- 期刊
光碟教學對改善長照機構護理人員在導尿管相關泌尿道感染知識之成效
Improving Catheter-Associated Urinary Tract Infection Knowledge in Long-Term Care Facility Nurses: The Efficacy of CD-ROM-based Instruction
摘要
Background: Urinary tract infection (UTI) is one of the most prevalent infections in long-term care facilities. Catheter-associated urinary tract infection (CAUTI) is the major cause of UTI in these facilities. Nurses' knowledge of CAUTI in many free-standing long-term care facilities is inadequate due to resource limitations.Purpose: This study assessed the effect on CAUTI knowledge of multimedia CD-ROM instruction by comparing the CAUTI knowledge of nurses who received such instruction and those who did not.Methods: Researchers used a quasi-experimental pretest - posttest control group design; this study was conducted from April to June 2010; Data were collected from 72 nurses working in 24 assisted-living facilities and one hospital-affiliated nursing home in Kaohsiung. Group assignment was based on nursing home administrator choice. The experimental group received one month of multimedia CD-ROM instruction, and the control group received no CD-ROM instruction. Both groups completed a CAUTI knowledge questionnaire prior to and after the intervention.Results: There was no significant pre-test difference in CAUTI knowledge between the two groups (p = .18). Post-test improvement in CAUTI knowledge in the experimental group nurses was significantly larger than in the control group (p ＜ .01). Using pre-test CAUTI knowledge, marriage, age and work experience as covariates, experimental group nurses had significantly better CAUTI knowledge compared to control group nurses at post-test (p ＜ .01).Conclusions: Multimedia CD-ROM instruction can increase CAUTI knowledge in nurses, which may lead to improved nurse CAUTI care behavior and decreased CAUTI incidence. We suggest promoting multimedia CD-ROM teaching as a continuing education strategy in long-term care facilities.
並列摘要
Background: Urinary tract infection (UTI) is one of the most prevalent infections in long-term care facilities. Catheter-associated urinary tract infection (CAUTI) is the major cause of UTI in these facilities. Nurses' knowledge of CAUTI in many free-standing long-term care facilities is inadequate due to resource limitations.Purpose: This study assessed the effect on CAUTI knowledge of multimedia CD-ROM instruction by comparing the CAUTI knowledge of nurses who received such instruction and those who did not.Methods: Researchers used a quasi-experimental pretest - posttest control group design; this study was conducted from April to June 2010; Data were collected from 72 nurses working in 24 assisted-living facilities and one hospital-affiliated nursing home in Kaohsiung. Group assignment was based on nursing home administrator choice. The experimental group received one month of multimedia CD-ROM instruction, and the control group received no CD-ROM instruction. Both groups completed a CAUTI knowledge questionnaire prior to and after the intervention.Results: There was no significant pre-test difference in CAUTI knowledge between the two groups (p = .18). Post-test improvement in CAUTI knowledge in the experimental group nurses was significantly larger than in the control group (p ＜ .01). Using pre-test CAUTI knowledge, marriage, age and work experience as covariates, experimental group nurses had significantly better CAUTI knowledge compared to control group nurses at post-test (p ＜ .01).Conclusions: Multimedia CD-ROM instruction can increase CAUTI knowledge in nurses, which may lead to improved nurse CAUTI care behavior and decreased CAUTI incidence. We suggest promoting multimedia CD-ROM teaching as a continuing education strategy in long-term care facilities.