Hsu Tzu-Chuan, Lee-Hsieh Jane, Turton Michael A, Cheng Su-Fen
J Contin Educ Nurs. 2014 Mar;45(3):124-31. doi: 10.3928/00220124-20140219-04. Epub 2014 Feb 19.
A hospital in Taiwan committed to implementing a framework of caring in clinical practice. This study was conducted to develop online courses on caring for the hospital's nurses.
The ADDIE (Analysis, Design, Development, Implementation, and Evaluation) model was applied to develop and evaluate this caring curriculum. Concrete caring and uncaring behaviors were identified through patient and nurse interviews. These were used to make 72 instructional videos and five live-action movies. Evaluation tools included quizzes, self-evaluations, focus group interviews, and a measurement of caring behavior. Patients used the same instrument to evaluate the nurses.
Nurses' self-evaluations showed positive results. No significant difference was found between pre- and postcourse patient evaluations.
This study shows the usefulness of ADDIE and provides a model for how research data and results can be used to inform administratively mandated organizational change. It also provides evidence on the effects of caring education.
台湾一家医院致力于在临床实践中实施关怀框架。本研究旨在为该医院护士开发关怀在线课程。
采用ADDIE（分析、设计、开发、实施和评估）模型来开发和评估这一关怀课程。通过患者和护士访谈确定具体的关怀和不关怀行为。这些行为被用于制作72个教学视频和5部实景电影。评估工具包括测验、自我评估、焦点小组访谈以及关怀行为测量。患者使用相同工具对护士进行评估。
护士的自我评估显示出积极结果。课程前后患者评估未发现显著差异。
本研究展示了ADDIE模型的实用性，并提供了一个如何利用研究数据和结果为行政强制的组织变革提供信息的模型。它还提供了关怀教育效果的证据。
