Khosravi Laleh, Dehghan Nayeri Nahid, Salehi Tahmineh, Kazemnejad Anoshirvan
Department of Nursing Management, School of Nursing and Midwifery, Tehran University of Medical Sciences Tehran, Iran;
Department of Nursing Management, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran;
Int J Community Based Nurs Midwifery. 2015 Apr;3(2):123-31.
Although many planners of professional continuing education programs believe that this type of education positively affects the nurses' performance, the results obtained by conducted research do not confirm such a perspective. In fact, inadequate application of these trainings in clinical practice is among the most challenging areas in nursing practices. Hence, this study was conducted to describe the challenges nurses encounter in order to apply what they have learned during continuing education programs in clinical settings of TUMS hospitals.
This cross-sectional study was conducted on 400 medical-surgical nurses who worked in the hospitals of Tehran University of Medical sciences. For sampling, after listing all the general hospitals, their wards were selected in proportion to hospital. Nurses filled out a questionnaire about factors affecting the application of continuing education. The questionnaire contained 43 items and the dimensions were supportive-organizational, individual, professional, and educational program design factors. The analysis was carried out using parametric and non-parametric method using SPSS 16 package.
The results showed while 48.5% and 53.8% of nurses mentioned organizational and professional factors, respectively as the most inhibiting factors; only 2.25% of the nurses believed that organizational factors are facilitating.
The results obtained in this study are important regarding the fact that organizational and professional factors have a key role in applying or lack of application of learned materials. Thus, hospital authorities as well as nursing managers can provide the necessary condition in application of continuing education through promotion of facilitating factors and eliminating the hindering ones.
尽管许多专业继续教育项目的策划者认为这类教育对护士的表现有积极影响，但所开展研究得到的结果并未证实这一观点。事实上，这些培训在临床实践中的应用不足是护理实践中最具挑战性的领域之一。因此，开展本研究以描述护士在将继续教育中学到的知识应用于德黑兰医科大学附属医院临床环境时所遇到的挑战。
本横断面研究针对在德黑兰医科大学附属医院工作的400名内科 - 外科护士开展。抽样时，在列出所有综合医院后，按比例选择其病房。护士填写一份关于影响继续教育应用因素的问卷。该问卷包含43个项目，维度包括支持性组织因素、个人因素、专业因素和教育项目设计因素。使用SPSS 16软件包采用参数和非参数方法进行分析。
结果显示，分别有48.5%和53.8%的护士提到组织因素和专业因素是最具阻碍性的因素；只有2.25%的护士认为组织因素具有促进作用。
本研究所得结果很重要，因为组织因素和专业因素在所学知识的应用或未应用方面起着关键作用。因此，医院当局以及护理管理者可以通过促进促进因素和消除阻碍因素来为继续教育的应用提供必要条件。
