The Effect of Virtual Interactive Education versus In-person Workshop on Nurses’ Knowledge and Performance in Neonatal Skin Care in Neonatal Intensive Care Units: A Quasi-experimental Study

Document Type : Original Article

Authors

1 Neonatal Intensive Care Nurse, Iran University of Medical Sciences, Tehran, Iran

2 Department of Pediatrics, School of Medicine, Hazrat-e Ali Asghar Pediatrics Hospital, Iran University of Medical Sciences Tehran Iran

3 Department of Virtual Education, Iran University of Medical Sciences, Tehran, Iran

4 Department of Biostatistics, Faculty of Health, Iran University of Medical Sciences, Tehran, Iran

5 Nursing Care Research Center, Center for Educational Research in Medical Sciences (CERMS), Iran University of Medical Sciences, Tehran, Iran

Abstract

Background: Given the international recognition concerning the importance of digital literacy, and the increasing understanding of its importance in active learning, virtual education has recently attracted a great deal of attention. This method has provided an opportunity for teaching innovation in times of COVID-19. In this study, we aimed to compare the effects of virtual interactive education on improving nurses’ knowledge and performance in neonatal skin care.
Methods: This quasi-experimental pre-post study was performed on 100 nurses working in the neonatal intensive care units. The participants were divided into three groups, namely the in-person workshop (n=34), virtual interactive education (n=33), and control (n=33). The instruments included Association of Women’s Health, Obstetric, and Neonatal Nurses (AWHONN) standardized questionnaire. The t test, exact fisher, and repeated measures ANCOVA were conducted to analyze the data using SPSS V. 16 software.
Results: The results revealed a significant difference between the pre and post test scores of workshop and multimedia groups in terms of the mean score of knowledge compared to the control group (P<0.001). Similarly, there was a significant difference between the pre- and post-test scores of the workshop and multimedia groups concerning the mean score of performance compared to the control group (P<0.001). The mean score of knowledge and performance increased in both multimedia (20.76±1.30) and workshop groups (15.32±1.95) after the intervention, but the mean score in the multimedia group was more than that of the workshop group (P<0.001).
Conclusion: According to the results, the virtual multimedia training method could be used as a solution to address the growing demand for training nursing staff provided that we could lay the required foundation and design the right training methods.

