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



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


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


      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.


      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.
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