Lowe G R
Arkansas Children's Hospital, Little Rock 72202, USA.
Respir Care. 1995 Jan;40(1):35-8.
We developed a self-administered safety module (SM) to instruct respiratory care (RC) employees in their responsibilities during emergency situations. The SM has five phases--a pretest (PRE), statement of module objectives, presentation of information in outline form, a posttest (POST), and review of the POST. This training meets the specific requirements outlined by the Occupational Safety and Health Administration and the Joint Commission on Accreditation of Healthcare Organizations.
To evaluate the effectiveness of the SM, we compared test scores among three groups of employees: those with no previous exposure to safety education in the hospital setting (G1), those with exposure at other institutions (G2), and those with exposure at this institution (G3). Our goal was to equalize the POST scores among the three groups. Using a 1-way analysis of variance, we tested to find whether the PRE scores were different from one another and repeated the test for the POST scores. We tested for within-group differences, PRE vs POST, using paired t tests.
Previous exposure to hospital safety management was associated with significantly higher PRE scores (p < 0.001). No previous exposure was associated with the greatest improvement (POST vs PRE), although all groups experienced significant improvement (p < 0.05). The POST scores for G1 were significantly lower than those of either G2 or G3 (p < 0.001). However, they were still adequate to pass (> or = 80%).
This self-administered SM is an effective and efficient method of educating RC personnel, regardless of entry-level knowledge, in safety issues and, although the POST scores were not statistically equalized, these scores were all sufficient to pass. Further evaluation of this process will include assessment of knowledge retention among employees.
我们开发了一个自我管理的安全模块(SM),用于指导呼吸护理(RC)员工在紧急情况下的职责。该安全模块有五个阶段——预测试(PRE)、模块目标说明、以大纲形式呈现信息、后测试(POST)以及对后测试的回顾。此培训符合美国职业安全与健康管理局以及医疗保健机构认证联合委员会规定的特定要求。
为评估安全模块的有效性,我们比较了三组员工的测试成绩:医院环境中此前未接受过安全教育的员工(G1组)、在其他机构接受过安全教育的员工(G2组)以及在本机构接受过安全教育的员工(G3组)。我们的目标是使三组的后测试成绩达到均衡。使用单向方差分析,我们测试三组的预测试成绩是否彼此不同,并对后测试成绩重复此测试。我们使用配对t检验来测试组内差异,即预测试成绩与后测试成绩的差异。
此前接触过医院安全管理与显著更高的预测试成绩相关(p < 0.001)。尽管所有组都有显著提高(p < 0.05),但此前未接触过安全教育的组(G1组)提高幅度最大。G1组的后测试成绩显著低于G2组和G3组(p < 0.001)。然而,这些成绩仍足以通过(≥ 80%)。
这个自我管理的安全模块是一种有效且高效的方法,可用于向呼吸护理人员传授安全问题,无论其入门知识水平如何。尽管后测试成绩在统计学上未达到均衡,但这些成绩都足以通过。对该过程的进一步评估将包括对员工知识留存情况的评估。