| Author: | Wong, Man Ki |
| Title: | The effects of educational programmes using an electronic-learning approach versus a conventional approach on cardiopulmonary resuscitation skills, knowledge and self-efficacy for nursing assistants in nursing homes |
| Advisors: | Kor, Patrick (SN) Wong, Eliza (SN) |
| Degree: | DHSc |
| Year: | 2024 |
| Subject: | Cardiac resuscitation -- Study and teaching CPR (First aid) -- Study and teaching Health education Nurses' aides Hong Kong Polytechnic University -- Dissertations |
| Department: | Faculty of Health and Social Sciences |
| Pages: | 198 pages : color illustrations |
| Language: | English |
| Abstract: | Background: Sudden cardiac arrest is one of the leading causes of death worldwide. Cardiopulmonary resuscitation (CPR) is an important element contributing to survival after cardiac arrest. However, the bystander CPR rate has been low worldwide while the CPR skills and knowledge continue to decay over time after training. Due to the unfavourable factors, the residents in nursing homes are at high risk for out-hospital cardiac arrest thereby nursing homes became an area of concern. There is an urgent need to train more nursing assistants to retain or upgrade their knowledge and skills for CPR. Aim and objectives: This study was divided into two phases which aimed to (1) develop an electronic learning (e-learning) CPR educational programme and (2) examine CPR e-learning feasibility and preliminary effects on CPR knowledge, skills, general self-efficacy (GSE), satisfaction level of the programme, the willingness to participate in CPR training and perform CPR if encountering cardiac arrest in the future among nursing assistants working in nursing homes. Methods: Phase 1: to develop an electronic learning (e-learning) CPR educational programme which was based on the American Heart Association Basic Life Support Training manual for laymen, literature review and theoretical framework (adult learning theory and self-efficacy theory). The new programme was then reviewed by experts using content validity. Phase 2: A prospective quasi-experimental pilot study design was adopted in this study. The study was conducted in four nursing homes, two were assigned as intervention groups (n=2) whereas another 2 were assigned as control groups. Eventually, 41 nursing assistants from the involved nursing homes (intervention group) and 41 nursing assistants from the nursing homes of the control group completed the study. The intervention group attended the e-learning CPR educational programme with a self-instruction video training kit, while the control group joined the conventional training with a face-to-face instructor-led CPR class. All participants underwent CPR skill assessment using the Laerdal QCPR system and CPR skill checklist by a CPR instructor and completed the questionnaire assessing CPR knowledge, GSE and willingness to participate in CPR training and perform CPR when encountering cardiac arrest in the future at three different time points (T1: after getting consent form, T2: immediate after receiving the training, T3: one month after the training). Additionally, they were asked to complete the satisfaction level questionnaire at T2 and T3 while the frequency and duration of using learning materials were completed at T3. All the collected data were analyzed using IBM SPSS 28 with Generalized Estimating Equations (GEE) and other statistical tests as necessary. Results: In phase 1, the finding from CVI was 0.9 indicating that the newly developed e-learning programme is good and acceptable. In phase 2, a total of 82 participants were recruited into the study, with good programme adherence (completion rate was 97.6%; attrition rate was 2.4% at 1 month). At T1 (before intervention), both the intervention and control groups had similar baseline QCPR scores (p= 0.39), GSE scores (p= 0.53), score for willingness to participate in CPR training (p= 0.76) and willingness to perform CPR (p= 0.17). However, the intervention group clearly depicted less score on the CPR skills checklist (p<0.001) and CPR knowledge (p<0.001) at baseline compared to the control group. There was a significant improvement in CPR skills measured by the QCPR system and CPR skill checklist, CPR knowledge, GSE score, and willingness to participate in CPR training and perform CPR in cardiac arrest event for both the intervention and control group at T2 and T3. The intervention group had better QCPR score (p < 0.001), CPR skill checklist score (p < 0.001), CPR knowledge (p < 0.001), willingness to participate in CPR training (p < 0.001), willingness to perform CPR events (p < 0.001) than the control group at T3. The overall programme satisfaction score of the intervention group using e-learning programme was similar to the control group conventional programme at T2 and T3 (M = 9.23, SD = 0.74 vs M = 8.79, SD = 0.73 at T2; M = 9.38, SD = 0.63 vs M = 8.53, SD = 0.83 at T3). The intervention group spent more time on self-studying on self-instruction video than control group on lecture notes (M = 24.07, SD = 17.01 vs M = 3.38, SD = 3.91). Discussion: The results of this pilot study indicated that the CPR educational programme using e-learning approach for the nursing assistants in the nursing homes was feasible and acceptable. This study showed that the participants in e-learning CPR educational programme had significant improvement in terms of CPR skills on QCPR score and CPR checklist, CPR knowledge, willingness to participate CPR training and perform CPR event at T2 and T3 and GSE score at T2 with p< 0.05. No significant difference in GSE score at T3 among intervention group using e-learning programme and control group with conventional programme. The intervention group's overall satisfaction on educational programme was significantly higher than the control group at both T2 and T3 with p<0.05. These outcomes posed implications for applying e-learning on CPR education in the similar setting in Hong Kong and providing inspiration and insights for future research with larger sample size. Conclusion: CPR educational programme through e-learning approach was a promising learning mode in CPR training for nursing assistants in nursing homes. Further studies are recommended using a more rigorous study design (e.g., randomized controlled trial) with a larger sample size. |
| Rights: | All rights reserved |
| Access: | restricted access |
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| File | Description | Size | Format | |
|---|---|---|---|---|
| 8000.pdf | For All Users (off-campus access for PolyU Staff & Students only) | 4.54 MB | Adobe PDF | View/Open |
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