Construction and evaluation of a nursing graduate school and a continued education system using e-learning

本研究的目的是探讨在护士研究生院和护士继续教育与培训中利用电子学习的可能性。为了做到这一点，我们开展了一项为期四年的计划，包括以下研究，以进一步了解我们的现状和需求，并实验性地采用和评估电子学习在上述领域的实施。1)我们调查了目前在日本国内外大学各领域实施电子学习的情况。我们能够指出，日本电子学习的采用落后于其他国家，而且缺乏评估性研究，特别是在护理领域。2)对全日本注册护士的电子学习需求进行问卷调查。超过70%的受访者表示有兴趣参加网上学习课程，最受欢迎的科目是护理诊断、学习技巧、医疗保健和护理管理。对参与感兴趣的因素是对学生和护理教师之间缺乏沟通，课程质量以及完成单元获得学分的可能性的关注。3)针对护生和临床注册护士制定电子学习内容，并对效果进行评价。大多数参与者回答说，该计划有助于学习，并希望将其应用到以后的工作中。在被试的回答中，也有明显的回答表明课程内容的相互交流是必要的。4)为了检验e-learning是否真的不如面对面授课，我们进行了随机对照试验。试验以“EBN在护理临床中的应用”为主题内容，分为四个班。研究结果支持了这样一个事实，即电子学习绝不逊色于面对面的授课。如果有什么不同的话，它表明电子学习学生的课程完成率更高，并且它在轮班工人的继续教育中是有效的。计划在未来进行进一步的分析研究。这些结果证实了自主学习材料的易用性和电子学习在注册护士继续教育中应用的有效性。同时，这些结果也表明了引入学习管理系统的重要性，该系统可以促进护理学生与教师之间的沟通，分配专职人员，明确教育机构在电子学习计划中的作用。少

The objective of this research was to explore the possibilities of utilizing e-learning in graduate schools for nurses and the continued education and training of nurses. In order to do this, a four year plan entailing the following research was undertaken to further our understanding of present conditions and needs, and to experimentally adopt and evaluate the implementation of e-learning into the above areas.1)We examined the current implementation of e-learning in various fields in universities both in and outside of Japan. We were able to indicate that the adoption of e-learning in Japan is behind that of other countries and that evaluative studies, particularly in the area of nursing are lacking.2)Registered nurses throughout Japan were subject to a questionnaire study conducted in relation to e-learning needs. Over 70% of the people surveyed were interested in participating in e-learning courses and the most popular subjects were Nursing Diagnosis, Study Techniques, Medical Healt … More h Care and Nursing Management. Factors contributing to interests in participating were concerns about the lack of communication between learners and teachers of nursing, quality of programs and the possibility of gaining credits for units completed.3)e-learning content was drawn up for nursing students and clinical registered nurses and the results evaluated. The majority of participants answered that the program assisted learning and that they would like to apply it to work later on. Replies suggesting that mutual communication of the course content is necessary were also evident among subject responses.4)In order to examine whether e-learning is in fact inferior to face-to-face lectures, randomized controlled trials were conducted. The trial consisted of four classes on the subject content of "The application of EBN in nursing clinics." The outcome produced results supporting the fact that e-learning is in no way inferior to face-to-face lectures. If anything it indicated that the rate of program completion is higher among e-learning students and that it is effective in the continued education of shift-workers. Further analytical advancement is planned in the future.These results confirm the user-friendliness of self-learning materials and the effectiveness of the application of e-learning in continued education for registered nurses. At the same time, these results also indicate the importance of the introduction of a learning management system which promotes communication between nursing students and teachers, the allocation of full-time staff and clarifying the role of educational institutions in e-learning programs. Less