Laine Anna, Välimäki Maritta, Löyttyniemi Eliisa, Pekurinen Virve, Marttunen Mauri, Anttila Minna
Department of Nursing Science, University of Turku, Turku, Finland.
School of Nursing, Hong Kong Polytechnic University, Hong Kong, China (Hong Kong).
J Med Internet Res. 2019 Mar 1;21(3):e11198. doi: 10.2196/11198.
Continuing education has an important role in supporting the competence of health care professionals. Although Web-based education is a growing business in various health sectors, few studies have been conducted in psychiatric settings to show its suitability in demanding work environments.
We aimed to describe the impact of a Web-based educational course to increase self-efficacy, self-esteem, and team climate of health care professionals. Possible advantages and disadvantages of the Web-based course are also described.
The study used nonrandomized, pre-post intervention design in 1 psychiatric hospital (3 wards). Health care professionals (n=33) were recruited. Self-efficacy, self-esteem, and team climate were measured at 3 assessment points (baseline, 8 weeks, and 6 months). Possible advantages and disadvantages were gathered with open-ended questions at the end of the course.
Our results of this nonrandomized, pre-post intervention study showed that health care professionals (n=33) had higher self-efficacy after the course, and the difference was statistically significant (mean 30.16, SD 3.31 vs mean 31.77, SD 3.35; P=.02). On the other hand, no differences were found in the self-esteem or team climate of the health care professionals before and after the course. Health care professionals found the Web-based course useful in supporting their work and relationships with patients. The tight schedule of the Web-based course and challenges in recruiting patients to use the patient education program with health care professionals were found to be the disadvantages.
Web-based education might be a useful tool to improve the self-efficacy of health care professionals even in demanding work environments such as psychiatric hospitals. However, more studies with robust and sufficiently powered data are still needed.
继续教育在提升医疗保健专业人员的能力方面发挥着重要作用。尽管基于网络的教育在各个卫生领域日益兴起,但在精神科环境中进行的研究较少,以证明其在高要求工作环境中的适用性。
我们旨在描述基于网络的教育课程对提高医疗保健专业人员的自我效能感、自尊和团队氛围的影响。还描述了基于网络课程可能存在的优缺点。
本研究在1家精神病医院(3个病房)采用非随机的干预前后设计。招募了医疗保健专业人员(n = 33)。在3个评估点(基线、8周和6个月)测量自我效能感、自尊和团队氛围。在课程结束时通过开放式问题收集可能的优缺点。
我们这项非随机的干预前后研究结果显示,医疗保健专业人员(n = 33)在课程结束后自我效能感更高,差异具有统计学意义(均值30.16,标准差3.31 对比均值31.77,标准差3.35;P = 0.02)。另一方面,课程前后医疗保健专业人员的自尊或团队氛围没有差异。医疗保健专业人员发现基于网络的课程对支持他们的工作以及与患者的关系很有用。基于网络的课程时间安排紧张以及在招募患者与医疗保健专业人员一起使用患者教育项目方面存在挑战被认为是缺点。
即使在像精神病医院这样要求苛刻的工作环境中,基于网络的教育可能也是提高医疗保健专业人员自我效能感的有用工具。然而,仍需要更多具有有力且充分数据的研究。