Disability Assessment: The Efficacy of Multimedia Interactive Nurse Education

多媒體互動式光碟對護理人員執行失能評估之成效

10.1097/JNR.0b013e3182921f5a

江蕙娟(Hui-Chaun Chiang)；林豐裕(Feng-Yu Lin)；胡月娟(Yueh-Juen Hwu)

多媒體 ； 失能評估 ； multimedia ； disability assessment

The Journal of Nursing Research

21卷2期（2013 / 06 / 01）

83 - 93

英文

背景：失能者約佔臺灣人口的3%，失能者功能評估，攸關長期照護品質及資源分配。目的：探討多媒體互動式光碟教學方案，對護理人員執行失能評估知識與技能之成效。方法：採類實驗設計，實驗組接受多媒體互動式光碟教學方案，對照組採課室教學。以失能評估問卷，在多媒體互動式光碟介入前，與之後第2週、第4週，評值二組護理人員執行失能評估知識與案例評估技能之正確性。此外，佐以深入訪談，了解實驗組護理人員對多媒體教學方案之感受。結果：接受多媒體教學方案之護理人員，其失能評估知識程度、案例評估準確度，皆高於對照組，且達統計學上的顯著差異；此外，成效可長達一個月。訪談資料顯示，護理人員認為多媒體互動式光碟，在學習上具彈性，能提升其臨床評估的自信心。結論／實務應用：多媒體互動式光碟能提升護理人員執行失能評估的知能，可運用至長期照護實務，以作為長期照護從業人員繼續教育之參酌。

Background: Nearly 3% of the population in Taiwan is classified as disabled. Disability assessment directly relates to long-term care quality and resource allocation. Purpose: The purpose of this study was to explore the effects of a multimedia interactive DVD on enhancing nurse knowledge and disability assessment skills. Methods: The study was a quasi-experimental design. The experimental group received multimedia interactive DVD, and the control group received conventional classroom education. The study gathered data using scales assessing knowledge related to disability assessment and case studies. Scales were implemented before and after multimedia interactive DVD interventions at weeks 2 and 4. In-depth interviews with voice recording were used to collect qualitative data to elicit differences in perception between the experimental and control groups. Results: This study found significant improvements in the experimental group in terms of disability assessment knowledge and case study assessment skills. These improvements lasted through at least 1-month posttest. Analysis of interview data for the experimental group showed that the multimedia interactive DVD provided a more flexible approach to learning than classroom education and improved participant self-confidence to conduct disability assessments. Conclusions/Implications for Practice: The study showed the effectiveness of the developed multimedia interactive DVD in significantly improving the disability assessment confidences of nurses. Study findings can be used as a reference guide for continuing educational efforts in long-term care settings.

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