To test if two e-learning modules – one on cognitive impairment, and one on continence and mobility – in older people would improve the knowledge of nurse members from the Canadian Gerontological Nurses Association and College of Licensed Practical Nurses of Alberta.
A pre-post-test design was used to test 88 nurses’ knowledge of cognitive impairment and 105 nurses’ knowledge of continence and mobility and their perceptions of how the modules contributed to their learning.
There was a statistically significant increase in practicing nurses’ knowledge about cognitive impairment (0.68 increase), continence (2.30 increase), and its relationship to mobility. Nurses’ self-report on the feedback survey demonstrated increases in knowledge, confidence, and perceptions about older people.
These results suggest the modules have strong potential to enhance practicing nurses’ knowledge about cognitive impairment, continence, and mobility.
Funding source: Social Sciences and Humanities Research Council of Canada
Award Identifier / Grant number: Award# 430-2018-00014
We acknowledge the support of the Canadian Gerontological Association and the College of Licensed Practical Nurses of Alberta in aiding in recruitment.
Research funding: This work was supported by an Insight development grant from Social Sciences and Humanities Research Council [Award# 430-2018-00014].
Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
Competing interests: Authors state no conflict of interest.
Informed consent: Informed consent was obtained from all individuals included in this study.
Ethical approval: The Research Ethics Board at the University of Alberta Approved this study Approval number 00110795.
American Association of Colleges of Nurses. (2010). Recommended baccalaureate competencies and curricular guidelines for the nursing care of older adults. Hartford Institute for Geriatric Nursing.Search in Google Scholar
Bandura, A. (1971). Social learning theory. General Learning Press.Search in Google Scholar
Beltran, S. J., & Miller, V. J. (2020). Breaking out of the silo: A systematic review of university-level gerontological curricula in social work and nursing programs. Journal of Social Work Education, 56(4), 753–778. https://doi.org/10.1080/10437797.2019.1656689 10.1080/10437797.2019.1656689Search in Google Scholar
Benjenk, I., Buchongo, P., Amaize, A., Martinez, G. S., & Chen, J. (2019). Overcoming the dual stigma of mental illness and aging: Preparing new nurses to care for the mental health needs of older adults. American Journal of Geriatric Psychiatry, 27(7), 664–674. https://doi.org/10.1016/j.jagp.2018.12.028 10.1016/j.jagp.2018.12.028Search in Google Scholar PubMed PubMed Central
Brady, M. C., Jamieson, K., Bugge, C., Hagen, S., McClurg, D., Chalmers, C., & Langhorne, P. (2016). Caring for continence in stroke care settings: A qualitative study of patients’ and staff perspectives on the implementation of a new continence care intervention. Clinical Rehabilitation, 30, 481–494. https://doi.org/10.1177/0269215515589331 10.1177/0269215515589331Search in Google Scholar PubMed
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 2(2), 77–101. https://doi.org/10.1191/1478088706qp063oa 10.1191/1478088706qp063oaSearch in Google Scholar
Burnes, D., Sheppard, C., Henderson, C. R.Jr., Wassel, M., Cope, R., Barber, C., & Pillemer, K. (2019). Interventions to reduce ageism against older adults: A systematic review and meta-analysis. American Journal of Public Health, 109(8), e1–e9.10.2105/AJPH.2019.305123Search in Google Scholar PubMed PubMed Central
