Lessons Learned from a Practice-Based, Multisite Intervention Study with Nurse Participants

Details

• Personal Author:
  Fauer AJ ; Friese CR ; Ginex P ; McCullagh MC ; McMahon CM ; Mendelsohn-Victor K
• Description:
  Purpose: To identify challenges and solutions to the efficient conduct of a multisite, practice-based randomized controlled trial to improve nurses' adherence to personal protective equipment use in ambulatory oncology settings. Design: The Drug Exposure Feedback and Education for Nurses' Safety (DEFENS) study is a clustered, randomized, controlled trial. Participating sites are randomized to Web-based feedback on hazardous drug exposures in the sites plus tailored messages to address barriers versus a control intervention of a Web-based continuing education video. Approach: The study principal investigator, the study coordinator, and two site leaders identified challenges to study implementation and potential solutions, plus potential methods to prevent logistical challenges in future studies. Findings: Noteworthy challenges included variation in human subjects' protection policies, grants and contracts budgeting, infrastructure for nursing-led research, and information technology variation. Successful strategies included scheduled Web conferences, site-based study champions, site visits by the principal investigator, and centrally based document preparation. Strategies to improve efficiency in future studies include early and continued engagement with contract personnel in sites, and proposed changes to the common rule concerning human subjects. The DEFENS study successfully recruited 393 nurses across 12 sites. To date, 369 have completed surveys and 174 nurses have viewed educational materials. Conclusions: Multisite studies of nursing personnel are rare and challenging to the existing infrastructure. These barriers can be overcome with strong engagement and planning. Clinical Relevance: Leadership engagement, onsite staff support, and continuous communication can facilitate successful recruitment to a workplace-based randomized, controlled behavioral trial. [Description provided by NIOSH]
• Subjects:
  Antineoplastic Agents Behavior Education Hazardous Substances Health Personnel Neoplasms Occupational Exposure Occupational Health Personal Protective Equipment Safety Staff Development Surveys And Questionnaires Workplace

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• Keywords:
  Antineoplastic-agents Author Keywords: Education Chemotherapy Drugs Employee Exposure Environmental Health Hazard Communication Hazardous Drugs Health Care Personnel Health Surveys Intervention Intervention Effectiveness Intervention Research Medical-personnel Nurses Occupational Exposure Oncogenic Agents Personal-protection Personal Protective Equipment Policy PPE Safety Education Survey Methodology Training Training Effectiveness Website Work Environment

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• ISSN:
  1527-6546
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Michigan ; New York ; OSHA Region 2 ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  194-201
• Volume:
  49
• Issue:
  2
• NIOSHTIC Number:
  nn:20050690
• Citation:
  J Nurs Scholarsh 2017 Mar; 49(2):194-201
• Contact Point Address:
  Christopher R. Friese, Department of Systems, Populations, and Leadership, University of Michigan School of Nursing, 400 North Ingalls, Suite 4162, Ann Arbor, MI 48109-5482 USA
• Email:
  cfriese@umich.edu
• Federal Fiscal Year:
  2017
• NORA Priority Area:
  Healthcare and Social Assistance
• Performing Organization:
  University of Michigan
• Peer Reviewed:
  True
• Start Date:
  20140701
• Source Full Name:
  Journal of Nursing Scholarship
• End Date:
  20180630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:86d0c75641a912016e2aba483625dbb078267745a5600cf72f87f3c1052d6534cf1952f8a7a78cd8b8d6c6b823826487eb26b587628daaca36d4780023696841
• Download URL:
  https://stacks.cdc.gov/view/cdc/210933/cdc_210933_DS1.pdf
• File Type:
  [PDF - 280.56 KB ]