Online Training Course to Improve Evidence-based Leadership
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Turku
About this trial
The goal of this cluster clinical trial is to evaluate the effectiveness of online training course, targeted to unit leaders to improve staff's evidence-based skills (individual outcomes), EBP implementation (team-based outcomes), and the quality of care (organisational outcomes). Feasibility and fidelity of the intervention will be assessed as well. The main questions it aims to answer are:
1. Does online training course improve staff's evidence-based practice? 2. Does online training course improve staff's self-esteem and self-efficacy? 3. Does online training course improve leadership for EBP implementation on organisational level? 4. Does online training course improve the quality of patient care? 5. Does online training course reduce staff's absence (sick leaves, intention to leave the ward or hospital)?
Participants will:
* Participants will join in a seven-months online training course in small group or practice as usual. * Seven course modules, read course material, prepare assignments, join in peer discussions. * Self-assessment, self-reflection and give course feedback.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
have shown their willingness to join the study,
unit leaders have an official managerial position at the study organisation,
unit have a leaders with a professional licence to work in health or social care sector,
unit leaders represent any gender,
Disqualifiers
Those staff members who are off duty during the recruitment period (family leave, long-term sick leave, study leave, or any other reason).
Trial design
Design model
Parallel
Treatments tested in this trial
Evidence-based leadership training
BehavioralThe structure of the course will follow the steps of the evidence-based approach: (1) each participant will identify their specific unit problem to be solved together with the team and unit leader will work with this problem during the course; (2) organisational data will be collated and analysed to understand the key problem of the unit; (3) scientific literature will be searched for, and critically appraised; (4) the views of stakeholders (patients, family members, etc.) will be considered along with implications; and (5) all sources of information will be collated together and the solution will be implemented into practice; the real situation will be evaluated. Each module includes specific learning material (power points, scientific articles), peer-group discussions, clinical exercises, and self-assessment and self-reflection. The unit leaders will work together their unit members. The course will be run in small group (about 15/agroup) and supported by tutors.
Treatment groups
300 Participants
are divided into 2 treatment groupsGroup A: Evidence-based leadership trainingExperimental treatment 1 intervention
Group B: Passive control groupNo intervention 0 interventions
Trial outcomes
Primary outcomes
1
The Evidence-based Practice Questionnaire (EBPQ)
The Evidence-based Practice Questionnaire (EBPQ) assess the implementation of evidence-based practice (24 items, score 1-7, three sub-scales: 1) the knowledge/skills (14 items, score 1-7, 1=Poor-7=Best, the range 14-98, a higher score represents greater knowledge in EBP); 2) the attitudes (4 items, score 1-7, the range 4-28; a higher score represents more a positive attitude toward EBP; 3) an evidence-based practice (6 items, score 1-7, 1=Never, 7=Frequently, range 6-42); the higher score is better.
Time frame
From enrollment to the end of training at 7 months.Secondary outcomes
1
Self-Esteem Scale (RSE)
Self-Esteem Scale (RSE) evaluate individual self-esteem with a 10-item unidimensional scale by focusing on both positive and negative feelings about the self (4-point Likert scale, 1=strongly agree - 4=strongly disagree). The sum score varies between 10 to 40: the higher score is better and represent higher self-esteem.
Time frame
From enrollment to the end of training at 7 months.2
The General Self-Efficacy Scale (GSE)
The General Self-Efficacy Scale (GSE) assess optimistic self-beliefs for coping with a variety of difficult demands in life with 10 items (a 4-point Likert scale, 1 = not at all true, 4 = exactly true). Summed score ranges 10 - 40: the higher score indicates better coping abilities.
Time frame
From enrollment to the end of training at 7 months.3
The Implementation Leadership Scale (ILS) - Staff version
The Implementation Leadership Scale (ILS)- Staff version, is 12-item questionnaire measuring leadership for EBP implementation. It consists of four subscales: (1) proactive leadership, (2) knowledgeable leadership, (3) supportive leadership, and (4) perseverant leadership. It is scored from 0 (not at all) to 4 (to a very great extent); the higher total score represents stronger implementation of EBP.
Time frame
From enrollment to the end of training at 7 months.4
The Implementation Leadership Scale (ILS) - Supervisor version
The Implementation Leadership Scale (ILS)- Supervisor versions is 12-item questionnaire measuring leadership for EBP implementation. It consists of four subscales: (1) proactive leadership, (2) knowledgeable leadership, (3) supportive leadership, and (4) perseverant leadership. It is scored from 0 (not at all) to 4 (to a very great extent); the higher total score represents stronger implementation of EBP.
Time frame
From enrollment to the end of training at 7 months.Other outcomes
1
Course feedback - survey
Course feedback survey for the participants in experimental group (8 items): 1) "This course was appealing to me"; 2) "I felt happy when I participated in the course"; 3) "Participation in the course required too much effort from me"; 4) "It was worth participating in this course"; 5) "I found this course valuable"; 6) "I was able to meet the requirements of the course"; 7) "This course fits well with my personal values"; and 8) "I would recommend the course to others". Participants will consider the propositions with five possible answers (1 = completely disagree; 2 = disagree; 3 = neither agree nor disagree; 4 = agree; 5 = completely agree): higher total score is better.
Time frame
After the course, at month 7.2
Feasibility and fidelity: number of total loggs in each module (f)
Number of total loggs in each course module (f) will be calculated; higher total score is better.
Time frame
After the course, at month 7.3
Feasibility and fidelity: number of participants who logged in each module (n)
Number of the participants will be calculated in Moodle platform who logged in each module (n); higher number of participants is better.
Time frame
After the course, at month 7.4
Feasibility and fidelity: adherence to the course (f)
Number of returned course tasks (f) out of all possible tasks will be calculated; higher number of returned course tasks is better.
Time frame
After the course, at month 7.Sponsors and contacts
Click on the lead sponsor to view all of their trials.
University of Turku
Lead sponsor
University of Helsinki
Sponsor institution
City of Helsinki
Collaborator
Hospital District of Helsinki and Uusimaa
Collaborator
Source ClinicalTrials.gov