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Enhancing prone pos...
Enhancing prone positioning and skin damage prevention education : A randomized controlled non-inferiority trial comparing a digital education hub (PRONEtect) and a traditional lecture on final-year nursing participants' confidence and knowledge
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- Fourie, Anika (author)
- Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery (UCVV), Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
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- Ahtiala, Maarit (author)
- Service Division, Perioperative Services, Intensive Care Medicine and Pain Management, Turku University Hospital, Turku, Finland
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- Black, Joyce (author)
- Niedfeft Professor of Nursing, University of Nebraska Medical Center, College of Nursing, Omaha, NE, USA
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- Campos, Heidi Hevia (author)
- Adult Health Graduation Program, School of Nursing, University of São Paulo, Brazil
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- Coyer, Fiona (author)
- Intensive Care Services, Royal Brisbane and Women's Hospital, Brisbane, Australia; School of Nursing, Midwifery and Social Work, The University of Queensland, Brisbane, Australia
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- Gefen, Amit (author)
- Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery (UCVV), Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; The Herbert J. Berman Chair in Vascular Bioengineering, Department of Biomedical Engineering, Faculty of Engineering, Tel Aviv University, Israel
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- LeBlanc, Kim (author)
- Wound, Ostomy and Continence Institute, Nurses Specialized in Wound, Ostomy and Continence Canada (NSWOCC), Canada; Affiliate Faculty, Ingram School of Nursing, Faculty of Medicine, McGill University, Canada
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- Smet, Steven (author)
- Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery (UCVV), Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; Wound Care Center, Ghent University Hospital, Ghent, Belgium
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- Vollman, Kathleen (author)
- Advancing Nursing LLC, Adjunct Faculty Michigan State University, Northville, MI, USA
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- Walsh, Yolanda (author)
- YL Walsh (Pty) Ltd, Adjunct Lecturer Stellenbosch University, Western Cape, South Africa
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- Karlberg-Traav, Malin, 1962- (author)
- Örebro universitet,Institutionen för hälsovetenskaper,Swedish Centre for Skin and Wound Research
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- Beeckman, Dimitri, Professor, 1982- (author)
- Örebro universitet,Institutionen för hälsovetenskaper,Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery (UCVV), Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; Swedish Centre for Skin and Wound Research, School of Health Sciences, Örebro University, Örebro, Sweden
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(creator_code:org_t)
- Elsevier, 2024
- 2024
- English.
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In: Journal of tissue viability. - : Elsevier. - 0965-206X .- 1876-4746. ; 33:2, s. 298-304
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- INTRODUCTION: The incidence of pressure ulcers remains high in patients with moderate to severe acute respiratory distress syndrome, ventilated in the prone position. A digital platform, dedicated to prone positioning and skin/tissue damage education was developed.OBJECTIVE: To evaluate the impact of the PRONEtect Education Hub versus a traditional lecture on final-year nursing students' confidence levels and knowledge in a non-inferiority study.DESIGN: A multicenter, non-blinded, parallel-group, non-inferiority study with equal randomization (1:1 allocation) was conducted at two nursing schools in Belgium. CLINICALTRIALS: gov (NCT05575869).METHODS: Following baseline assessments, the control group received a 1-h classroom lecture, and the experimental group gained access to the PRONEtect website. Three weeks later, participants completed the knowledge, confidence, and visual knowledge assessment.RESULTS: At baseline, 67 of the 80 participants completed the assessments and post-intervention, 28 and 27 participants respectively completed the confidence, knowledge, and visual knowledge assessments (dropout rate of 66.25%). Confidence levels: a mean ratio of relative change from baseline = 0.96 (Control (C)/Experimental (E)); 97.5% confidence interval (CI): 0.74 to 1.26; p = 0.74. Knowledge assessment: a mean difference in change from baseline = 1.58 (C-E); 97.5% CI: -0.58 to 3.75; p = 0.1. Although confidence and knowledge scores increased in both groups, the study cannot conclude non-inferiority.CONCLUSIONS: The trade-off between the inability to conclude efficacy of the impact of the website and the benefit of having an accessible educational platform on prone positioning and skin damage prevention makes the PRONEtect Education Hub an acceptable adjunct to traditional lecturing.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Keyword
- Acute respiratory distress syndrome
- Continuing education
- Critical care
- Nurse clinician
- Pressure ulcer
- Prone position
Publication and Content Type
- ref (subject category)
- art (subject category)
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Fourie, Anika
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Ahtiala, Maarit
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Black, Joyce
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Campos, Heidi He ...
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Coyer, Fiona
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Gefen, Amit
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LeBlanc, Kim
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Smet, Steven
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Vollman, Kathlee ...
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Walsh, Yolanda
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Karlberg-Traav, ...
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Beeckman, Dimitr ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Nursing
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Journal of tissu ...
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Örebro University