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护士从业者 COVID-19 疫苗继续教育项目后的知识和信心增长。

Knowledge and confidence gains after a COVID-19 vaccine continuing education program developed for nurse practitioners.

机构信息

American Association of Nurse Practitioners, Austin, Texas.

Norton Infectious Diseases Institute, Norton Healthcare, Louisville, Kentucky.

出版信息

J Am Assoc Nurse Pract. 2023 Aug 1;35(8):494-502. doi: 10.1097/JXX.0000000000000871.

Abstract

The COVID-19 pandemic has been marked by rapid innovation in vaccine development. Given that nurse practitioners (NPs) are often involved in vaccine counseling and administration, the American Association of Nurse Practitioners developed a continuing education (CE) series that covered COVID-19 vaccine development, recommendations, administration, and solutions for overcoming hesitancy. In 2020 and 2021, three separate live webinars were delivered; each webinar was updated with the latest vaccine recommendations and was then archived in an enduring format for up to 4 months. The goal of this study was to assess changes in preactivity and postactivity knowledge and confidence and to qualitatively report other learner outcomes. Across the three webinars, 3,580 unique learners who self-reported seeing patients eligible for COVID-19 vaccination completed at least one activity. Knowledge and competence improved from the preactivity to postactivity survey in all webinars, with the overall rates of correct answers increasing by 30% after webinar 1, 37% after webinar 2, and 28% after webinar 3 (all p < .001). Furthermore, mean confidence in learner's ability to address vaccine hesitancy improved across all three webinars (range, 31-32%; all p < .001). The majority of learners indicated that they planned to incorporate lessons from the activity into their clinical practice (range, 85-87%). In postactivity surveys, vaccine hesitancy was identified as an ongoing barrier by up to 33% of learners. In conclusion, this CE activity improved learner knowledge, competence, and confidence related to COVID-19 vaccination and underscores the importance of up-to-date CE targeted to NPs.

摘要

新冠疫情期间,疫苗研发领域出现了快速创新。鉴于护士从业者(NPs)通常参与疫苗咨询和接种,美国护士从业者协会开发了一个继续教育(CE)系列课程,涵盖了新冠疫苗的开发、建议、接种以及克服犹豫的解决方案。2020 年和 2021 年,举办了三次独立的网络直播研讨会;每次网络研讨会都更新了最新的疫苗建议,并以持久的格式存档,最多可保存 4 个月。本研究的目的是评估课前和课后知识和信心的变化,并定性报告其他学习者的成果。在这三次网络研讨会中,共有 3580 名自我报告看过符合新冠疫苗接种条件的患者的独特学习者至少完成了一项活动。所有网络研讨会的课前和课后调查都显示出知识和能力的提高,第一次网络研讨会后正确答案的总体比例提高了 30%,第二次网络研讨会后提高了 37%,第三次网络研讨会后提高了 28%(均 p <.001)。此外,学习者解决疫苗犹豫的能力的平均信心在所有三个网络研讨会中都有所提高(范围,31-32%;均 p <.001)。大多数学习者表示,他们计划将活动中的课程纳入临床实践(范围,85-87%)。在课后调查中,多达 33%的学习者表示疫苗犹豫仍然是一个持续的障碍。总之,该 CE 活动提高了学习者与新冠疫苗接种相关的知识、能力和信心,并强调了针对护士从业者的最新 CE 的重要性。

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