期刊论文详细信息
BMC Medical Education
Online training course on critical appraisal for nurses: adaptation and assessment
Rosa María González5  Elena de Lorenzo7  Lucía Gárate3  Maider Mateos1  Marie Pierre Gagnon6  José Asua2  María Ángeles Cidoncha4  Eva Reviriego1 
[1]Researcher, Basque Office for Health Technology Assessment, Ministry for Health, Basque Government, Vitoria-Gasteiz, Spain
[2]Head of Basque Office for Health Technology Assessment, Ministry for Health, Basque Government, Vitoria-Gasteiz, Spain
[3]Nursing Research Supervisor, Araba University Hospital, Basque Health Service-Osakidetza, Vitoria-Gasteiz, Spain
[4]Lecturer and Nursing Researcher in the Basque Health Service-Osakidetza, Vitoria-Gasteiz, Spain
[5]Subdivision of Quality, Office for the Strategy of Chronicity, Basque Health Service-Osakidetza, Vitoria-Gasteiz, Spain
[6]Associate Professor. Faculty of Nursing Sciences, Université Laval, Québec, Research Centre of the Centre Hospitalier Universitaire de Québec, Québec, Canada
[7]Associate Professor, School of Nursing of Vitoria-Gasteiz, Vitoria-Gasteiz, Spain
关键词: E-learning;    Nursing;    Critical appraisal;    Evidence-based practice;   
Others  :  864995
DOI  :  10.1186/1472-6920-14-136
 received in 2013-07-19, accepted in 2014-06-30,  发布年份 2014
【 摘 要 】

Background

Research is an essential activity for improving quality and efficiency in healthcare. The objective of this study was to train nurses from the public Basque Health Service (Osakidetza) in critical appraisal, promoting continuous training and the use of research in clinical practice.

Methods

This was a prospective pre-post test study. The InfoCritique course on critical appraisal was translated and adapted. A sample of 50 nurses and 3 tutors was recruited. Educational strategies and assessment instruments were established for the course. A course website was created that contained contact details of the teaching team and coordinator, as well as a course handbook and videos introducing the course. Assessment comprised the administration of questionnaires before and after the course, in order to explore the main intervention outcomes: knowledge acquired and self-learning readiness. Satisfaction was also measured at the end of the course.

Results

Of the 50 health professionals recruited, 3 did not complete the course for personal or work-related reasons. The mean score on the pre-course knowledge questionnaire was 70.5 out of 100, with a standard deviation of 11.96. In general, participants’ performance on the knowledge questionnaire improved after the course, as reflected in the notable increase of the mean score, to 86.6, with a standard deviation of 10.00. Further, analyses confirmed statistically significant differences between pre- and post-course results (p < 0.001). With regard to self-learning readiness, after the course, participants reported a greater readiness and ability for self-directed learning. Lastly, in terms of level of satisfaction with the course, the mean score was 7 out of 10.

Conclusions

Participants significantly improved their knowledge score and self-directed learning readiness after the educational intervention, and they were overall satisfied with the course. For the health system and nursing professionals, this type of course has the potential to provide methodological tools for research, promote a research culture, and encourage critical thinking for evidence-based decision making.

