Evaluating a novel approach to enhancing dysphagia management: workplace-based, blended e-learning

Area of Science:

• Nursing Education
• Clinical Skills Training
• Patient Safety

Background:

• Dysphagia presents significant risks, including malnutrition, dehydration, and aspiration pneumonia, impacting patient quality of life.
• Nurses are pivotal in managing patients with swallowing difficulties, yet existing training is often insufficient.
• There is a recognized need for enhanced dysphagia management education within nursing practice.

Purpose of the Study:

• To assess the learning outcomes of a workplace-based, blended e-learning program on dysphagia for stroke rehabilitation nurses.
• To evaluate the resource utilization and cost-effectiveness of this e-learning intervention.
• To determine the impact of the training on nurses' knowledge, attitudes, and practices regarding dysphagia.

Main Methods:

• A single-group, pre- and post-test study utilizing mixed methods was conducted.
• The blended e-learning program included needs analysis, online modules, and practical skills sessions.
• Data were collected through observations, questionnaires, and resource cost analysis from August 2010 to March 2011.

Main Results:

• All participating nurses and healthcare assistants achieved a recognized level of competence in dysphagia management.
• Significant improvements were observed in participants' knowledge and attitudes towards dysphagia post-training.
• Key practice changes included improved medicines management, fluid thickening, and oral hygiene for patients.

Conclusions:

• Workplace-based blended e-learning is an effective and cost-efficient method for delivering dysphagia education to nurses.
• Dysphagia management is a critical patient safety concern requiring integration into nursing education and professional development.
• Implementing dysphagia training is essential for mitigating risks associated with malnutrition, dehydration, and aspiration pneumonia.