Development and Effects of E-Learning Program for Clinical Questioning in Evidence-Based Practice Using Case-Based Animation for Nurses

Miri Jeong; Myonghwa Park

doi:10.7475/kjan.2018.30.6.643

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Jeong and Park: Development and Effects of E-Learning Program for Clinical Questioning in Evidence-Based Practice Using Case-Based Animation for Nurses

Original Article

Korean Journal of Adult Nursing 2018; 30(6): 643-655.

Published online: 21 December 2018

DOI: https://doi.org/10.7475/kjan.2018.30.6.643

Development and Effects of E-Learning Program for Clinical Questioning in Evidence-Based Practice Using Case-Based Animation for Nurses

Miri Jeong¹

, Myonghwa Park²

¹Doctoral Student, College of Nursing, Chungnam National University, Daejeon, Korea.

²Professor, College of Nursing, Chungnam National University, Daejeon, Korea.

Corresponding author: Park, Myonghwa. College of Nursing, Chungnam National University, 266 Munhwa-ro, Jung-gu, Daejeon 35015, Korea. Tel: +82-42-580-8328, Fax: +82-42-580-8309, mhpark@cnu.ac.kr

Received 14 August 2018 Revised 29 October 2018 Accepted 28 November 2018

Korean Society of Adult Nursing

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

Nurses lead Evidence-Based Practice (EBP) in the healthcare system. To facilitate the evidence-based nursing process, nurses must have the knowledge and skills to formulate clinical questions in a searchable format. The purpose of this study was to develop an e-learning program on steps of EBP, especially focusing on clinical questioning to assess its effects.

Methods

This research utilized a quasi-experimental study with a nonequivalent control group pre-post test design. The experimental group was provided an e-learning program with case-based animation. The control group was provided written material about EBP. The e-learning program was performed from October to November 2015. To evaluate the effects of the program, knowledge of EBP, attitude towards EBP, practice of EBP, clinical questioning confidence, and clinical questioning knowledge were evaluated.

Results

There were significant differences in attitude towards EBP (t=2.08, p=.042), practice of EBP (t=2.06, p=.044), clinical questioning confidence (t=2.05, p=.045) and clinical questioning knowledge (t=2.08, p=.042). However, there was no significant difference between the experimental and control groups in knowledge of EBP (t=1.20, p=.237).

Conclusion

The e-learning program with case-based animation was an effective method to provide the EBP education to nurses. Further researches are needed to disseminate the case-based education to nurses and nursing students and to develop more diverse educational media.

Keywords: Evidence-based practice, Nurses, Education, Animation

Figures and Tables

Figure 1

Development process of the program.

Table 1

Contents of EBN e-Learning Program using Case-Based Animation

EBN=evidence-based nursing; PICO=patient or problem, intervention or area of interest, comparison intervention or comparison group, outcome; IV=intravenous.

Table 2

Homogeneity Test of General and EBN related Characteristics (N=62)

EBN=evidence-based nursing; Exp.=experimental group; Cont.=control group; ^†Fisher's exact test.

Table 3

Homogeneity Test of the Dependent Variables for the Two Groups (N=62)

EBP=evidence-based practice; Exp.=experimental group; Cont.=control group.

Table 4

Differences in Dependent Variables between the Two Groups (N=62)

EBP=evidence-based practice; Exp.=experimental group; Cont.=control group.

ACKNOWLEDGEMENT

This article is a revision of the first author's master thesis from Chungnam National University.

Notes

^{CONFLICTS OF INTEREST} The authors declared no conflict of interest.

Study conception and design acquisition: JM and PM.
Data collection: JM.
Analysis and interpretation of the data: JM and PM.
Drafting and critical revision of the manuscript: JM and PM.

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ORCID iDs

Miri Jeong
https://orcid.org/0000-0002-3334-4200

Myonghwa Park
https://orcid.org/0000-0002-0329-0010

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