Development and evaluation of a long-term indwelling bladder-catheter management training program for visiting nurses

本研究的目的是在“医学教育课程开发：六步法”的基础上，为来访护士制定、实施和评估长期留置膀胱管管理培训计划。通过探访护士发现长期导尿管管理存在的问题，评估正在学习长期导尿管管理的护士的需求，制定了包括16个行为目标和教育内容的计划。我们在41名来访护士中实施了这一计划。在研讨会前后进行问卷调查，以验证其有效性。绝大多数(84.2%)的参与者表示他们对该计划感到满意。培训结束后，关于导管管理的16个对/错问题的平均正确答案数有所增加。然而，对于一些主题，教育内容并不有效，这表明授课材料的内容具有潜在的重要性。对于计划内容在家访护理中的使用，超过八成的参与者表示，五个教育主题都是“有用的”或“有些有用的”。结果表明，该程序是有效的。

The objectives of this study were to develop, implement, and evaluate a long-term indwelling bladder-catheter management training program for visiting nurses, based on "The Curriculum Development for Medical Education: A Six-Step Approach". We developed a program consisting of 16 behavioral objectives and educational contents by identifying problems of long-term catheter management by visiting nurses, and evaluating the needs of nurses who are learning long-term catheter management. We implemented the program in a group of 41 visiting nurses. A questionnaire survey was administered before and after the workshop, in order to verify its efficacy. A large majority (84.2%) of participants responded that they were satisfied with the program. The average number of correct answers to 16 true/false questions about catheter management increased after the workshop. For some topics, however, educational contents were not effective, suggesting the potential importance of the contents of the lecture material. Regarding the utilization of the program contents in home-visit nursing, more than 80% of participants responded that all five educational topics were “usable” or “somewhat usable”. The results show the program is effective.