University Medical Center Utrecht, Utrecht, The Netherlands.
Arch Dis Child. 2011 Apr;96(4):330-4. doi: 10.1136/adc.2010.190801. Epub 2011 Jan 12.
To evaluate the effectiveness of an electronic learning (e-learning) programme on the performance of nurses in the recognition of child abuse in a simulated case in the Emergency Department (ED).
Blinded, randomised controlled trial using pre- and postintervention design.
The ED of a University Medical Center in the Netherlands.
38 ED nurses were included, 25 nurses were analysed.
Half of the participants followed a 2-hour e-learning programme focused on the recognition of child abuse, the others acted as a control group.
Individual performance during a case-simulated parent interview to detect child abuse and self-reported self-efficacy for the detection of child abuse. Performance on the simulation was scored by an expert panel using a standardised assessment form which was designed to score quantity and quality of the questions posed by the nurse (minimum score 0; maximum score 114).
During post-test, nurses in the intervention group performed significantly better during the simulation than the control group, (89 vs 71, 95% CI 2.9 to 33.3), and reported higher self-efficacy (502 vs 447, 95% CI -25.4 to 134.7). Performance in detecting child abuse correlated positively with the self-efficacy score (Spearman correlation 0.387, p value 0.056). Comparing post- and pretest results separately for the intervention and the control group showed a significant increase in performance in the intervention group.
E-learning improved the performance in case simulations and the self-efficacy of the nurses in the ED in the detection of child abuse. Wider implementation of the e-learning programme to improve the first step in the detection of child abuse is recommended.
评估电子学习（e-learning）方案对急诊科护士在模拟病例中识别儿童虐待的表现的有效性。
采用预干预和后干预设计的盲法随机对照试验。
荷兰一所大学医学中心的急诊科。
38 名急诊科护士被纳入研究，其中 25 名护士进行了分析。
一半参与者参加了 2 小时的电子学习计划，重点是识别儿童虐待，另一半作为对照组。
在模拟的父母访谈中识别儿童虐待的个人表现和自我报告的识别儿童虐待的自我效能感。通过专家小组使用标准化评估表对模拟表现进行评分，该评估表旨在对护士提出的问题的数量和质量进行评分（最低得分为 0；最高得分为 114）。
在测试后，干预组护士在模拟测试中的表现明显优于对照组（89 对 71，95%置信区间 2.9 至 33.3），自我效能感也更高（502 对 447，95%置信区间-25.4 至 134.7）。识别儿童虐待的表现与自我效能感评分呈正相关（Spearman 相关系数 0.387，p 值 0.056）。分别对干预组和对照组的后测和前测结果进行比较，发现干预组的表现显著提高。
电子学习提高了急诊科护士在模拟病例中识别儿童虐待的表现和自我效能感。建议更广泛地实施电子学习计划，以提高识别儿童虐待的第一步。
