{"title":"使用虚拟现实技术的痴呆症教育项目对急症医院护士的影响：前后对比研究。","authors":"Jinyan Wu MHS, RN, Ayumi Igarashi PhD, RN, Haruno Suzuki MHS, RN, Hiroshige Matsumoto PhD, RN, PHN, Haruna Kugai PhD, RN, Manami Takaoka PhD, RN, Noriko Yamamoto-Mitani PhD, RN, GNP","doi":"10.1111/opn.12616","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Poor awareness of dementia care by healthcare professionals affects the quality of care for people living with dementia in acute care settings.</p>\n </section>\n \n <section>\n \n <h3> Objectives</h3>\n \n <p>This study examined the effectiveness of a virtual reality-based educational programme for dementia for nurses working in acute care hospitals in Japan.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A dementia education programme for nurses was designed. The programme comprised short movies, virtual reality videos based on the short movies, a lecture, discussions and role-playing based on the experimental learning model. Virtual reality video content was created to promote empathy for people living with dementia through a first-person experience of dementia. The educational programme involved nurses working in an acute care hospital in the Tokyo Metropolitan area. Before and after the programme, we employed structured questionnaires using validated instruments to assess participants' attitudes towards people living with dementia, their intentions of helping behaviour and their confidence in providing dementia care.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Seventy-six nurses participated in and completed the pre- and post-tests. The mean age was 34.9 ± 9.2 years, and 90.8% of the participants were female. A paired <i>t</i>-test showed significant before-after improvement in the participants’ attitudes towards people living with dementia (41.9 ± 5.1 vs. 44.5 ± 4.8), intentions of helping behaviour towards people living with dementia (10.8 ± 2.5 vs. 12.8 ± 2.1) and confidence in providing dementia care (25.9 ± 6.7 vs. 29.2 ± 6.0).</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The programme effectively improved nurses’ attitudes towards people living with dementia and confidence in providing dementia care in acute care settings. Future research is important to explore the long-term effects of this programme and its effects on actual dementia care.</p>\n </section>\n \n <section>\n \n <h3> Implications for practice</h3>\n \n <p>The dementia education programme may promote person-centred care in acute hospitals. Future studies should consider the provision of more flexible programs so that nurses can more easily participate in them.</p>\n </section>\n </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 3","pages":""},"PeriodicalIF":1.6000,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12616","citationCount":"0","resultStr":"{\"title\":\"Effects of a dementia educational programme using virtual reality on nurses in an acute care hospital: A pre-post comparative study\",\"authors\":\"Jinyan Wu MHS, RN, Ayumi Igarashi PhD, RN, Haruno Suzuki MHS, RN, Hiroshige Matsumoto PhD, RN, PHN, Haruna Kugai PhD, RN, Manami Takaoka PhD, RN, Noriko Yamamoto-Mitani PhD, RN, GNP\",\"doi\":\"10.1111/opn.12616\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Poor awareness of dementia care by healthcare professionals affects the quality of care for people living with dementia in acute care settings.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Objectives</h3>\\n \\n <p>This study examined the effectiveness of a virtual reality-based educational programme for dementia for nurses working in acute care hospitals in Japan.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>A dementia education programme for nurses was designed. The programme comprised short movies, virtual reality videos based on the short movies, a lecture, discussions and role-playing based on the experimental learning model. Virtual reality video content was created to promote empathy for people living with dementia through a first-person experience of dementia. The educational programme involved nurses working in an acute care hospital in the Tokyo Metropolitan area. Before and after the programme, we employed structured questionnaires using validated instruments to assess participants' attitudes towards people living with dementia, their intentions of helping behaviour and their confidence in providing dementia care.