Department of Psychiatry, University of Turku, Turku, Finland.
J Psychiatr Ment Health Nurs. 2011 Nov;18(9):813-21. doi: 10.1111/j.1365-2850.2011.01729.x. Epub 2011 Apr 1.
Education on the care of aggressive and disturbed patients is fragmentary. eLearning could ensure the quality of such education, but data on its impact on professional competence in psychiatry are lacking. The aim of this study was to explore the impact of ePsychNurse.Net, an eLearning course, on psychiatric nurses' professional competence in seclusion and restraint and on their job satisfaction and general self-efficacy. In a randomized controlled study, 12 wards were randomly assigned to ePsychNurse.Net (intervention) or education as usual (control). Baseline and 3-month follow-up data on nurses' knowledge of coercion-related legislation, physical restraint and seclusion, their attitudes towards physical restraint and seclusion, job satisfaction and general self-efficacy were analysed for 158 completers. Knowledge (primary outcome) of coercion-related legislation improved in the intervention group, while knowledge of physical restraint improved and knowledge of seclusion remained unchanged in both groups. General self-efficacy improved in the intervention group also attitude to seclusion in the control group. In between-group comparison, attitudes to seclusion (one of secondary outcomes) favoured the control group. Although the ePsychNurse.Net demonstrated only slight advantages over conventional learning, it may be worth further development with, e.g. flexible time schedule and individualized content.
关于如何照顾有攻击性行为和精神障碍的患者的教育是零散的。电子学习可以确保这种教育的质量，但在精神病学方面，关于其对专业能力影响的数据还很缺乏。本研究的目的是探讨 ePsychNurse.Net（一种电子学习课程）对精神科护士在隔离和约束方面的专业能力以及他们的工作满意度和一般自我效能感的影响。在一项随机对照研究中，将 12 个病房随机分配到 ePsychNurse.Net（干预组）或常规教育（对照组）。对 158 名完成者的基线和 3 个月随访时的护士关于强制相关立法、身体约束和隔离的知识、他们对身体约束和隔离的态度、工作满意度和一般自我效能感的数据进行了分析。干预组在与强制相关立法相关的知识（主要结果）方面有所提高，而两组的身体约束知识都有所提高，隔离知识则保持不变。干预组的一般自我效能感也有所提高，对照组对隔离的态度也有所改善。在组间比较中，对隔离的态度（次要结果之一）对对照组有利。尽管 ePsychNurse.Net 仅显示出比传统学习略好的优势，但它可能值得进一步开发，例如灵活的时间表和个性化的内容。
