title: Impact of an e-Learning Course on Clinical Practice in Psychiatric Hospitals: Nurse Managers' Views.
abstract: BACKGROUND
  e-Learning is one way to provide continuing education and has been shown to be an effective method. However, little is known about how psychiatric organizations benefit from continuing education.
  
  
  OBJECTIVE
  The aim of this study was to use Kirkpatrick's four-level model to evaluate an e-learning continuing education course from the perspectives of nursing managers in psychiatric hospital organizations.
  
  
  METHODS
  This qualitative design evaluated one e-learning course using Kirkpatrick's model as an evaluation frame.
  
  
  RESULTS
  Nursing managers noticed positive, neutral, and negative reactions after the course. Nursing managers also reported that the nurses' learning evolved.
authors.affiliation: Department of Nursing Science, University of Turku, Turku, Finland.
authors.forename: Mari E
authors.initials: ME
authors.lastname: Lahti
authors.affiliation: Department of Psychiatry, Hospital District of Helsinki and Uusimaa, Hyvinkää Hospital Region, Tuusula, Finland.
authors.forename: Raija M
authors.initials: RM
authors.lastname: Kontio
authors.affiliation: Department of Nursing Science, University Hospital of Turku, University of Turku, Turku, Finland.
authors.forename: Maritta
authors.initials: M
authors.lastname: Välimäki
mesh_terms: D000328:Adult; D004509:Education, Nursing, Continuing / Q000592:standards*; D005260:Female; D005387:Finland; D006778:Hospitals, Psychiatric; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D009718:Nurse Administrators / Q000523:psychology*; D024802:Nurse's Role / Q000523:psychology*; D009741:Nursing Staff, Hospital / Q000193:education*; D036301:Qualitative Research; D013192:Staff Development / Q000379:methods*; D011795:Surveys and Questionnaires
keywords: Education; e-learning; professional competence; qualitative methodology