Utilizing the Intervention Mapping Protocol to Improve the E-learning Self-efficacy of Operating Room Nurses

Download Article

DOI: 10.21522/TIJNR.2015.05.02.Art010

Authors : Paul John G Aventurado

Abstract:

This study developed an intervention to improve the e-learning self-efficacy of operating room nurses utilizing the Intervention Mapping Protocol (IMP). The 6-step process of IMP which includes (1) Logic Model of the Problem, (2) Logic Model of Change, (3) Intervention Design, (4) Intervention Production, (5) Implementation Plan and (6) Evaluation Plan was followed which resulted to a self-administered, computer-based intervention, which embedded theory-based strategies into a learning management system for implementation. The effect of the intervention was determined through a quasi-experimental, one group pretest-posttest design involving 31 operating room nurses of Cebu Doctors’ University Hospital. E-learning self-efficacy was measured using the Modified E-learning Readiness Assessment Tool (MERAT). The median score for e-learning self-efficacy among the participants of the study during pretest was 66, with scores ranging from 43 to 78. The e-learning self-efficacy median score increased to 72, with scores ranging from 53 to 80, during the posttest. Data were statistically treated using Wilcoxon Signed-ranks test. The difference between the pretest and posttest scores was found to be significant with p<0.05 at 95% level of confidence (z=-3.103, p=0.002). A medium effect size (r=0.56) was reflected in the analysis. This study highlighted the potential of IMP as a systematic framework to develop evidence-based interventions in the field of nursing.

Keywords: Intervention Mapping Protocol, e-learning, nursing informatics, operating room.

References:

[1]. Alqurashi, E. (2016). Self-Efficacy in online learning environments: A literature review. Contemporary Issues in Education Research, 9(1), 45-52. doi: 10.19030/cier.v9i1.9549.

[2]. Arimbuyutan, R. C., Kim, S., Song, J., & So, W. (2007). A study on e-learning for Philippines. International Journal of Multimedia and Ubiquitous Engineering, 2(4), 49-54. Retrieved October 15, 2018, from https://www.researchgate.net/publication/229052306_A_Study_on_e-Learning_for_Philippines.

[3]. Bahrambeygi, F., Shojaeizadeh, D., Sadeghi, R., Nasiri, S., & Ghazanchaei, E. (2018). The effectiveness of an e-Learning program on nurse’s knowledge and behavior for caring of patients with thromboembolism: A comparative study. Journal of Nursing and Healthcare Management, 1(1), 1-7. doi: 10.18875/2639-7293.1.105.

[4].  Bernal, A. B. S., Tolentino, P. A. P., Gavino, A. I., Fontelo, P., & Marcelo, A. B. (2008). Nursing informatics: Challenges to Philippine nursing curriculum. AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium 876. Retrieved October 15, 2018, from https://www.researchgate.net/publication/23463446_Nursing_informatics_challenges_to_Philippine_nursing_curriculum.

[5].  Black, D. R., & Cameron, R. (1997). Self-administered interventions: A health education strategy for improving population health. Health Education Research: Theory & Practice, 12(4), 531-545. Retrieved March 9, 2019, from https://www.ncbi.nlm.nih.gov/pubmed/10176375.

[6]. Demir, Ö., & Yurdugül, H. (2015). The exploration of models regarding e-learning readiness: Reference model suggestions. International Journal of Progressive Education, 11(1), 173-194. Retrieved October 15, 2018, from https://www.researchgate.net/publication/271646243_The_Exploration_of_Models_Regarding_E-learning_Readiness_Reference_Model_Suggestions.

[7]. Doculan, J. A. (2016). E-Learning readiness assessment tool for Philippine higher education institutions. International Journal on Integrating Technology in Education, 5(2), 33-43. doi: 10.5121/ijite.2016.5203.

[8]. Ekici, D. I. (2017). The use of Edmodo in creating an online learning community of practice for learning to teach science. Malaysian Online Journal of Educational Sciences, 5(2), 91-106. Retrieved March 9, 2019, from https://files.eric.ed.gov/fulltext/EJ1142512.pdf.

[9]. Fung, K. Y. (2016). Utilizing TIGER competencies to improve informatics practice [Doctoral dissertation]. Retrieved October 15, 2018, from https://repository.usfca.edu/dnp/76.

[10].   Heath, G., Cooke, R., & Cameron, E. (2015). A theory-based approach for developing interventions to change patient behaviours: A medication adherence example from paediatric secondary care. Healthcare, 3(4), 1228-1242. doi: 10.3390/healthcare3041228.

[11].   Intervention mapping. (n.d.). Retrieved October 15, 2018, from https://interventionmapping.com/

[12].   Kadivar, M., Seyedfatemi, N., Zolfaghari, M., Mehran, A., & Hossinzade, Z. (2016). The impact of virtual-based education on nurses’ self-efficacy in the level II neonatal care. Critical Care Nursing, 9(4), 1-7. doi: 10.17795/ccn-9281.

