Nursing training program in children’s hearing health: a proposal for interactive tele-education

Jacob, Lilian Cassia Bornia; Araújo, Eliene Silva; Honório, Heitor Marques; Costa, Lucas Bevilacqua Alves da; Costa, Orozimbo Alves; Alvarenga, Kátia Freitas

doi:10.1590/1983-1447.2020.20190446

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Original Article • Rev. Gaúcha Enferm. 41 • 2020 • https://doi.org/10.1590/1983-1447.2020.20190446 copy

Nursing training program in children’s hearing health: a proposal for interactive tele-education

Capacitación de enfermeros en salud auditiva infantil: una propuesta de teleducación interactiva

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To verify the effectiveness of a nursing training program in the area of children’s hearing health using interactive tele-education.

Methods:

Interrupted time series with non-random control group pre-test/ post-test. A cohort of 41 nurses, with no previous formal training in hearing health. A “Children’s Hearing Health” Cybertutor was employed. The effectiveness of the nursing training was verified by comparing pre- versus post-training performance and by analyzing responses to an evaluation questionnaire.

Results:

Following training, the performance was significantly better in all domains assessed and in the total score. The evaluation questionnaire demonstrated that the Cybertutor was well accepted and the performance revealed in the pre-training phase demonstrated the need for children´s hearing health training.

Conclusion:

The effectiveness of the nursing training program in the area of Children’s Hearing Health using interactive tele-education could be proven, since there was an improvement in performance in all domains evaluated.

Keywords
Audiology; Education, nursing; Health education; Distance learning

Domain	Moment	Mean (%)	SD (%)	p
1. Concept	Pre-training	58.13	22.09	0.000*
1. Concept	Post-training	79.67	12.08	0.000*
2. Prevention	Pre-training	69.51	28.24	0.000*
2. Prevention	Post-training	95.73	11.04	0.000*
3.Identification	Pre-training	52.03	15.00	0.023*
3.Identification	Post-training	65.04	13.85	0.023*
4. General aspects of the intervention	Pre-training	53.66	17.29	0.001*
4. General aspects of the intervention	Post-training	67.07	11.78	0.001*
Global Score	Pre-training	57.69	10.19	0.001*
Global Score	Post-training	75.98	7.18	0.001*

Domains	Pre (p)	Post (p)
Dom 1 x Dom 2	0.059471	0.000745*
Dom 1 x Dom 3	0.750166	0.003358*
Dom 1 x Dom 4	0.941223	0.022461*
Dom 2 x Dom 3	0.000161*	0.000032*
Dom 2 x Dom 4	0.000929*	0.000032*
Dom 3 x Dom 4	0.999888	0.999503

Questions	Yes	(%)	No	(%)
1. Do you think the training program through the Cybertutor was a teaching resource that provided greater understanding?	41	100	0	0
2. Has the program made available through Cybertutor increased your interest in participating in it?	41	100	0	0
3. Do you think the information conveyed through the Cybertutor was easy to understand?	39	95.1	2	4.8
4. Did you think the Cybertutor allowed students to participate more actively in the learning process?	40	97.5	1	2.4
5. Did you have any problem with the Cybertutor while using it?	7	17.0	34	82.9
6. Were the sounds, images and videos in the Cybertutor adequate?	37	90.2	4	9.7
7. Was it possible for you to reconcile study periods and your professional activities?	40	97.5	1	2.4
8. Do you think the content inserted in the Cybertutor (children’s hearing health) is important for your professional practice?	41	100	0	0
9. Have you ever participated in a training program using Cybertutor technology?	15	36.5	26	63.4
10. Would you take a distance-learning course again?	39	95.1	2	4.8

Positive Aspects	Negative Aspects
“Flexible schedule. Convenience. Enables learning. It is in the student’s own interest.” “Its ease of use and illustrations are the positive points that helped the students to memorize the guidelines.”	“Going back to the beginning of all exercises after only one question was answered incorrectly.”
“I really liked the content of the course, I enjoyed the opportunity to study a subject that has been little addressed in undergraduate nursing.” “Each individual has their own time to read and understand. The program allows you to go back and review points that were not clear, audios and drawings facilitated understanding, making the subject clearer.”	“I don’t have many computer skills.” “I still think we should have a teacher to help us with explanations.” “There could be a lecture class on the subject.”

Questions	Performance (%) Yes	Performance (%) No	p
3	85.86	80.00	0.267
4	85.50	85.50	0.946
5	85.96	83.00	0.403
6	88.75	85.00	0.333
7	85.17	95.00	0.178
8	85.34	87.50	0.686
9	87.14	85.00	0.492
10	86.55	70.00	0.001*
11	86.85	76.25	0.004*
12	86.50	85.00	0.592

Universidade Federal do Rio Grande do Sul. Escola de Enfermagem Rua São Manoel, 963 -Campus da Saúde , 90.620-110 - Porto Alegre - RS - Brasil, Fone: (55 51) 3308-5242 / Fax: (55 51) 3308-5436 - Porto Alegre - RS - Brazil
E-mail: revista@enf.ufrgs.br

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[1] Corresponding author:
Lilian Cassia Bornia Jacob Corteletti E-mail: lilianjacob@fob.usp.br