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

本研究的目的是基于“医学教育课程开发：六步法”，为来访护士制定、实施和评估一项长期留置膀胱导管管理培训计划。我们通过拜访护士来发现长期导管管理的问题，并评估正在学习长期导管管理的护士的需求，制定了一个由16个行为目标和教育内容组成的计划。我们在一组41名来访护士中实施了这个项目。工作坊前后分别进行问卷调查，以验证工作坊的效果。绝大多数（84.2%）的参与者对该计划表示满意。16道关于导管管理的正误题的平均答对数在工作坊结束后有所增加。然而，对于某些主题，教育内容并不有效，这表明讲座材料内容的潜在重要性。对于节目内容在家访护理中的应用，超过80%的参与者认为五个教育主题都是“可用”或“有些可用”的。结果表明，该方案是有效的。

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.