legal implications
2. Ethical issues
3. Internal and external factors effecting to the care of distressed and disturbed patients
4. Self-awareness and interpersonal relationships
5. Teamwork
6. Integration of knowledge and practice

eLearning course takes 120 hours during three months. The eLearning course has to be accomplished on a module-by-module basis in a pre-defined order. Each module requires individual working tasks in the form of reflective journal, assignment, discussion forum, self-awareness exercise, and reading material. Virtual patient scenario and self-awareness exercise was included depending on the module. The tutors (experiences nurses with MNS and/or PhD degree) coordinated the course, supervised the students and gave feedback on each module’s tasks accomplished by the students. To ensure appropriate technological resources, the computers were checked for adequate programs needed for running the course. Information on how to use the portal and the aims of the course to the nurses was organized. Nurses were able to study at their work time.

Control group:
The control group had continuing vocational education as usual, essentially fragmentary and irregular. Nurses in Comparison group did not get eLearning Course and they get as usual continuing vocational education.

Duration of intervention was three month after baseline measurement. Total duration of follow-up is 9 months.
Intervention typeOther
Primary outcome measureNurses' knowledge related to patients’ rights and seclusion and restraint practices, measured at baseline (BL), 3 and 9 months.
Secondary outcome measures1. Nurses' attitudes related to seclusion and restraint practices (Attitudes Scale), measured at BL, 3 and 6 months
2. Nurses' attitudes related to mental illness (CAMI 2007), measured at BL, 3 and 6 months.
3. Nurses' general efficacy (General Self-Efficacy Scale) and job satisfaction (Job Diagnostic Survey, job satisfaction), measured at BL, 3 and 6 months
4. Seclusion and restraint incidents and length (Hospital Data Base) on the ward, measured at BL, 3, 6 and 12 months
5. Costs of the continuing vocational education (eLearning course and traditional method/education sessions; time, travel and deputy staff costs)
Overall study start date01/12/2007
Overall study end date31/12/2011

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participantsWards: 12, Staff: 229
Participant inclusion criteriaWard eligibility criteria:
1. Closed acute psychiatric inpatient wards
2. Practicing seclusion and restraint
3. Not involved in on-going or planned seclusion/restraint research or development projects

Participant eligibility criteria:
1. On the wards registered nurse (permanent position psychiatric nurses/mental health nurses, long term substitute psychiatric nurses/mental health nurses, practical nurses, head nurses and deputy head nurses)
2. Aged over 18 years, either sex
3. Fluent understanding of Finnish language
Participant exclusion criteriaUnable to use the Finnish language
Recruitment start date01/12/2007
Recruitment end date31/12/2011

Locations

Countries of recruitment

  • Finland

Study participating centre

Department of Nursing Science
Turku
20014
Finland

Sponsor information

European Commission (Belgium)
Government

Leonardo da Vinci Programme
Centre for International Mobility CIMO
P.O. Box 343
Helsinki
FIN-00530
Finland

Website http://kuokka.tietokoura.com/index-eng.html
ROR logo "ROR" https://ror.org/00k4n6c32

Funders

Funder type

Government

European Commission (Belgium) - Funded project from the Leonardo da Vinci Programme (ref: FI-06-B-F-PP-160701)

No information available

Hospital District of Helsinki and Uusimaa (Finland)

No information available

The Pirkanmaa Hospital District (Finland)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/07/2009 Yes No
Results article results 01/01/2010 Yes No
Results article results 01/04/2013 Yes No