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Effect of an Educational Intervention by Attendance and at Distance on Nurses’ Knowledge about Pressure Ulcer

DOI: 10.4236/ce.2014.518185, PP. 1673-1677

Keywords: Pressure Ulcer, Distance Education, Nursing, Clinical Practice Guidelines

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Abstract:

The effect of an educational intervention by attendance and at distance on the knowledge of nurses about pressure ulcer (PU) was verified. An experimental research with a post-test control group was undertaken. A randomized sample of 43 nurses in a Control Group (CG) (N = 20) was submitted to an educational intervention by attendance and an Experimental Group (EG) (N = 23) was submitted to an intervention at distance. Data were collected between January and April 2012 in three phases, which were: location, invitation, registration and adaptation of the nurses to Moodle, educative intervention and post-test. The mean number of correct answers on the posttest among the nurses who participated in the intervention by attendance was 34.0 (sd = 3.3), against 36.2 (sd = 2.7) for the nurses in the distance education intervention. This difference in means was statistically significant (p = 0.019). The research evidenced that continuing education in nursing through distance education (DE) can be effective due to its practicality and interactivity and because it allows nurses in clinical practice to decide on the best time and place to access the content and improve their knowledge about PU.

References

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http://dx.doi.org/10.3928/00220124-20100802-03
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http://dx.doi.org/10.1186/1472-6920-9-41
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http://dx.doi.org/10.1590/S0104-11692007000300006
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[20]  Pieper, B., & Mott, M. (1995). Nurse’s Knowledge of Pressure Ulcer Prevention, Stating, and Description. Advances in Wound Care, 8, 34-48.
[21]  Ribeiro, M. A. S., & Lopes, M. H. B. M. (2006). Desenvolvimento, aplicação e avaliação de um curso à distância sobre tratamento de feridas. Revista Latino-Americana de Enfermagem, 14, 77-84.
http://dx.doi.org/10.1590/S0104-11692006000100011
[22]  Tweed, C., & Tweed, M. (2008). Intensive Care Nurse’s Knowledge of Pressure Ulcers: Development of an Assessment Toll and Effect of an Educational Program. American Journal of Critical Care, 17, 338-346.
[23]  Abbaszadeh, A., Sabeghi, H., Borhani, F., & Heydari, A. (2011). A Comparative Study on Effect of e-Learning and Instructor-Led Methods on Nurses’ Documentation Competency. Iranian Journal of Nursing and Midwifery Research, 16, 235- 243.
[24]  Beeckman, D., Schoonhoven, L., Boucqué, H., Van Maele, G., & Defloor T. (2008). Pressure Ulcers: e-Learning to Improve Classification by Nurses and Nursing Students. Journal of Clinical Nursing, 17, 1697-1707.
http://dx.doi.org/10.1111/j.1365-2702.2007.02200.x
[25]  Bigony, L. (2010). Can You Go the Distance? Attending the Virtual Classroom. Orthopaedic Nursing, 29, 390-392.
http://dx.doi.org/10.1097/NOR.0b013e3181f8380a
[26]  Caliri, M. H. L., Miyazaki, M. Y., & Pieper, B. (2003). Knowledge about Pressure Ulcers by Undergraduate Nursing Students in Brazil. Ostomy Wound Manage, 49, 4-63.
[27]  Chianca, T. C., Resende, J. F., Borges E. L., Nogueira, V. L., & Caliri, M. H. L. (2010). Pressure Ulcer Knowledge among Nurses in a Brazilian University Hospital. Ostomy Wound Management, 56, 58-64.
[28]  Costa, J. B., Peres, H. H. C., Rogenski, N. M. B., & Baptista, C. M. C. (2009). Proposta educacional on-line sobre úlcera por pressão para alunos e profissionais de enfermagem. Acta Paulista de Enfermagem, 22, 607-611.
http://dx.doi.org/10.1590/S0103-21002009000500002
[29]  Cox, J. R., Roche, S., & Van Wynen, E. (2011). The Effects of Various Instructional Methods on Retention of Knowledge about Pressure Ulcer among Critical Care and Medical-Surgical Nurses. The Journal of Continuing Education in Nursing, 42, 71-78.
http://dx.doi.org/10.3928/00220124-20100802-03
[30]  El Enein, N. Y. A., & Zaghloul, A. A. (2011). Nurses’ Knowledge of Prevention and Management of Pressure Ulcer at a Health Insurance Hospital in Alexandria. International Journal of Nursing Practice, 17, 262-268.
