■比较两种不同格式的培训计划在教育夜间姿势护理实施者方面的有效性。
■具有随机分配的混合方法并行组双盲设计。
■美国学术机构。
■38名脑瘫儿童的成人看护者/提供者。
■两个2小时的在线节目都包含夜间姿势护理证据的内容,风险因素监测,睡眠系统类型,定位方法,和评估。A组使用交互式视频,带有网络链接的B组摘要信息。
■我们通过问卷测量自我感知能力(基线,培训后,后模拟)包含4点知识等级量表,能力,以及通过模拟观察仪器测量的置信度和定位能力,该仪器包括16个定位任务等级,并带有用于描述性能的空间。我们使用现场笔记记录参与者的行动/陈述。
■38次完成训练(每组19次)。A组(vsB)在训练后显示出更大的自我感知能力变化(0.46分(SE0.17),P=0.008)。37位定位了标准化的客户,“在正确完成的总任务上,小组没有显着差异(F(1,92.32)=1.91,P=0.17),平均16个任务中的11.85(SE0.83)和12.60(SE0.84)正确。A组的定位/模拟后自我评分与实际能力显著相关(r=0.53,P=0.019)。在这两组中,47%的护理人员错误地完成了将头部和颈部置于中立状态并收紧所有[定位]部件的任务。
■睡眠护理定位培训计划(基于交互式视频的格式)可有效地建立护理人员的夜间姿势护理自我感知能力。虽然这堂课受到护理人员的欢迎,并被认为是“符合他们的学习风格”,与控制培训相比,该课程并未使定位“客户”的实际能力得到更大的提高。
UNASSIGNED: Compare effectiveness of two differently formatted training programs in educating night-time postural care implementers.
UNASSIGNED: Mixed-methods parallel-group double-blind design with random assignment.
UNASSIGNED: United States academic institution.
UNASSIGNED: Thirty-eight adult caregivers/providers of children with cerebral palsy.
UNASSIGNED: Both 2-hour online programs included content on night-time postural care evidence, risk-factor monitoring, sleep-system types, positioning methods, and assessments. Group A used interactive videos, Group B summary information with web-links.
UNASSIGNED: We measured self-perceived competence via questionnaires (baseline, post-training, post-simulation) containing 4-point rating-scales of knowledge, ability, and confidence and measured positioning ability via a simulation observation instrument comprising 16 positioning-task ratings with space for describing performance. We recorded participant actions/statements using fieldnotes.
UNASSIGNED: Thirty-eight completed training (19 per group). Group A (vs B) showed significantly greater self-perceived competence changes post-training (0.46 points (SE 0.17), P = 0.008). Thirty-seven positioned a standardized \"client,\" with groups not differing significantly on total tasks completed correctly (F(1, 92.32) = 1.91, P = 0.17) averaging 11.85 (SE 0.83) and 12.60 (SE 0.84) of 16 tasks correct. Group A\'s post-positioning/simulation self-ratings were significantly associated with actual ability (r = 0.53, P = 0.019). In both groups ⩾47% of caregivers incorrectly completed the tasks of placing head and neck in neutral and snugging up all [positioning] parts.
UNASSIGNED: The sleep care positioning training program (interactive video-based format) is effective in building caregivers\' self-perceived competence for night-time postural care. While the lesson was well-received by caregivers and considered a \"match [to their] learning style,\" the lesson did not lead to greater improvement in actual ability to position the \"client\" compared to control training.