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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

Anika Fourie (UGent) , Maarit Ahtiala, Joyce Black, Heidi Hevia Campos, Fiona Coyer, Amit Gefen (UGent) , Kim LeBlanc, Steven Smet (UGent) , Kathleen Vollman, Yolanda Walsh, et al.
(2024) JOURNAL OF TISSUE VIABILITY. 33(2). p.298-304
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Abstract
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.
Keywords
Acute respiratory distress syndrome, Continuing education, Critical care, Nursing, Pressure ulcer, Prone position, Nurse clinician

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MLA
Fourie, Anika, et al. “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.” JOURNAL OF TISSUE VIABILITY, vol. 33, no. 2, 2024, pp. 298–304, doi:10.1016/j.jtv.2024.02.008.
APA
Fourie, A., Ahtiala, M., Black, J., Campos, H. H., Coyer, F., Gefen, A., … Beeckman, D. (2024). 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. JOURNAL OF TISSUE VIABILITY, 33(2), 298–304. https://doi.org/10.1016/j.jtv.2024.02.008
Chicago author-date
Fourie, Anika, Maarit Ahtiala, Joyce Black, Heidi Hevia Campos, Fiona Coyer, Amit Gefen, Kim LeBlanc, et al. 2024. “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.” JOURNAL OF TISSUE VIABILITY 33 (2): 298–304. https://doi.org/10.1016/j.jtv.2024.02.008.
Chicago author-date (all authors)
Fourie, Anika, Maarit Ahtiala, Joyce Black, Heidi Hevia Campos, Fiona Coyer, Amit Gefen, Kim LeBlanc, Steven Smet, Kathleen Vollman, Yolanda Walsh, Malin Karlberg-Traav, and Dimitri Beeckman. 2024. “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.” JOURNAL OF TISSUE VIABILITY 33 (2): 298–304. doi:10.1016/j.jtv.2024.02.008.
Vancouver
1.
Fourie A, Ahtiala M, Black J, Campos HH, Coyer F, Gefen A, et al. 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. JOURNAL OF TISSUE VIABILITY. 2024;33(2):298–304.
IEEE
[1]
A. Fourie et al., “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,” JOURNAL OF TISSUE VIABILITY, vol. 33, no. 2, pp. 298–304, 2024.
@article{01HQMWP1HMP6MNAAK9VA41H9D5,
  abstract     = {{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.}},
  author       = {{Fourie, Anika and Ahtiala, Maarit and Black, Joyce and Campos, Heidi Hevia and Coyer, Fiona and Gefen, Amit and LeBlanc, Kim and Smet, Steven and Vollman, Kathleen and Walsh, Yolanda and Karlberg-Traav, Malin and Beeckman, Dimitri}},
  issn         = {{0965-206X}},
  journal      = {{JOURNAL OF TISSUE VIABILITY}},
  keywords     = {{Acute respiratory distress syndrome,Continuing education,Critical care,Nursing,Pressure ulcer,Prone position,Nurse clinician}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{298--304}},
  title        = {{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}},
  url          = {{http://doi.org/10.1016/j.jtv.2024.02.008}},
  volume       = {{33}},
  year         = {{2024}},
}
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