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The aim of this study, in a randomized controlled design with pretest, posttest and control groups, is to determine the effect of on-the-job (toolbox) training given to nurses on nursing-sensitive quality indicators (pain management, pressure sores, patient falls, Peripheral Venous Catheter complications and adverse event reporting). it aims to answer are:
- Does toolbox training have an effect on nursing-sensitive quality indicators? After the training, participants are expected to adapt to quality practices.
This study consists of experimental and control groups. Experimental and control groups were determined by drawing lots with the help of an external expert. Nurses who met the inclusion criteria were included in the lottery.
Inclusion criteria for the experimental and control groups were determined as follows:
This study was carried out to determine the effect of toolbox training on nursing-sensitive quality indicators (pain management, pressure sores, patient falls, peripheral venous catheter complications and adverse event reporting) in a randomized controlled, pre-test, post-test, experimental and control group design.
The population of the study consisted of nurses working in the inpatient services (except the intensive care units) of a training and research hospital in Hatay. A total of 77 nurses working in the experimental and control group services determined by randomization constituted the sample of the research (experimental group: 38 nurses, control group: 39 nurses).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental group | Experimental | It was determined by lot by the volunteer nurses who accepted to participate in the study. |
|
| Control group | No Intervention | It was determined by lot by the volunteer nurses who accepted to participate in the study. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| training | Other | On-the-job (toolbox) training given to the experimental group and containing brief information, lasting at most 10 minutes |
|
| Measure | Description | Time Frame |
|---|---|---|
| Nurse Information Form | This form consists of 10 questions in total to determine the demographic study characteristics of the nurses participating in the research. | before the training |
| Nursing Sensitive Quality Indicators Application Information Form (pretest-posttest) | Both groups were applied before the on-the-job training to be given to the experimental group and after all trainings were completed. It was prepared in the light of current literature in order to determine the knowledge level of nurses in the experimental and control groups about nursing-sensitive quality indicators and to evaluate the effectiveness of on-the-job training given to the experimental group. A minimum of 0 and a maximum of 100 points can be obtained from this test. | before the training |
| Nursing Sensitive Quality Indicators Implementation Checklists | The checklists developed in line with the literature have been developed for the management of pain in the unit, pressure ulcer, risk of falling, Peripheral Venous Catheter complications and adverse event reporting, and consist of five sections.In this test, 1 point is given for each complete application. | before the training |
| Unit Quality Indicators Monitoring Form | Data on 5 nursing-sensitive quality indicators (fall rates (in percent), patient rate with correct pain management (as a number), pressure ulcer rates (in percent), Peripheral Venous Catheter complication (as a number) and adverse event reporting rates(in percent) ) followed before and after the training, and data on the average number of hospitalization days are included. | before the training |
| Measure | Description | Time Frame |
|---|---|---|
| Nursing Sensitive Quality Indicators Application Information Form (pretest-posttest) | Both groups were applied before the on-the-job training to be given to the experimental group and after all trainings were completed. It was prepared in the light of current literature in order to determine the knowledge level of nurses in the experimental and control groups about nursing-sensitive quality indicators and to evaluate the effectiveness of on-the-job training given to the experimental group. A minimum of 0 and a maximum of 100 points can be obtained from this test. |
| Measure | Description | Time Frame |
|---|---|---|
| Nursing Sensitive Quality Indicators Implementation Checklists | The checklists developed in line with the literature have been developed for the management of pain in the unit, pressure ulcer, risk of falling, Peripheral Venous Catheter complications and adverse event reporting, and consist of five sections.In this test, 1 point is given for each complete application. | At the 12th week after all trainings are completed |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Betül SÖNMEZ, Ass. prof | betul.sonmez@iuc.edu.tr | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| İstanbul Univercity-Cerrahpaşa | Istanbul | Antakya | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25113388 | Result | Heslop L, Lu S, Xu X. Nursing-sensitive indicators: a concept analysis. J Adv Nurs. 2014 Nov;70(11):2469-82. doi: 10.1111/jan.12503. Epub 2014 Aug 12. | |
| 28718658 | Result | Driscoll A, Grant MJ, Carroll D, Dalton S, Deaton C, Jones I, Lehwaldt D, McKee G, Munyombwe T, Astin F. The effect of nurse-to-patient ratios on nurse-sensitive patient outcomes in acute specialist units: a systematic review and meta-analysis. Eur J Cardiovasc Nurs. 2018 Jan;17(1):6-22. doi: 10.1177/1474515117721561. Epub 2017 Jul 18. |
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This study in randomized controlled, pretest, posttest and experiment, control group design
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| At 8 weeks after give all trainings |
| Nursing Sensitive Quality Indicators Implementation Checklists | The checklists developed in line with the literature have been developed for the management of pain in the unit, pressure ulcer, risk of falling, Peripheral Venous Catheter complications and adverse event reporting, and consist of five sections.In this test, 1 point is given for each complete application. | At 8 weeks after give all trainings |
| Unit Quality Indicators Monitoring Form | Data on 5 nursing-sensitive quality indicators (fall rates (in percent), patient rate with correct pain management (as a number), pressure ulcer rates (in percent), Peripheral Venous Catheter complication (as a number) and adverse event reporting rates(in percent) ) followed before and after the training, and data on the average number of hospitalization days are included. | At 8 weeks after give all trainings |
| Unit Quality Indicators Monitoring Form | Data on 5 nursing-sensitive quality indicators (fall rates (in percent), patient rate with correct pain management (as a number), pressure ulcer rates (in percent), Peripheral Venous Catheter complication (as a number) and adverse event reporting rates(in percent) ) followed before and after the training, and data on the average number of hospitalization days are included. | At the 12th week after all trainings are completed |
| 3045356 | Result | Donabedian A. The quality of care. How can it be assessed? JAMA. 1988 Sep 23-30;260(12):1743-8. doi: 10.1001/jama.260.12.1743. |
| Result | Cavazza, N. & Serpe, A. 2010, The Impact of Safety Training Programs on Workers' Psychosocial Orientation and Behaviour. Revue internationale de psychologie sociale, 23, 187-210. |
| 29970054 | Result | Amiri M, Khademian Z, Nikandish R. The effect of nurse empowerment educational program on patient safety culture: a randomized controlled trial. BMC Med Educ. 2018 Jul 3;18(1):158. doi: 10.1186/s12909-018-1255-6. |
| 16380566 | Result | Burke MJ, Sarpy SA, Smith-Crowe K, Chan-Serafin S, Salvador RO, Islam G. Relative effectiveness of worker safety and health training methods. Am J Public Health. 2006 Feb;96(2):315-24. doi: 10.2105/AJPH.2004.059840. Epub 2005 Dec 27. |
| 39888187 | Derived | Kara B, Sonmez B. The Effect of Toolbox Trainings on Nursing Sensitive Quality Indicators: A Randomized Controlled Trial. J Nurs Scholarsh. 2025 May;57(3):439-451. doi: 10.1111/jnu.13051. Epub 2025 Jan 31. |