The goal of this study is to learn if an interactive e-book helps home care nurses improve their skills in managing pressure injuries at home. It will also learn if digital learning can overcome the challenges of traditional training. The main questions it aims to answer are:
1. Does the e-book increase home care nurses' knowledge about pressure injury prevention and treatment? 2. Does it improve their confidence and reduce the barriers they face when providing wound care? 3. How long do the learning benefits last after completing the program?
Researchers will compare an interactive e-book to standard PDF training materials from the Ministry of Health and Welfare (MOHW) to see which is more effective for nursing education.
Participants will:
1. Use an online interactive e-book covering 11 units of wound care for 1 month 2. Use standard PDF training materials from the MOHW Long-term Care section 3. Complete surveys about their knowledge and skills before the study, immediately after the program, and 1 month later
Expected Outcomes and Contributions:
This study aims to solve the problem of nursing shortages and training difficulties in rural areas. The researchers expect that home care nurses will become more competent in wound management, leading to better patient health and fewer hospital readmissions. These results will support Taiwan's "Long-term Care 3.0" policy by driving innovation in digital education.
Registered nurses aged 18 years or older.
Currently employed full-time as a home care nurse in a hospital-affiliated home care agency, private home care agency, or public health center.
Have at least six months of clinical experience in home care nursing.
Willing to participate in this study and sign the informed consent form.
Home care nurses who hold specialized certifications related to advanced wound care (due to their existing high level of expertise in pressure injury management).
Nurses practicing in community nursing homes or residential care facilities.
Parallel
Interactive E-book on Pressure Injury Care
Other interventionAn online interactive digital e-book containing 11 units on pressure injury prevention and wound care management for home care nurses.
MOHW Standard PDF Educational Materials
Other interventionStandardized PDF educational documents regarding pressure injuries provided by the Ministry of Health and Welfare (MOHW) Long-term Care section.
Pressure Injury Knowledge Assessment Score (PUKAT 2.0)
Pressure Injury Knowledge Assessment Score as measured by the Pressure Ulcer Knowledge Assessment Tool version 2.0 (PUKAT 2.0). The PUKAT 2.0 consists of 28 multiple-choice items across six themes: etiology, classification, risk assessment, nutrition, prevention (pressure), and prevention (shear/friction). Each correct answer is awarded 1 point, while incorrect or "I do not know" answers receive 0 points. Possible scores range from 0 to 28, with higher scores indicating a greater level of knowledge and competency in the prevention and management of pressure injuries. An overall score of 17 or higher (≥60%) is typically considered the threshold for satisfactory knowledge.
Perceived Barriers to Wound Care (WCBS)
Measured by the Wound Care Perceived Barriers Scale (WCBS), consisting of 16 items. Each item is rated on a 5-point Likert scale ranging from 1 (Strongly Disagree) to 5 (Strongly Agree). Total scores range from 16 to 80 points. A higher score indicates that the participant perceives significantly greater barriers to performing wound care.
Pressure Ulcer Management Self-Efficacy (PUM-SES)
Measured by the Pressure Ulcer Management Self-Efficacy Scale (PUM-SES). Each item is rated on a 5-point Likert scale from 1 (Totally Incapable) to 5 (Totally Capable). Total scores range from 10 to 50 points. A higher score indicates stronger self-efficacy in the prevention and management of pressure injuries.
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