College of Nursing, Chonnam National University, Gwangju, South Korea.
Department of Nursing, Masan University, Changwon, South Korea.
Public Health Nurs. 2021 Sep;38(5):897-906. doi: 10.1111/phn.12923. Epub 2021 May 21.
To describe the development, feasibility, and preliminary efficacy of a seven-module e-learning for enhancing cultural competence of public health workers.
The study was based on the framework of the new Medical Research Council; a mixed methods design was used.
A four-week pilot cluster-randomized controlled trial was conducted with 39 public health workers and 74 migrants in South Korea. Feasibility and preliminary efficacy were assessed according to initiation, retention, adherence, usability, acceptability, individual and organizational cultural competence, and migrant trust and satisfaction. Quantitative data were collected at baseline, 4 weeks, and 12 weeks. Focus group interviews were conducted with eight public health workers at 12 weeks.
Initiation, retention, and adherence rates were high. Participants agreed on acceptability, but exhibited mixed results on usability. Participants were satisfied with "well-structured content," "authentic case stories and videos," "increased interest in migrant care," and "opportunity for self-reflection." However, "flawless and trouble-free system," "screen design for easy navigation," "instructor's expertise," and "more situational cases and videos" were desired. Statistically significant differences were observed for individual cultural competence, migrant trust, and satisfaction.
Generally, the intervention seems feasible and has preliminary efficacy, yet usability improvement is necessary for full-scale randomized controlled trials.
描述一个七模块电子学习课程的开发、可行性和初步效果，以增强公共卫生工作者的文化能力。
本研究基于新的医学研究委员会框架；采用混合方法设计。
在韩国，对 39 名公共卫生工作者和 74 名移民进行了为期四周的试点群组随机对照试验。根据启动、保留、坚持、可用性、可接受性、个人和组织文化能力以及移民信任和满意度来评估可行性和初步效果。在基线、4 周和 12 周收集定量数据。在 12 周时对 8 名公共卫生工作者进行了焦点小组访谈。
启动、保留和坚持率很高。参与者对可接受性表示认可，但对可用性的评价喜忧参半。参与者对“结构良好的内容”、“真实的案例故事和视频”、“对移民护理的兴趣增加”和“自我反思的机会”感到满意。然而，他们希望“完美无缺、无故障的系统”、“易于导航的屏幕设计”、“讲师的专业知识”和“更多情境案例和视频”。个人文化能力、移民信任和满意度存在统计学显著差异。
总体而言，该干预措施似乎可行且具有初步效果，但需要改进可用性，以便进行全面的随机对照试验。
