Health  Vol.7 No.8 , August 2015
Efficacy and Usability of an E-Learning Program for Fostering Qualified Disease Management Nurses
Abstract: In order to train nurses to perform disease management and telenursing, we developed an e-learning education program, and assessed the efficacy. A single-group pre-test and post-test design was used. Nurses who worked at a medical institution or a disease management company were included, and the duration of the program was set 2 months. We developed the program so that it could grow attitude and improve knowledge and skills in disease management and patient education. Of 55 subjects, 48 who completed the program were analyzed. After the program, subjects increased knowledge and interests in disease management and patient education. Almost of the subjects answered that e-learning was a good learning method. Our program was effective at enhancing subject’s interests in disease management and patient education, and considered to improve their skills in the future.
Cite this paper: Kazawa, K. , Moriyama, M. , Oka, M. , Takahashi, S. , Kawai, M. and Nakano, M. (2015) Efficacy and Usability of an E-Learning Program for Fostering Qualified Disease Management Nurses. Health, 7, 955-964. doi: 10.4236/health.2015.78113.

[1]   Barlow, J., Wright, C., Sheasby, J., Turner, A. and Hainsworth, J. (2002) Self-Management Approaches for People with Chronic Conditions: A Review. Patient Education and Counseling, 48, 177-187.

[2]   Lozano, R., Naghavi, M., Foreman, K., et al. (2012) Global and Regional Mortality from 235 Causes of Death for 20 Age Groups in 1990 and 2010: A Systematic Analysis for the Global Burden of Disease Study 2010. Lancet, 380, 2095-2128.

[3]   Suhrcke, M., Daragh, K.F. and McKee, M. (2008) Economic Aspects of Chronic Disease and Chronic Disease Management. In: Nolte, E. and Mckee, M.B., Eds., Caring for People with Chronic Conditions, Open University Press, England, 43-63.

[4]   Ministry of Health, Labour and Welfare (2014) Promotion of Data-Health Project. (In Japanese)

[5]   Fukuoka, Y., Hosomi, N., Hyakuta, T., Omori, T., Ito, Y., Uemura, J., Kimura, K., Matsumoto, M. and Moriyama, M., DMP Stroke Trial Investigators (2014) Baseline Feature of a Randomized Trial Assessing the Effects of Disease Management Programs for the Prevention of Recurrent Ischemic Stroke. Journal of Stroke and Cerebrovascular Diseases, 24, 610-617.

[6]   Kazawa, K. and Moriyama, M. (2012) Effects of the Educational Program for Pre-Dialysis Patients with Diabetic Nephropathy (Intervention Evaluation for 6 Months). The Journal of Japan Academy of Nephrology Nursing, 14, 92-100. (In Japanese)

[7]   Kazawa, K. and Moriyama, M. (2013) Effects of a Self-Management Skills-Acquisition Program on Pre-Dialysis Patients with Diabetic Nephropathy. Nephrology Nursing Journal, 40, 141-149.

[8]   Kazawa, K., Takeshita, Y., Yorioka, N. and Moriyama, M. (2014) Efficacy of a Disease Management Program Focused on Acquisition of Self-Management Skills in Pre-Dialysis Patients with Diabetic Nephropathy: 24 Months Follow-Up. Journal of Nephrology, 28, 329-338.

[9]   Moriyama, M., Takeshita, Y., Haruta, Y., Hattori, N. and Ezenwaka, C.E. (2013) Effects of a 6-Month Nurse-Led Self-Management Program on Comprehensive Pulmonary Rehabilitation for Patients with COPD Receiving Home Oxygen Therapy. Rehabilitation Nursing, 40, 40-51.

[10]   Otsu, H. and Moriyama, M. (2012) Follow-Up Study for a Disease Management Program for Chronic Heart Failure 24 Months after Program Commencement. Japan Journal of Nursing Science, 9, 136-148.

[11]   Takami, C., Moriyama, M., Nakano, M., Kuroe, Y., Nin, K., Morikawa, H., Hasegawa, T. and Hayashi, S. (2008) Developmental Process of Disease Management Program of Type 2 Diabetes with a View to Acquiring Self-Management Skills: Effects of the Trial Implementation. Japan Journal of Nursing Science, 28, 59-68.

[12]   Fitzner, K., Sidorov, J., Fetterolf, D., Wennberg, D., Eisenberg, E., Cousins, M., Hoffman, J., Haughton, J., Charlton, W., Krause, D., Woolf, A., McDonough, K., Todd, W., Fox, K., Plocher, D., Juster, I., Stiefel, M., Villagra, V. and Duncan, I. (2004) Principles for Assessing Disease Management Outcomes. Disease Management, 7, 191-201.

[13]   Population Health Alliance (2014) PHM: Disease Management.

[14]   McCutcheon, K., Lohan, M., Traynor, M. and Martin, D. (2014) A Systematic Review Evaluating the Impact of Online or Blended Learning vs. Face-to-Face Learning of Clinical Skills in Undergraduate Nurse Education. Journal of Advanced Nursing, 71, 255-270.

