title: Developing an E-learning education programme for staff nurses: processes and outcomes.
abstract: OBJECTIVE
  To describe the Instructional System Design Processes (analysis, design, development, implementation, and evaluation) used to develop an e-learning education programme for staff nurses at a 700-bed teaching medical center in Taiwan.
  
  
  BACKGROUND
  Evidence has shown that education via e-learning improves knowledge and skills; however, with cost constraints and limited resources, finding effective alternatives is critical for health professionals.
  
  
  METHODS
  Five courses required for N2 to N3 level nurses were designed for both e-learning and traditional in-classroom programmes. Multiple-choice written test questions and a satisfaction questionnaire were used to compare outcomes between programmes. Nursing care skills were rated as pass or fail. Both programmes were begun at the same time and completed within a 3-month period.
  
  
  RESULTS
  Forty-two staff nurses participated in this study. All nurses' knowledge scores were >70 points (out of 100) and all passed nursing care skills. In five courses, only teaching and learning and communication were statistically significantly different (p=0.001). Nearly all nurses (97.6%) felt satisfied or very satisfied with the programmes.
  
  
  CONCLUSIONS
  Instructional System Design Processes provide an alternative delivery system for in-service nursing education which allows for individualized leaning.
authors.affiliation: College of Nursing, Taipei Medical University, No. 250, Wu-Hsing Street, Taipei 110, Taiwan, ROC. leslie@tmu.edu.tw
authors.forename: Wen-Yin
authors.initials: WY
authors.lastname: Chang
authors.forename: Shu-Tai
authors.initials: ST
authors.lastname: Hsiao Sheen
authors.forename: Pi-Chen
authors.initials: PC
authors.lastname: Chang
authors.forename: Pi-Hsia
authors.initials: PH
authors.lastname: Lee
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D016009:Chi-Square Distribution; D002983:Clinical Competence; D003194:Computer-Assisted Instruction / Q000379:methods*; D003479:Curriculum; D004509:Education, Nursing, Continuing / Q000458:organization & administration*; D004521:Educational Measurement; D005260:Female; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration*; D008875:Middle Aged; D020380:Needs Assessment; D015402:Nursing Education Research; D009741:Nursing Staff, Hospital / Q000193:education* / Q000523:psychology; D010043:Outcome and Process Assessment, Health Care; D016730:Program Development / Q000379:methods*; D015397:Program Evaluation; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D013624:Taiwan; D013997:Time Factors