Effectiveness of two distinct web-based education tools for bedside nurses on medication administration practice for venous thromboembolism prevention: A randomized clinical trial

• Published in: PloS one 2017-08, Vol.12 (8), p.e0181664-e0181664
• Main Authors: Lau, Brandyn D, Shaffer, Dauryne L, Hobson, Deborah B, Yenokyan, Gayane, Wang, Jiangxia, Sugar, Elizabeth A, Canner, Joseph K, Bongiovanni, David, Kraus, Peggy S, Popoola, Victor O, Shihab, Hasan M, Farrow, Norma E, Aboagye, Jonathan K, Pronovost, Peter J, Streiff, Michael B, Haut, Elliott R
• Format: Article
• Language: English
• Subjects: Analysis; Clinical trials; Clusters; Dosage and administration; Drug therapy; Drugs; Early Intervention, Educational; Education; Education, Nursing - methods; Education, Nursing - statistics & numerical data; Health care facilities; Health risk assessment; Humans; Internet; Medical personnel; Medicine and Health Sciences; Modules; Nurses; Nursing education; Odds Ratio; Patient safety; Patients; People and Places; Perception; Practice Patterns, Nurses' - standards; Practice Patterns, Nurses' - statistics & numerical data; Prevention; Prophylaxis; Randomization; Research and Analysis Methods; Statistical analysis; Surgery; Surgical instruments; Surveys and Questionnaires; Teaching methods; Thromboembolism; Training; Venous Thromboembolism - epidemiology; Venous Thromboembolism - prevention & control; Venous thrombosis; World Wide Web
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0181664

Venous thromboembolism (VTE) is a common cause of preventable harm in hospitalized patients. While numerous successful interventions have been implemented to improve prescription of VTE prophylaxis, a substantial proportion of doses of prescribed preventive medications are not administered to hospitalized patients. The purpose of this trial was to evaluate the effectiveness of nurse education on medication administration practice. This was a double-blinded, cluster randomized trial in 21 medical or surgical floors of 933 nurses at The Johns Hopkins Hospital, an academic medical center, from April 1, 2014 -March 31, 2015. Nurses were cluster-randomized by hospital floor to receive either a linear static education (Static) module with voiceover or an interactive learner-centric dynamic scenario-based education (Dynamic) module. The primary and secondary outcomes were non-administration of prescribed VTE prophylaxis medication and nurse-reported satisfaction with education modules, respectively. Overall, non-administration improved significantly following education (12.4% vs. 11.1%, conditional OR: 0.87, 95% CI: 0.80-0.95, p = 0.002) achieving our primary objective. The reduction in non-administration was greater for those randomized to the Dynamic arm (10.8% vs. 9.2%, conditional OR: 0.83, 95% CI: 0.72-0.95) versus the Static arm (14.5% vs. 13.5%, conditional OR: 0.92, 95% CI: 0.81-1.03), although the difference between arms was not statistically significant (p = 0.26). Satisfaction scores were significantly higher (p