Kajander-Unkuri Satu, Kämäräinen Pauliina, Hartikainen Tuula, Turjamaa Riitta
Department of Nursing Science, University of Turku, Turku, Finland.
Diaconia University of Applied Sciences, Helsinki, Finland.
Health Soc Care Community. 2022 Sep;30(5):e1765-e1774. doi: 10.1111/hsc.13605. Epub 2021 Oct 13.
Home-care professionals need competences to ensure that they evaluate their older peoples' health conditions, especially in acute care situations. This study aims to investigate the effectiveness of combined web-based and simulation-based continuing education on home-care professionals' competence regarding evaluating older people's needs for acute care. A quasi-experimental pre-test-post-test study was conducted with home-care professionals who were working in older people's care in Finland. Home-care professionals (N = 254) had participated in combined web-based and simulation-based continuing education in 2017-2019. Data were collected using a questionnaire developed for this study before (n = 171) and after (n = 83) the education. The data were analysed statistically. The mean competence score was 3.22 ± 0.51 before the education and 3.92 ± 0.57 after the education. Improvements were detected in overall competence and in all eight subscales. Improvements were highest in health assessment and consultation and the lowest in type 2 diabetes, but this was already the highest level of self-assessed competence in the pre-test assessment. The combined web-based and simulation-based continuing education was effective in increasing the home-care professionals' competence in evaluating older people's needs for acute care. Evaluating older people's needs for acute care should be embedded in curricula and continuing education programmes.
居家护理专业人员需要具备相应能力，以确保他们能够评估老年人的健康状况，尤其是在急性护理情况下。本研究旨在调查基于网络和模拟的继续教育相结合对居家护理专业人员评估老年人急性护理需求能力的有效性。对芬兰从事老年人护理工作的居家护理专业人员进行了一项准实验性的前后测研究。2017年至2019年期间，居家护理专业人员（N = 254）参加了基于网络和模拟的继续教育相结合的培训。在培训前（n = 171）和培训后（n = 83）使用为本研究编制的问卷收集数据，并进行统计分析。培训前平均能力得分为3.22±0.51，培训后为3.92±0.57。在总体能力及所有八个子量表中均发现有提高。健康评估与咨询方面的提高最大，2型糖尿病方面的提高最小，但这已经是预测试评估中自我评估能力的最高水平。基于网络和模拟的继续教育相结合有效地提高了居家护理专业人员评估老年人急性护理需求的能力。评估老年人的急性护理需求应纳入课程和继续教育项目中。
