Effectiveness of the dementia nursing competence e-learning program for nurses in acute care hospitals in Japan

Abstract

The 4Ms Age-Friendly Framework has been introduced and implemented into nearly 2,000 primary care practices across the United States by Geriatric Workforce Enhancement Program’s (GWEP) educational efforts. The AR Geriatric Education Collaborative, the GWEP in Arkansas, has provided monthly trainings to a rural federally qualified healthcare clinic system and educated clinicians about how to complete a Medicare Annual Wellness Visit (AWV) that was inclusive of an advance care plan. Specific educational training including the two main components of an ACP: living will preferences and medical power of attorney were reviewed as their role into “What Matters” was explained. Before 4Ms Age Friendly training, baseline data showed only 7% of older adults (OAs) had an established ACP in site 1 and 33% in site 2. After training, the rate of ACP rose to 47% in site 1 and 59% in site 2. During the training, not only were the two main components reviewed but case studies were provided about what questions to ask surrounding the “What Matters” question as a guide to further discuss an OAs wishes, priorities and end-of-life care. This project demonstrated that implementation of 4Ms Age-Friendly Care not only improves the completion of advance care plans but also further enhances the overall care of the older adult when “what matters” most to the older adults is known and communicated.

Asynchronous e-learning with technology-enabled and enhanced training for continuing education of nurses: a scoping review

“…3 . The most common continents of publication were Asia (25 articles: China, three [ 27 , 32 , 40 ]; Japan, 11 [ 29 , 34 , 56 , 61 , 63 , 64 , 68 , 70 , 71 , 75 , 76 ]; South Korea, six [ 26 , 30 , 44 , 47 , 65 , 69 ]; Singapore, two [ 12 , 67 ]; Turkey, one [ 38 ]; Israel, one [ 66 ]]; Iran, one [ 25 ]), followed by North America (21 articles: US, 18 [ 11 , 21 , 24 , 31 , 39 , 43 , 46 , 48 – 50 , 52 , 54 , 55 , 58 , 60 , 62 , 72 , 73 ]; Canada, three [ 9 , 23 , 57 ]), Europe (eight articles: UK, two [ 35 , 45 ]; Spain, one [ 36 ]; Italy, one [ 59 ]; Switzerland, one [ 74 ]; Netherlands, one [ 77 ]; Sweden, one [ 37 ]; Finland, one [ 51 ]) and Australia (six articles [ 22 , 28 , 33 , 41 , 42 , 53 ]). Of the 60 studies, three were systematic review articles (Table 3 ) [ 9 , 12 , …”

“…The next most commonly used technologies were slides or PowerPoint (11 articles) [ 11 , 34 , 39 , 46 , 47 , 58 , 59 , 63 , 69 , 73 , 77 ] and online discussions (seven articles) [ 11 , 26 , 28 , 31 , 54 , 57 , 72 ]. The most commonly used enhancing technology category was scenario-based learning (nine articles) [ 31 , 32 , 42 , 51 , 53 , 54 , 59 , 62 , 76 ], followed by resource access (eight articles) [ 24 , 26 , 28 , 33 , 35 , 53 , 59 , 60 ] and narrated PowerPoint (eight articles) [ 23 , 27 , 46 , 57 , 60 , 64 , 71 , 75 ], computer simulation or virtual reality (three articles) [ 31 , 49 , 62 ], and gamification (three articles) [ 11 , 50 , 67 ]. Five studies used multiple enhancing technology options [ 31 , 53 , 59 , 60 , 62 ].…”

“…As shown in Table 4 , all of the included papers reported some outcomes. Knowledge acquisition was the most frequently reported outcome (41 articles), followed by behavior (14 articles) [ 11 , 24 , 32 , 33 , 35 , 39 , 42 , 45 , 47 , 49 , 52 , 59 , 64 , 76 ], attitude (12 articles) [ 11 , 30 , 32 , 35 , 40 , 44 , 45 , 49 , 52 , 53 , 59 , 66 ], satisfaction (nine articles) [ 22 , 24 , 30 , 34 , 36 , 38 , 57 , 59 , 71 ], and skills (nine articles) [ 43 , 50 , 61 , 62 , 67 , 68 , 70 , 72 , 77 ].…”

“…The benefits of asynchronous e-learning were as follows: cost-effective [ 25 , 30 , 32 , 39 , 47 , 57 , 70 ], time-saving and efficient [ 9 , 25 , 32 , 47 , 52 , 68 , 69 , 75 , 76 ], immediate feedback [ 11 , 47 , 68 ], self-paced learning [ 9 , 11 , 25 , 47 , 53 , 57 , 70 , 76 ], flexibility [ 50 , 70 , 72 , 75 ], ease of participation despite location and time limitations [ 26 , 32 , 50 , 52 , 53 , 57 , 63 , 72 ], ease of participation [ 30 , 35 , 51 – 53 , 57 , 68 ], and repeated learning [ 53 ].…”