【 授权许可】

   
2014 Reviriego et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Alahdab F, Firwana B, Hasan R, Sonbol MB, Fares M, Alnahhas I, Sabouni A, Ferwana M: Undergraduate medical students’ perceptions, attitudes, and competencies in evidence-based medicine (EBM), and their understanding of EBM reality in Syria. BMC Res Notes 2012, 5:431.
  • [2]Alonso-Coello P, Solà I, Rotaeche R, González AI, Marzo-Castillejo M, Louro-González A, Carrillo R, Velázquez P, García-Velasco G, Calderón C: Perceptions, attitudes and knowledge of evidence-based medicine in primary care in Spain: a study protocol. BMC Health Serv Res 2009, 9:80.
  • [3]Phillips AC, Lewis LK, McEvoy MP, Galipeau J, Glasziou P, Hammick M, Moher D, Tilson J, Williams MT: Protocol for development of the guideline for reporting evidence based practice educational interventions and teaching (GREET) statement. BMC Med Educ 2013, 13:9.
  • [4]Ilic D, Tepper K, Misso M: Teaching evidence based medicine literature searching skills to medical students during the clinical years - a protocol for a randomised controlled trial. BMC Med Educ 2011, 11:49.
  • [5]Ilic D: Assessing competency in Evidence Based Practice: strengths and limitations of current tools in practice. BMC Med Educ 2009, 9:53.
  • [6]Facchiano L, Snyder CH: Evidence-based practice for the busy nurse practitioner: part three: critical appraisal process. J Am Acad Nurse Pract 2012, 24(12):704-715.
  • [7]López De Argumedo M, Reviriego E, Andrío E, Rico R, Sobradillo N, Hurtado De Saracho I: Revisión externa y validación de instrumentos metodológicos para la Lectura Crítica y la síntesis de la evidencia científica. In Plan Nacional para el SNS del MSC. Servicio de Evaluación de Tecnologías Sanitarias del País Vasco (Osteba). Madrid: Informes de Evaluación de Tecnologías Sanitarias; 2006. http://www.lecturacritica.com webcite
  • [8]Jakubec SL, Astle BJ: Students connecting critical appraisal to evidence-based practice: a teaching-learning activity for research literacy. J Nurs Educ 2013, 52(1):56-58.
  • [9]Jones SC, Crookes PA, Johnson KM: Teaching critical appraisal skills for nursing research. Nurse Educ Pract 2011, 11(5):327-332.
  • [10]Taylor RS, Reeves BC, Ewings PE, Taylor RJ: Critical appraisal skills training for health care professionals: a randomized controlled trial. BMC Med Educ 2004, 4(1):30.
  • [11]Roxburgh M: An exploration of factors which constrain nurses from research participation. J Clin Nurs 2006, 15(5):535-545.
  • [12]Retsas A: Barriers to using research evidence in nursing practice. J Adv Nurs 2000, 31(3):599-606.
  • [13]Moreno-Casbas T, Fuentelsaz-Gallego C, González-María E, Gil De Miguel A: Barriers to the utilization of research. A descriptive study of clinical nurses and nurses with experience as researchers. Enferm Clin 2010, 20(3):153-164.
  • [14]Ruzafa-Martínez M, López-Iborra L, Madrigal-Torres M: Attitude towards Evidence-Based Nursing Questionnaire: development and psychometric testing in Spanish community nurses. J Eval Clin Pract 2011, 17:664-670.
  • [15]Gagnon MP, Légaré F, Labrecque M, Frémont P, Cauchon M, Desmartis M: Perceived barriers to completing an e-learning program on evidence-based medicine. Inform Prim Care 2007, 15(2):83-91.
  • [16]Cook DA, Levinson AJ, Garside S, Dupras DM, Erwin PJ, Montori VM: Internet-based learning in the health professions: a meta-analysis. JAMA 2008, 300(10):1181-1196.
  • [17]Carbonaro M, King S, Taylor E, Satzinger F, Snart F, Drummond J: Integration of e-learning technologies in an interprofessional health science course. Med Teach 2008, 30(1):25-33.
  • [18]Chang HC, Liu CF, Hwang HG: Exploring nursing e-learning systems success based on information system success model. Comput Inform Nurs 2011, 29(12):741-747.
  • [19]Hopkins DD: The emergence of online learning in PN Education. J Pract Nurs 2008, 58(4):4-7.
  • [20]Mazzoleni MC, Maugeri C, Rognoni C, Cantoni A, Imbriani M: Is it worth investing in online continuous education for healthcare staff? Stud Health Technol Inform 2012, 180:939-943.
