title: [The effects of multimedia-assisted instruction on the skin care learning of nurse aides in long-term care facilities].
abstract: BACKGROUND
  Skin care is an important responsibility of nurse aides in long-term care facilities, and the nursing knowledge, attitudes, and skills of these aides significantly affects quality of care. However, the work schedule of nurse aides often limits their ability to obtain further education and training. Therefore, developing appropriate and effective training programs for nurse aides is critical to maintaining and improving quality of care in long-term care facilities.
  
  
  OBJECTIVE
  This study investigates the effects of multimedia assisted instruction on the skin care learning of nurse aides working in long-term care facilities.
  
  
  METHODS
  A quasi-experimental design and convenient sampling were adopted in this study. Participants included 96 nurse aides recruited from 5 long-term care facilities in Taoyuan County, Taiwan. The experimental group received 3 weeks of multimedia assisted instruction. The control group did not receive this instruction. The Skin Care Questionnaire for Nurse Aides in Long-term Care Facilities and the Skin Care Behavior Checklist were used for assessment before and after the intervention.
  
  
  RESULTS
  (1) Posttest scores for skin care knowledge, attitudes, behavior, and the skin care checklist were significantly higher than pretest scores for the intervention group. There was no significant difference between pretest and posttest scores for the control group. (2) A covariance analysis of pretest scores for the two groups showed that the experimental group earned significantly higher average scores than their control group peers for skin care knowledge, attitudes, behavior, and the skin care checklist.
  
  
  CONCLUSIONS
  The multimedia assisted instruction demonstrated significant and positive effects on the skin care leaning of nurse aides in long-term care facilities. This finding supports the use of multimedia assisted instruction in the education and training of nurse aides in long-term care facilities in the future.
authors.affiliation: Surgical Ward of Nursing, Min-Sheng General Hospital, Taiwan, ROC.
authors.forename: Yu-Ling
authors.initials: YL
authors.lastname: Wu
authors.affiliation: Graduate Institute of Health Allied Education, National Taipei University of Nursing and Health Sciences, Taiwan, ROC. yuhsiu@ntunhs.edu.tw.
authors.forename: Yu-Hsiu
authors.initials: YH
authors.lastname: Kao
mesh_terms: D004521:Educational Measurement / Q000706:statistics & numerical data*; D006801:Humans; D007858:Learning; D008134:Long-Term Care; D019212:Multimedia; D009728:Nursing Assistants / Q000193:education* / Q000523:psychology; D015402:Nursing Education Research; D015403:Nursing Evaluation Research; D017592:Skin Care / Q000451:nursing*; D013624:Taiwan
keywords: learning effectiveness; long-term care facilities; multimedia-assisted instruction; nursing aides; skin care