‘Our Care through Our Eyes’. Impact of a co-produced digital educational programme on nurses’ knowledge, confidence and attitudes in providing care for children and young people who have self-harmed: a mixed-methods study in the UK

Objectives(1) To determine the impact of a digital educational intervention on the knowledge, attitudes, confidence and behavioural intention of registered children’s nurses working with children and young people (CYP) admitted with self-harm.(2) To explore the perceived impact, suitability and usef...

Full description

Saved in:

Bibliographic Details
Published in:	BMJ open 2017-05, Vol.7 (4), p.e014750-e014750
Main Authors:	Manning, Joseph C, Carter, Tim, Latif, Asam, Horsley, Angela, Cooper, Joanne, Armstrong, Marie, Crew, Jamie, Wood, Damian, Callaghan, Patrick, Wharrad, Heather
Format:	Article
Language:	eng
Subjects:	Adolescent Adult Attitudes Child Child & adolescent psychiatry Clinical Competence - standards Collaboration Computer-Assisted Instruction Confidence Consent Curricula Data collection Delphi Technique Education, Nursing, Continuing Female Health Knowledge, Attitudes, Practice Humans Intervention Interviews Knowledge Male Mental disorders Mental health Mixed methods research Multimedia Nurse-Patient Relations Nurses Nursing Nursing care Online instruction Pediatric Nurse Practitioners - education Pediatric Nurse Practitioners - psychology Pediatric nursing Pediatrics Practice Patterns, Nurses Program Evaluation Prospective Studies Psychiatric-mental health nursing Qualitative research Questionnaires Science education Self destructive behavior Self-Injurious Behavior - nursing Suicides & suicide attempts United Kingdom
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Objectives(1) To determine the impact of a digital educational intervention on the knowledge, attitudes, confidence and behavioural intention of registered children’s nurses working with children and young people (CYP) admitted with self-harm.(2) To explore the perceived impact, suitability and usefulness of the intervention.InterventionA digital educational intervention that had been co-produced with CYP service users, registered children’s nurses and academics.SettingA prospective, uncontrolled, intervention study with preintervention and postintervention measurement, conducted at a large acute NHS Trust in the UK.ParticipantsFrom a pool of 251 registered children’s nurses and 98 participants were recruited to complete the intervention (response rate=39%). At follow-up, 52% of participants completed the postintervention questionnaire, with 65% (n=33) of those reporting to have completed the digital educational intervention.Primary outcome measuresAttitude towards self-harm in CYP was measured using a 13-item questionnaire; knowledge of self-harm in CYP was measured through an adapted 12-item questionnaire; confidence in different areas of practice was measured through Likert Scale responses; self-efficacy for working with CYP who have self-harmed was measured through an adapted version of the Self-efficacy Towards Helping Scale; clinical behavioural intention was measured by the Continuing Professional Development Reaction Questionnaire. Semistructured interviews were undertaken with a purposive sample of participants.ResultsFor those who completed the intervention (n=33), improvements were observed in knowledge (effect size, ES: 0.69), confidence, and in some domains relating to attitudes (effectiveness domain-ES: 0.49), and clinical behavioural intention (belief about consequences-ES:0.49; moral norm-ES: 0.43; beliefs about capability-ES: 0.42). Qualitative findings suggest participants experienced skill development, feelings of empowerment and reflection on own practice.ConclusionsThe effect of the intervention is promising and demonstrates the potential it has in improving registered children’s nurse’s knowledge, confidence and attitudes. However, further testing is required to confirm this.
ISSN:	2044-6055 2044-6055