Canadian Association of Schools of Nursing. (2017). Entry to practice gerontological care competencies for baccalaureate programs in nursing. Author.Search in Google Scholar
Canadian Gerontological Nurses Association. (2020). Gerontological standards of practice and competencies (4th ed.). Author.Search in Google Scholar
Chenoweth, L., Williams, A., Fry, M., Endean, E., & Liu, Z. (2021). Outcomes of person-centered care for persons with dementia in the acute care setting: A pilot study. Clinical Gerontologist, 45, 1–15. https://doi.org/10.1080/07317115.2021.1946233 10.1080/07317115.2021.1946233Search in Google Scholar PubMed
Chiu, A. F., Huang, M. H., Hsu, M. H., Liu, J. L., & Chiu, J. F. (2015). Association of urinary incontinence with impaired functional status among older people living in a long-term care setting. Geriatrics & Gerontology, 15, 296–301. https://doi.org.10.1111/ggi.12272 10.1111/ggi.12272Search in Google Scholar PubMed
Clifford, C., & Doody, O. (2017). Exploring nursing staff views of responsive behaviours of people with dementia in long-stay facilities. Journal of Psychiatric and Mental Health Nursing, 25(1), 26–36. https://doi.org/10.1111/jpm.12436 10.1111/jpm.12436Search in Google Scholar PubMed
Continence Foundation of Australia. (2020). Functional incontinence. https://www.continence.org.au/types-incontinence/urinary-incontinence/functional-incontinence Search in Google Scholar
Cooper, E., Spilsbury, D., McCaughan, D., Thompson, C., Butterworth, T., & Hanratty, B. (2017). Priorities for the professional development of registered nurses in nursing homes: A Delphi study. Age and Ageing, 46(1), 39–45. https://doi.org/10.1093/ageing/afw160 10.1093/ageing/afw160Search in Google Scholar PubMed
Dahlke, S., Davidson, S., Kalogirou, M. R., Swoboda, N., Hunter, K. F., Fox, M., Pollard, C., Baumbusch, J., & Saylers, V. (2020). Nursing faculty and students’ perspectives of how students learn to work with older people. Nurse Education Today, 93, 104537. https://doi.org/10.1016/j.nedt.2020.104537 10.1016/j.nedt.2020.104537Search in Google Scholar PubMed
Dahlke, S., Hunter, K., Negrin, K., Kalogirou, M. R., Fox, M., & Wagg, A. (2019). Nursing staffs’ educational needs related to working with hospitalized older people. Journal of Clinical Nursing, 28, 221–234. https://doi.org/10.1111/jocn.14631 10.1111/jocn.14631Search in Google Scholar PubMed
Dahlke, S., Hunter, K. F., Pietrosanu, M., & Kaligouri, M. R. (2021a). An e-learning activity designed to enhance student nurses understanding of continence and mobility. International Journal of Nursing Education Scholarship, 18(1), 20210033. https://doi.org/10.1515/ijnes-2021-0033 10.1515/ijnes-2021-0033Search in Google Scholar PubMed
Dahlke, S., Kaligoui, M. R., & Swoboda, N. (2021b). Registered nurses’ reflections on their educational preparation to work with older people. International Journal of Older People Nursing, 16, e12363. https://doi.org/10.1111/opn.12363 10.1111/opn.12363Search in Google Scholar PubMed PubMed Central
Dermondy, G., & Kovach, C. R. (2017). Nurses’ experience with and perceptions of barriers to promoting mobility in hospitalized older adults: A descriptive study. Journal of Gerontological Nursing, 43(11), 22–29. https://doi.org/10.3928/00989134-20170518-01 10.3928/00989134-20170518-01Search in Google Scholar PubMed
Dikken, J., Hoogerduijn, J. G., Kruitwagen, C., & Schuurmans, M. J. (2016). Content validity and psychometric characteristics of the “Knowledge about Older Patients Quiz” for nurses using item response theory. Journal of the American Geriatrics Society, 64(11), 2378–2383. https://doi.org/10.1111/jgs.14476 10.1111/jgs.14476Search in Google Scholar PubMed
