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护士对家庭医疗保健中基于网络的支持性家庭对话学习干预的看法。

Nurses' perceptions about a web-based learning intervention concerning supportive family conversations in home health care.

机构信息

Department of Nursing, Umeå University, Umeå, Sweden.

Department of Health and Caring Sciences, Linnaes University, Kalmar, Sweden.

出版信息

J Clin Nurs. 2019 Apr;28(7-8):1314-1326. doi: 10.1111/jocn.14745. Epub 2019 Jan 7.

Abstract

AIMS AND OBJECTIVES

To describe the perceptions that municipal primary healthcare nurses and municipal registered nurses had about a web-based learning intervention concerning supportive family health conversations in municipal home health care.

BACKGROUND

Even though family health conversations are well grounded in theory with several reported benefits for patients and families, most working nurses have little or no training in practising family systems nursing including family health conversations. Continued learning is necessary for nurses, where web-based learning may be one answer of updating the professional skills and knowledge of nurses regarding supporting families.

DESIGN

The study used a descriptive design and followed the "Consolidated criteria for reporting qualitative research" (COREQ) checklist.

METHODS

Twenty-one nurses participated in an educational intervention that consisted of web-based learning and two face-to-face seminars about family systems nursing including family health conversations. The nurses were interviewed after completion, and the audio-recorded interviews were transcribed verbatim and analysed using qualitative content analysis.

RESULTS

The findings consist of nurses' perceptions regarding the disposition of instruction, the prerequisites for learning and a changed approach when working with families. The findings are further reflected on through Illeris' theory concerning learning triangle.

CONCLUSIONS

The findings are encouraging for educating nurses in family health conversations at their workplace, with the purpose of supporting patients and families. However, it is important to be aware of the different dimensions of learning, in addition to the appraisal of social aspects and organisational circumstances when educating nurses as they influence the utilisation of the knowledge.

RELEVANCE TO CLINICAL PRACTICE

This web-based learning intervention seems to be suitable for educating nurses in family health conversations and could be an appropriate step towards implementing these conversations in home health care with the purpose of supporting families.

摘要

目的和目标

描述市级初级保健护士和市级注册护士对一个关于支持家庭健康对话的基于网络的学习干预措施的看法,该干预措施涉及市级家庭保健。

背景

尽管家庭健康对话在理论上有很好的基础,并报告了对患者和家庭的多种益处,但大多数在职护士在实践家庭系统护理方面,包括家庭健康对话,几乎没有或没有接受过培训。护士需要不断学习,网络学习可能是更新护士专业技能和知识以支持家庭的答案之一。

设计

该研究采用描述性设计,并遵循“定性研究报告的统一标准”(COREQ)检查表。

方法

21 名护士参加了一个教育干预措施,该措施包括网络学习和两次关于家庭系统护理包括家庭健康对话的面对面研讨会。在完成后对护士进行了访谈,对录音的访谈进行了逐字转录,并使用定性内容分析进行了分析。

结果

研究结果包括护士对教学布置、学习前提和与家庭合作时方法改变的看法。研究结果进一步反映在 Illeris 的学习三角理论中。

结论

这些发现令人鼓舞,可用于在工作场所对护士进行家庭健康对话教育,以支持患者和家庭。然而,在教育护士时,除了评估社会方面和组织环境外,还必须意识到学习的不同维度,因为它们会影响知识的利用。

临床相关性

这种基于网络的学习干预措施似乎适合对护士进行家庭健康对话的教育,并且可能是在家庭保健中实施这些对话以支持家庭的适当步骤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1578/7328792/270417facd9c/JOCN-28-1314-g001.jpg

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