Volume 7, Issue 3 (Summer 2021)                   JCCNC 2021, 7(3): 215-226 | Back to browse issues page


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Najafi Ghezeljeh T, Karimpour R, Omrani S, Haghani S, Emami A. The Effects of E-Learning on Patient Safety Culture in Emergency Nurses. JCCNC. 2021; 7 (3) :215-226
URL: http://jccnc.iums.ac.ir/article-1-317-en.html
1- Nursing Research Center, Iran University of Medical Sciences, Tehran, Iran.
2- Nursing Research Center, Iran University of Medical Sciences, Tehran, Iran. , leiladaneshpajooh@yahoo.com
3- Biobehavioral Nursing & Health Systems, School of Nursing, University of Washington, Seattle, WA, USA.
Abstract:   (365 Views)
Background: Patient Safety (PS) is a priority for all healthcare organizations. Instilling best practices is necessary for PS improvement. This study assessed the effects of Electronic Learning (e-learning) on PS culture among emergency nurses and nursing managers.
Methods: This quasi-experimental study was conducted in March-August 2020 using a two-group pre-test, post-test non-randomized design. The study subjects included 69 nurses who were selected from the emergency rooms and 20 nursing managers of two hospitals in Qazvin City, Iran. They were recruited to study through the census sampling method. They were non-randomly allocated to either e-learning or a comparison group. The comparison group received PS-related education through two 1.5-hour lectures on two consecutive days. The experimental group received PS training through a 15-part online course in two months. PS culture was assessed before and 3 months after initiating the intervention. The necessary data were collected through the self-report method using a demographic data questionnaire and the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire. The obtained data were analyzed by Chi-squared test, Fisher’s Exact test, Independent-Samples t-test, Paired-Samples t-test, and Analysis of Covariance (ANCOVA) in SPSS. 
Results: The pre-test mean score of PS culture in the e-learning group was significantly less than that in the comparison group (P=0.002). The mean score of PS culture significantly increased in both research groups after the intervention (P<0.05). Besides, the post-test mean score of PS culture in the e-learning group was significantly greater than that in the comparison group (P<0.001).
Conclusion: E-Learning is more effective than conventional lecturing in improving PS culture among emergency nurses. This method is suggested to be used as an effective approach to PS culture improvement among emergency nurses.
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● E-Learning significantly improved patient safety culture and all its components, except for the frequency of events reporting dimension.
● The e-learning program provided the examined nurses with the opportunity to frequently review educational materials, answer evaluation questions, and receive relevant feedback.
● A part of the positive effects of e-learning on patient safety culture among emergency nurses can be attributed to the inclusion of nursing managers in this study. 
Plain Language Summary 
E-Learning enables learners to access educational materials at any time and place. It can be used as an effective method for providing in-service training to nurses. It does not necessitate the physical presence of learners in a certain place at a specific time. E-Learning can thus be used to provide in-service training during epidemics and pandemics, like the current coronavirus pandemic without exposing learners to the risk of infection. According to the present study results, e-learning improved patient safety culture among emergency nurses and nursing managers. Nursing managers and hospital supervisors should improve nurses’ understanding of the importance of error reporting, and create a supportive environment to encourage them to report their errors without the fear of negative consequences.

Type of Study: Research | Subject: General
Received: 2021/05/29 | Accepted: 2021/07/15 | Published: 2021/08/1

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