Dominguez, A., Saenz-de-Navarrete, J., de-Marcos, L., Fernadez-Sanz, L., Pages, C., & Martineq-Herrairz, J. J. (2013). Gamifying learning experiences: Practical implications and outcomes. Computers and Education, 63, 380–392. https://doi.org/10.1016/j.compedu.2012.12.020 10.1016/j.compedu.2012.12.020Search in Google Scholar
Dubovsky, S. L., Antonius, D., Ellis, D. G., Ceusters, W., Sugarman, R., Roberts, R., Kandifer, S., Phillips, J., Daurignac, E. C., Leonard, K. E., Bultler, L. D., Castner, J. P., & Richard Braen, G. (2017). A preliminary study of a novel emergency department nursing triage simulation for research applications. BioMed Central, 10(1), 15. https:/doi.org/10.1186/s13104-0162337-3 10.1186/s13104-016-2337-3Search in Google Scholar PubMed PubMed Central
Fontaine, G., Cossette, S., Maheu-Cadotte, M., Maihot, T., Deschenes, M. F., & Mathieu-Dupruis, G. (2017). Effectiveness of adaptive E-learning environments on knowledge competence and behaviours in health professionals and students: Protocol for a systematic review and meta-analysis. JMIR Publications, 6(7), e128. https://doi.org/10.2196/resprot.8085 10.2196/resprot.8085Search in Google Scholar PubMed PubMed Central
Fox, M. T., Butler, J. I., Persaud, M., Tregunno, D., Sidani, S., & McCague, H. (2016). A multimethod study of the geriatric learning needs of acute care hospital nurses in Ontario, Canada. Research in Nursing & Health, 39, 66–76. https://doi.org/10.1002/nur.21699 10.1002/nur.21699Search in Google Scholar PubMed
Gallo, V. (2019). Ageism in nursing education: A review of the literature. Teaching and Learning in Nursing, 14, 208–215. https://doi.org.10.1016/j.teln.2019.04.004 10.1016/j.teln.2019.04.004Search in Google Scholar
Gibson, W., Hunter, K. F., Camicioli, R., Booth, J., Skelton, D. A., Dumoulin, C., Paul, L., & Wagg, A. (2018). The association between lower urinary tract symptoms and falls: Forming a theoretical model for a research agenda. Neurourology and Urodynamics, 37, 501–509. https://doi.org/10.1002/nau.23295 10.1002/nau.23295Search in Google Scholar PubMed
Gibson, W., & Wagg, A. (2014). New horizons: Urinary incontinence in older people. Age and Aging, 43(2), 157–162. https://doi.org/10.1093/ageing/aft214 10.1093/ageing/aft214Search in Google Scholar PubMed
Grealish, L., Simpson, T., Soltau, D., & Edvardsson, D. (2019). Assessing and providing person-centred care of older people with cognitive impairment in acute settings: Threats, variability, and challenges. Collegian, 26(1), 75–79. https://doi.org/10.1016/j.colegn.2018.03.009 10.1016/j.colegn.2018.03.009Search in Google Scholar
Hartley, P., DeWitt, A. L., Forsyth, F., Romero-Ortuno, R., & Deaton, C. (2020). Predictors of physical activity in older adults early in an emergency hospital admission: A prospective cohort study. BMC Geratrics, 20(177), 1–7. https://doi.org/10.1186/s12877-020-01562-3 10.1186/s12877-020-01562-3Search in Google Scholar PubMed PubMed Central
Hsieh, P. L., & Chen, C. M. (2018). Nursing competence in geriatric/long term care curriculum development for baccalaureate nursing programs: A systematic review. Journal of Professional Nursing, 34, 400–411. https://doi.org/10.1016/j,profnurs.2018.05.006 10.1016/j.profnurs.2018.05.006Search in Google Scholar PubMed
Hunter, K. F., & Dahlke, S. (2021). Nurse and health care aide understanding of continence promotion and management with hospitalized older people. Journal of Wound, Ostomy and Continence Nursing, 48(5), 435–439. https://doi.org/10.1097/WON.0000000000000794 10.1097/WON.0000000000000794Search in Google Scholar PubMed