http://dx.doi.org/10.1111/j.1440-172X.2011.01933.x
[31]  Fernandes, L. M., Caliri, M. H. L., & Haas, V. J. (2008). Efeito de Intervenções Educativas no conhecimento dos profissionais de enfermagem sobre prevenção de úlceras por pressão. Acta Paulista de Enfermagem, 21, 305-311.
[32]  Haney, M., Silvestri, S., Van Dillen, C., Ralls, G., Cohen, E., & Papa, L. (2012). Comparison of Tele-Education versus Conventional Lectures in Wound Care Knowledge and Skill Acquisition. Journal of Telemedicine and Telecare, 18, 79-81.
http://dx.doi.org/10.1258/jtt.2011.110811
[33]  Horiuchi, S., Yaju, Y., Koyo, M., Sakyo, Y., & Nakayama, K. (2009). Evaluation of a Web-Based Graduate Continuing Nursing Education Program in Japan: A Randomized Controlled Trial. Nurse Education Today, 29, 140-149.
http://dx.doi.org/10.1016/j.nedt.2008.08.009
[34]  Hsu, M., Tsao, W., & Sung, H. C. (2013). The Effectiveness of Educational Programs in Promoting Nurses’ Knowledge of Pressure Ulcers: A Systematic Review Protocol. The JBI Database of Systematic Reviews and Implementation Reports, 11, 132-139.
[35]  Iranmanesh, S., Rafiei, H., & Foroogh Ameri, G. (2011). Critical Care Nurses’ Knowledge about Pressure Ulcer in Southeast of Iran. International Wound Journal, 8, 459-464.
http://dx.doi.org/10.1111/j.1742-481X.2011.00817.x
[36]  Jones, M. L. (2007). E-Learning in Wound Care: Developing Pressure Ulcer Prevention Education. British Journal of Nursing, 16, S26-S31.
http://dx.doi.org/10.12968/bjon.2007.16.Sup3.24529
[37]  Khatony, A., Nayery, N. D., Ahmadi, F., Haghani, H., & Vehvilainen-Julkunen, K. (2009). The Effectiveness of Web-Based and Face-to-Face Continuing Education Methods on Nurses’ Knowledge about AIDS: A Comparative Study. BMC Medical Education, 9, 41-47.
http://dx.doi.org/10.1186/1472-6920-9-41
[38]  Magnan, M. A., & Maklebust, J. (2009). The Nursing Process and Pressure Ulcer Prevention: Making the Connection. Advances in Skin & Wound Care, 22, 83-92.
http://dx.doi.org/10.1097/01.ASW.0000345279.13156.d0
[39]  Mendes, I. A. C., Godoy, S., Silva, E. C., Seixas, C. A., Nogueira, M. S., & Trevizan, M. A. (2007). Educación permanente para profesionales de salud: Mediación tecnológica y surgimiento de valores y cuestiones éticas. Enfermería Global, 6, 1-8.
[40]  Padalino, H., & Peres, H. C. (2007). E-Learning: Estudo comparativo da apreensão do conhecimento entre enfermeiros. Revista Latino-Americana de Enfermagem, 15, 397-403.
http://dx.doi.org/10.1590/S0104-11692007000300006
[41]  Pieper, B., & Mattern, J. C. (1997). Critical Care Nurse’ Knowledge of Pressure Ulcer Prevention, Stating and Description. Ostomy/Wound Management, 43, 22-31.
[42]  Pieper, B., & Mott, M. (1995). Nurse’s Knowledge of Pressure Ulcer Prevention, Stating, and Description. Advances in Wound Care, 8, 34-48.
[43]  Ribeiro, M. A. S., & Lopes, M. H. B. M. (2006). Desenvolvimento, aplicação e avaliação de um curso à distância sobre tratamento de feridas. Revista Latino-Americana de Enfermagem, 14, 77-84.
http://dx.doi.org/10.1590/S0104-11692006000100011
[44]  Tweed, C., & Tweed, M. (2008). Intensive Care Nurse’s Knowledge of Pressure Ulcers: Development of an Assessment Toll and Effect of an Educational Program. American Journal of Critical Care, 17, 338-346.
[45]  Abbaszadeh, A., Sabeghi, H., Borhani, F., & Heydari, A. (2011). A Comparative Study on Effect of e-Learning and Instructor-Led Methods on Nurses’ Documentation Competency. Iranian Journal of Nursing and Midwifery Research, 16, 235- 243.
[46]  Beeckman, D., Schoonhoven, L., Boucqué, H., Van Maele, G., & Defloor T. (2008). Pressure Ulcers: e-Learning to Improve Classification by Nurses and Nursing Students. Journal of Clinical Nursing, 17, 1697-1707.
http://dx.doi.org/10.1111/j.1365-2702.2007.02200.x
[47]  Bigony, L. (2010). Can You Go the Distance? Attending the Virtual Classroom. Orthopaedic Nursing, 29, 390-392.
http://dx.doi.org/10.1097/NOR.0b013e3181f8380a
[48]  Caliri, M. H. L., Miyazaki, M. Y., & Pieper, B. (2003). Knowledge about Pressure Ulcers by Undergraduate Nursing Students in Brazil. Ostomy Wound Manage, 49, 4-63.
