An evaluation of general practice nurses’ knowledge of chronic kidney disease risk factors and screening practices following completion of a case study-based asynchronous e-learning module
Peter M. Sinclair A D , Ashley Kable A , Tracy Levett-Jones B , Carl Holder C and Christopher J. Oldmeadow A CA Faculty of Health & Medicine, Richardson Wing, University of Newcastle, University Drive, Callaghan, NSW 2308, Australia.
B Faculty of Health, University of Technology Sydney, Room 234, Level 7, 235 Jones Street, Ultimo, NSW 2007, Australia.
C The Hunter Medical Research Institute, CReDITSS Unit, Lot 1, Kookaburra Circuit, New Lambton Heights, NSW 2305, Australia.
D Corresponding author. Email: peter.sinclair@newcastle.edu.au
Australian Journal of Primary Health 25(4) 346-352 https://doi.org/10.1071/PY18173
Submitted: 9 November 2018 Accepted: 8 May 2019 Published: 10 July 2019
Abstract
National and international guidelines recommend opportunistic screening for chronic kidney disease to allow for early detection and management. Despite these guidelines, screening for chronic kidney disease in general practice settings is often suboptimal. This paper reports the results of a study that evaluated: (a) the effect of an asynchronous web-based e-learning module on general practice nurses’ knowledge about chronic kidney disease risk factors and screening practices; and (b) general practice nurses’ perceived satisfaction with the e-learning module. Changes in chronic kidney disease knowledge were assessed using a pre-test and post-test evaluative design, and satisfaction scores were measured on completion of the module. Participants’ baseline knowledge scores were poor, with mean pre-test scores of 3.77 (s.d. 1.66) out of 10. Post-test scores revealed a significant improvement (mean difference 1.81, (95% CI: 1.53 – 2.09), P < 0.01); however, overall final scores remained inadequate. Participants highly rated their satisfaction with the design of the module. Our results suggest that an asynchronous web-based e-learning module can improve general practice nurses’ knowledge about chronic kidney disease risk factors and screening practice. Efforts are required to increase practice nurses’ access to educational opportunities designed to improve knowledge in this area with the aim of increasing opportunistic screening for chronic kidney disease in the general practice setting.
Additional keywords: primary care, satisfaction.
References
Australian Bureau of Statistics (2013) Australian Health Survey: Biomedical Results for Chronic Diseases. 2011–2012. Australian Bureau of Statistics, Canberra, ACT, Australia.Australian Government Department of Human Services (2017) Practice Nurse Incentive Program guidelines. (Department of Health: Canberra, ACT, Australia) Available at https://www.humanservices.gov.au/organisations/health-professionals/services/medicare/practice-nurse-incentive-program [Verified 11 February 2019]
Chadban SJ, Briganti EM, Kerr PG, Dunstan DW, Welborn TA, Zimmet PZ, Atkins RC (2003) Prevalence of kidney damage in Australian adults: the AusDiab kidney study. Journal of the American Society of Nephrology 14, S131–S138.
| Prevalence of kidney damage in Australian adults: the AusDiab kidney study.Crossref | GoogleScholarGoogle Scholar | 12819318PubMed |
Chen IJ, Yang K, Tang F, Huang C, Yu S (2008) Applying the technology acceptance model to explore public health nurses’ intentions towards web-based learning: a cross-sectional questionnaire survey. International Journal of Nursing Studies 45, 869–878.
| Applying the technology acceptance model to explore public health nurses’ intentions towards web-based learning: a cross-sectional questionnaire survey.Crossref | GoogleScholarGoogle Scholar | 17482191PubMed |
Cook DA, Levinson AJ, Garside S, Dupras DM, Erwin PJ, Montori VM (2008) Internet-based learning in the health professions: a meta-analysis. Journal of the American Medical Association 300, 1181–1196.
| Internet-based learning in the health professions: a meta-analysis.Crossref | GoogleScholarGoogle Scholar | 18780847PubMed |
Edwards R (2017) Evaluation of a familial hypercholesterolaemia e-learning programme in primary care. Practice Nursing 28, 84–89.
| Evaluation of a familial hypercholesterolaemia e-learning programme in primary care.Crossref | GoogleScholarGoogle Scholar |
Estrella MM, Sisson SD, Roth J, Choi MJ (2012) Efficacy of an internet-based tool for improving physician knowledge of chronic kidney disease: an observational study. BMC Nephrology 13, 126
| Efficacy of an internet-based tool for improving physician knowledge of chronic kidney disease: an observational study.Crossref | GoogleScholarGoogle Scholar | 23016990PubMed |
Heartfield M, Morello A, Harris M, Lawn S, Pols V, Stapleton C, Battersby M (2013) e-Learning competency for practice nurses: an evaluation report. Australian Journal of Primary Health 19, 287–291.
