Kim Ae Ran, Park Ae Young, Song Soojin, Hong Jeong Hee, Kim Kyeongsug
Author Affiliations: Department of Nursing, Samsung Medical Center (Drs A. R. Kim, Hong, and K. Kim, and Mss Park and Song); and Graduate School of Clinical Nursing Science, Sungkyunkwan University (Drs Hong and K. Kim), Seoul, Korea.
Comput Inform Nurs. 2024 May 1;42(5):343-353. doi: 10.1097/CIN.0000000000001119.
New nurses must acquire accurate knowledge of medication administration, as it directly affects patient safety. This study aimed to develop a microlearning-based self-directed learning chatbot on medication administration for novice nurses. Furthermore, the study had the objective of evaluating the chatbot feasibility. The chatbot covered two main topics: medication administration processes and drug-specific management, along with 21 subtopics. Fifty-eight newly hired nurses on standby were asked to use the chatbot over a 2-week period. Moreover, we evaluated the chatbot's feasibility through a survey that gauged changes in their confidence in medication administration knowledge, intrinsic learning motivation, satisfaction with the chatbot's learning content, and usability. After using the chatbot, participants' confidence in medication administration knowledge significantly improved in all topics ( P < .001) except "Understanding a concept of 5Right" ( P = .077). Their intrinsic learning motivation, satisfaction with the learning content, and usability scored above 5 out of 7 in all subdomains, except for pressure/tension (mean, 2.12; median, 1.90). They scored highest on ease of learning (mean, 6.69; median, 7.00). A microlearning-based chatbot can help new nurses improve their knowledge of medication administration through self-directed learning.
新护士必须掌握准确的给药知识,因为这直接影响患者安全。本研究旨在为新手护士开发一个基于微学习的自我导向式给药学习聊天机器人。此外,该研究的目的是评估聊天机器人的可行性。该聊天机器人涵盖两个主要主题:给药流程和特定药物管理,以及21个子主题。58名待命的新入职护士被要求在两周内使用该聊天机器人。此外,我们通过一项调查评估了聊天机器人的可行性,该调查衡量了他们在给药知识方面的信心变化、内在学习动机、对聊天机器人学习内容的满意度以及可用性。使用聊天机器人后,除了“理解5R概念”(P = 0.077)外,参与者在所有主题上对给药知识的信心均显著提高(P < 0.001)。他们的内在学习动机、对学习内容的满意度以及可用性在所有子领域的得分均高于7分中的5分,但压力/紧张感除外(平均值为2.12;中位数为1.90)。他们在学习易用性方面得分最高(平均值为6.69;中位数为7.00)。基于微学习的聊天机器人可以通过自我导向式学习帮助新护士提高给药知识。