Testing the knowledge of nurses regarding the prevention of falls

Jana Horová 1, 2 *, Iva Brabcová 1, Jitka Krocová 1, 2
1 University of South Bohemia, Faculty of Health and Social Sciences, Institute of Nursing, Midwifery and Emergency Care, České Budějovice, Czech Republic 2 University of West Bohemia in Pilsen, Faculty of Health Studies, Department of Nursing and Midwifery, Plzeň, Czech Republic

Korespondenční autor: Jana Horová (jhorova@kos.zcu.cz)

ISSN 1804-7181 (On-line)

Full verze:
Full version

Submitted:18. 7. 2020
Accepted: 30. 9. 2020
Published online: 31. 12. 2020

Summary

Objectives: The most frequent adverse events in the institutional medical environment are patient falls. The education of medical workers on this issue is an effective preventative intervention. One of the effective methods of education is e-learning.

Goal: The goal of this paper is the assessment of the features of knowledge tests of e-learning courses, which are focused on the prevention of patient falls and designed for nurses who work at ward blocks.

Methods: Statistical methods were used for the assessment of the features of knowledge tests of e-learning courses for medical workers (Shapiro– Wilk test, Cronbach alpha coefficient).

Results: The Cronbach alpha coefficient for the internal task consistency of the entrance test was 0.82 and 0.85 for the final test. The correlation coefficient between the results of the entrance test and the final test was not statistically significant (p = 0.179), but it was statistically significant regarding the total numbers of correct answers in the entrance test and the final test (p = 0.046). The coefficient value was 0.467, which means a weaker direct correlation. The positive dependence between the entrance test and the final test shows good test validity.

Conclusions: We found sufficiently strong results in test reliability and confirmed a positive dependence between the entrance test and the final test. We succeeded in compiling knowledge tests whose features are measurable and reproducible.

Keywords: Education; E-learning course; General nurse; Prevention of falls; Reliability; Validity

Literatura

1. Act No. 147/2016 Coll., Amending the Act No. 372/2011 Coll., on Medical Service and the Conditions of their Provision (act on Medical Services [Zákon č. 147/2016 Sb., kterým se mění zákon č. 372/2011 Sb., o zdravotních službách a podmínkách jejich poskytování (zákon o zdravotních službách), ve znění pozdějších předpisů]. [online] [cit. 2020–07–11]. Available from: https://www.zakonyprolidi.cz/ cs/2016–147 (Czech).

2. Ang E, Mordiffi SZ, Wong HB (2011). Evaluating the use of a targeted multiple intervention strategy in reducing patient falls in an acute care hospital: a randomized controlled trial. J Adv Nurs 67(9): 1984–1992. DOI: 10.1111/j.1365–2648.2011.05646.

3. Bahrambeygi D, Shojaeizadeh D, Sadeghi R, Nasiri S, Ghazanchaei E (2018). The Effectiveness of an E-Learning Program on Nurses Knowledge and Behavior for Caring of Patients with Thromboembolism: A Comparative Study. Journal of Nursing and Healthcare Management 1(105). DOI: 10.18875/2639– 7293.1.105.

4. Becker C, Kron M, Lindemann U, Sturm E, Eichner B, Walter-Jung B, Nikolaus T (2003). Effectiveness of a multifaceted intervention on falls in nursing home residents. Am Geriatr Soc 51: 306–313. DOI: 10.1046/j.1532–5415.2003.51103.x.

5. Budoya CHM, Mtebe J, Kissake MM (2019). Instructional design enabled Agile Method using ADDIE Model and Feature Driven Development method. International Journal of Education and Development using Information and Communication Technology (IJEDICT) 15(1): 35–54. DOI: 10.5539/ies.v7n13p14.

6. Cho M, Jang SJ (2020). Nurses’ Knowledge, Attitude, and Fall Prevention Practices at South Korean Hospitals: A Cross-Sectional Survey. BMC Nursing [preprint]. DOI: 10.21203/rs.3.rs-20233/v1.

7. Chráska M (2016). Metody pedagogického výzkumu: základy kvantitativního výzkumu [The Methods of Paedagogical Research: Basics of Quantitative Research]. 2nd updated ed. Praha: Grada. 254 p.(Czech).

8. Frankel A, Haraden C, Federico F, Lenoci-Edwards J (2017). Framework for Safe, Reliable, and Effective Care. White Paper. Cambridge, MA: Institute for Healthcare Improvement and Safe & Reliable Healthcare; [online] [cit. 2020–07–09]. Available from: http://www.ihi.org/resources/ Pages/IHIWhite­Papers/Framework-Safe-Reliable-Effective-Care.aspx

9. Horová J, Brabcová I, Müllerová N (2018). Retrospective analysis of patient falls as a basis for evidence-based practice. Journal of Nursing, Social Studies, Public Health and Rehabilitation 3–4: 111–120.

10. Houser J, Oman KS (2011). Evidence based practice: an implementation guide for healthcare organizations Sudbury, MA: Jones and Bartlett Learning, 281 p.

11. Jarošová D, Majkusová K, Zeleníková R, Kozáková R, Líčeník R, Stolička M (2014). Prevence pádů a zranění způsobených pády u starších dospělých. Klinický doporučený postup adaptovaný [Prevention of Falls and Injuries Caused by Falls in Seniors. Clinically Recommended Adopted Procedure]. Ostrava: Ústav ošetřovatelství a porodní asistence. Lékařská fakulta, Ostravská univerzita v Ostravě. 45 p. [online] [cit. 2020–07–10]. Available from: http://dokumenty.osu.cz/…m-publikace/ kdp-pady-plna-verze.pdf (Czech).

