Advertisement

Nurses’ Motivation, Knowledge, and Satisfaction with a Neonatal Pain Assessment e-Learning Course

      Abstract

      Purpose

      To analyze nurses’ motivation to learn, motivation to transfer, knowledge acquisition, and satisfaction with an e-Learning course about neonatal pain assessment.

      Design

      Quantitative, longitudinal, quasi-experimental study, conducted in a university affiliated hospital in São Paulo, Brazil, between April and October 2018.

      Methods

      Upon consent, nurses received two questionnaires electronically (“Demographics Survey” and “Motivation to Learn Survey”) and were granted access to the e- Learning environment. During the 10-module course, nurses completed a “Pre-Test Questionnaire” (in unit one), and the “Post-Test Questionnaire”, "Satisfaction Evaluation Survey", and “Motivation to Transfer Knowledge Survey” at completion of the course. Data were analyzed using R, version 3.6.2. Results: 30 nurses were enrolled, the majority were female (93.33%), mean age 42.8 years (±7.6). The motivation to transfer knowledge (mean 4.09, ±0.53) was greater than the motivation to learn (mean 3.44, ±0, 33). There was significant increase in nurses’ knowledge (p<0.0001) when comparing Post- and Pre-Test scores. Participants’ satisfaction was overall positive regarding tutoring, virtual environment, self-evaluation, contents and activities, visual communication/layout.

      Clinical Implications

      e-Learning allows nurses to increase their knowledge, to access evidence-based information, while offering a space for critical thinking, clinical reasoning, and decision-making in nursing care, ultimately contributing to quality of care and patient safety.

