Sinclair Peter M, Kable Ashley, Levett-Jones Tracy, Holder Carl, Oldmeadow Christopher J
Faculty of Health & Medicine, Richardson Wing, University of Newcastle, University Drive, Callaghan, NSW 2308, Australia; and Corresponding author. Email:
Faculty of Health & Medicine, Richardson Wing, University of Newcastle, University Drive, Callaghan, NSW 2308, Australia.
Aust J Prim Health. 2019 Oct;25(4):346-352. doi: 10.1071/PY18173.
National and international guidelines recommend opportunistic screening for chronic kidney disease to allow for early detection and management. Despite these guidelines, screening for chronic kidney disease in general practice settings is often suboptimal. This paper reports the results of a study that evaluated: (a) the effect of an asynchronous web-based e-learning module on general practice nurses' knowledge about chronic kidney disease risk factors and screening practices; and (b) general practice nurses' perceived satisfaction with the e-learning module. Changes in chronic kidney disease knowledge were assessed using a pre-test and post-test evaluative design, and satisfaction scores were measured on completion of the module. Participants' baseline knowledge scores were poor, with mean pre-test scores of 3.77 (s.d. 1.66) out of 10. Post-test scores revealed a significant improvement (mean difference 1.81, (95% CI: 1.53 - 2.09), P < 0.01); however, overall final scores remained inadequate. Participants highly rated their satisfaction with the design of the module. Our results suggest that an asynchronous web-based e-learning module can improve general practice nurses' knowledge about chronic kidney disease risk factors and screening practice. Efforts are required to increase practice nurses' access to educational opportunities designed to improve knowledge in this area with the aim of increasing opportunistic screening for chronic kidney disease in the general practice setting.
国家和国际指南建议对慢性肾脏病进行机会性筛查,以便早期发现和管理。尽管有这些指南,但在全科医疗环境中对慢性肾脏病的筛查往往并不理想。本文报告了一项研究的结果,该研究评估了:(a)基于网络的异步电子学习模块对全科护士关于慢性肾脏病危险因素和筛查实践知识的影响;以及(b)全科护士对该电子学习模块的满意度。使用前测和后测评估设计评估慢性肾脏病知识的变化,并在模块完成时测量满意度得分。参与者的基线知识得分较低,前测平均得分为3.77(标准差1.66)(满分10分)。后测得分显示有显著提高(平均差异1.81,95%置信区间:1.53 - 2.09,P < 0.01);然而,总体最终得分仍然不足。参与者对该模块的设计给予了高度评价。我们的结果表明,基于网络的异步电子学习模块可以提高全科护士关于慢性肾脏病危险因素和筛查实践的知识。需要做出努力,增加执业护士获得旨在提高该领域知识的教育机会,以增加在全科医疗环境中对慢性肾脏病的机会性筛查。