文章詳目資料

The Journal of Nursing Research MEDLINESCIEScopusSSCITSSCI

  • 加入收藏
  • 下載文章
篇名 Effect of a Japanese Version of the Burns Wean Assessment Program e-Learning Materials on Ventilator Withdrawal for Intensive Care Unit Nurses
卷期 31:4
作者 Rika KIMURANaoko HAYASHIAkemi UTSUNOMIYA
頁次 004-004
關鍵字 Burns Wean Assessment Programe-learningICU nursesmechanical ventilatorweaningMEDLINEScopusSSCITSCITSSCISCIE
出刊日期 202308
DOI 10.1097/jnr.0000000000000566

中文摘要

英文摘要

Background: No assessment tool for predicting ventilatorwithdrawal success is currently available in Japan. Thus, an accessible and valid assessment tool to address this issue is needed. The Burns Wean Assessment Program (BWAP) has been validated as a reliable predictor of ventilator withdrawal outcomes. However, nurses must be familiarwith this tool to ensure its efficient utilization in clinical settings. Purpose: This study was designed to examine the effect of a 26-item Japanese version of BWAP (J-BWAP) e-learning materials on ventilator withdrawal in a sample of intensive care unit nurses in Japan. Methods: The BWAP was translated into Japanese, checked, and verified as the J-BWAP. Nonrandomized intensive care unit nurses fromsix hospitalswere assigned to three groups, including Intervention Group 1 (e-learning in one session), Intervention Group 2 (e-learning over three sessions during 1 week), and the control group. The participants underwent pretests and posttests using web-based, simulated patients. The primary outcome measure was the difference in online pretest and posttest total scores among the two intervention groups and the control group. The feasibility of the J-BWAP and its e-learning materials was evaluated using four frameworks: acceptability, demand, implementation, and adaptation. Results: Of the 48 participants in the study, 32 completed the posttest and were included in the analysis (dropout rate: 33.3%). The difference between pretest and posttest scores was significantly higher in the intervention groups than the control group (2 vs. −1, p = .0191) and in Intervention Group 2 than the control group (2.0 vs. −0.5, p = .049). The feasibility frameworks for the J-BWAP and its e-learning materials were mostly positive. Conclusions/Implications for Practice: The development of the J-BWAP and training nurses using e-learning were shown to be feasible in this study. The J-BWAP contents are appropriate for predicting the outcome of mechanical ventilation withdrawal. The J-BWAP has the potential to become a common tool among Japanese medical professionals after the contents are further simplified for daily application in clinical practice. Subsequent studies should verify the reliability and validity of this tool and test the real-world utility of the J-BWAP using randomized controlled trials in Japanese clinical settings.

相關文獻