      Conclusions

      The e-Learning course contributed to participants’ knowledge acquisition, resulting in a positive impact on nurses’ motivation to implement new knowledge about neonatal pain assessment in their clinical practice. The course was considered to be in a suitable environment, easy to handle, interactive and dynamic.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Pain Management Nursing
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Abbad G
        Um Modelo Integrado de Avaliação do Impacto do Treinamento No Trabalho – IMPACT.
        Universidade de Brasília, Doctoral dissertation, Brasília, Brazil1999
        • Abbad G.S.
        • Lacerda E.R.M.
        • Pilati R
        Medidas de motivação e valor instrumental do treinamento.
        in: Abbad G.S. Mourão L. Menezes P.P.M. Zerbini T. Borges-Andrade J.E Vilas-Boas R. Medidas de avaliação em treinamento, desenvolvimento e educação. 1st ed. Artmed, Porto Alegre, Brazil2012: 198-215
        • Abbad G.
        • Pilati R.
        • Pantoja M.J
        Avaliação de treinamento: Análise de literatura e agenda de pesquisa.
        RAUSP Management Journal. 2003; 38: 205-218
        • Alavarce D.C
        Doctoral dissertation.
        Desenvolvimento e Avaliação da Reação, Aprendizagem e Impacto de Treinamento on-line para Profissionais da Saúde. Universidade de São Paulo, São Paulo, Brazil2014
        • Alvarez A.G.
        • Dal Sasso G.T.M.
        • Iyengar M.S
        Persuasive technology in teaching acute pain assessment in nursing: Results in learning based on pre and post-testing.
        Nurse Education Today. 2017; 50: 109-114
        • Alvarez A.G.
        • Dal Sasso G.T.M
        Objetos virtuais de aprendizagem: Contribuições para o processo de aprendizagem em saúde e enfermagem.
        Acta Paulista de Enfermagem. 2011; 24: 707-711
        • Ameringer S.
        • Fisher D.
        • Sreedhar S.
        • Ketchum J.M.
        • Yanni L.
        Pediatric pain management education in medical students: Impact of a web-based module.
        Journal of Palliative Medicine. 2012; 15: 978-983
        • Aroldi J.B.C.
        • Peres H.H.C.
        • Mira V.L
        Percepção do impacto no trabalho de um treinamento on-line sobre prevenção de lesão por pressão. Texto Contexto – Enfermagem, 27(3), 3020016. Ashfaq, M., Ajmal, M., Iqbal, M.J., & Ch, T.M. (2017). A compact instructional design solves learning problems and creates learning opportunities.
        Bulletin of Education and Research. 2018; 39: 1-17
        • Ashfaq M.
        • Chaudry M.A.
        • Iqbal M.J.
        Instruction design system of Allama Iqbal Open University: A vehicle for improvement or mere a salogon.
        Turkish Online Journal of Distance Eeucation. 2016; 17: 48-59
        • Azevedo N.F.
        • Dias T.
        • Silva M.P.C.
        • Sampaio M.V.R.
        • Amaral J.B.
        • Contim D.
        Knowledge of the nursing team about the newborn's pain.
        British Journal of Pain. 2019; 2: 331-335
        • Bastos L.F.L.
        Avaliação da reação, aprendizagem e impacto de treinamento em um hospital do município de São Paulo.
        Universidade de São Paulo, São Paulo, Brazil2012 (Master's thesis)
        • Bonutti D.P.
        • Daré M.F.
        • Castral T.C.
        • Leite A.M.
        • Vici-Maia J.A.
        • Scochi C.G.S.
        Dimensioning of painful procedures and interventions for acute pain relief in premature infants.
        Revista Latino-Americaa de Enfermagem. 2017; 25: e2917
        • Borges-Ferreira M.F.
        • Abbad G.
        Avaliação de aprendizagem em disciplinas de curso técnico a distância.
        Estudos de Psicologia. 2009; 14: 141-149
        • Bueno M.
        • Duarte E.D.
        • Marques R.L.
        • Freire L.M.
        • Castral T.C.
        Neonatal pain assessment program II: an innovative strategy to increase knowledge translation. Case report.
        Revista Dor. 2014; 15: 152-155
        • Bueno M.
        • Stevens B.
        • Rao M.
        • Riahi S.
        • Campbell-Yeo M.
        • Carrier L.
        • Benoit B.
        Implementation and evaluation of the premature infant pain profile – revised (PIPP-R) e-learning module for assessing pain in infants.
        Clinical Journal of Pain. 2021; 37: 372-378
        • Bueno M.
        • Costa T.
        • da Silva F.F.F.
        • Duarte E.D.
        • Lima F.
        • Dittz E.
        Jun 16–20). Users' evaluation of an e-learning curriculum on neonatal pain assessment in Portuguese (Brazil): The Programa de Avaliação da Dor Neonatal (PAD-Neo).
        in: 12th International Symposium on Pediatric Pain: ISPP 2019. Basel, Switzerland2019
        • Caetano E.A.
        • Lemos N.R.F.
        • Cordeiro S.M.
        • Pereira F.M.V.
        • Moreira D.S.
        • Buchhorn S.M.M.
        O recém-nascido com dor: atuação da equipe de enfermagem. Escola Anna Nery, 17(3), 439-445. Campbell-Yeo, M. (2020). Reaffirming that every poke counts! Higher repeated pain exposure in early life linked with greater short- and long-lasting alteration of the nociceptive system.
        Pediatric Research. 2013; 87: 15-16
        • Campbell-Yeo M.
        • Carrier L.
        • Benoit B.
        • Kim T.
        • Bueno M.
        • Rao M.
        • Riahi S.
        • Stevens B.
        Evaluation of the Premature Infant Pain Profile-Revised (PIPP-R) e-learning module: Immediate and sustained competency.
        Advances in Neonatal Care. 2022; 22: 246-252
        • Campos A.P.S.
        Neonatal pain: knowledge, attitude and practice of the nursing team.
        British Journal of Pain. 2018; 1: 354-358
        • Costa T.
        • Rossato L.M.
        • Bueno M.
        • Secco I.L.
        • Sposito N.P.B.
        • Harrison D.
        • Freitas J.S.
        Conhecimentos e práticas de enfermeiros acerca do manejo da dor em recém-nascidos. 51. Revista de Escola de Enfermagem da USP, 2017: e03210
        • Cruz M.D.
        • Fernandes A.M.
        • Oliveira C.R.
        Epidemiology of painful procedures performed in neonates: A systematic review of observational studies. European Journal of Pain, 20(4), 489-498. da Silva, F. F. F., Costa, T., Peres, H. H. C., Duarte, E. D., Castral, T. C., & Bueno, M. (2020). Avaliação por especialistas do curso online “Programa de Avaliação da Dor Neonatal”.
