title: Internet-based learning programme to increase nurses' knowledge level about venous leg ulcer care in home health care.
abstract: OBJECTIVE
  To test the effectiveness of an Internet-based education programme about venous leg ulcer nursing care on perceived and theoretical knowledge levels and attitudes among nurses working in home health care.
  
  
  BACKGROUND
  Nurses have been shown to have knowledge gaps in venous leg ulcer nursing care. Internet-based learning could offer a means for flexible continuing education for home healthcare environment.
  
  
  METHODS
  Quasi-experimental study with pre- and postmeasurements and nonequivalent intervention and comparison groups.
  
  
  METHODS
  Nurses (n = 946) in home health care in two Finnish municipalities were invited to participate in the study and divided into intervention and comparison groups. The intervention group received education programme about venous leg ulcer nursing care, while the comparison group did not. Data were collected at baseline, at six weeks and at 10 weeks to test the hypotheses: nurses using education programme about venous leg ulcer nursing care will have higher level of knowledge and more positive attitudes than those not using education programme about venous leg ulcer nursing care. An analysis of variance and mixed models with repeated measures were used to test differences in knowledge and attitudes between and within the groups.
  
  
  RESULTS
  There were statistically significant increases in knowledge levels in the intervention group from baseline to the first and second follow-up measurements. In the comparison group, the knowledge levels remained unchanged during the study. Attitude levels remained unchanged in both groups.
  
  
  CONCLUSIONS
  Nurses' perceived and theoretical knowledge levels of venous leg ulcer nursing care can be increased with Internet-based education. However, this increase in knowledge levels is short-lived, which emphasises the need for continuous education.
  
  
  CONCLUSIONS
  Internet-based education about venous leg ulcer nursing care is recommended for home healthcare nurses. Education programme about venous leg ulcer nursing care provides flexible method for nurses' learning with feasible and cost-effective access to evidence-based education. Education programme about venous leg ulcer nursing care material can be used in all nursing environments where Internet is available.
authors.affiliation: Department of Nursing Science, University of Turku, Turku, Finland.
authors.forename: Minna
authors.initials: M
authors.lastname: Ylönen
authors.affiliation: Department of Vascular Surgery, Turku University Hospital, Turku, Finland.
authors.forename: Jaakko
authors.initials: J
authors.lastname: Viljamaa
authors.affiliation: Statcon Ltd, Salo, Finland.
authors.forename: Hannu
authors.initials: H
authors.lastname: Isoaho
authors.affiliation: Group Administration, Hospital District of Helsinki and Uusimaa, Helsinki, Finland.
authors.forename: Kristiina
authors.initials: K
authors.lastname: Junttila
authors.affiliation: Department of Nursing Science, University of Turku, Turku, Finland.|Hospital District of South-West Finland, Turku, Finland.
authors.forename: Helena
authors.initials: H
authors.lastname: Leino-Kilpi
authors.affiliation: Department of Nursing Science, University of Turku, Turku, Finland.
authors.forename: Riitta
authors.initials: R
authors.lastname: Suhonen
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D016022:Case-Control Studies; D003194:Computer-Assisted Instruction / Q000379:methods*; D005387:Finland; D007722:Health Knowledge, Attitudes, Practice; D006699:Home Care Services; D006801:Humans; D020407:Internet; D008875:Middle Aged; D065228:Non-Randomized Controlled Trials as Topic; D015397:Program Evaluation; D014647:Varicose Ulcer / Q000451:nursing*
keywords: education programme; knowledge; nursing; outcomes; quantitative approaches; venous leg ulcer; wound care