  • [21]Murad MH, Coto-Yglesias F, Varkey P, Prokop LJ, Murad AL: The effectiveness of self-directed learning in health professions education: a systematic review. Med Educ 2010, 44(11):1057-1068.
  • [22]O’Shea E: Self-directed learning in nurse education: a review of the literature. J Adv Nurs 2003, 43(1):62-70.
  • [23]Zhang Q, Zeng T, Chen Y, Li X: Assisting undergraduate nursing students to learn evidence-based practice through self-directed learning and workshop strategies during clinical practicum. Nurse Educ Today 2012, 32(5):570-575.
  • [24]Gagnon J, Côté F, Mbourou G, Dallaire C, Gagnon MP, Michaud C: The nursing practice informed by research: leader training in health organizations, a promising path. Rech Soins Infirm 2011, 105:76-82.
  • [25]Cheek J, Gillham D, Ballantyne A: Using education to promote research dissemination in nursing. Int J Nurs Educ Scholarsh 2005, 2:31.
  • [26]Boström AM, Rudman A, Ehrenberg A, Gustavsson JP, Wallin L: Factors associated with evidence-based practice among registered nurses in Sweden: a national cross-sectional study. BMC Health Serv Res 2013, 13:165.
  • [27]Kulier R, Coppus SF, Zamora J, Hadley J, Malick S, Das K, Weinbrenner S, Meyerrose B, Decsi T, Horvath AR, Nagy E, Emparanza JI, Arvanitis TN, Burls A, Cabello JB, Kaczor M, Zanrei G, Pierer K, Stawiarz K, Kunz R, Mol BW, Khan KS: The effectiveness of a clinically integrated e-learning course in evidence-based medicine: a cluster randomised controlled trial. BMC Med Educ 2009, 9:21.
  • [28]Laizner AM: A research course to promote evidence-based nursing practice. Can Oncol Nurs J 2005, 15(4):256-257.
  • [29]Petty J: Interactive, technology-enhanced self-regulated learning tools in healthcare education: A literature review. Nurse Educ Today 2013, 33(1):53-59.
  • [30]Cauchon M, Infocritique: Modules d’auto-apprentissage des habiletés de lecture critique et de gestion de l’information. Centre de formation continue de la Faculté de médecine de l’Université LavalAvailable: http://infocritique.fmed.ulaval.ca/Cours/infocritique/index.aspx webcite
  • [31]Reviriego E, Cidoncha MA, Asua J, Gagnon MP, De Lorenzo E, Garate L, González R, Mateos M: Adaptación y evaluación de un programa de formación on-line en lectura crítica dirigido a profesionales de enfermería. In Ministerio de Sanidad, Servicios Sociales e Igualdad. Servicio de Evaluación de Tecnologías Sanitarias del País Vasco. OSTEBA: Informes de Evaluación de Tecnologías Sanitarias; 2013.
  • [32]Alvarez J, Burbano C, Gagnon MP, Cauchon M, Asua J, Labrecque M: Adaptation to spanish-speaking countries of the infocritique - self-learning modules on critical reading and managing of information. Edulearn11 Proceedings 2011, 60-62.
  • [33]Fisher M, King J, Tague G: Development of a self-directed learning readiness scale for nursing education. Nurse Educ Today 2001, 21(7):516-525.
  • [34]Fisher MJ, King J: The Self-Directed Learning Readiness Scale for nursing education revisited: a confirmatory factor analysis. Nurse Educ Today 2010, 30(1):44-48.
  • [35]Guglielmino LM: Self-directed learning. Fam Med 2004, 36(1):7.
  • [36]Vallerand RJ: Vers une méthodologie de validation trans-culturelle de questionnaires psychologiques: Implications pour la recherche en langue française [Toward a methodology for the transcultural validation of psychological questionnaires: Implications for research in the French language]. Can Psychol 1989, 30(4):662-680.
  • [37]Du S, Liu Z, Liu S, Yin H, Xu G, Zhang H, Wang A: Web-based distance learning for nurse education: a systematic review. Int Nurs Rev 2013, 60(2):167-177.
  • [38]Atreja A, Mehta NB, Jain AK, Harris C, Ishwaran H, Avital M, Fishleder AJ: Satisfaction with web-based training in an integrated healthcare delivery network: do age, education, computer skills and attitudes matter? BMC Med Educ 2008, 8:48.
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