[13].   Kok, G., Gottlieb, N. H., Peters, G. J. Y., Mullen, P. D., Parcel, G. S., Ruiter, R. A. C., … Bartholomew, L. K. (2015). A taxonomy of behaviour change methods; an intervention mapping approach. Health Psychology Review, 10(3), 297-312. doi: 10.1080/17437199.2015.1077155.

[14].   Learning management system (LMS) guide. (2014). Retrieved October 10, 2018, from https://www.k12blueprint.com/sites/default/files/Learning-Management-System-Guide.pdf.

[15].   Littlejohn, L., Campbell, J., Collins-McNeil, J., & Thembisile, K. (2012). Nursing shortage: A comparative analysis. International Journal of Nursing, 1(1), 22-27. Retrieved October 15, 2018, from http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.300.9995&rep=rep1&type=pdf.

[16].   Maertens, H., Madani, A., Landry, T., Vermassen, F., Van Herzeele, I., & Aggarwal, R. (2016). Systematic review of e-learning for surgical training. The British Journal of Surgery, 103, 1428-1437. doi: 10.1002/bjs.10236.

[17].   Momanyi, N. D., & Kaimenyi, C. K. (2015). An investigation into factors causing high nurse turnover in mission hospitals in Kenya: A case for Pcea Chogoria Hospital. International Journal of Academic Research in Business and Social Sciences, 5(3), 55-86. doi: 10.6007/IJARBSS/v5-i3/1499.

[18].   Neal, J. (2013). Innovation in education: Using elearning to improve the quality of education for practice nurses. Practice Nurse, 40-43. Retrieved March 9, 2019, from https://www.educationforhealth.org/wp-content/uploads/2015/03/PN-Promo-v3.pdf.

[19].   Prestwich, A., Webb, T. L., & Conner, M. (2015). Using theory to develop and test interventions to promote changes in health behaviour: Evidence, issues, and recommendations. Current Opinion in Psychology, 5, 1-5. doi.org/10.1016/j.copsyc.2015.02.011.

[20].   Sahin, I. (2006). Detailed review of Rogers' diffusion of innovations theory and educational technology-related studies based on Rogers' theory. The Turkish Online Journal of Educational Technology, 5(2), 14-23. Retrieved March 15, 2019, from

https://www.researchgate.net/publication/284675572_Detailed_review_of_Rogers'_diffusion_of_innovations_theory_and_educational_technology-related_studies_based_on_Rogers'_theory.

[21].   Smeekens, A. E. F. N., Broekhuijsen-van Henten, D. M., Sittig, J. S., Russel, I. M. B., Cate, O. T. J., & Turner, N. M., & van de Putte, E. M. (2011). Successful e-learning programme on the detection of child abuse in Emergency Departments: A randomised controlled trial. Archives of Disease in Childhood, 6(4), 330-334. doi: 10.1136/adc.2010.190801.

[22].   Staggers, N., Gassert, C. A., & Curran, C. (2001). Informatics competencies for nurses at four levels of practice. Journal of Nursing Education, 40(7), 303-316. Retrieved October 15, 2018, from http://tigercompetencies.pbworks.com/f/Informaticscompetenciesfourlevelsofpractice.pdf.

[23].   Stinson, J., Wilson, R., Gill, N., Yamada, J., & Holt, J. (2009). A systematic review of internet-based self-management interventions for youth with health conditions. Journal of Pediatric Psychology, 34(5), 495–510. doi.org/10.1093/jpepsy/jsn115.

[24].   Sumabat, K. R. (2010). History of nursing informatics in the Philippines. Retrieved March 9, 2019, from https://www.google.com.ph/search?q=history of nursing informatics in the philippines sumabat&rlz=1C1CHBD_enPH789PH789&oq=history of nursing informatics in the philippines sumabat&aqs=chrome..69i57.9314j0j4&sourceid=chrome&ie=UTF-8.

[25].   Taipjutorus, W., Hansen, S., & Brown, M. (2012). Improving learners’ self-efficacy in a learner-controlled online learning environment: A correlational study. In M. Brown, M. Hartnett, & T. Stewart (Eds.), Proceedings of ASCILITE - Australian Society for Computers in Learning in Tertiary Education Annual Conference (907-911). Retrieved March 9, 2019, from https://www.learntechlib.org/p/42705/.

[26].   Tiered instruction. (2015). Retrieved October 15, 2018, from

http://www.ssgt.nsw.edu.au/documents/5_tiered_instruct.pdf.

[27].   Verbestel, V., De Henauw, S., Maes, L., Haerens, L., Marild, S., Eiben, G., . . . De Bourdeaudhuij, I. (2011). Using the intervention mapping protocol to develop a community-based intervention for the prevention of childhood obesity in a multi-centre European project: The IDEFICS intervention. International Journal of Behavioral Nutrition and Physical Activity, 8(82), 1-15. Retrieved October 15, 2018, from

https://ijbnpa.biomedcentral.com/articles/10.1186/1479-5868-8-82.