No included systematic review reported outcomes on nurses' practice change (Kirkpatrick level 3), so the transfer of e-learning to practice remains unknown¶

Claim · All claims
Evidence · 1 study · review r3 · q3
Currency · newest study 2019 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q3 i? No outcomes related to nurses' changes in practice were reported in any of the 22 included SRs, and the review concludes effectiveness regarding transfer to practice and patient outcomes remains unknown. → Rouleau G 2019

Evidence¶

Rouleau G 2019¶

Rouleau G, Gagnon MP, Côté J, Payne-Gagnon J, Hudson E, Dubois CA, Bouix-Picasso J. (2019). Effects of E-Learning in a Continuing Education Context on Nursing Care: Systematic Review of Systematic Qualitative, Quantitative, and Mixed-Studies Reviews. Journal of Medical Internet Research. https://doi.org/10.2196/15118

q3 · i? · review · r3

Discussion of the Kirkpatrick level 3 synthesis across the 22 included SRs. The review states "We found no SRs that reported outcomes regarding the translation of the content of e-learning interventions into nurses' practice and behavior", while cautioning this is not evidence of no effect.

"We found no SRs that reported outcomes regarding the translation of the content of e-learning interventions into nurses' practice and behavior (ie, evaluation level 3). This finding does not mean that e-learning had no outcomes on practice."

Discussion¶

Related Claims¶

• E-learning interventions for registered nurses in continuing education are evaluated almost exclusively at Kirkpatrick levels 1 and 2, with no reported outcomes on practice change and almost none on patient outcomes
• Evidence on transfer to clinical behavior and patient outcomes is scarce: only 2 studies reached Kirkpatrick level 3 and 1 reached level 4
• E-learning improves nurses' knowledge in continuing education on many topics, but effects are mixed and classroom learning was superior for drug dose calculations — related
• Nurses generally report satisfaction with e-learning in continuing education, though dissatisfaction arises from technical difficulties and preference for face-to-face formats — related
• E-learning improves nurses' skills in continuing education, but effects are mixed, with worse defibrillation performance under long-distance learning and lower first-attempt cannulation success with computer-based simulation — related
• No included SDL studies measured Kirkpatrick Level 4 (patient/system) outcomes — related
• No included comparative study assessed patient-based clinical outcomes, patient acceptability of care, or staff resource time — related
• Outcome evaluation of research education programs concentrated at lower levels of the modified Kirkpatrick typology, with few objective or organisational outcomes — related
• After new, modified or improved training programs, patient outcomes remained unchanged or improved in 16 of 17 studies — related