Improving nursing practice in primary care through audit and feedback: A pilot study
| ISRCTN | ISRCTN17789420 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN17789420 |
| ClinicalTrials.gov (NCT) | Nil known |
| Clinical Trials Information System (CTIS) | Nil known |
| Protocol serial number | Nil known |
| Sponsor | Université de Montréal |
| Funder | Réseau de recherche portant sur les interventions en sciences infirmières du Québec |
- Submission date
- 03/10/2019
- Registration date
- 05/11/2019
- Last edited
- 01/11/2019
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Other
Plain English summary of protocol
Background and study aims
There is only little performance measurement of nursing care due to limited access to data. Although audit and feedback (A&F) interventions show favorable results on performance improvement, its effectiveness and some of its components are poorly understood. This pilot study aims to evaluate the feasibility and preliminary effectiveness of an A&F intervention with a nursing team in a local community health center in Quebec, Canada.
Who can participate?
The nursing team in a local community health center in Quebec, Canada
What does the study involve?
Performance is measured through 7 nursing-sensitive indicators using clinical and administrative data from the I-CLSC database and based on episodes of wound care. Indicators include continuity, nursing follow-up, initial assessment, teaching and frequency of consultations. Data are collected once (T1), then after 6 (T2) and 12 months (T3). The feedback sessions are led by a clinician acquainted with this nursing team
What are the possible benefits and risks of participating?
The possible benefits of participating are an improvement of organizational and clinical aspects of care, which could lead to an increase of job satisfaction. The possible risks are to feel incompetent or frustrated regarding negative results with the indicators measured. We aim at reducing these risks by measuring and reporting the indicators at a team level rather than at an individual level so as no participant feels singled out. The participants are also invited to express their feelings on the results so that any frustration can be verbalized and discussed within the team
Where is the study run from?
A local community health center in Quebec, Canada
When is the study starting and how long is it expected to run for?
September 2017 to December 2019
Who is funding the study?
Réseau de recherche portant sur les interventions en sciences infirmières du Québec (Quebec Network on Nursing Intervention Research)
Who is the main contact?
Émilie Dufour
emilie.dufour.3@umontreal.ca
Contact information
Scientific
Faculty of Nursing
Université de Montréal
C.P. 6128 succ. Centre-Ville Montréal Marguerite-d’Youville Campus
Montréal
H3C 3J7
Canada
 ORCID ID |
0000-0001-5234-5500 |
|---|---|
| Phone | 514 343-6437 |
| emilie.dufour.3@umontreal.ca |
Study information
| Primary study design | Interventional |
|---|---|
| Study design | Quasi-experimental |
| Secondary study design | Non randomised study |
| Study type | Participant information sheet |
| Scientific title | Implementation and evaluation of an audit and feedback intervention to improve nursing practice in primary care |
| Study objectives | There is only little performance measurement of nursing care due to limited access to data. Although audit and feedback (A&F) interventions show favorable results on performance improvement, its effectiveness and some of its components are poorly understood. This pilot study aims to evaluate the feasibility and preliminary effectiveness of an A&F intervention with a nursing team in a Local community Health Center in Quebec, Canada |
| Ethics approval(s) | Approved 06/09/2019, Comité d’éthique de la recherche en santé de l’Université de Montréal (C.P. 6128 succ. Centre-ville Montréal, QC H3C 3J7, Canada; +1 514-343-6111 (2604); ceres@umontreal.ca), ref: 17-127-CERES-D |
| Health condition(s) or problem(s) studied | Wound care in nursing practice |
| Intervention | Seven nursing-sensitive indicators were measured using clinical and administrative data and based on episodes of wound care. Indicators were measured from an electronic system that provides information on primary care users and the services delivered to them. Nurses are required to record their interventions in that system using a preset code bank in addition to writing a note in medical charts. The study was conducted in a Local community Health Center in Quebec, Canada. The indicators were collected once (T1), then after 6 (T2) and 12 months (T3). Participation was spread out over the course of 18 months. Scores for all indicators were reported in two feedback sessions with clinicians and managers. The feedback sessions were led by a clinician acquainted with this nursing team. The indicators were displayed in graphs and short sentences that provided a summary of key elements. Following the reporting of the indicators, the team was asked to reflect and discuss on the results so that they could identify concrete actions for improving these indicators. The objectives and associated actions were written down on a scoreboard |
| Intervention type | Behavioural |
| Primary outcome measure(s) |
Performance is measured through 7 nursing-sensitive indicators using clinical and administrative data from the I-CLSC database and based on episodes of wound care. We measure the change from baseline performance at 6 and 12 months based for those 7 indicators. |
| Key secondary outcome measure(s) |
None |
| Completion date | 31/03/2020 |
Eligibility
| Participant type(s) | Health professional |
|---|---|
| Age group | Adult |
| Sex | All |
| Target sample size at registration | 400 |
| Key inclusion criteria | 1. Nursing organization that offers services seven days a week will be included so that they can measure all the selected indicators and use the I-CLSC software in their daily practice 2. Wound care episodes with a minimum duration of 7 days and an episode start during the measurement period will be included. These two criteria are applied in order to measure all seven indicators |
| Key exclusion criteria | 1. Wound care episodes in palliative care will be excluded, as the indicators were selected for episodes of wound care with healing potential |
| Date of first enrolment | 01/09/2017 |
| Date of final enrolment | 31/12/2019 |
Locations
Countries of recruitment
- Canada
Study participating centre
Canada
Results and Publications
| Individual participant data (IPD) Intention to share | No |
|---|---|
| IPD sharing plan summary | Not expected to be made available |
| IPD sharing plan | The datasets generated during and/or analysed during the current study are not expected to be made available due to ethical restrictions |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Participant information sheet | Participant information sheet | 11/11/2025 | 11/11/2025 | No | Yes |
Editorial Notes
01/11/2019: Trial’s existence confirmed by Réseau de recherche portant sur les interventions en sciences infirmières du Québec
