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Evaluating a novel approach to enhancing dysphagia management: workplace‐based, blended e‐learning
Author(s) -
Ilott Irene,
Bennett Bev,
Gerrish Kate,
Pownall Sue,
Jones Amanda,
Garth Andrew
Publication year - 2014
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/jocn.12409
Subject(s) - dysphagia , competence (human resources) , medicine , medical education , health care , population , swallowing , nursing , retraining , physical therapy , psychology , surgery , social psychology , business , environmental health , international trade , economics , economic growth
Aims and objectives To evaluate the learning effect and resource use cost of workplace‐based, blended e‐learning about dysphagia for stroke rehabilitation nurses. Background Dysphagia is a potentially life‐threatening problem that compromises quality of life. In many countries, nurses play a crucial role in supporting the management of patients with swallowing problems, yet the literature reports a need for training. Design A single‐group, pre‐ and post‐study with mixed methods. Methods Each blended e‐learning session comprised a needs analysis, e‐learning programmes, practical skills about modifying fluids and action planning to transfer learning into practice. Participants were the population of registered nurses ( n = 22) and healthcare assistants ( n = 10) on a stroke rehabilitation ward in a large, teaching hospital in E ngland between A ugust 2010– M arch 2011. Data collection comprised observation (34 hours), questionnaires administered at four time points to examine change in attitude, knowledge and practice, and estimating the resource use cost for the service. Nonparametric tests and content analysis were used to analyse the data. Results All participants achieved a nationally recognised level of competence. The learning effect was evident on the post‐ and follow‐up measures, with some items of dysphagia knowledge and attitude achieving significance at the p ≤ 0·05 level. The most common self‐reported changes in practice related to medicines management, thickening fluids and oral hygiene. The resource use cost was estimated at £2688 for 108 hours training. Conclusions Workplace‐based, blended e‐learning was an acceptable, cost effective way of delivering essential clinical knowledge and skills about dysphagia. Relevance to clinical practice Dysphagia should be viewed as a patient safety issue because of the risks of malnutrition, dehydration and aspiration pneumonia. As such, it is pertinent to many members of the interdisciplinary team. Consideration should be given to including dysphagia management in initial education and continuing professional development programmes.