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基于网络的交互式模块对住院医师伤害预防知识及临床实践的影响。

The impact of an interactive Web-based module on residents' knowledge and clinical practice of injury prevention.

作者信息

Sangvai Shilpa, Mahan John D, Lewis Kadriye O, Pudlo Nancy, Suresh Srinivasan, McKenzie Lara B

机构信息

Nationwide Children's Hospital, Ambulatory Pediatrics, Columbus, OH 43205, USA.

出版信息

Clin Pediatr (Phila). 2012 Feb;51(2):165-74. doi: 10.1177/0009922811419027. Epub 2011 Oct 10.

Abstract

OBJECTIVE

To determine the effectiveness of an interactive Web-based module on knowledge acquisition, retention, and clinical practice by residents.

METHODS

Residents were randomized to complete an interactive Web-based module on injury prevention or a noninteractive Web-based module of identical content. Acquisition and retention of medical knowledge were measured by pretest, posttest, and long-term test scores, and change in clinical practice was measured by videotaped clinical encounters.

RESULTS

Fifty-seven residents completed the modules. The control group had higher posttest scores than the intervention group (P = .036). Thirty-seven residents completed the long-term test with scores that were significantly higher than pretest scores (P = .00). Thirty-six residents had videotaped encounter scores (232 visits), with no difference in these scores after the intervention (P = .432).

CONCLUSION

The noninteractive module was more effective in promoting knowledge acquisition. Residents successfully demonstrated knowledge retention with completion of either module. The modules were insufficient to change clinical practice.

摘要

目的

确定基于网络的交互式模块对住院医师知识获取、知识保留及临床实践的有效性。

方法

将住院医师随机分组,分别完成一个关于预防损伤的基于网络的交互式模块或内容相同的非交互式网络模块。通过预测试、后测试及长期测试成绩来衡量医学知识的获取与保留情况,通过临床会诊录像来衡量临床实践的变化。

结果

57名住院医师完成了这些模块。对照组后测试成绩高于干预组(P = .036)。37名住院医师完成了长期测试,其成绩显著高于预测试成绩(P = .00)。36名住院医师有会诊录像成绩(232次就诊),干预后这些成绩无差异(P = .432)。

结论

非交互式模块在促进知识获取方面更有效。无论完成哪个模块,住院医师都成功展示了知识保留情况。这些模块不足以改变临床实践。

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