12. Jian-Fei X, Si-Qing D, Zhu-Qing Z, Sai-Nan Z, Chun-Xiang Q, Qi-Feng Y, et al. (2017). A safety culture training program enhanced the perceptions of patient safety culture of nurse managers. Nurs Educ Pract 27: 128–133. DOI: 10.1016/j.nepr­.2017.08.003.

13. Kiegaldie D, Nestel D, Pryor E, Williams C, Bowles KA, Maloney S, Haines T (2019). Design, delivery and evaluation of a simulation-based workshop for health professional students on falls prevention in acute care settings. Nursing Open; Hoboken 6(3): 1150–1162. DOI: 10.1002/nop2.318.

14. Lahti ME, Hätönen H, Välimäki M (2014). Impact of e-learning on nurses’ and student nurses knowledge, skills, and satisfaction: a systematic review and meta-analysis. International J Nurs Stud 51(1): 136–149. DOI: 10.1016/j.ijnur­stu.2012.12.017.

15. Marečková J, Gurková E, Jarošová D, Klugarová J, Klugar M, Zeleníková R (2015). Evidence-Based Healthcare. Olomouc: Univerzita Palackého Olomouc, 97 p.

16. Marzano RJ, Kendall JS (2007). The New Taxonomy of Educational Objectives. 2nd ed. Thousand Oaks, California: Corwin Press. A Sage Publications Company.

17. Ogura A, Negishi T, Hayashi N, Watanabe H (2018). Effectiveness of an e-Learning Platform for Image Interpretation Education of Medical Staff and Students. J Dig Imagin. 31: 622–627. DOI: 10.1007/s10278–018–0095–6.

18. Ohde S, Terai M, Oizumi A, Takahashi O, Deshpande GA, Takekata M, et al. (2012). The effectiveness of a multidisciplinary QI activity for accidental fall prevention: Staff compliance is critical. BMJ 12: 197. DOI: 10.1186/1472–6963–12–197.

19. Quigley P, Barnett SD, Bulat T, Friedman Y (2016). Reducing Falls and Fall-Related Injuries in Medical-Surgical Units: One-Year Multihospital Falls Collaborative. J Nurs Care Qual 31(2): 139–145. DOI: 10.1097/ NCQ.00000000000­00151.

20. Quigley P, Bulat T, Kurtzman E, Olney R, Powell-Cope G, Rubenstein L (2010). Clinical practice in long-term care: Fall prevention and injury protection for nursing home residents. Journal of the American Medical Directors Association 11: 284–293. DOI: 10.1016/j.jam­da.2009.09.009.

21. Regulation No. 262/2016, Coll., Amending Regulation No. 102/2012, Coll., on the Assessment and Safety at Ward Blocks [Vyhláška č. 262/2016 Sb., kterou se mění vyhláška č. 102/2012 Sb., o hodnocení kvality a bezpečí lůžkové zdravotní péče]. [online] [cit. 2020–07–11]. Available from: https://www. zakonyprolidi­.cz/cs/2016–262 (Czech).

22. Reif J (2004). Metody matematické statistiky [Methods of Mathematical Statistics]. Plzeň: Západočeská univerzita, Fakulta aplikovaných věd, 287 p. (Czech).

23. Rouleau G, Gagnon M-P, Côté J, Payne-Gagnon J, Hudson E, Dubois C-A, Bouix-Picasso J (2019). Effects of E-Learning in a Continuing Education Context on Nursing Care: Systematic Review of Systematic Qualitative, Quantitative, and Mixed-Studies Reviews. J Med Internet Res 21(10): e15118. DOI: 10.2196/15118.

24. Sedláčková J (1993). Diagnostické metody ve vyučování matematice [Diagnostic Methods in Mathematics Teaching]. Olomouc: Univerzita Palackého (Czech).

25. Shee AW, Phillips B, Hill K, Dodd K (2014). Feasibility, Acceptability, and Effectiveness of an Electronic Sensor Bed/Chair Alarm in Reducing Falls in Patients With Cognitive Impairment in a Subacute Ward. J Nurs Care Qual 29(3): 253–262. DOI: 10.1097/ NCQ.00000000000­00054.

26. Spiva L Robertson B, Delk ML, Patrick S, Kimrey MM, Green B, Gallagher E (2014). Effectiveness of Team Training on Fall Prevention. J Nurs Care Qual 29(2): 164–173. DOI: 10.1097/NCQ.0b013e3182a­98247.

27. Test Validity [Validita testu]. (2019). Scio. [online] [cit. 2020–07–10]. Available from: https://www. scio.cz/o-vzdelavani/teorie-a-metodika-testu/odborna-cast/validita-testu/ (Czech).

28. Toye Ch, Kitchen S, Hill A, Edwards D, Sin M, Maher S (2017). Piloting staff education in Australia to reduce falls in older hospital patients experiencing delirium. Nurs Health Sci 19(1): 51–58. DOI: 10.1111/nhs.12300.

29. Tuomikovski AM, Ruotsalainen H, Mikkonen K, Miettunen J, Kääriäinen M (2018). Development and psychometric testing of the nursing student mentors’ competence instrument (MCI): A cross-sectional study. Nurs Educa Today 68: 93–99. DOI: 10.1016/j.ned­t.2018.05.028.