Citation

Smeekens AE, Henten DM, Sittig JS, Russel IM, Ten Cate OT, Turner NM, van de Putte EM. Arch. Dis. Child. 2011; 96(4): 330-334.

Affiliation

Parnassia Bavogroep, Den Haag, The Netherlands.

Copyright

(Copyright © 2011, BMJ Publishing Group)

DOI

10.1136/adc.2010.190801

PMID

21233084

Abstract

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-h 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. Trial registration Protocol registration system of clinicaltrials.gov: NCT00844571.

Language: en