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Seventy-six nurses participated in and completed the pre- and post-tests. The mean age was 34.9 ± 9.2 years, and 90.8% of the participants were female. A paired <i>t</i>-test showed significant before-after improvement in the participants’ attitudes towards people living with dementia (41.9 ± 5.1 vs. 44.5 ± 4.8), intentions of helping behaviour towards people living with dementia (10.8 ± 2.5 vs. 12.8 ± 2.1) and confidence in providing dementia care (25.9 ± 6.7 vs. 29.2 ± 6.0).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>The programme effectively improved nurses’ attitudes towards people living with dementia and confidence in providing dementia care in acute care settings. Future research is important to explore the long-term effects of this programme and its effects on actual dementia care.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Implications for practice</h3>\\n \\n <p>The dementia education programme may promote person-centred care in acute hospitals. 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引用次数: 0
摘要
背景医护人员对痴呆症护理的认识不足会影响急症护理机构对痴呆症患者的护理质量：本研究探讨了基于虚拟现实技术的痴呆症教育项目对在日本急症医院工作的护士的有效性：方法：设计了一项针对护士的痴呆症教育计划。该课程包括短片、基于短片的虚拟现实视频、讲座、讨论和基于实验学习模式的角色扮演。制作虚拟现实视频内容的目的是通过痴呆症患者的亲身经历，促进对痴呆症患者的同情。东京都内一家急症护理医院的护士参与了该教育项目。在课程前后，我们使用经过验证的工具进行了结构化问卷调查，以评估参与者对痴呆症患者的态度、帮助行为的意图以及提供痴呆症护理的信心：76名护士参加并完成了前后测试。平均年龄为 34.9 ± 9.2 岁，90.8% 的参与者为女性。配对 t 检验显示，参与者对痴呆症患者的态度（41.9 ± 5.1 vs. 44.5 ± 4.8）、对痴呆症患者的帮助行为意向（10.8 ± 2.5 vs. 12.8 ± 2.1）和提供痴呆症护理的信心（25.9 ± 6.7 vs. 29.2 ± 6.0）在前后均有明显改善：该项目有效改善了护士对痴呆症患者的态度以及在急症护理环境中提供痴呆症护理的信心。未来的研究对于探索该计划的长期效果及其对实际痴呆症护理的影响非常重要：对实践的启示：痴呆症教育计划可促进急症医院开展以人为本的护理。未来的研究应考虑提供更灵活的计划，使护士更容易参与其中。
Effects of a dementia educational programme using virtual reality on nurses in an acute care hospital: A pre-post comparative study
Background
Poor awareness of dementia care by healthcare professionals affects the quality of care for people living with dementia in acute care settings.
Objectives
This study examined the effectiveness of a virtual reality-based educational programme for dementia for nurses working in acute care hospitals in Japan.
Methods
A dementia education programme for nurses was designed. The programme comprised short movies, virtual reality videos based on the short movies, a lecture, discussions and role-playing based on the experimental learning model. Virtual reality video content was created to promote empathy for people living with dementia through a first-person experience of dementia. The educational programme involved nurses working in an acute care hospital in the Tokyo Metropolitan area. Before and after the programme, we employed structured questionnaires using validated instruments to assess participants' attitudes towards people living with dementia, their intentions of helping behaviour and their confidence in providing dementia care.
Results
Seventy-six nurses participated in and completed the pre- and post-tests. The mean age was 34.9 ± 9.2 years, and 90.8% of the participants were female. A paired t-test showed significant before-after improvement in the participants’ attitudes towards people living with dementia (41.9 ± 5.1 vs. 44.5 ± 4.8), intentions of helping behaviour towards people living with dementia (10.8 ± 2.5 vs. 12.8 ± 2.1) and confidence in providing dementia care (25.9 ± 6.7 vs. 29.2 ± 6.0).
Conclusion
The programme effectively improved nurses’ attitudes towards people living with dementia and confidence in providing dementia care in acute care settings. Future research is important to explore the long-term effects of this programme and its effects on actual dementia care.
Implications for practice
The dementia education programme may promote person-centred care in acute hospitals. Future studies should consider the provision of more flexible programs so that nurses can more easily participate in them.
期刊介绍：
International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.
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