Hopstock Laila Arnesdatter
Institute of Nursing Science, Faculty of Medicine, University of Oslo, Norway.
Resuscitation. 2008 Mar;76(3):425-30. doi: 10.1016/j.resuscitation.2007.09.011. Epub 2007 Nov 26.
A massive cardiopulmonary resuscitation (CPR) training programme is continued in most hospitals to make hospital personnel ready to take action in cases of cardiac arrest. Motivated course participants learn more and perform better than unmotivated course participants. This study investigates whether hospital personnel are motivated to participate in CPR courses and whether motivation correlates with important assumptions in adult learning.
A survey measuring learning motivation via the MSLQ instrument was performed among 361 hospital personnel before attending a CPR course. Assumptions of adult learning were identified and data were analysed in relation to these assumptions.
Hospital personnel are generally motivated for learning CPR. Respondents who had been prepared for the course, who had participated in the decision about attending the course, who were working in high-risk area for cardiac arrest or were nursing personnel working in long-time close contact with patients were more motivated to CPR training than other hospital personnel. It seems like motivation correlates with adult learning assumptions such as the learners need to know, the learners self-concept, readiness to learn and orientation to learning.
This study supports the assumption that CPR training should be based on an adult learning model. As preparedness, participation, readiness and relevance seem to be key factors, we may want to include these factors when training hospital personnel in CPR skills.
大多数医院都在持续开展大规模心肺复苏(CPR)培训项目,以使医院工作人员在心脏骤停情况下做好采取行动的准备。积极的课程参与者比不积极的参与者学习得更多且表现更好。本研究调查医院工作人员是否有动力参加CPR课程,以及动力是否与成人学习中的重要假设相关。
在361名医院工作人员参加CPR课程之前,通过MSLQ工具进行了一项测量学习动机的调查。确定了成人学习的假设,并根据这些假设对数据进行了分析。
医院工作人员总体上有学习CPR的动力。那些为课程做好准备、参与了参加课程的决策、在心脏骤停高危区域工作或与患者长期密切接触的护理人员比其他医院工作人员更有动力参加CPR培训。似乎动力与成人学习假设相关,如学习者需要知道、学习者自我概念、学习准备度和学习导向。
本研究支持CPR培训应基于成人学习模式的假设。由于准备度、参与度、准备状态和相关性似乎是关键因素,我们在培训医院工作人员CPR技能时可能需要纳入这些因素。