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从电子学习课程到临床实践的知识转移。

Knowledge transfer from an e-learning course to clinical practice.

作者信息

Lahti Mari, Kontio Raija, Pitkänen Anneli, Välimäki Maritta

机构信息

University of Turku, Department of Nursing Science, Turku, Finland.

Department of Psychiatry, Hyvinkää Hospital Region, Hospital District of Helsinki and Uusimaa, Finland.

出版信息

Nurse Educ Today. 2014 May;34(5):842-7. doi: 10.1016/j.nedt.2013.09.003. Epub 2013 Sep 7.

DOI:10.1016/j.nedt.2013.09.003
PMID:24075712
Abstract

BACKGROUND

Continuing education is essential in improving practical psychiatric nursing skills. However, little is known about how knowledge gained in continuing education is transferred to nurses' daily work.

OBJECTIVES

To describe the transfer of knowledge gained from an e-learning course to daily practice.

DESIGN

Qualitative study design.

SETTINGS

One hospital district in Southern Finland with three specialized psychiatric wards (acute, rehabilitation, geriatric wards).

PARTICIPANTS

Nursing staff (N=53) were recruited and 35 participated voluntarily in the e-learning continuing education course in spring 2009.

METHODS

The data comprised nurses' reflective writing during the e-learning course and course evaluation forms completed after the course. We used qualitative design with inductive content analysis to analyze nurses' writings.

RESULTS

The nurses were willing and able to transfer what they learned to their daily practice including the course themes, communication and co-operation among staff members, understanding of preventive and alternative treatment methods and critical thinking regarding one's own work. After the e-learning course the nurses were able to identify development areas such as issues related to staff members' daily work, the patient's role on the ward, alternative methods to avoid coercion, issues pertaining to the care environment on the ward, psychiatric nurses' education, and making an action plan for aggressive situations. All nurses would recommend the course to other nurses.

CONCLUSIONS

New knowledge is easily adopted and transferred to daily practice.

摘要

背景

继续教育对于提高精神科护理实践技能至关重要。然而,对于继续教育中获得的知识如何转化为护士的日常工作,我们知之甚少。

目的

描述从电子学习课程中获得的知识向日常实践的转化情况。

设计

定性研究设计。

背景

芬兰南部的一个医院区,设有三个专科精神科病房(急性、康复、老年病房)。

参与者

招募了护理人员(N = 53),其中35人在2009年春季自愿参加了电子学习继续教育课程。

方法

数据包括护士在电子学习课程期间的反思性写作以及课程结束后填写的课程评估表。我们采用定性设计和归纳性内容分析法来分析护士的写作。

结果

护士们愿意并能够将所学知识应用到日常实践中,包括课程主题、工作人员之间的沟通与合作、对预防和替代治疗方法的理解以及对自身工作的批判性思考。参加电子学习课程后,护士们能够确定发展领域,如与工作人员日常工作相关的问题、患者在病房中的角色、避免强制的替代方法、与病房护理环境有关的问题、精神科护士的教育以及针对攻击性行为制定行动计划。所有护士都愿意向其他护士推荐该课程。

结论

新知识易于被采纳并转化为日常实践。

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