Keywords


Ahn YM, Lee SM, Cho JA. Development of a Nursing Guideline for Improving Skin Integrity in High-Risk Infants. J Contin Educ Nurs. 2020;51(5):238-44. doi: 10.3928/00220124-20200415-09. PubMed PMID: 32347961. 
Santos SV, Ramos FRS, Costa R, Batalha LMdC. Validation of nursing interventions to prevent skin lesions in hospitalized newborns. Texto & ContextoEnfermagem. 2021;30. 
Visscher MO, Summers A, Narendran V, Khatry SK, Sherchand JB, LeClerq SC, et al. Physiological changes in newborn skin after natural oil massage in rural Nepal. Journal of Global Health Reports. 2020;4:e2020069.
Esmaeilzadeh H, Qolizadeh A, Hosseini S, Norouzi K, Mafi M, Rafiei H. Incidence and Risk Factors of Diaper Dermatitis in Hospitalised Children Aged 0-24 Months: An Epidemiological Descriptive Study in Iran. Journal of Clinical & Diagnostic Research. 2020;14(4).
Khanali Mojen L, Varzeshnejad M. Skin Injuries and its Related Factors in the Neonatal Intensive Care Unit. Iranian Journal of Neonatology IJN. 2020;11(4):93-8.
Mehrpisheh S, Memarian A. Prevalence rate of skin manifestations in NICUadmitted neonates. 2019.
Grosvenor J, O’Hara M, Dowling M. Skin injury prevention in an Irish neonatal unit: an action research study. Journal of Neonatal Nursing. 2016;22(4):185-95.
Behr JH, Wardell D, Rozmus CL, Casarez RL. Prevention Strategies for Neonatal Skin Injury in the NICU. Neonatal Network. 2020;39(6):321-9. 9 Murphree RW. Impairments in skin integrity. Nursing Clinics. 2017;52(3):405-17.
Welch LC, Johnson KA, Allen PA, Hayes L, Kramer NK, Hamilton SM, et al. Optimizing Skin Integrity: One Simple Change for Hospitalized Children.
Chaves ACF, Santos AP, Ataíde KdMN, Cunha KJB. Cuidado e manutenção da integridade da pele do neonato prematuro. Revista de Enfermagem UFPE on line. 2019;13(2):378-84.
Aredes NDA, Dias DMV, Fonseca LMM, Campbell SH, Martins JCA, Rodrigues MA. E-baby skin integrity: evidencebased technology innovation for teaching in neonatal nursing. Escola Anna Nery. 2018;22.
Mousavinasab ES, Kalhori SRN, Zarifsanaiey N, Rakhshan M, Ghazisaeedi M. Nursing process education: A review of methods and characteristics. Nurse Education in Practice. 2020;48:102886.
Park H, Yu S. Policy issues in simulationbased nursing education and technology development. Health Policy and Technology. 2018;7(3):318-21.
Qalehsari MQ, Khaghanizadeh M, Ebadi A. Lifelong learning strategies in nursing: A systematic review. Electronic physician. 2017;9(10):5541.
Varaei S, Mamashli L. The Effect of mMultimedia Training Program on the Attitude of Nurses in Golestan Province about Safe Injections. Scientific Journal of Nursing, Midwifery and Paramedical Faculty. 2019;4(4):76-89.
Lund CH, Kuller J, Lane AT, Lott JW, Raines DA, Thomas KK. Neonatal Skin Care: Evaluation of the AWH0NN/ NANN Research‐Based Practice Project on Knowledge and Skin Care Practices. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 2001;30(1):30-40.
Brandon D, Hill CM, Heimall L, Lund CH, Kuller J, McEwan T, et al. Neonatal skin care: evidence-based clinical practice guideline: Association of Women’s Health, Obstetric and Neonatal Nurses; 2018.
Kadivar M, Seyedfatemi N, Zolfaghari M, Mehran A, Azizkhani L. The Effect of Virtual Education on Neonatal Nurses’ Caring Ability at the Neonatal Intensive Care Unit. Journal of Pediatric Nursing. 2017;3(3):32-9.
Aredes NDA, Santos R, Fonseca LMM. Skin care of premature newborns: integrative review. Rev Eletr Enf. 2017;19:a59.
Zamani P, Dehnad A, Haghani H, Borimnejad L. Effect of Web-Based Education on Knowledge, Attitude, and Practice of Nurses in Neonatal Intensive Care Unit. Interdisciplinary Journal of Virtual Learning in Medical Sciences. 2019;10(1):10-20.
Hashemi S, Salaree MM, Salaree M, Delavari AA, Khoshsima S. The comparison of learning levels in chemical element nursing with three approaches: web-based electronics training, multimedia software packages and lecturing.Education Strategies in Medical Sciences. 2016;9(1):26-33.
Lahti M, Hätönen H, Välimäki M. Impact of e-learning on nurses' and student nurses knowledge, skills, and satisfaction: a systematic review and meta-analysis. International journal of nursing studies. 2014;51(1):136-49.
Valizadeh S, Feizalahzadeh H, Avari M, Virani F. Effect of education of principles of drug prescription and calculation through lecture and designed multimedia software on nursing students’ learning outcomes. Electronic physician. 2016;8(7):2691.
Kang J, Seomun G. Evaluating web-based nursing education’s effects: a systematic review and meta-analysis. Western Journal of Nursing Research. 2018;40(11):1677-97.
Khatooni M, Alimoradi Z, SamieiSeiboni F, Shafiei Z, Atashi V. The impact of an educational software designed about fundamental of nursing skills on nursing students’ learning of practical skills. Journal of Clinical Nursing and Midwifery. 2014;3.