"Our Care through our eyes": impact of a co-produced digital education 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...

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Main Authors: Manning, Joseph C., Carter, Tim, Latif, Asam, Cooper, Joanne, Horsley, Angela, Armstrong, Marie, Crew, Jamie, Wood, Damien, Callaghan, Patrick, Wharrad, Heather
Format: Article
Published: BMJ Publishing Group 2017
Online Access:https://eprints.nottingham.ac.uk/41499/
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author Manning, Joseph C.
Carter, Tim
Latif, Asam
Cooper, Joanne
Horsley, Angela
Armstrong, Marie
Crew, Jamie
Wood, Damien
Callaghan, Patrick
Wharrad, Heather
author_facet Manning, Joseph C.
Carter, Tim
Latif, Asam
Cooper, Joanne
Horsley, Angela
Armstrong, Marie
Crew, Jamie
Wood, Damien
Callaghan, Patrick
Wharrad, Heather
author_sort Manning, Joseph C.
building Nottingham Research Data Repository
collection Online Access
description 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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spelling nottingham-414992020-05-04T18:40:20Z https://eprints.nottingham.ac.uk/41499/ "Our Care through our eyes": impact of a co-produced digital education 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 Manning, Joseph C. Carter, Tim Latif, Asam Cooper, Joanne Horsley, Angela Armstrong, Marie Crew, Jamie Wood, Damien Callaghan, Patrick Wharrad, Heather 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. BMJ Publishing Group 2017-04-01 Article PeerReviewed Manning, Joseph C., Carter, Tim, Latif, Asam, Cooper, Joanne, Horsley, Angela, Armstrong, Marie, Crew, Jamie, Wood, Damien, Callaghan, Patrick and Wharrad, Heather (2017) "Our Care through our eyes": impact of a co-produced digital education 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. BMJ Open, 7 (4). e014750/1-e014750/10. ISSN 2044-6055 http://bmjopen.bmj.com/content/7/4/e014750 doi:10.1136/bmjopen-2016-014750 doi:10.1136/bmjopen-2016-014750
spellingShingle Manning, Joseph C.
Carter, Tim
Latif, Asam
Cooper, Joanne
Horsley, Angela
Armstrong, Marie
Crew, Jamie
Wood, Damien
Callaghan, Patrick
Wharrad, Heather
"Our Care through our eyes": impact of a co-produced digital education 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
title "Our Care through our eyes": impact of a co-produced digital education 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
title_full "Our Care through our eyes": impact of a co-produced digital education 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
title_fullStr "Our Care through our eyes": impact of a co-produced digital education 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
title_full_unstemmed "Our Care through our eyes": impact of a co-produced digital education 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
title_short "Our Care through our eyes": impact of a co-produced digital education 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
title_sort "our care through our eyes": impact of a co-produced digital education 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
url https://eprints.nottingham.ac.uk/41499/
https://eprints.nottingham.ac.uk/41499/
https://eprints.nottingham.ac.uk/41499/