| 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.
Intervention:
A digital educational intervention that had been co-produced with CYP service users, registered children’s nurses, and academics.
Setting:
A prospective, uncontrolled, intervention study with pre and post-intervention measurement, conducted at a large acute NHS Trust in the UK.
Participants:
From a pool of 251 registered children’s nurses, 98 participants were recruited to complete the intervention (response rate = 39%). At follow-up, 52% of participants completed the post-intervention questionnaire, with 65% (n=33) of those reporting to have completed the digital educational intervention.
Primary Outcome measures:
Attitudes 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 (SETH) scale; Clinical behavioural intention was measured by the Continuing Professional Development Reaction Questionnaire. Semi-structured interviews were undertaken with a purposive sample of participants. Results:
For 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.
Conclusions:
The 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.
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