Advancing Research and Clinical Practice Through Close Collaboration (ARCC): A Pilot Test of an Intervention to Improve Evidence-Based Care and Patient Outcomes

This study has been completed.
Sponsor:
Information provided by:
State University of New York - Upstate Medical University
ClinicalTrials.gov Identifier:
NCT00635869
First received: March 7, 2008
Last updated: March 13, 2008
Last verified: March 2008
  Purpose

The primary aim of this pilot study is to evaluate the effects of two variations of the ARCC Intervention Program on nursing processes and outcomes (job satisfaction, group cohesion, EBP knowledge, EBP implementation, EBP beliefs), patient/family outcomes (e.g. pt/family satisfaction with care), and institutional processes and outcomes (e.g. nurse-physician collaboration, cost, RN turnover, incidence frequency relevant to the topic). Secondary aims are to test the feasibility of study methods and reliability and validity of questionnaires.

This study is designed as a three-group randomized clinical trial with repeated measures. Three inpatient units (medicine, surgery, surgical intensive care) will be randomly assigned to one of three interventions: ARCC enhanced (didactic content presentations, use of an EBP tool kit which will stay on the unit, environmental EBP prompts, availability of an EBP coach on the unit); ARCC standard (all of the above, but without the coach); non-EBP intervention (didactic content and environmental prompts, but not related to EBP; placebo). The interventions will be implemented over an estimated 14 weeks, including a 4-week training period, and an estimated 10 weeks to implement an EBP initiative that the nurses on the two ARCC intervention units will develop.

Baseline information and questionnaires will be collected from nurses at the start of the study, and again at completion of the intervention phase. Outcome data will be collected from nurses approximately 10 weeks after implementation of the ARCC interventions are completed (i.e., 22 weeks after the study is commenced). Nurse-physician collaboration data will be collected from physicians working with study unit nurses as well as from the nurses. Patient satisfaction data will not be separately collected in this study, but will include use of unit-level Press-Ganey scores immediately prior to and over the study time period. Unit level and institutional RN turnover will be tracked monthly during the entire study period and will be compared across units at the same time as well as compared within each study over time (i.e., unit retention during those same months in the previous year). Costs of each EBP intervention will be tracked during the study and compared descriptively. Survey data will be analyzed using analysis of variance statistics. Questionnaires will be tested for reliability and construct validity. Because this is a pilot study, statistically significant differences are not expected, however, effect sizes will be calculated


Condition Intervention
Evidence-Based Medicine
Physician-Nurse Relations
Behavioral: ARCC standard information
Behavioral: ARCC enhanced
Behavioral: Placebo

Study Type: Observational
Study Design: Time Perspective: Prospective
Official Title: Advancing Research and Clinical Practice Through Close Collaboration (ARCC): A Pilot Test of an Intervention to Improve Evidence-Based Care and Patient Outcomes

Further study details as provided by State University of New York - Upstate Medical University:

Primary Outcome Measures:
  • EBP beliefs [ Time Frame: baseline, week 5, week 16, week 24 ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • EBP Implementation [ Time Frame: baseline, week 5, week 16, week 24 ] [ Designated as safety issue: No ]

Enrollment: 29
Study Start Date: September 2005
Study Completion Date: August 2006
Primary Completion Date: August 2006 (Final data collection date for primary outcome measure)
Groups/Cohorts Assigned Interventions
ARCC standard
RNs on unit receiving basic ARCC information with staff nurse champion
Behavioral: ARCC standard information
EBP didactic education sessions, EBP toolkit, environmental prompts, identification of an EBP champion among unit staff RNs
ARCC enhanced
RNs on unit receiving ARCC standard content plus with an EBP mentor
Behavioral: ARCC enhanced
same as ARCC standard plus EBP mentor on-site twice each week plus available by e-mail for consultation
C
RNs on the unit receiving the placebo intervention
Behavioral: Placebo
didactic education sessions on physical assessment

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population

Registered Nurse staff working on inpatient study units (medicine, surgery, surgical intensive care)

Criteria

Inclusion Criteria:

  • employed by Upstate
  • working full or part time on study unit
  • able to attend all education sessions

Exclusion Criteria:

  • employed by temporary agency
  • not able to attend all education sessions
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00635869

Locations
United States, New York
University Hospital, SUNY Upstate Medical University
Syracuse, New York, United States, 13210
Sponsors and Collaborators
State University of New York - Upstate Medical University
Investigators
Principal Investigator: Priscilla S Worral, PhD, RN State University of New York - Upstate Medical University
  More Information

No publications provided

Responsible Party: Priscilla Sandford Worral, Coordinator of Nursing Research, University Hospital, SUNY Upstate Medical University
ClinicalTrials.gov Identifier: NCT00635869     History of Changes
Other Study ID Numbers: 5199
Study First Received: March 7, 2008
Last Updated: March 13, 2008
Health Authority: United States: Institutional Review Board

Keywords provided by State University of New York - Upstate Medical University:
evidence based practice beliefs
evidence based practice implementation
evidence based practice knowledge
nurse physician collaboration

ClinicalTrials.gov processed this record on August 26, 2014