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NCT Number: NCT07341620

Effectiveness of an Online Interactive E-book in Enhancing Home Care Nurses' Knowledge, Perceived Barriers, and Self-efficacy in Home Pressure Injury Care

The goal of this study is to learn if an interactive e-book helps home care nurses improve their skills in managing pressure injuries at home. It will also learn if digital learning can overcome the challenges of traditional training. The main questions it aims to answer are:

1. Does the e-book increase home care nurses' knowledge about pressure injury prevention and treatment? 2. Does it improve their confidence and reduce the barriers they face when providing wound care? 3. How long do the learning benefits last after completing the program?

Researchers will compare an interactive e-book to standard PDF training materials from the Ministry of Health and Welfare (MOHW) to see which is more effective for nursing education.

Participants will:

1. Use an online interactive e-book covering 11 units of wound care for 1 month 2. Use standard PDF training materials from the MOHW Long-term Care section 3. Complete surveys about their knowledge and skills before the study, immediately after the program, and 1 month later

Expected Outcomes and Contributions:

This study aims to solve the problem of nursing shortages and training difficulties in rural areas. The researchers expect that home care nurses will become more competent in wound management, leading to better patient health and fewer hospital readmissions. These results will support Taiwan's "Long-term Care 3.0" policy by driving innovation in digital education.

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Key information

Conditions

Pressure Injuries Pressure Ulcer Skin Diseases Skin Ulcer Skin and Connective Tissue Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Home Care Agency of Kaohsiung Medical University Chung-Ho Memorial Hospital

Kaohsiung City, Kaohsiung, 807, Taiwan

Location status: Recruiting

Location contact

Chao-Yuan Wang

CONTACT

[email protected]

+886-7-312-1101

About this study

The goal of this study is to learn if an interactive e-book helps home care nurses improve their skills in managing pressure injuries at home. It will also learn if this digital tool can overcome barriers to traditional training.

The main questions it aims to answer are:

  • Does the e-book increase home care nurses' knowledge about pressure injury prevention and treatment?
  • Does it improve their confidence and reduce the barriers they face when providing wound care?
  • How long do these learning benefits last after the program ends? Researchers will compare an interactive e-book to standard PDF training materials from the Ministry of Health and Welfare (MOHW) to see which is more effective for nursing education.

Participants will:

  • Use an online interactive e-book on wound care for 1 month (Experimental Group)
  • Read standard PDF training materials from the MOHW Long-term Care section (Control Group)

Complete surveys about their knowledge and skills before the study, immediately after the program, and 1 month later

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Registered nurses aged 18 years or older.
  • Currently employed full-time as a home care nurse in a hospital-affiliated home care agency, private home care agency, or public health center.
  • Have at least six months of clinical experience in home care nursing.
  • Willing to participate in this study and sign the informed consent form.

Exclusion criteria

  • Home care nurses who hold specialized certifications related to advanced wound care (due to their existing high level of expertise in pressure injury management).
  • Nurses practicing in community nursing homes or residential care facilities.

Treatment and study plan

Interactive E-book on Pressure Injury Care

Other

An online interactive digital e-book containing 11 units on pressure injury prevention and wound care management for home care nurses.

MOHW Standard PDF Educational Materials

Other

Standardized PDF educational documents regarding pressure injuries provided by the Ministry of Health and Welfare (MOHW) Long-term Care section.

Primary outcomes

  1. Pressure Injury Knowledge Assessment Score (PUKAT 2.0)

    Time frame: Baseline (Pre-intervention), 1 month (immediately post-intervention), and 2 months (1-month follow-up).

    Pressure Injury Knowledge Assessment Score as measured by the Pressure Ulcer Knowledge Assessment Tool version 2.0 (PUKAT 2.0). The PUKAT 2.0 consists of 28 multiple-choice items across six themes: etiology, classification, risk assessment, nutrition, prevention (pressure), and prevention (shear/friction). Each correct answer is awarded 1 point, while incorrect or "I do not know" answers receive 0 points. Possible scores range from 0 to 28, with higher scores indicating a greater level of knowledge and competency in the prevention and management of pressure injuries. An overall score of 17 or higher (≥60%) is typically considered the threshold for satisfactory knowledge.

Secondary outcomes

  1. Perceived Barriers to Wound Care (WCBS)

    Time frame: Baseline (Pre-intervention), 1 month (immediately post-intervention), and 2 months (1-month follow-up).

    Measured by the Wound Care Perceived Barriers Scale (WCBS), consisting of 16 items. Each item is rated on a 5-point Likert scale ranging from 1 (Strongly Disagree) to 5 (Strongly Agree). Total scores range from 16 to 80 points. A higher score indicates that the participant perceives significantly greater barriers to performing wound care.

  2. Pressure Ulcer Management Self-Efficacy (PUM-SES)

    Time frame: Baseline (Pre-intervention), 1 month (immediately post-intervention), and 2 months (1-month follow-up).

    Measured by the Pressure Ulcer Management Self-Efficacy Scale (PUM-SES). Each item is rated on a 5-point Likert scale from 1 (Totally Incapable) to 5 (Totally Capable). Total scores range from 10 to 50 points. A higher score indicates stronger self-efficacy in the prevention and management of pressure injuries.

Study contacts

Contact information is provided by the study sponsor or research team.

Hsiaoching Lin, Master

CONTACT

[email protected]

+886921962253

Sponsors and collaborators

Lead sponsor

Kaohsiung Medical University

Other

Registry information

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Jan 14, 2026
Registry last updated
Mar 17, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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