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Staff experiences of a newly developed blended learning program to improve diabetes management at orthopedic clinics
Charlotte Laerke Weitze1, Susanne Myrup Houe1, Peter Lommer Kristensen2,3
1Copenhagen University Hospital - Steno Diabetes Center Copenhagen, Borgmester Ib Juuls Vej 83, Herlev, Denmark.
Background:
Errors in diabetes treatment are among the most frequently reported adverse events in hospitals and orthopaedic care. This study aimed to identify the learning needs of orthopaedic staff, develop a blended diabetes learning programme, and examine orthopaedic staff experiences of participating in the programme.
Methods:
Nurses and physicians from endocrinological and orthopedic wards at three hospitals in the capital region of Denmark (Bispebjerg, Herlev, Nordsjællands Hospitals) participated in group concept mapping. A total of 193 orthopedic staffmembers completed an e-learning module and 174 attended one of 12 face-to-face classes. We used thematic analysis to analyze data from four focus group interviews (n = 14 nurses) and observations from face-to-face classes.
Results:
We identified 12 learning objectives and identified three overall themes from thematic analysis: learning through cases, combining e-learning and face-to-face courses, and from learning to practice. These themes explained processes and contexts that facilitated or inhibited learning.
Conclusions:
This study identified several key contexts (time, place, level of knowledge, nurse seniority, organisational support) and critical processes (educators' facilitation, scaffolding, case-based learning) that influence physicians and nurses learning experience and applying it in practice.