Development of Web-based teaching materials for the clinical, training of adult surgical nursing and a new system which supports nursing education

本研究的第一个目的是厘清成人外科护理临床培训现有的教学内容和需要额外教材的程度。其次，在调查分析的基础上，构建了一个基于Web的、方便实用的护理教育支持系统。方法：1；主题;本研究要求来自日本93所大学和/或学院的外科护理专业的护理教师和来自82所国立大学医院的护士教育工作者完成问卷调查，以阐明用于外科护理临床培训的教材的有效性。每个机构都有一个人被要求完成调查问卷。该调查基于德尔菲法，于2003年11月至2004年3月进行了两次。根据数据，我们对现有教材进行评估，并开发新教材。此外，我们创建了一个新的用户友好的系统，支持网上护理教育。结果：高校和医院的回复率分别为48.4%和24.4%。在护理教育中，疾病状况及对有效教材的需求比例（括号内）包括：肺癌（90.8%）、胃癌（89.2%）、结肠癌（80.0%）、脑肿瘤（47.7%）、膝关节炎（42.3%）、乳腺癌（41.5%）。结论：基于数据和分析，我们创建了一个新的教育系统，结合现有的材料和新开发的教学资源在网络上。为了方便用户使用，我们设计了以下三个指标：1)情况系列：门诊→术前→手术室→术后病房；2)方法系列：根据操作敏度度矩阵进行护理行动；3)卡片系列：教材内容和用户意见。

The first purpose of this study was to clarify existing educational contents and the extent of need for additional teaching materials for the clinical training of adult surgical nursing. Secondly, based on the survey and analyses, we created a new system which supports nursing education with convenient utility on the Web.Methods : 1. Subjects ; Nursing faculty from 93 universities and/or colleges who specialized in surgical nursing and nurse educators from 82 national university hospitals in Japan were asked to complete questionnaires to clarify the effectiveness of teaching materials used in the clinical training for surgical nursing. One person from each institution was asked to complete the questionnaire. The survey was based on the Delphi method and was conducted twice between November 2003 and March 2004.2. Based on the data, we evaluated existing teaching materials and developed new materials. In addition, we created a new user-friendly system supporting nursing education on the Web.Results : The response rate was 48.4% and 24.4% from the universities and the hospitals, respectively. The disease conditions and the percentage of need (in parenthesis) for effective teaching materials in nursing education included : lung cancer (90.8%), gastric cancer (89.2%), colon cancer (80.0%), brain tumors (47.7%), gonarthritis (42.3%) and breast cancer (41.5%).Conclusions : Based on the data and analyses, we created a new educational system incorporating the existing materials and the newly-developed teaching resources on the Web. To facilitate a user-friendly system, the following three indices were developed : 1) The situation series : outpatient clinic→preoperative ward→operating room→postoperative ward, 2) The methodological series : nursing action according to a matrix of operational methods×patient acuity, and 3) The card series : content of teaching materials and users' opinions.