Department of Nursing, Graduate School of Health Sciences, Kumamoto University, Kumamoto, Japan.
Division of Human Life and Health Sciences, Graduate School of Arts and Sciences, The Open University of Japan, Chiba, Japan.
PLoS One. 2018 Sep 12;13(9):e0202998. doi: 10.1371/journal.pone.0202998. eCollection 2018.
Although the need for physical assessment in home nursing care has been shown, little research has examined the development of visiting nurses' physical assessment capabilities.
This study aimed to evaluate the effectiveness of a learning support program to help working visiting nurses utilize their respiratory physical assessment skills.
This study used a quasi-experimental design of two groups with pre-test, post-test measurements of training and follow-up test 8 weeks practice in their work place after the training.
57 currently working visiting nurses were assigned to 1 of 2 groups: a control group in which nurses would not receive any special support after respiratory physical assessment training, and an experimental group in which nurses would receive support to utilize the knowledge and skills they had learned during the training.
The average practical examination score was significantly higher after the training. In the experimental group, the average score 8 weeks after training was not significantly higher than that obtained just after training. Further, after 8 weeks, the experimental group's average score was not significantly higher than that of the control group. Practice evaluation scores obtained by an investigation of daily clinical practice were not significantly higher seventh weeks compared to third weeks after training for either the experimental or control groups. Seventh weeks after training, the average practice evaluation score of the experimental group was significantly higher than that of control groups. The mean learning support program satisfaction score was higher among the experimental group than the control group.
The results suggested that support from others was effective in maintaining motivation for learning and making use in the regular practice of the knowledge and skills acquired in the respiratory physical assessment training.
虽然已经证明家庭护理中需要进行身体评估，但很少有研究探讨访视护士身体评估能力的发展。
本研究旨在评估学习支持计划对帮助在职访视护士运用呼吸身体评估技能的有效性。
本研究采用了两组的准实验设计，在培训前后进行了测量，并在培训后 8 周在工作场所进行了随访测试。
将 57 名在职访视护士分为两组：对照组在呼吸身体评估培训后不会得到任何特殊支持，实验组在培训后将获得支持，以利用他们在培训中所学的知识和技能。
培训后实际考试成绩平均显著提高。实验组培训后 8 周的平均得分与培训后立即获得的得分没有显著差异。此外，8 周后，实验组的平均得分与对照组没有显著差异。实验组和对照组在培训后的第三周和第七周的日常临床实践评估得分均无显著提高。培训后第七周，实验组的平均实践评估得分显著高于对照组。实验组对学习支持计划的满意度评分高于对照组。
结果表明，来自他人的支持有助于保持学习动力，并将在呼吸身体评估培训中获得的知识和技能应用于日常实践中。
