Develop comprehensive, standardized e-learning programs for nurses in hospitals and clinics, with standardized content and assessment tools¶

Strategy · All strategies
Evidence · 4 claims (3 for, 1 against) · 1 study (1 quant-synthesis), q3 · 0 of 1 report an effect size · 4 claims rest on one study

Description¶

The review's study implications call for coordinated development of e-learning for pressure injury management before universal implementation. It states that "standardization of content is important before proceeding with the universal implementation of e-learning programs" and that the assessment tool for nurse knowledge also needs standardizing, pointing to a recently validated knowledge scale for future trials. The strategy targets hospital and clinic nursing staff education.

Design Implications¶

Context¶

Requirements¶

• Content must be finalized and standardized through coordinated effort before universal implementation
• The tool used to assess nurses' pressure injury knowledge must also be standardized

Constraints¶

• Current evidence base is limited: most included studies had high risk of bias and substantial heterogeneity, and no well-designed large-scale RCTs of short- and long-term impacts exist

Target Learners¶

• nurses in hospitals and clinics caring for pressure injury patients
• undergraduate nursing students

Target Learning Goals¶

• knowledge of pressure injury prevention and management
• pressure injury classification skills

Claims¶

• E-learning programs significantly improve nurses' pressure injury classification skills when scored as a continuous outcome (pooled SMD 2.53) [+W]
• E-learning programs significantly improve nurses' knowledge of pressure injury management compared with no e-learning (pooled SMD 1.40, with substantial heterogeneity) [+W]
• E-learning shows no statistically significant effect on nurses' pressure injury classification skills when scored as a binary outcome (pooled OR 1.75, p = 0.08) [-W]
• Included e-learning programs were short (45 minutes to 4 hours), supporting feasibility of integration into hospital orientation or refresher training [+W]

Related Strategies¶

• Employ experimental and longitudinal designs with standardised measurement tools in future pressure injury prevention research.
• Future simulation research should use rigorous designs, standardized tools, and transparent reporting

Examples¶

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Key Sources¶

• Ding, Y., Qian, J., Zhou, Y., & Zhang, Y. (2024). Effect of e‐learning program for improving nurse knowledge and practice towards managing pressure injuries: A systematic review and meta‐analysis. Nursing Open, 11, e2039. https://doi.org/10.1002/nop2.2039