Rural Hospital Program, University of Arkansas for Medical Sciences, Little Rock, Arkansas 72204-1611, USA.
Telemed J E Health. 2010 Sep;16(7):776-86. doi: 10.1089/tmj.2010.0005.
This study assessed differences in program satisfaction among health professionals participating in a distance continuing education program by gender, ethnicity, discipline, and community size. A one-group posttest design was used with a sample of 45,996 participants in the University of Arkansas for Medical Sciences, Rural Hospital, Distance Continuing Medical Education Program during 1995-2007. This program provided 2,219 continuing education programs for physicians (n = 7,047), nurses (n = 21,264), allied health (n = 3,230) and dental (n = 305) professionals, pharmacists (n = 4,088), administrators (n = 1,211), and marketing/finance/human resources professionals (n = 343). These programs were provided in Arkansas hospitals, clinics, and area health education centers. Interactive video technology and the Internet were used to deliver these programs. The program satisfaction instrument demonstrated adequate internal consistency reliability (Cronbach's alpha = 0.91) and construct validity. Participants had high levels of satisfaction regarding knowledge and skills, use of information to enhance patient care, program quality, and convenience of the technology (mean total satisfaction score = 4.44, range: 1-5). Results from the t-test for independent samples and one-way analysis of variance indicated that men (p = 0.01), African-Americans and Hispanics (p < 0.01), dental professionals (p < 0.01), and participants in larger urban communities (population of 75,001-185,000) (p < 0.01) had significantly greater satisfaction. Nurses and physicians had significantly greater satisfaction regarding the use of information in practice to enhance patient care (p < 0.01). Results suggest that socioeconomic and demographic factors can affect satisfaction with distance continuing education programs.
本研究评估了参加远程继续教育计划的卫生专业人员在性别、种族、学科和社区规模方面的课程满意度差异。该研究采用了单组后测设计,样本为 1995 年至 2007 年期间参加阿肯色大学医学科学、农村医院远程继续医学教育计划的 45996 名参与者。该计划为医生(n=7047)、护士(n=21264)、辅助医疗(n=3230)和牙科(n=305)专业人员、药剂师(n=4088)、管理人员(n=1211)和营销/财务/人力资源专业人员(n=343)提供了 2219 个继续教育课程。这些课程在阿肯色州的医院、诊所和地区健康教育中心提供。互动视频技术和互联网用于提供这些课程。课程满意度量表表现出足够的内部一致性信度(Cronbach's alpha = 0.91)和结构有效性。参与者对知识和技能、使用信息来增强患者护理、课程质量以及技术的便利性非常满意(总满意度平均得分为 4.44,范围:1-5)。独立样本 t 检验和单因素方差分析的结果表明,男性(p=0.01)、非裔美国人(p<0.01)和西班牙裔(p<0.01)、牙科专业人员(p<0.01)以及居住在较大城市社区(人口 75001-185000)的参与者(p<0.01)的满意度显著更高。护士和医生在使用信息增强患者护理方面的满意度显著更高(p<0.01)。结果表明,社会经济和人口统计学因素会影响对远程继续教育课程的满意度。