Inouye, S. K., Studenski, S., Tinetti, M. E., & Kuchel, G. A. (2007). Geriatric syndromes: Clinical, research, and policy implications of a core geriatric concept. Journal of the American Geriatrics Society, 55(5), 780–791. https://doi.org/10.1111/j.1532-5415.2007.01156.x 10.1111/j.1532-5415.2007.01156.xSearch in Google Scholar PubMed PubMed Central
Kaligouri, M. R., Dahlke, S., Hunter, K. F., & Pietrosanu, M. (2022). Using an E-learning activity to enhance student nurses’ understanding of cognitive impairment. Nurse Education Today, 108, 105167. https://doi.org/10.1016/j.nedt.2021.105167 10.1016/j.nedt.2021.105167Search in Google Scholar PubMed
Kang, Y., Moyle, W., Cooke, M., & O’Dwyer, S. (2017). An educational programme to improve acute care nurses’ knowledge, attitudes and family caregiver involvement in care of people with cognitive impairment. Scandinavian Journal of Caring Sciences, 32, 631–640. https://doi.org/10.1111/scs.1237 10.1111/scs.12377Search in Google Scholar PubMed
Kiljunen, O., Valimaki, T., Kankkunen, P., & Partanen, P. (2017). Competence for older people nursing in care and nursing homes: An integrative review. International Journal of Older People Nursing, 12, 1–10. https://doi.org/10.1111/opn.12146 10.1111/opn.12146Search in Google Scholar PubMed
King, B. J., Steege, L. M., Winsor, K., VanDenbergh, S., & Brown, C. J. (2016). Getting patients walking: A pilot study of mobilizing older adult patients via a nurse-driven intervention. Journal of the American Geriatrics Society, 64(1), 2088–2094. https://doi.org/10.1111.jgs.14364 10.1111/jgs.14364Search in Google Scholar PubMed
Knapp, K. M. (2012). The gamification of learning and instruction. Pfeiffer.Search in Google Scholar
Kostinen, S., Salminen, L., Stolt, M., & Leino-Kilpi, H. (2015). The education received by nursing students regarding nursing older people: A scoping review. Scandinavian Caring Sciences, 29, 15–29. 10.1111/scs12135.10.1111/scs.12135Search in Google Scholar PubMed
Levy, B. R., Slade, M. D., Change, E. S., Kannoth, S., & Wang, S. Y. (2020). Ageism amplifies cost and prevalence of health conditions. The Gerontologist, 60(1), 174–181. https://doi.org/10.1093/geront/gny131 10.1093/geront/gny131Search in Google Scholar PubMed PubMed Central
Liaw, S. Y., Chng, D. Y. J., Wong, L. F., Ho, J. T. Y., Mordiffi, S. Z., Cooper, S., Chua, W. L., & Ang, N. A. (2017). The impact of web-based educational program on the recognition and management of deteriorating patients. Journal of Clinical Nursing, 26, 4848–4856. https://doi.org/10.1111/jocn.13955 10.1111/jocn.13955Search in Google Scholar PubMed
Liaw, S. Y., Wong, L. F., Lim, E. P. L., Ang, S. B. L., Mujamdar, S., Ho, J. T. Y., Mordiffi, S. Z., Ang, E. N. K., & Nur, D. (2016). Effectiveness of a web-based simulation in improving workplace practice with deteriorating ward patients: A pre and post intervention study. Journal of Medical Internet Research, 18(2), e37–e45. https://doi.org/10.2196/jmir.5294 10.2196/jmir.5294Search in Google Scholar PubMed PubMed Central
Naughton, C., O’Shea, K. L., & Hayes, N. (2019). Incentivising a career in older adult nursing: The views of student nurses. International Journal of Older People Nursing, 14e, 1–10. https://doi.org/10.1111/opn.12256 10.1111/opn.12256Search in Google Scholar PubMed
Ostaszkiewicz, J., O’Connell, B., & Dunning, T. (2016). ‘We just do the dirty work’: Dealing with incontinence, courtesy stigma and the low occupational status of carework in long-term aged care facilities. Journal of Clinical Nursing, 25, 2528–2541. https://doi.org.10.1111/jocn.1329 10.1111/jocn.13292Search in Google Scholar PubMed
