Clinical Practice Guideline for Neonatal Extravasation Injury

Overview

This study is aimed to evaluate the effectiveness of an evidence-based clinical practice guideline in the prevention and management of neonatal extravasation injury, and to examine the change in nurses' knowledge of and adherence to the guideline.

Full Title of Study: “Clinical Practice Guideline on the Prevention and Management of Neonatal Extravasation Injury”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Non-Randomized
    • Intervention Model: Sequential Assignment
    • Primary Purpose: Treatment
    • Masking: Single (Outcomes Assessor)
  • Study Primary Completion Date: November 23, 2016

Detailed Description

A study with controlled before-and-after design was conducted. The clinical practice guideline was developed and a multifaceted educational program was delivered for nurses. Neonatal outcomes were collected at baseline and after completion of the intervention. The changes in nurses' level of knowledge and adherence to the guideline were also measured.

Interventions

  • Other: Clinical practice guideline for prevention and management of extravasation injury
    • Implementation of an evidence-based clinical practice guideline and delivery of an educational programme for nurses

Arms, Groups and Cohorts

  • Experimental: Clinical practice guideline (CPG) group
    • Implementation of an evidence-based clinical practice guideline and delivery of an educational programme
  • No Intervention: Usual care group
    • Usual care

Clinical Trial Outcome Measures

Primary Measures

  • Change in rate of peripheral intravenous extravasation
    • Time Frame: Change from Baseline rate at one month
    • The number of the incidents divided by the total number of catheter days and multiplied by 1,000
  • Change in rate of extravasation from a central line
    • Time Frame: Change from Baseline rate at one month
    • The number of the incidents divided by the total number of catheter days and multiplied by 1,000

Secondary Measures

  • Change in nurses’ level of knowledge
    • Time Frame: Change from Baseline Knowledge level at six months
    • The Neonatal Extravasation Knowledge Test
  • Change in nurses’ adherence to clinical practice guidelines
    • Time Frame: Change from Baseline Adherence level at six months
    • A 27-item audit tool

Participating in This Clinical Trial

Inclusion Criteria

  • Neonates who were admitted for intravenous medication or infusion therapy, and
  • Neonates whose parents were equal to or over 18 years old and able to communicate in Chinese or English.

Exclusion Criteria

  • Neonates who were born with congenital dermatological problems such as ichthyosis and epidermolysis bullosa.

Gender Eligibility: All

Minimum Age: N/A

Maximum Age: 1 Year

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • United Christian Hospital
  • Provider of Information About this Clinical Study
    • Principal Investigator: CHAN Kam Ming, Nurse Consultant – United Christian Hospital
  • Overall Official(s)
    • Kam Ming Chan, Principal Investigator, United Christian Hospital

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