TY  - JOUR
PY  - 2011//
TI  - Successful e-learning programme on the detection of child abuse in Emergency Departments: a randomised controlled trial
JO  - Archives of disease in childhood
A1  - Smeekens, A. E. F. N.
A1  - Henten, D. M. Broekhuijsen-van
A1  - Sittig, J. S.
A1  - Russel, I. M. B.
A1  - Ten Cate, O. Th J.
A1  - Turner, N. M.
A1  - van de Putte, Elise M.
SP  - 330
EP  - 334
VL  - 96
IS  - 4
N2  - Objective To evaluate the effectiveness of an electronic learning (e-learning) programme on the performance of nurses in the recognition of child abuse in a simulated case in the Emergency Department (ED). Design Blinded, randomised controlled trial using pre- and postintervention design. Setting The ED of a University Medical Center in the Netherlands. Participants 38 ED nurses were included, 25 nurses were analysed. Intervention Half of the participants followed a 2-h e-learning programme focused on the recognition of child abuse, the others acted as a control group. Main outcome measurements Individual performance during a case-simulated parent interview to detect child abuse and self-reported self-efficacy for the detection of child abuse. Performance on the simulation was scored by an expert panel using a standardised assessment form which was designed to score quantity and quality of the questions posed by the nurse (minimum score 0; maximum score 114). Results During post-test, nurses in the intervention group performed significantly better during the simulation than the control group, (89 vs 71, 95% CI 2.9 to 33.3), and reported higher self-efficacy (502 vs 447, 95% CI -25.4 to 134.7). Performance in detecting child abuse correlated positively with the self-efficacy score (Spearman correlation 0.387, p value 0.056). Comparing post- and pretest results separately for the intervention and the control group showed a significant increase in performance in the intervention group. Conclusion E-learning improved the performance in case simulations and the self-efficacy of the nurses in the ED in the detection of child abuse. Wider implementation of the e-learning programme to improve the first step in the detection of child abuse is recommended. Trial registration Protocol registration system of clinicaltrials.gov: NCT00844571.<p />  <p>Language: en</p>
LA  - en
SN  - 0003-9888
UR  - http://dx.doi.org/10.1136/adc.2010.190801
ID  - ref1
ER  -