Learning Outcomes from the Development of Web-Based Preoperative Training Materials and the Utilization of e-Learning for Raising Practical Competencies in Clinical Nursing:

本研究的目的是开发基于网络的培训材料，并建立电子学习，以提高临床护理术前培训能力，并验证其学习效果。开发的培训材料的标题为“接受手术的患者的护理-预防术后并发症的术前培训”。自学训练教材的目的是让学生在两天的时间内进行照顾接受大肠手术的病人所需的术前训练。研究人员通过关注学习目标、关键项目和验证问题的适用性来检查培训材料内容的适用性。开发的培训材料（CD版）分发给80名二年级护理专业学生，他们自己学习了为期两周。在此期间，使用AIMS-Gifu系统进行了验证测试。出于教学方面的考虑，学生们可以多次参加验证测试。岐阜大学医学伦理委员会批准将验证试验用于研究目的。在此期间，76名学生（95%）平均每人访问了2.72次材料。整个课程的平均得分为82.2%，学生在初始验证测试和最终验证测试中的平均得分分别为76.0%和92.4%。最终验证测试的90%以上的分数表明，使用开发的培训材料取得的学习成果是有用的。“对呼吸的影响”项目的得分较低。培训材料中的这一部分需要改进。此外，需要一种利用AIMS-Gifu培训系统的互动方法来提高没有参加电子学习验证测试的四名学生（5%）的学习成果。

The objective of the research is the development of web-based training materials and the establishment of e-learning for the purpose of raising preoperative training competencies in clinical nursing and to validate their learning outcomes.The title of the developed training materials is "Nursing of Patients Undergoing Surgery- Preoperative Training for the Prevention of Postoperative Complication?. The purpose of the self-learning training materials is to enable students to undertake the preoperative training required when caring for patients undergoing surgery of the large intestine in two day's time. The researchers examined the suitability of the contents of the training materials by focusing on the suitability of the learning targets, key items, and validation questions. The developed training materials (CD version) were distributed to 80 second-year nursing students, who studied by themselves for a period of two weeks. During this period validation tests were held using the AIMS-Gifu system. Owing to pedagogical considerations, students were able to take the validation test more than once. The Medical Ethics Committee of Gifu University approved the use of the validation tests for research purposes. During the period, 76 students, or 95%, accessed the materials on average 2.72 times each. With an average score for the whole course of 82.2%, students achieved an average score of 76.0% and 92.4% for their initial validation tests and final validation tests respectively. The 90%-plus score achieved for the final validation tests points to the usefulness of the learning outcomes achieved using the developed training materials. Scores achieved on the item "Effects on breathing" were low. This section in the training materials requires improvement. In addition, an interactive approach that makes use of the AIMS-Gifu training system is needed to improve the learning outcomes of the four students (5%) who did not take the e-learning validation tests.