Compare of the Effect of Multimedia Teaching Strategies and Lectures on Knowledge, Attitude and Practice of Nurses in Children Pain Management: A Randomized Clinical Trial

Abstract

Abstract: Introduction and aim: According to the important role of nurses, it is required to apply proper learning techniques for education of theoretical and practical skills for nursing personnel. Therefore this study aimed to compare the effects of lecture and multimedia learning on pediatric nurses’ knowledge, attitude and practice of pain management and their perception of learning satisfaction. Method: This was a three-stage clinical trial study with 100 nurses from a pediatric educational and medical center affiliated to Guilan University of Medical Sciences. After measuring the knowledge of nurses through a questionnaire, they were randomly assigned to two groups of lecture-based and multimedia software based teaching. The control group received teaching on pain management and proper methods for assessing pain in children and controlling it with drug and non-medical interventions via lecture method. The experimental group only had access to the same educational content as the new multimedia on the CD. Knowledge level of nurses and their retention in the first and second posttests were measured by the same questionnaire one week and one month after teaching. In addition, nurse’s perception, by expressing their opinions on satisfaction with training, was measured using a questionnaire in two groups at the beginning of the study and one month later. Then, data were analyzed using SPSS software version 18 and Then, data were analyzed using SPSS software version 20 by independent t-test, paired t- test and repeated measures analysis of variance (p<0/05). Results: The mean score of nurses' learning and retention was increased one week and one month after the intervention in both groups, but the nurses in the treatment group gained a significantly higher score than the control group in the first posttest and retention one month later (p<0.001). The mean score of nurses' perception of teaching showed an increase in both groups, and despite improvement in change scores, the overall satisfaction score of nurses who watched CD was higher than nurses in the control group and showed a significant difference (P<0.01) In some aspects, nurses had a positive perception of watching the CD as compared to nurses in the control group. Conclusion: According to the results of this study, it seems that multimedia teaching method is appropriate and effective in learning the principles of evaluation and pain management of children and considering the improved information retention and better understanding of nurses, it is recommended to use this method in other in-service training of health professionals