Purfazad, Z., Bahrami, M., Keshvari, M., Rafier, M., Sivertsen, N., & Cert, G. (2019). Effective factors for development of gerontological nursing competence: A qualitative study. The Journal of Continuing Nursing Education, 50(3), 1–10. https://doi.org/10.3928/00220124-20190218-08 10.3928/00220124-20190218-08Search in Google Scholar PubMed
Rababa, M., Hammouri, A. M., Hweidi, I. M., & Ellis, J. L. (2020). Association of nurses’ level of knowledge and attitudes to ageism toward older adults: Cross-sectional study. Nursing & Health Sciences, 22, 593–601. https://doi.org/10.1111/nhs.12701 10.1111/nhs.12701Search in Google Scholar PubMed
Sepulveda-Pacsi, A., Soderman, M., & Kertesz, L. (2016). Nurses’ perceptions of their knowledge and barriers to ambulating hospitalized patients in acute settings. Applied Nursing Research ANR, 32, 117–121. https://doi.org/10.1016/j.apnr.2016.06.001 10.1016/j.apnr.2016.06.001Search in Google Scholar PubMed
Smichenko, J., Gil, E., & Zisberg, A. (2020). Relationship between changes in sedative-hypnotic medications burden and cognitive outcomes in hospitalized older adults. Journal of Gerontology and Biologic Science Medical Science, 75(9), 1699–1705. https://doi.org/10.1093/Gerona/glaa015 10.1093/gerona/glaa015Search in Google Scholar PubMed
Surkan, M. J., & Gibson, W. (2018). Interventions to mobilize elderly patients and reduce length of hospital stay. Canadian Journal of Cardiology, 34, 881–888. https://doi.org/10.1016/j.cjca.2018.04.003 10.1016/j.cjca.2018.04.033Search in Google Scholar PubMed
Tohmola, A., Saarnio, R., Mikkonen, K., Kyngas, H., & Elso, S. (2022). Competencies relevant for gerontological nursing: Focus-group interviews with professionals in the nursing of older people. Nordic Journal of Nursing Research, 42(3), 123–132. https://doi.org/10.1177/20571585211030421 10.1177/20571585211030421Search in Google Scholar
Turner, G. (2014). Recognizing frailty. British Geriatrics Society. https://www.bgs.org.uk/resources/recognising-frailty Search in Google Scholar
United Nations. (2017). World population ageing 2017 – highlights (ST/ESA/SER.A/397). Department of Economic and Social Affairs, Population Division. https://www.un.org/en/development/desa/population/theme/ageing/WPA2017.asp Search in Google Scholar
Wagg, A., Chen, L. K., Johnson, T., Kirschner-Hermanns, R., Kuchel, G., Markland, A., Orme, S., Szonyi, G., & Wyman, J. (2016). Incontinence in frail older persons. In P. Abrams, L. Cardozo, A. Wagg, & A. Wein (Eds.), 6th international consultation on incontinence (pp. 1309–1441). ICUD/ICS.Search in Google Scholar
Zisberg, A., Shadmi, E., Gur-Yaish, N., Tonkikh, O., & Sinoff, G. (2015). Hospital-associated functional decline: The role of hospitalization processes beyond individual risk factors. Journal American Geriatrics Society, 63, 55–62. https://doi.org/10.1111/jgs.13193 10.1111/jgs.13193Search in Google Scholar PubMed
Zisberg, A., & Syn-Hershko, A. (2016). Factors related to the mobility of hospitalized older adults: A prospective cohort study. Geriatric Nursing, 37, 96–100. https://doi.org/10.1016/j.gerinurse.2015.10.012 10.1016/j.gerinurse.2015.10.012Search in Google Scholar PubMed
Zonsius, M. C., Cothran, F. A., & Miller, J. M. (2020). CE: Acute care for patients with dementia. AJN, American Journal of Nursing, 120(4), 34–42. https://doi.org/10.1097/01.naj.0000660024.45260.1a 10.1097/01.NAJ.0000660024.45260.1aSearch in Google Scholar PubMed
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