Tariq Hina, Dunn Joel, Forrester Samantha, Collins Kathryn, Porter Sam
Faculty of Health and Social Sciences, Bournemouth University, Bournemouth, Dorset, UK
Dorset HealthCare NHS Foundation Trust, Poole, Dorset, UK.
BMJ Open Qual. 2024 Dec 27;13(4):e002923. doi: 10.1136/bmjoq-2024-002923.
Contractures are a debilitating problem for individuals living in long-term care settings. However, there is a lack of education and training among the care staff regarding the identification of risk factors related to contractures and the preventive strategies that can decrease their development or progression. Addressing this knowledge gap has the potential to improve the quality of care provided to residents in care homes.The objective of this quality improvement (QI) project was to investigate the impact of a newly developed educational video on the awareness, knowledge and understanding of contractures among the care staff.
This QI project involved two sequential Plan-Do-Study-Act cycles and employed a pre and post-test design to evaluate the impact of the contracture educational video. Primary outcomes were assessed using paper surveys to capture prevideo and postvideo levels of knowledge and understanding of contractures. Furthermore, both verbal and written feedback from participants were gathered to identify areas of strengths and improvement.
Baseline data revealed that about 56% of the care staff lacked knowledge and understanding of contractures with another 33% reporting possessing only basic knowledge. Following the video intervention, percentage of care staff who reported good knowledge and understanding increased to 67% while 22% reported basic knowledge and understanding of contractures. The care staff suggested changes to the video to improve accessibility of the information, this was incorporated in the refilming of the video.
This QI project demonstrated that the introduction of a contracture educational video is a feasible and positively received method of enhancing awareness, knowledge and understanding of contractures among care staff. Educating care staff about the risk factors and prevention strategies for contractures will potentially improve their ability to identify the risk of contractures and help prevent their occurrence, ultimately enhancing the quality of care of the residents.
挛缩对于长期护理机构中的个体而言是一个使人衰弱的问题。然而，护理人员在识别与挛缩相关的风险因素以及可减少其发生或进展的预防策略方面缺乏教育和培训。填补这一知识空白有可能提高养老院中为居民提供的护理质量。本质量改进（QI）项目的目的是调查一部新制作的教育视频对护理人员关于挛缩的认识、知识和理解的影响。
本QI项目涉及两个连续的计划-执行-研究-行动循环，并采用前后测试设计来评估挛缩教育视频的影响。主要结果通过纸质调查问卷进行评估，以获取视频前和视频后对挛缩的知识和理解水平。此外，还收集了参与者的口头和书面反馈，以确定优势和改进领域。
基线数据显示，约56%的护理人员缺乏对挛缩的知识和理解，另有33%表示仅具备基本知识。视频干预后，报告具有良好知识和理解的护理人员比例增至67%，而22%表示对挛缩有基本的知识和理解。护理人员建议对视频进行修改以提高信息的可获取性，这在视频重新拍摄中得以体现。
本QI项目表明，引入挛缩教育视频是一种可行且受到积极认可的方法，可提高护理人员对挛缩的认识、知识和理解。对护理人员进行关于挛缩的风险因素和预防策略的教育，可能会提高他们识别挛缩风险的能力，并有助于预防其发生，最终提高居民的护理质量。
