Bahrambeygi Fatemeh, Roozbahani Rahim, Shojaeizadeh Davood, Sadeghi Roya, Nasiri Shamsi, Ghazanchaei Elham, EhsanMaleki Shiva
Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Clinical Tuberculosis and Epidemiology Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Tanaffos. 2019 Apr;18(4):338-345.
Continuing medical education (CME) is an integral part of nursing professionalization, which can be effective in the development of nursing behavior. E-learning can play an important role in CME programs. This study aimed to evaluate the effectiveness of an E-learning program in increasing the nurses' knowledge and behavior regarding care for venous thromboembolism (VTE) patients.
One-hundred nurses were selected via convenience sampling method and divided into E-learning and traditional education groups. All nurses had access to the Internet, as well as adequate Internet literacy. Each nurse in the E-learning group received three didactic files during the intervention (four weeks), which focused on the VTE risk assessment, methods of prophylaxis, prophylaxis guidelines, diagnosis, pharmacological and non-pharmacological treatments, and patient education. On the other hand, nurses in the traditional education group were taught traditionally by an expert lecturer, who used audiovisual materials for teaching. A pretest-posttest analysis and a checklist were used to evaluate the impact of interventions in the groups. Chi-square and Mann-Whitney tests were also used to analyze the data.
The comparison of knowledge level between the groups showed that E-learning is not superior to traditional learning methods. The mean changes in the nurses' behavior was 3.16±1.49 in the E-learning group and 2.77±1.26 in the conventional education group. Statistical analysis showed a significant relationship between the score changes and E-learning.
Integration of E-learning in CME programs, besides attendance of traditional courses, can be an effective learning method. We suggest that future studies compare the effects of these methods.
继续医学教育（CME）是护理专业化的一个组成部分，对护理行为的发展具有重要作用。电子学习在继续医学教育项目中可以发挥重要作用。本研究旨在评估一个电子学习项目在提高护士对静脉血栓栓塞症（VTE）患者护理的知识和行为方面的效果。
通过便利抽样法选取100名护士，分为电子学习组和传统教育组。所有护士均能访问互联网且具备足够的网络知识。电子学习组的每位护士在干预期间（四周）收到三个教学文件，内容聚焦于VTE风险评估、预防方法、预防指南、诊断、药物和非药物治疗以及患者教育。另一方面，传统教育组的护士由一位专家讲师采用传统方式授课，讲师使用视听材料进行教学。采用前测-后测分析和检查表来评估各小组干预措施的影响。还使用卡方检验和曼-惠特尼检验来分析数据。
两组知识水平的比较表明，电子学习并不优于传统学习方法。电子学习组护士行为的平均变化为3.16±1.49，传统教育组为2.77±1.26。统计分析表明得分变化与电子学习之间存在显著关系。
在继续医学教育项目中，除了参加传统课程外，整合电子学习可以是一种有效的学习方法。我们建议未来的研究比较这些方法的效果。
