RESUMO
OBJECTIVE: To evaluate the effectiveness of an electronic learning (e-learning) programme on the performance of nurses in the recognition of child abuse in a simulated case in the Emergency Department (ED). DESIGN: Blinded, randomised controlled trial using pre- and postintervention design. SETTING: The ED of a University Medical Center in the Netherlands. PARTICIPANTS: 38 ED nurses were included, 25 nurses were analysed. INTERVENTION: Half of the participants followed a 2-hour e-learning programme focused on the recognition of child abuse, the others acted as a control group. MAIN OUTCOME MEASUREMENTS: Individual performance during a case-simulated parent interview to detect child abuse and self-reported self-efficacy for the detection of child abuse. Performance on the simulation was scored by an expert panel using a standardised assessment form which was designed to score quantity and quality of the questions posed by the nurse (minimum score 0; maximum score 114). RESULTS: During post-test, nurses in the intervention group performed significantly better during the simulation than the control group, (89 vs 71, 95% CI 2.9 to 33.3), and reported higher self-efficacy (502 vs 447, 95% CI -25.4 to 134.7). Performance in detecting child abuse correlated positively with the self-efficacy score (Spearman correlation 0.387, p value 0.056). Comparing post- and pretest results separately for the intervention and the control group showed a significant increase in performance in the intervention group. CONCLUSION: E-learning improved the performance in case simulations and the self-efficacy of the nurses in the ED in the detection of child abuse. Wider implementation of the e-learning programme to improve the first step in the detection of child abuse is recommended.
Assuntos
Maus-Tratos Infantis/diagnóstico , Instrução por Computador/métodos , Educação Continuada em Enfermagem/métodos , Enfermagem em Emergência/educação , Adulto , Criança , Serviço Hospitalar de Emergência , Feminino , Humanos , Internet , Masculino , Pessoa de Meia-Idade , Simulação de Paciente , AutoeficáciaAssuntos
Anticestoides/efeitos adversos , Compostos de Cetrimônio/efeitos adversos , Equinococose Hepática/tratamento farmacológico , Anticestoides/administração & dosagem , Anticestoides/uso terapêutico , Cetrimônio , Compostos de Cetrimônio/administração & dosagem , Pré-Escolar , Overdose de Drogas , Evolução Fatal , Humanos , Injeções Intraperitoneais , MasculinoAssuntos
Ventiladores Mecânicos , Adulto , Desenho de Equipamento , Segurança de Equipamentos , Humanos , MasculinoRESUMO
We report three cases of chickenpox pneumonia in adults, all of whom required intermittent positive pressure ventilation. One patient developed a variety of complications, and another, a pregnant woman, required extracorporeal membrane oxygenation.
