119 - Development and Evaluation of E-learning Material to Foster Collaborative Skills for Multi-occupational Collaboration at Sudden Change of Intraoperative Patient
Background: No one knows when sudden change of intraoperative patient happens, and even a novice nurse may also has opportunity to experience such case. From the patient safety viewpoint, a novice nurse also needs to play an appropriate role in perioperative medical team when patient sudden change occurs. However, it is difficult to repeatedly experience similar rapidly changing scenes in a clinical setting, and it is difficult to learn and guide realistically of multi-occupational cooperation when sudden change of intraoperative patient occured. Therefore, utilizing the advantages of e-learning that "can repeatedly experience the same scene many times", "can fail" and "can learn easily anytime anywhere" devised an e-learning teaching material aimed at nurturing multi-occupational collaborative skills at sudden change of intraoperative patient.
Objectives: Developed learning materials that can be simulate and learn communication skills, collaboration and coordination ability and assessment ability among multi-occupation teams during sudden change of intraoperative patient on the e-learning material story and examined its usefulness.
Methods: With reference to previous case of intraoperative patient , created a teaching material story with the theme "Learn the role of nurses in coping with multi-occupational collaboration for bleeding during emergency caesarean section". When the teaching material story progressed, questions regarding the countermeasures and judgements according to the situations were asked and it was organized that you can learn the appropriate countermeasures and judgments while answering those questions. Conducted a teaching material trial survey and an interview survey on 3 novice nurses in the operating room and 2 nurses in charge of education and examined the usefulness.
Results: Novice nurses fully realized lack of knowledge and experience by this teaching materials. In addition, Novice nurses evaluated the pseudo training by this teaching materials that they were able to image the multiple occupational movements and their expected role as nurses at the occasion when patients conditions suddenly changed. Also, they evaluated the point that they can easily learn at least they have an mobile terminal anywhere, anytime. The nurse in charge of education evaluated the tool that can reduce the burden of holding simulation training to teach the role of nurses in sudden condition change cases difficult to reproduce.
Discussion: This teaching material, by creating a story based on past cases, makes available of nurses to learn while imagining realistically the movements of many occupations and the role of nurses. Results also suggested that this material could be a useful tool to support nurse training. Moreover, e-learning's flexibility also promotes learning among nurses with busy schedules.