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The effect of the SAFE or SORRY? programme on patient safety knowledge of nurses in hospitals and nursing homes: a cluster randomised trial

The effect of the SAFE or SORRY? programme on patient safety knowledge of nurses in hospitals and nursing homes: a cluster randomised trial
The effect of the SAFE or SORRY? programme on patient safety knowledge of nurses in hospitals and nursing homes: a cluster randomised trial
Background: patients in hospitals and nursing homes are at risk for the development of often preventable adverse events. Guidelines for the prevention of many types of adverse events are available, however compliance with these guidelines appears to be lacking. As a result many patients do not receive appropriate care. We developed a patient safety program that allows organisations to implement multiple guidelines simultaneously and therefore facilitates guideline use to improve patient safety. This program was developed for three frequently occurring nursing care related adverse events: pressure ulcers, urinary tract infections and falls. For the implementation of this program we developed educational activities for nurses as a main implementation strategy.

Objectives: the aim of this study is to describe the effect of interactive and tailored education on the knowledge levels of nurses.

Design: a cluster randomised trial was conducted between September 2006 and July 2008.

Settings: ten hospital wards and ten nursing home wards participated in this study. Prior to baseline, randomisation of the wards to an intervention or control group was stratified for centre and type of ward.

Participants: all nurses from participating wards.

Methods: a knowledge test measured nurses’ knowledge on the prevention of pressure ulcers, urinary tract infections and falls, during baseline en follow-up. The results were analysed for hospitals and nursing homes separately.

Results: after correction for baseline, the mean difference between the intervention and the control group on hospital nurses’ knowledge on the prevention of the three adverse events was 0.19 points on a zero to ten scale (95% CI: ?0.03 to 0.42), in favour of the intervention group. There was a statistically significant effect on knowledge of pressure ulcers, with an improved mean mark of 0.45 points (95% CI: 0.10–0.81). For the other two topics there was no statistically significant effect. Nursing home nurses’ knowledge did neither improve (0 points, CI: ?0.35 to 0.35) overall, nor for the separate subjects.

Conclusion: the educational intervention improved hospital nurses’ knowledge on the prevention of pressure ulcers only. More research on long term improvement of knowledge is needed
0020-7489
1117-1125
Van Gaal, Betsie G.I.
1638dc4b-976d-4351-a790-efd1e7809965
Schoonhoven, Lisette
46a2705b-c657-409b-b9da-329d5b1b02de
Vloet, Lilian C.M.
aeac3fbb-38aa-4429-9001-8d2685f32dad
Mintjes, Joke A.J.
f6eee935-6903-4245-9e47-69afdc5864a0
Borm, George F.
ba8fb1f5-c7d1-4131-a8c6-c89254f5efc8
Koopmans, Raymond T.C.M.
3df55d8d-a5cb-4353-80ff-87fdfbba5ab5
van Achterberg, Theo
eb49404e-62c6-427d-bb94-580254177a30
Van Gaal, Betsie G.I.
1638dc4b-976d-4351-a790-efd1e7809965
Schoonhoven, Lisette
46a2705b-c657-409b-b9da-329d5b1b02de
Vloet, Lilian C.M.
aeac3fbb-38aa-4429-9001-8d2685f32dad
Mintjes, Joke A.J.
f6eee935-6903-4245-9e47-69afdc5864a0
Borm, George F.
ba8fb1f5-c7d1-4131-a8c6-c89254f5efc8
Koopmans, Raymond T.C.M.
3df55d8d-a5cb-4353-80ff-87fdfbba5ab5
van Achterberg, Theo
eb49404e-62c6-427d-bb94-580254177a30

Van Gaal, Betsie G.I., Schoonhoven, Lisette, Vloet, Lilian C.M., Mintjes, Joke A.J., Borm, George F., Koopmans, Raymond T.C.M. and van Achterberg, Theo (2010) The effect of the SAFE or SORRY? programme on patient safety knowledge of nurses in hospitals and nursing homes: a cluster randomised trial. International Journal of Nursing Studies, 47 (9), 1117-1125. (doi:10.1016/j.ijnurstu.2010.02.001). (PMID:20202633)

Record type: Article

Abstract

Background: patients in hospitals and nursing homes are at risk for the development of often preventable adverse events. Guidelines for the prevention of many types of adverse events are available, however compliance with these guidelines appears to be lacking. As a result many patients do not receive appropriate care. We developed a patient safety program that allows organisations to implement multiple guidelines simultaneously and therefore facilitates guideline use to improve patient safety. This program was developed for three frequently occurring nursing care related adverse events: pressure ulcers, urinary tract infections and falls. For the implementation of this program we developed educational activities for nurses as a main implementation strategy.

Objectives: the aim of this study is to describe the effect of interactive and tailored education on the knowledge levels of nurses.

Design: a cluster randomised trial was conducted between September 2006 and July 2008.

Settings: ten hospital wards and ten nursing home wards participated in this study. Prior to baseline, randomisation of the wards to an intervention or control group was stratified for centre and type of ward.

Participants: all nurses from participating wards.

Methods: a knowledge test measured nurses’ knowledge on the prevention of pressure ulcers, urinary tract infections and falls, during baseline en follow-up. The results were analysed for hospitals and nursing homes separately.

Results: after correction for baseline, the mean difference between the intervention and the control group on hospital nurses’ knowledge on the prevention of the three adverse events was 0.19 points on a zero to ten scale (95% CI: ?0.03 to 0.42), in favour of the intervention group. There was a statistically significant effect on knowledge of pressure ulcers, with an improved mean mark of 0.45 points (95% CI: 0.10–0.81). For the other two topics there was no statistically significant effect. Nursing home nurses’ knowledge did neither improve (0 points, CI: ?0.35 to 0.35) overall, nor for the separate subjects.

Conclusion: the educational intervention improved hospital nurses’ knowledge on the prevention of pressure ulcers only. More research on long term improvement of knowledge is needed

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e-pub ahead of print date: 3 March 2010
Published date: September 2010
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 339216
URI: http://eprints.soton.ac.uk/id/eprint/339216
ISSN: 0020-7489
PURE UUID: 0f37beb6-7a3a-44cb-8449-8d1acbc73a3d
ORCID for Lisette Schoonhoven: ORCID iD orcid.org/0000-0002-7129-3766

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Date deposited: 25 May 2012 10:17
Last modified: 15 Mar 2024 03:41

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Contributors

Author: Betsie G.I. Van Gaal
Author: Lilian C.M. Vloet
Author: Joke A.J. Mintjes
Author: George F. Borm
Author: Raymond T.C.M. Koopmans
Author: Theo van Achterberg

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