Educational outreach visits to improve nurses' use of mechanical venous thromboembolism prevention in hospitalized medical patients
Journal article
Duff, Jed, Walker, Kim, Abdulla, Omari, Middleton, Sandy and McInnes, Elizabeth. (2013). Educational outreach visits to improve nurses' use of mechanical venous thromboembolism prevention in hospitalized medical patients. Journal of Vascular Nursing. 31(4), pp. 139-149. https://doi.org/10.1016/j.jvn.2013.04.002
Authors | Duff, Jed, Walker, Kim, Abdulla, Omari, Middleton, Sandy and McInnes, Elizabeth |
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Abstract | Venous thromboembolism (VTE) is a significant cause of morbidity and mortality in hospitalized medical patients. Evidence-based guidelines exist for preventing VTE; unfortunately, these guidelines are not always adhered to by clinicians. The aim of this study was to evaluate the acceptability, utility and clinical impact of an educational outreach visit (EOV) on nurses' provision of mechanical prophylaxis to hospitalized medical patients using a prospective, uncontrolled, before-and-after design. Nurses received a 1-to-1 educational session on mechanical VTE prevention by a trained nurse facilitator. The EOV intervention was designed by a multidisciplinary group of healthcare professionals using social marketing theory. Eighty-five of the 120 eligible nurses (71%) attended the EOV. The median length of each visit was 11.5 minutes (interquartile range [IQR], 10–15) and the median time spent arranging and conducting each visit was 63 minutes (IQR, 49–85). Eighty-four (99%) of the 85 participants gave a verbal commitment to trial the new evidence-based mechanical VTE prevention practices. However, there were no measurable improvements in the proportion of patients risk assessed (–1.7% improvement; 95% confidence interval [CI], –7.0 to 10.3; P = .68) or provided appropriate mechanical prophylaxis (−0.3% improvement; 95% CI, −13.4 to 14; P = .96). Researchers conclude that EOV should not be used to improve nurses’ use of mechanical VTE prevention because it has no measurable impact on clinical practice and is resource intensive, requiring 4.5 minutes of preparation for every minute spent face to face with participants. Further research into the specific mechanism of action is required to explain the variability in clinical effect seen with this intervention. |
Year | 2013 |
Journal | Journal of Vascular Nursing |
Journal citation | 31 (4), pp. 139-149 |
Publisher | Elsevier |
ISSN | 1062-0303 |
Digital Object Identifier (DOI) | https://doi.org/10.1016/j.jvn.2013.04.002 |
Scopus EID | 2-s2.0-84887533341 |
Open access | Published as green open access |
Research or scholarly | Research |
Page range | 139-149 |
Funder | St Vincent’s Clinic Foundation |
Research Group | School of Nursing, Midwifery and Paramedicine |
Author's accepted manuscript | License File Access Level Open |
Publisher's version | License All rights reserved File Access Level Controlled |
Output status | Published |
Publication dates | |
Online | 13 Nov 2013 |
https://acuresearchbank.acu.edu.au/item/8qxw7/educational-outreach-visits-to-improve-nurses-use-of-mechanical-venous-thromboembolism-prevention-in-hospitalized-medical-patients
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Author's accepted manuscript
AM_Duff_2013_Educational_outreach_visits_to_improve_nurses.pdf | |
License: CC BY-NC-ND 4.0 | |
File access level: Open |
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