[15]   Segal, G., Balik, C., Hovav, B., Mayer, A., Rozani, V., Damary, I., Golan-Hadari, D., Kalishek, S. and Khaikin, R. (2013) Online Nephlorogy Course Replacing a Face to Face Course in Nursing Schools’ Bachelor’s Program: A Prospective, Controlled Trial, in Four Israeli Nursing Schools. Nurse Education Today, 33, 1587-1591.

[16]   Hart, P., Eaton, L., Buckner, M., Morrow, B.N., Barrett, D.T., Fraser, D.D., Hooks, D. and Sharrer, R.L. (2008) Effectiveness of a Computer-Based Educational Program on Nurses’ Knowledge, Attitude, and Skill Level Related to Evidence-Based Practice. Worldviews on Evidence-Based Nursing, 5, 75-84.

[17]   Moattari, M., Moosavinasab, E., Dabbaghmanesh, M.H. and ZarifSanaiey, N. (2014) Validating a Web-Based Diabetes Education Program in Continuing Nursing Education: Knowledge and Competency Change and User Perceptions on Usability and Quality. Journal of Diabetes & Metabolic Disorders, 13, 70.

[18]   Sheen, S.T.H., Chang, W.Y., Chen, H.L., Chao, H.L. and Tseng, C.P. (2008) E-Learning Education Program for Registered Nurses: The Experience of a Teaching Medical Center. Journal of Nursing Research, 16, 195-201.

[19]   Funnell, M.M., Brown, T.L., Childs, B.P., Haas, L.B., Hosey, L.B., Jensen, B., Marynuik, M., Peyrot, M., Piette, J.D., Reader, D., Siminerio, L.M., Weinger, K. and Weiss, M.A. (2007) National Standards for Diabetes Self-Management Education. Diabetes Care, 30, 1630-1637.

[20]   Bloom, B.S., Hastings, J.T. and Madaus, G.F. (1971) Handbook on Formative and Summative Evaluation of Student Learning. McGraw-Hill Book Company, New York.

[21]   Japanese Society of Nephrology (2013) Evidence-Based Practice Guideline for the Treatment of CKD. Tokyo Igakusha, Tokyo. (In Japa-nese)

[22]   The Japan Diabetes Society (2013) Evidence-Based Practice Guideline for the Treatment for Diabetes in Japan 2013. Nankodo, Tokyo. (In Japanese)

[23]   The Japanese Circulation Society (2010) Guidelines for Treatment of Chronic Heart Failure (JCS 2010).

[24]   The Japanese Circulation Society (2011) Guidelines for Secondary Prevention of Myocardial Infarction (JCS 2011). (In Japanese)

[25]   The Japan Stroke Society (2009) Japanese Guidelines for the Management of Stroke. Kyowa kikaku, Tokyo. (In Japanese)

[26]   Bandura, A. (1977) Self-Efficacy: Toward a Unifying Theory of Behavioral Change. Psychological Review, 84, 191-215.

[27]   Prochaska, J.O. and Velicer, W.F. (1997) The Transtheoretical Model of Health Behavior Change. American Journal of Health Promotion, 12, 38-48.

[28]   Morikawa, H., Nonomura, N. and Muranaka, Y. (2001) The Trends of Nursing with CAI and the State of Available Materials. Kangotenbo, 26, 68-75. (In Japanese)

[29]   Dunagan, W.C., Lit-tenberg, B., Ewald, G., Jones, C.A., Emery, V.B., Waterman, B.M., Silverman, D.C. and Rogers, J.G. (2005) Randomized Trial of a Nurse-Administered, Telephone-Based Disease Management Program for Patients with Heart Failure. Journal of Cardiac Failure, 11, 358-365.

[30]   Jensen, L., Leeman-Castillo, B., Coronel, S.M., Perry, D., Belz, C., Kapral, C. and Krantz, M.J. (2009) Impact of a Nurse Telephone Intervention among High-Cardiovascular-Risk, Health Fair Participants. Journal of Cardiovascular Nursing, 24, 447-453.

[31]   Kamei, T., Yamamoto, Y., Kajii, F., Nakayama, Y. and Kawakami, C. (2013) Systematic Review and Meta-Analysis of Studies Involving Telephone Monitoring-Based Telenursing for Patients with Chronic Obstructive Pulmonary Disease. Japan Journal of Nursing Sciences, 10, 180-192.

[32]   Kim, H.S. (2007) Impact of Web-Based Nurse’s Education on Glycosylated Hemoglobin in Type 2 Diabetic Patients. Journal of Clinical Nursing, 16, 1361-1366.

[33]   Shearer, N.B.C., Cisar, N. and Greenberg, E.A. (2007) A Telephone-Delivered Empowerment Intervention with Patients Diagnosed with Heart Failure. Heart & Lung: The Journal of Acute and Critical Care, 36, 159-169.

[34]   Wagner, E.H. (2000) The Role of Patient Care Teams in Chronic Disease Management. British Medical Journal, 320, 569-572.

[35]   Knowls, M.S. (1988) The Modern Practice of Adult Education: From Pedagogy to Andragogy. Association Press, New York, 45-54.

[36]   Nakano, M., Moriyama, M. and Nishiyama, M. (2003) Structured Review of the Literature of Type 2 Diabetes Self-Management: Toward the Development of a Patients’ Characteristics-Based Assessment Tool. Journal of Health Sciences, 3, 1-12. (In Japanese)