        Revista brasileira de Enfermagem. 2016; 73e20180392
        • Dy S.M.
        • Hughes M.
        • Weiss C.
        • Sisson S.
        Evaluation of a web-based palliative care pain management module for housestaff.
        Journal of Pain and Symptom Management. 2008; 36: 596-603
        • Eccleston C.
        • Fisher E.
        • Howard R.F.
        • Slater R.
        • Forgeron P.
        • Palermo T.M.
        • Birnie K.A.
        • Anderson B.J.
        • Chambers C.T.
        • Crombez G.
        • Ljungman G.
        • Jordan I.
        • Jordan Z.
        • Roberts C.
        • Schechter N.
        • Sieberg C.B.
        • Tibboel D.
        • Walker S.M.
        • Wilkinson D.
        • Wood C.
        Delivering transformative action in paediatric pain: A Lancet Child & Adolescent Health Commission.
        Lancet Child & Adolescent Health. 2020; 5: 47-87
        • Eriksson M.
        • Campbell-Yeo M.
        Assessment of pain in newborn infants.
        Seminars in Fetal & Neonatal Medicine. 2019; 24101003
        • Friesgaard K.D.
        • Paltved C.
        • Nikolajsen L.
        Acute pain in the emergency department: Effect of an educational intervention.
        Scandinavian Journal of Pain. 2017; 15: 8-13
        • Gibbins S.
        • Maddalena P.
        • Yamada J.
        • Stevens B.
        Testing the satisfaction and feasibility of a computer-based teaching module in the neonatal intensive care unit. Advances in Neonatal Care, 7(1), 43-49. Gonçalves, A., & Mourão, L. (2011). A expectativa em relação ao treinamento influencia o impacto das ações de capacitação?.
        Revista de Administração Pública. 2007; 45: 483-513
        • Huckstadt A.
        • Hayes K.
        Evaluation of interactive online courses for advanced practice nurses.
        Journal of American Academy of Nurse Practitioners. 2005; 17: 85-89
        • Lacerda E.R.M.
        • Abbad G.
        Impacto do treinamento no trabalho: Investigando variáveis motivacionais e organizacionais como suas preditoras.
        Revista de Administração Contemporânea. 2003; 7: 77-96
        • Martins L.B.
        • Zerbini T.
        • Medina F.J.
        Impact of online training on behavioral transfer and job performance in a large organization.
        Journal of Work and Organizational Psychology. 2019; 35: 27-37
        • McPherson C.
        • Miller S.P.
        • El-Dib M.
        • Massaro A.N.
        • Inder T.E.
        The influence of pain, agitation, and their management on the immature brain.
        Pediatric Research. 2020; 88: 168-175
        • Orovec A.
        • Disher T.
        • Caddell K.
        • Campbell-Yeo M.
        Assessment and management of procedural pain during the entire neonatal intensive care unit hospitalization.
        Pain Management Nursing. 2019; 20: 503-511
        • Otrenti E.
        Avaliação de Processos Educativos Formais para Profissionais da Área da Saúde: Revisão Integrativa de Literatura.
        Universidade de São Paulo, São Paulo, Brazil2011 (Master's thesis)
        • Popovic N.
        • Popovic T.
        • Rovcanin D.I.
        • Cmiljanic O.
        A Moodle-based blended learning solution for physiology education in Montenegro: A case study.
        Advances in Physiology Education. 2018; 42: 111-117
        • Puljak L.
        • Sapunar D.
        Web-based elective courses for medical students: an example in pain.
        Pain Medicine. 2011; 12: 854-863
        • Raja S.N.
        • Carr D.B.
        • Cohen M.
        • Finnerup N.B.
        • Flor H.
        • Gibson S.
        • Keefe F.J.
        • Mogil J.S.
        • Ringkamp M.
        • Sluka K.A.
        • Song X.
        • Stevens B.
        • Sullivan M.D.
        • Tutelman P.R.
        • Ushida T.
        • Vader K.
        The revised International Association for the Study of Pain definition of pain: Concepts, challenges, and compromises.
        Pain,. 2020; 161: 1976-1982
        • Ramos M.C.M.
        • Candido L.K.
        • Costa T.
        • Leite A.C.
        • Manzo B.F.
        • Duarte E.D.
        • Harrison D.
        • Bueno M.
        Painful procedures and analgesia in hospitalized newborns: A prospective longitudinal study.
        Journal of Neonatal Nursing. 2019; 25: 26-31
        • Soares A.C.O.
        • Caminha M.F.C.
        • Coutinho A.C.F.P.
        • Ventura C.M.U.
        Dor em unidade neonatal: conhecimento, atitude e prática da equipe de enfermagem.
        Cogitare Enfermagem. 2016; 21: 01-10
        • Souza G.C.
        • Gonçalves M.N.C.
        • Martins M.M.F.P.S.
        • Borges E.M.N.
        • Mira V.L.
        • Leite M.M.J.
        Avaliação do curso de gerenciamento online na perspectiva dos egressos.
        Revista da Escola de Enfermagem da USP. 2015; 49: 90-97
        • Sposito N.P.B.
        • Rossato L.M.
        • Bueno M.
        • Kimura A.F.
        • Costa T.
        • Guedes D.M.B.
        Assessment and management of pain in newborns hospitalized in a neonatal intensive care unit: A cross-sectional study.
        Revista Latino-Americana Enfermagem. 2017; 25: e2931
        • Tobase L.
        • Peres H.H.C.
        • Tomazini E.A.S.
        • Teodoro S.V.
        • Ramos M.B.
        • Polastri T.F.
        Suporte básico de vida: avaliação da aprendizagem com uso de simulação e dispositivos de feedback imediato.
        Revista Latino-Americana Enfermagem. 2017; 25: e2942
        • Valeri B.O.
        • Holsti L.
        • Linhares M.B.M.
        Neonatal pain and developmental outcomes in children born preterm: a systematic review.
        Clinical Journal of Pain. 2015; 31: 355-362
        • Walker S.M.
        Long-term effects of neonatal pain.
        Seminars in Fetal & Neonatal Medicine. 2019; 24101005
        • Watt-Watson J.
        • McGillion M.
        • Lax L.
        • Oskarsson J.
        • Hunter J.
        • MacLennan C.
        • Knickle K.
        • Victor J.C.
        Evaluating an innovative elearning pain education interprofessional resource: A pre–post study.
        Pain Medicine. 2019; 20: 37-49
        • Zerbini T.
        • Borges-Ferreira M.F.
        • Abbad G.S
        Medidas de reação a cursos a distância.
        in: Abbad G.S. Mourão L. Menezes P.P.M. Zerbini T. Borges-Andrade J.E Vilas-Boas R. Medidas de avaliação em treinamento. 1st ed. desenvolvimento e educaçãoArtmed, Porto Alegre, Brazil2012: 91-107