「看護師が糖尿病チーム医療を促進するスキルを高めるE-learning教材」を用いた教育方法の検討

Investigation of Educational Methods Using E-Learning Teaching Materials to Improve Nurses' Skills in Promoting Team-based Diabetes Medical Care

要旨

　目的：「看護師が糖尿病チーム医療を促進するスキルを高めるE-learning教材」の教育方法を検討することである．

　方法：本教材は，3段階からなるプログラムを1回として，同じプログラムを1年間に最大4回までWEBにて学習するよう設定され，糖尿病看護に携わっている看護師を対象として実施した．学習効果は「看護師が糖尿病チーム医療を促進するための自己評価質問票（4視点25項目）」（スキル）にて評価した．

　結果：第1回学習のみは164名（60.3％），第2回以上学習した複数学習者は108名（39.7％）であった．学習回数2/3/4回が54/29/25名であった．スキル得点は2回の学習で学習前に比べ有意に高くなった．糖尿病看護に関する資格を有しない場合は2回および3回の学習で視点4「看護的視点からチームへ表明し発信する」の得点が有意に高くなった．

　結論：本教材での学習は2回の学習で学習効果がみられ，糖尿病チーム医療促進のための看護教育に活用できるものと考えられた．

　Purpose: This study aimed to investigate the educational methods using E-learning teaching materials that were utilized to improve nurses' skills in promoting team-based diabetes medical care (“the teaching materials”).

　Method: The educational intervention using the teaching materials was a three-stage program that was provided up to four times a year via a website, targeting nurses involved in diabetes care. Its effectiveness was evaluated using the Self-evaluation Questionnaires for Nurses to Promote Team-based Diabetes Medical Care, which comprises four viewpoints and 25 items.

　Results: A total of 164 (60.3%) nurses received the intervention once. Meanwhile, 108 (39.7%) nurses received such an intervention more than once. In particular, 54, 29, and 25 nurses received the intervention two, three, and four times, respectively. The learning effectiveness significantly increased in the second intervention compared with that before the initial intervention. Nurses who had no diabetes nursing qualifications and received the intervention two or three times had significantly high scores regarding Viewpoint 4: Expressing opinions to the team from a nurse's perspective.

　Conclusion: Providing this educational intervention twice using E-learning teaching materials is significantly effective in learning. Therefore, this method is useful for nursing education that promotes team-based diabetes medical care.