| e-Learning competency for practice nurses: an evaluation report.Crossref | GoogleScholarGoogle Scholar | 24134876PubMed |
Johnson DW (2004) Evidence‐based guide to slowing the progression of early renal insufficiency. Internal Medicine Journal 34, 50–57.
| Evidence‐based guide to slowing the progression of early renal insufficiency.Crossref | GoogleScholarGoogle Scholar | 14748914PubMed |
Johnson DW, Atai E, Chan M, Phoon RKS, Scott C, Toussaint ND, Turner GL, Usherwood T, Wiggins KJ (2013) KHA‐CARI Guideline: early chronic kidney disease: detection, prevention and management. Nephrology 18, 340–350.
| KHA‐CARI Guideline: early chronic kidney disease: detection, prevention and management.Crossref | GoogleScholarGoogle Scholar | 23506545PubMed |
Kidney Health Australia (2016) Primary Care Education. (Kidney Health Australia: Melbourne, Vic., Australia) Available at https://kidney.org.au/health-professionals/detect/education [Verified 15 May 2016]
Lahti M, Hätönen H, Välimäki M (2014) Impact of e-learning on nurses’ and student nurses knowledge, skills, and satisfaction: a systematic review and meta-analysis. International Journal of Nursing Studies 51, 136–149.
| Impact of e-learning on nurses’ and student nurses knowledge, skills, and satisfaction: a systematic review and meta-analysis.Crossref | GoogleScholarGoogle Scholar | 23384695PubMed |
Lin K-M, Chen N-S, Fang K (2011) Understanding e-learning continuance intention: a negative critical incidents perspective. Behaviour & Information Technology 30, 77–89.
| Understanding e-learning continuance intention: a negative critical incidents perspective.Crossref | GoogleScholarGoogle Scholar |
Mathew T, Corso O (2009) Review article: early detection of chronic kidney disease in Australia: which way to go? Nephrology 14, 367–373.
| Review article: early detection of chronic kidney disease in Australia: which way to go?Crossref | GoogleScholarGoogle Scholar | 19563377PubMed |
Nursing and Midwifery Board of Australia (2018) Professional standards. (Nursing and Midwifery Board of Australia: Canberra, ACT, Australia) Available at https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx [Verified 11 February 2019]
Razavian M, Heeley EL, Perkovic V, Zoungas S, Weekes A, Patel AA, Anderson CS, Chalmers JP, Cass A (2012) Cardiovascular risk management in chronic kidney disease in general practice (the AusHEART study). Nephrology, Dialysis, Transplantation 27, 1396–1402.
Sawilowsky SS (2009) New effect size rules of thumb. Journal of Modern Applied Statistical Methods 8, 597–99.
| New effect size rules of thumb.Crossref | GoogleScholarGoogle Scholar |
Secolsky C, Denison DB (2017) ‘Handbook on Measurement, Assessment, and Evaluation in Higher Education.’ (Routledge: London, UK)
Sinclair PM, Levett-Jones T (2011) The evolution of the nephrology educators’ network. Journal of Renal Care 37, 40–46.
Sinclair PM, Levett‐Jones T, Morris A, Carter B, Bennett PN, Kable A (2017) High engagement, high quality: a guiding framework for developing empirically informed asynchronous e‐learning programs for health professional educators. Nursing & Health Sciences 19, 126–137.
| High engagement, high quality: a guiding framework for developing empirically informed asynchronous e‐learning programs for health professional educators.Crossref | GoogleScholarGoogle Scholar |
Sinclair PM, Kable A, Levett-Jones T, Holder C, Oldmeadow CJ (2019) The CKD-DETECT study: an RCT aimed at improving intention to initiate a kidney health check in Australian practice nurses. Journal of Clinical Nursing.
| The CKD-DETECT study: an RCT aimed at improving intention to initiate a kidney health check in Australian practice nurses.Crossref | GoogleScholarGoogle Scholar | 30970152PubMed |
Sun P-C, Tsai RJ, Finger G, Chen Y-Y, Yeh D (2008) What drives a successful e-Learning? An empirical investigation of the critical factors influencing learner satisfaction. Computers & Education 50, 1183–1202.
| What drives a successful e-Learning? An empirical investigation of the critical factors influencing learner satisfaction.Crossref | GoogleScholarGoogle Scholar |
Tracey K, Cossich T, Bennett PN, Wright S, Ockerby C (2013) A nurse managed kidney disease program in regional and remote Australia. Renal Society of Australasia Journal 9, 28–34.
Wang Y-S (2003) Assessment of learner satisfaction with asynchronous electronic learning systems. Information & Management 41, 75–86.
| Assessment of learner satisfaction with asynchronous electronic learning systems.Crossref | GoogleScholarGoogle Scholar |