"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

Abstract

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.

Citation

Manning, J. C., Carter, T., Latif, A., Cooper, J., Horsley, A., Armstrong, M., …Wharrad, H. (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), Article e014750. https://doi.org/10.1136/bmjopen-2016-014750

• Journal Article Type: Article
• Acceptance Date: Feb 17, 2017
• Online Publication Date: May 4, 2017
• Publication Date: Apr 1, 2017
• Deposit Date: Mar 23, 2017
• Publicly Available Date: Apr 1, 2017
• Journal: BMJ Open
• Electronic ISSN: 2044-6055
• Publisher: BMJ Publishing Group
• Peer Reviewed: Peer Reviewed
• Volume: 7
• Issue: 4
• Article Number: e014750
• DOI: https://doi.org/10.1136/bmjopen-2016-014750
• Public URL: https://nottingham-repository.worktribe.com/output/853923
• Publisher URL: http://bmjopen.bmj.com/content/7/4/e014750
• Contract Date: Mar 23, 2017