Evidence map›Paper›PMID 40478825›Full record

Trial reportPloS one2025

Methods and processes to develop and deliver a theory-informed education program for sustained behaviour change in emergency nursing.

Julie Considine, Belinda Kennedy, Margaret Murphy, Margaret Fry, Ramon Z Shaban, Kate Curtis

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Julie ConsidineSchool of Nursing and Midwifery and Centre for Quality and Patient Safety Research in the Institute for Health Transformation, Deakin University, Geelong, Victoria, Australia.ORCID 0000-0003-3801-2456
Belinda KennedyFaculty of Medicine and Health, The University of Sydney Susan Wakil School of Nursing and Midwifery, Camperdown, New South Wales, Australia.
Margaret MurphyFaculty of Medicine and Health, The University of Sydney Susan Wakil School of Nursing and Midwifery, Camperdown, New South Wales, Australia.ORCID 0000-0002-8937-8418
Margaret FryUniversity of Technology Sydney Faculty of Health, New South Wales, Australia.
Ramon Z ShabanFaculty of Medicine and Health, The University of Sydney Susan Wakil School of Nursing and Midwifery, Camperdown, New South Wales, Australia.
Kate CurtisFaculty of Medicine and Health, The University of Sydney Susan Wakil School of Nursing and Midwifery, Camperdown, New South Wales, Australia.ORCID 0000-0002-3746-0348

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHIRAID® (History including Infection risk, Red flags, Assessment, Interventions, Diagnostics, communication and reassessment) is an evidence-based framework that supports emergency nurses to optimise safety, quality, and patient experience of care. HIRAID® was the intervention in a modified stepped-wedge cluster randomised controlled trial (SW-cRCT) in a convenience sample of 29 Australian emergency departments (Australian New Zealand Clinical Trials Registry: ACTRN12621001456842). The aim of this paper is to describe the methods and processes used to develop and deliver a theory-informed education program to support behaviour change during HIRAID® implementation.

methodsThe HIRAID® education program was developed using: i) existing HIRAID® research using the Behaviour Change Wheel and Theoretical Domains Framework to identify enablers and barriers to HIRAID® use; ii) application of educational pedagogical theoretical frameworks (constructive alignment, backwards design, scaffolded learning); Bloom's taxonomy of educational objectives, and active and collaborative learning; iii) Australian standards related to safety, quality, clinical governance, and emergency nursing; and iv) behavioural diagnostic data from study sites (n = 670 nurses).

resultsHIRAID® education program consisted of HIRAID® Provider and Instructor Courses and was delivered using a 'train-the-trainer' model. Fifteen HIRAID® Instructor Courses were held from February 2021 to March 2023 with 162 participants, and at November 2023 over 1300 emergency nurses had completed the HIRAID® Provider Course.

conclusionsThe theory-informed approach to the HIRAID® education program enabled development of a structured program and delivery in the dynamic and complex emergency department environment. The approach reported in this paper provides a blueprint for other researchers aiming to change behaviours in complex settings.

Indexed as

Emergency NursingAdultAustraliaEmergency Service, HospitalFemaleHumansMale

Identifiers

PMID40478825
PMCPMC12143499

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.