Chung Gung Memorial Hospital, Department of Quality Management, Taoyuan, Taiwan.
Department of Nursing, Chang Gung University of Science & Technology, Taoyuan, Taiwan.
BMC Med Educ. 2019 Mar 4;19(1):68. doi: 10.1186/s12909-019-1496-z.
Pain assessment and treatment are key factors affecting the quality and safety of care for patients and capabilities related to them are crucial for new nursing staff. Consequently, we developed a multimedia-assisted teaching program for nursing newcomers' pain assessment learning to facilitate their practical pain assessment ability. The goal of this study was to evaluate a multimedia instructional program to boost new nurses' ability to conduct pain assessment and treatment, through simulated scenario instruction.
A quasi-experimental, pretest-posttest design with purposive sampling was used in this study. Eighty-six nurses were enrolled (control group, n = 39; experimental group, n = 47). Both groups underwent traditional pain assessment training in the classroom. The control group received lectures using PowerPoint files; while the experimental group undertook pain assessment training with the same content but delivered via multimedia-assisted instruction based on the ADDIE model. Pre- and post-instruction questionnaires relating to pain knowledge were completed. Participants' competence in performing pain assessment was subsequently evaluated one-month post instruction.
The experimental group had significantly higher satisfaction scores (27.67 ± 3.76 vs. 31.36 ± 3.42, p < .01, respectively), and demonstrated greater knowledge of pain assessment (7.73 ± 0.67 vs. 7.08 ± 0.90, p < .05, respectively) than did the control group. Additionally, when evaluated at the one month follow-up, newcomers in the experimental group had better communication ability to perform pain assessment (26.58 ± 3.01 vs. 25.08 ± 3.32, p < .05, respectively).
The program can improve nurses' pain assessment knowledge and competence. Newcomers were able to better respond to patients in pain, which is essential for pain assessment. This pilot study thus suggests a new, multimedia program for training nursing newcomers in pain assessment.
疼痛评估和治疗是影响患者护理质量和安全性的关键因素，而与疼痛评估相关的能力对于新护士而言至关重要。因此，我们开发了一种多媒体辅助教学方案，以帮助新护士学习疼痛评估，从而提高他们的实际疼痛评估能力。本研究旨在通过模拟情景教学评估多媒体教学方案对提高新护士疼痛评估和处理能力的效果。
本研究采用准实验设计，采用方便抽样法，共纳入 86 名护士（对照组，n = 39；实验组，n = 47）。两组护士均在课堂上接受传统的疼痛评估培训。对照组采用 PowerPoint 文件进行讲座；实验组则采用基于 ADDIE 模型的多媒体辅助教学进行疼痛评估培训。在培训前后完成与疼痛知识相关的问卷。培训后一个月评估参与者进行疼痛评估的能力。
实验组的满意度评分明显更高（27.67 ± 3.76 比 31.36 ± 3.42，p <.01），疼痛评估知识得分也更高（7.73 ± 0.67 比 7.08 ± 0.90，p <.05），均明显高于对照组。此外，在一个月的随访中，实验组的新护士在进行疼痛评估时的沟通能力更好（26.58 ± 3.01 比 25.08 ± 3.32，p <.05）。
该方案可以提高护士的疼痛评估知识和能力。新护士能够更好地应对疼痛患者，这对于疼痛评估至关重要。因此，本研究提出了一种新的多媒体培训方案，用于培训新护士进行疼痛评估。
