School of Physical and Health Education, 6057Nipissing University.
School of Nursing, 6057Nipissing University.
Can J Nurs Res. 2023 Mar;55(1):100-109. doi: 10.1177/08445621221075157. Epub 2022 Jan 28.
Nurses may be well poised for providing physical activity guidance and support to patients.
The purposes of this study were to examine the effectiveness of a concise, evidence based online learning modules strategy (OLMS) for improving nurses' physical activity counselling.
68 nurses were randomly assigned to either an OLMS group or control group. The OLMS group completed a series of six online learning modules aimed at improving physical activity counselling practice.
The OLMS group, compared to the control group, showed a trend for improvement in Physical Activity Counselling Practice ( = .063) after controlling for baseline values, and significant improvement in (a) Self-efficacy for Physical Activity Counselling ( = .001), (b) Knowledge of Physical Activity Guidelines, ( = .031), and (c) Perceived Benefits of Physical Activity Counselling ( = .014) over the course of the intervention. No significant change was found for Barriers for Providing Physical Activity Counselling ( > .05).
The OLMS tested may be an effective means for improving self-efficacy, knowledge, and perceived benefits of physical activity counselling, suggesting the utility of online learning strategies for improving nurses' physical activity counselling practice. Given barriers to providing physical activity counselling were not affected by the intervention, future interventions and policy change could target these barriers specifically in order to give nurses more tools and time for reaching patients and addressing physical activity counselling in practice.
护士可能非常适合为患者提供身体活动指导和支持。
本研究旨在检验简明、基于证据的在线学习模块策略(OLMS)对改善护士身体活动咨询的有效性。
68 名护士被随机分配到 OLMS 组或对照组。OLMS 组完成了一系列六个旨在改善身体活动咨询实践的在线学习模块。
与对照组相比,OLMS 组在控制基线值后,身体活动咨询实践( = .063)呈改善趋势,并且在(a)身体活动咨询自我效能( = .001)、(b)身体活动指南知识( = .031)和(c)身体活动咨询感知益处( = .014)方面均有显著改善。提供身体活动咨询的障碍( > .05)没有发现显著变化。
测试的 OLMS 可能是提高身体活动咨询的自我效能、知识和感知益处的有效手段,这表明在线学习策略对于改善护士身体活动咨询实践具有实用性。鉴于提供身体活动咨询的障碍没有因干预而受到影响,未来的干预措施和政策变化可以专门针对这些障碍,以便为护士提供更多工具和时间,使其能够在实践中与患者接触并解决身体活动咨询问题。