[49]  Chianca, T. C., Resende, J. F., Borges E. L., Nogueira, V. L., & Caliri, M. H. L. (2010). Pressure Ulcer Knowledge among Nurses in a Brazilian University Hospital. Ostomy Wound Management, 56, 58-64.
[50]  Costa, J. B., Peres, H. H. C., Rogenski, N. M. B., & Baptista, C. M. C. (2009). Proposta educacional on-line sobre úlcera por pressão para alunos e profissionais de enfermagem. Acta Paulista de Enfermagem, 22, 607-611.
http://dx.doi.org/10.1590/S0103-21002009000500002
[51]  Cox, J. R., Roche, S., & Van Wynen, E. (2011). The Effects of Various Instructional Methods on Retention of Knowledge about Pressure Ulcer among Critical Care and Medical-Surgical Nurses. The Journal of Continuing Education in Nursing, 42, 71-78.
http://dx.doi.org/10.3928/00220124-20100802-03
[52]  El Enein, N. Y. A., & Zaghloul, A. A. (2011). Nurses’ Knowledge of Prevention and Management of Pressure Ulcer at a Health Insurance Hospital in Alexandria. International Journal of Nursing Practice, 17, 262-268.
http://dx.doi.org/10.1111/j.1440-172X.2011.01933.x
[53]  Fernandes, L. M., Caliri, M. H. L., & Haas, V. J. (2008). Efeito de Intervenções Educativas no conhecimento dos profissionais de enfermagem sobre prevenção de úlceras por pressão. Acta Paulista de Enfermagem, 21, 305-311.
[54]  Haney, M., Silvestri, S., Van Dillen, C., Ralls, G., Cohen, E., & Papa, L. (2012). Comparison of Tele-Education versus Conventional Lectures in Wound Care Knowledge and Skill Acquisition. Journal of Telemedicine and Telecare, 18, 79-81.
http://dx.doi.org/10.1258/jtt.2011.110811
[55]  Horiuchi, S., Yaju, Y., Koyo, M., Sakyo, Y., & Nakayama, K. (2009). Evaluation of a Web-Based Graduate Continuing Nursing Education Program in Japan: A Randomized Controlled Trial. Nurse Education Today, 29, 140-149.
http://dx.doi.org/10.1016/j.nedt.2008.08.009
[56]  Hsu, M., Tsao, W., & Sung, H. C. (2013). The Effectiveness of Educational Programs in Promoting Nurses’ Knowledge of Pressure Ulcers: A Systematic Review Protocol. The JBI Database of Systematic Reviews and Implementation Reports, 11, 132-139.
[57]  Iranmanesh, S., Rafiei, H., & Foroogh Ameri, G. (2011). Critical Care Nurses’ Knowledge about Pressure Ulcer in Southeast of Iran. International Wound Journal, 8, 459-464.
http://dx.doi.org/10.1111/j.1742-481X.2011.00817.x
[58]  Jones, M. L. (2007). E-Learning in Wound Care: Developing Pressure Ulcer Prevention Education. British Journal of Nursing, 16, S26-S31.
http://dx.doi.org/10.12968/bjon.2007.16.Sup3.24529
[59]  Khatony, A., Nayery, N. D., Ahmadi, F., Haghani, H., & Vehvilainen-Julkunen, K. (2009). The Effectiveness of Web-Based and Face-to-Face Continuing Education Methods on Nurses’ Knowledge about AIDS: A Comparative Study. BMC Medical Education, 9, 41-47.
http://dx.doi.org/10.1186/1472-6920-9-41
[60]  Magnan, M. A., & Maklebust, J. (2009). The Nursing Process and Pressure Ulcer Prevention: Making the Connection. Advances in Skin & Wound Care, 22, 83-92.
http://dx.doi.org/10.1097/01.ASW.0000345279.13156.d0
[61]  Mendes, I. A. C., Godoy, S., Silva, E. C., Seixas, C. A., Nogueira, M. S., & Trevizan, M. A. (2007). Educación permanente para profesionales de salud: Mediación tecnológica y surgimiento de valores y cuestiones éticas. Enfermería Global, 6, 1-8.
[62]  Padalino, H., & Peres, H. C. (2007). E-Learning: Estudo comparativo da apreensão do conhecimento entre enfermeiros. Revista Latino-Americana de Enfermagem, 15, 397-403.
http://dx.doi.org/10.1590/S0104-11692007000300006
[63]  Pieper, B., & Mattern, J. C. (1997). Critical Care Nurse’ Knowledge of Pressure Ulcer Prevention, Stating and Description. Ostomy/Wound Management, 43, 22-31.
[64]  Pieper, B., & Mott, M. (1995). Nurse’s Knowledge of Pressure Ulcer Prevention, Stating, and Description. Advances in Wound Care, 8, 34-48.
[65]  Ribeiro, M. A. S., & Lopes, M. H. B. M. (2006). Desenvolvimento, aplicação e avaliação de um curso à distância sobre tratamento de feridas. Revista Latino-Americana de Enfermagem, 14, 77-84.
http://dx.doi.org/10.1590/S0104-11692006000100011
[66]  Tweed, C., & Tweed, M. (2008). Intensive Care Nurse’s Knowledge of Pressure Ulcers: Development of an Assessment Toll and Effect of an Educational Program. American Journal of Critical Care, 17, 338-346.

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