Implementation of Practice Standards for ECG Monitoring (PULSE)

The recruitment status of this study is unknown because the information has not been verified recently.
Verified January 2011 by Yale University.
Recruitment status was  Recruiting
Sponsor:
Information provided by:
Yale University
ClinicalTrials.gov Identifier:
NCT01269736
First received: January 3, 2011
Last updated: NA
Last verified: January 2011
History: No changes posted

January 3, 2011
January 3, 2011
August 2008
January 2013   (final data collection date for primary outcome measure)
Nurses' knowledge and skills related to ECG monitoring [ Time Frame: 4 years ] [ Designated as safety issue: No ]
Same as current
No Changes Posted
  • Quality of patient care related to ECG monitoring [ Time Frame: 4 years ] [ Designated as safety issue: No ]
  • Patient outcomes [ Time Frame: 4 years ] [ Designated as safety issue: No ]
Same as current
Not Provided
Not Provided
 
Implementation of Practice Standards for ECG Monitoring
Implementation of Practice Standards for ECG Monitoring

The purpose of this study is to test the effect of implementing new practice standards for electrocardiographic (ECG) monitoring on nurses' knowledge and skills, quality of care, and patient outcomes. The investigators hypothesize that increased knowledge and skills of nurses will lead to enhanced quality of care, which will result in improved outcomes for patients.

Despite advances in hospital electrocardiographic (ECG) monitoring technology, monitoring practices are inconsistent and often inadequate. The investigators recently published practice standards for ECG monitoring. The primary purpose of this 5-year multisite randomized clinical trial is to test the effect of implementing these standards on nurses' knowledge and skills, quality of care, and patient outcomes. The investigators expect that increased knowledge and skills of nurses will lead to enhanced quality of care, which will result in improved outcomes for patients. Units serving cardiac patients in 17 hospitals will participate. Hospitals will be randomized to the experimental or control group after baseline measures of knowledge and skills, quality of care, and patient outcomes are obtained. The intervention will include ECG monitoring education and strategies to implement and sustain change. The online education will include 4 modules: essentials of ECG monitoring, arrhythmia monitoring, ischemia monitoring, and QT interval monitoring. The strategies to implement and sustain change in the clinical area include reinforcement of education, incentives, and the designation of "champions" on each unit who will actively promote the implementation of the practice standards.

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Crossover Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Cardiovascular Disease
Behavioral: Education
Online ECG monitoring education program and strategies to implement and sustain change
  • Experimental: Education
    Intervention: Behavioral: Education
  • No Intervention: Usual care
    Intervention: Behavioral: Education

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
50000
March 2013
January 2013   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Nurses (and monitor technicians): All nurses (and monitor technicians) working on participating units serving patients with cardiac disease
  • Patients: All patients cared for on participating units

Exclusion Criteria:

  • Nurses (and monitor technicians): No nurses (or monitor technicians) will be excluded
  • Patients: No patients on the participating units will be excluded, even if their primary diagnosis is not cardiac
Both
Not Provided
Yes
Contact: Marjorie Funk, PhD, RN 203-737-2346 marjorie.funk@yale.edu
Contact: Jeanine L May, MSN, MPH, RN 203-737-1855 jeanine.may@yale.edu
United States,   Canada,   China
 
NCT01269736
0711003292, R01HL081642
Yes
Marjorie Funk, Yale University School of Nursing
Yale University
Not Provided
Principal Investigator: Marjorie Funk, PhD, RN Yale University School of Nursing
Yale University
January 2011

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP