Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-12-01T01:15:35.478Z Has data issue: false hasContentIssue false
  • English
  • Français

The Value of E-Learning for the Prevention of Healthcare-Associated Infections

Published online by Cambridge University Press:  13 May 2016

Sonia O. Labeau ,
Jordi Rello ,
George Dimopoulos ,
Jeffrey Lipman ,
Aklime Sarikaya ,
Candan Oztürk ,
Dominique M. Vandijck ,
Dirk Vogelaers ,
Koenraad Vandewoude  and
Stijn I. Blot
...Show all authors
Sonia O. Labeau*
Affiliation:
Faculty of Education, Health and Social Work, University College Ghent, Ghent, Belgium; Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
Jordi Rello
Affiliation:
Critical Care Department, Vall d’Hebron University Hospital, CIBERES, Universitat Autonoma de Barcelona, Barcelona, Spain
George Dimopoulos
Affiliation:
Department of Critical Care, Medical School, University of Athens, ATTIKON University Hospital, Athens, Greece
Jeffrey Lipman
Affiliation:
Burns Trauma and Critical Care Research Centre, The University of Queensland, Brisbane, Australia
Aklime Sarikaya
Affiliation:
Faculty of Health Sciences, Department of Nursing, Istanbul Sabahattin Zaim University, Istanbul, Turkey
Candan Oztürk
Affiliation:
Faculty of Health Sciences, Department of Nursing, Istanbul Sabahattin Zaim University, Istanbul, Turkey
Dominique M. Vandijck
Affiliation:
Department of Patient Safety and Health Economics, Hasselt University, Diepenbeek, Belgium; Department of Public Health, Ghent University, Ghent, Belgium
Dirk Vogelaers
Affiliation:
Department of Internal Medicine, Ghent University, Ghent, Belgium
Koenraad Vandewoude
Affiliation:
Department of Internal Medicine, Ghent University, Ghent, Belgium
Stijn I. Blot
Affiliation:
Burns Trauma and Critical Care Research Centre, The University of Queensland, Brisbane, Australia Department of Internal Medicine, Ghent University, Ghent, Belgium
*
Address correspondence to Sonia Labeau, University College Ghent, Faculty of Education, Health and Social Work, 9000 Ghent, Belgium ([email protected]).
Get access Rights & Permissions [Opens in a new window]

Abstract

BACKGROUND

Healthcare workers (HCWs) lack familiarity with evidence-based guidelines for the prevention of healthcare-associated infections (HAIs). There is good evidence that effective educational interventions help to facilitate guideline implementation, so we investigated whether e-learning could enhance HCW knowledge of HAI prevention guidelines.

METHODS

We developed an electronic course (e-course) and tested its usability and content validity. An international sample of voluntary learners submitted to a pretest (T0) that determined their baseline knowledge of guidelines, and they subsequently studied the e-course. Immediately after studying the course, posttest 1 (T1) assessed the immediate learning effect. After 3 months, during which participants had no access to the course, a second posttest (T2) evaluated the residual learning effect.

RESULTS

A total of 3,587 HCWs representing 79 nationalities enrolled: 2,590 HCWs (72%) completed T0; 1,410 HCWs (39%) completed T1; and 1,011 HCWs (28%) completed T2. The median study time was 193 minutes (interquartile range [IQR], 96–306 minutes)

The median scores were 52% (IQR, 44%–62%) for T0, 80% (IQR, 68%–88%) for T1, and 74% (IQR, 64%–84%) for T2. The immediate learning effect (T0 vs T1) was +24% (IQR, 12%–34%; P<.001), and a residual effect (T0 vs T2) of +18% (IQR 8–28) remained (P<.001). A 200-minute study time was associated with a maximum immediate learning effect (28%). A study time >300 minutes yielded the greatest residual effect (24%).

CONCLUSIONS

Moderate time invested in e-learning yielded significant immediate and residual learning effects. Decision makers could consider promoting e-learning as a supporting tool in HAI prevention.

Infect Control Hosp Epidemiol 2016;37:1052–1059

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 37 , Issue 9 , September 2016 , pp. 1052 - 1059
Copyright
© 2016 by The Society for Healthcare Epidemiology of America. All rights reserved 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1. Yokoe, DS, Classen, D. Introduction: Improving patient safety through infection control: a new healthcare imperative. Infect Control Hosp Epidemiol 2008;29:S3–S11.Google Scholar
2. AHRQ’s efforts to prevent and reduce healthcare-associated infections. Pub No. 09-P013. Agency for Healthcare Research and Quality (AHRQ) website. http://www.ahrq.gov. Published September 2009. Accessed February 4, 2011.Google Scholar
3. Roberts, RR, Scott, RD 2nd, Hota, B, et al. Costs attributable to healthcare-acquired infection in hospitalized adults and a comparison of economic methods. Med Care 2010;48:1026–1035.Google Scholar
4. Umscheid, CA, Mitchell, MD, Doshi, JA, Agarwal, R, Williams, K, Brennan, PJ. Estimating the proportion of healthcare-associated infections that are reasonably preventable and the related mortality and costs. Infect Control Hosp Epidemiol 2011;32:101–114.Google Scholar
5. O’Grady, NP, Alexander, M, Burns, LA, et al. Guidelines for the Prevention of Intravascular Catheter-related Infections. Clin Infect Dis 2011;52:e162–e193.Google Scholar
6. Yokoe, DS, Mermel, LA, Anderson, DJ, et al. A compendium of strategies to prevent healthcare-associated infections in acute care hospitals. Infect Control Hosp Epidemiol 2008;29:S12–S21.Google Scholar
7. Rello, J, Lorente, C, Bodì, M, Diaz, E, Ricart, M, Kollef, MH. Why do physicians not follow evidence-based guidelines for preventing ventilator-associated pneumonia? A survey based on the opinions of an international panel of intensivists. Chest 2002;122:656–661.Google Scholar
8. Ricart, M, Lorente, C, Diaz, E, Kollef, MH, Rello, J. Nursing adherence with evidence-based guidelines for preventing ventilator-associated pneumonia. Crit Care Med 2003;31:2693–2696.Google Scholar
9. Blot, SI, Labeau, S, Vandijck, DM, Van Aken, P, Claes, B. Evidence-based guidelines for the prevention of ventilator-associated pneumonia. Results of a knowledge test among intensive care nurses. Intensive Care Med 2007;33:1463–1467.Google Scholar
10. Labeau, S, Vandijck, D, Rello, J, et al. Evidence-based guidelines for the prevention of ventilator-associated pneumonia: results of a knowledge test among European intensive care nurses. J Hosp Infect 2008;70:180–185.Google Scholar
11. Labeau, S, Witdouck, S, Vandijck, D, et al. Nurses’ knowledge of evidence-based guidelines for the prevention of surgical site infection. Worldviews Evid Based Nurs 2010;7:16–24.Google Scholar
12. Labeau, SO, Vandijck, DM, Rello, J, et al. Centers for Disease Control and Prevention guidelines for preventing central venous catheter-related infection: results of a knowledge test among 3405 European intensive care nurses. Crit Care Med 2009;37:320–323.Google Scholar
13. Bero, L, Grilli, R, Grimshaw, JM, Harvey, E, Oxman, AD, Thomson, MA. Closing the gap between research and practice: an overview of systematic reviews of interventions to promote implementation of research findings by health care professionals. BMJ 1998;317:465–468.Google Scholar
14. Reime, MH, Harris, A, Aksnes, J, Mikkelsen, J. The most successful method in teaching nursing students infection control—E-learning or lecture? Nurs Educ Today 2008;28:798–806.Google Scholar
15. Choules, AP. The use of elearning in medical education: a review of the current situation. Postgrad Med J 2007;83:212–216.Google Scholar
16. Kirakowski, J, Corbett, M. SUMI: the Software Usability Measurement Inventory. Br J Educ Technol 1993;24:210–212.Google Scholar
17. Swygert, KA, Balog, KP, Jobe, A. The impact of repeat information on examinee performance for a large-scale standardized-patient examination. Acad Med 2010;85:1506–1510.Google Scholar
18. Labeau, S, Vandijck, DM, Claes, B, Van Aken, P, Blot, SI, executive board of the Flemish Society for Critical Care N. Critical care nurses’ knowledge of evidence-based guidelines for preventing ventilator-associated pneumonia: an evaluation questionnaire. Am J Crit Care 2007;16:371–377.Google Scholar
19. Labeau, S, Vereecke, A, Vandijck, DM, Claes, B, Blot, SI, executive board of the Flemish Society for Critical Care N. Critical care nurses’ knowledge of evidence-based guidelines for preventing infections associated with central venous catheters: an evaluation questionnaire. Am J Crit Care 2008;17:65–71; quiz 72.Google Scholar
20. Human Development Reports. United Nations Development Program website. http://hdr.undp.org. Published 2015. Accessed April 22, 2016.Google Scholar
21. Cook, DA. The failure of e-learning research to inform educational practice, and what we can do about it. Med Teach 2009;31:158–162.Google Scholar
22. Ellaway, R, Masters, K. AMEE Guide 32: e-Learning in medical education Part 1: Learning, teaching and assessment. Med Teach 2008;30:455–473.Google Scholar
Supplementary material: File

Labeau supplementary material

Labeau supplementary material 1

Download Labeau supplementary material(File)
File 25.8 KB