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Yang M, Zhang X, Han R, Ding X, Gao R, Jing Q, Cai W, Ma A, Gao Q, Li H. Evaluation of the effectiveness of rehabilitation nursing training for clinical nurses based on the Kirkpatrick model. BMC Nurs 2025; 24:374. [PMID: 40186189 PMCID: PMC11969976 DOI: 10.1186/s12912-025-02889-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2024] [Accepted: 02/24/2025] [Indexed: 04/07/2025] Open
Abstract
BACKGROUND According to the "National Nursing Development Plan (2021-2025)" issued by the National Health Commission of China, it was crucial to address the limited research available on rehabilitation nursing training. By 2025, it was expected that at least 90% of urgently needed professional nurses, including rehabilitation nursing, would participate in training. Therefore, it was necessary to explore the effects of rehabilitation nursing training for clinical nurses and provide reference suggestions for rehabilitation nursing training. METHODS The Kirkpatrick model was used as an evaluation tool to conduct a questionnaire survey of 79 clinical nurses who participated in the 5th term of rehabilitation nursing training in Shandong Province. Paired t tests, factor analysis, and qualitative interviews were used to analyze the participants' responses, learning styles, behaviors, and results. Four levels were used to evaluate training effectiveness. RESULTS The overall satisfaction rate of the trainees was high. There were significant differences in theoretical scores, operational examination scores and related nursing abilities before and after training; these scores before training were significantly lower than scores after training (P < 0.05). Four themes were extracted from the semi structured interviews: improving relevant capabilities, optimizing training, improving safety management awareness and crisis awareness, and expanding career development space. CONCLUSIONS Rehabilitation nursing training significantly improved the rehabilitation skills and knowledge of clinical nurses. Therefore, it was recommended that the methods and programs used in this study be adopted for the rehabilitation nursing training of clinical nurses in all specialty areas of nursing to improve their nursing skills.
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Affiliation(s)
- Manzhou Yang
- School of Public Health, Shandong Second Medical University, Weifang, China
| | - Xiuying Zhang
- Rehabilitation Center, Qilu Hospital of Shandong University, Jinan, China
| | - Ruiyang Han
- School of Public Health, Shandong Second Medical University, Weifang, China
| | - Xiao Ding
- School of Public Health, Shandong Second Medical University, Weifang, China
| | - Runguo Gao
- School of Public Health, Shandong Second Medical University, Weifang, China
| | - Qi Jing
- School of Management, Shandong Second Medical University, Weifang, 261053, China
| | - Weiqin Cai
- School of Management, Shandong Second Medical University, Weifang, 261053, China
| | - Anning Ma
- School of Public Health, Shandong Second Medical University, Weifang, China
| | - Qianqian Gao
- School of Management, Shandong Second Medical University, Weifang, 261053, China.
| | - Hongmei Li
- Neurology, Qilu Hospital of Shandong University, Jinan, 250012, China.
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Fernández-Rodríguez EJ, González-Sánchez J, Puente-González AS, Recio-Rodríguez JI, Sánchez-Gómez C, Méndez-Sánchez R, Cruz-Hernández JJ, Rihuete-Galve MI. Multimodal physical exercise and functional rehabilitation program in oncological patients with asthenia. study protocol. BMC Nurs 2021; 20:207. [PMID: 34686180 PMCID: PMC8540070 DOI: 10.1186/s12912-021-00734-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2021] [Accepted: 10/12/2021] [Indexed: 12/09/2022] Open
Abstract
Background The increase in the survival of oncology patients include multiple side effects as cancer-related asthenia and dyspnea, which represents a serious health problem. An implementation of the conventional clinical practice, developed through multimodal physical exercise and functional rehabilitation program intervention, may be useful in controlling dyspnoea. This study aims to evaluate the effects of a multimodal exercise and functional rehabilitation program on fatigue, pain, functional capacity, and quality of life in cancer patients with cancer-related asthenia. Methods This is a protocol for an experimental, prospective, randomised study using a parallel, fixed assignment scheme, with an experimental group and a control group in patients from the oncology hospitalisation unit at the Salamanca University Hospital Complex in Spain, using consecutive sampling to select 50 participants with oncological asthenia who are hospitalised at the time of inclusion. After the baseline evaluation, the participants will be randomised into two groups. Both groups will receive standard clinical practice care and the normal health education program at discharge, but in addition, the participants assigned to the experimental group will also complete a multimodal exercise and functional rehabilitation program lasting one month. The primary outcomes will be basic activities of daily living (Barthel Index) and degree of asthenia (FACT-An scale). Additionally, physical performance will be evaluated with the Short Physical Performance Battery (SPPB), as will the attention and executive functions (Trail-Making Test), fear/avoidance of movement (TAMPA scale), pain (VAS scale), and body composition (waist, hip, brachial, thigh, wrist, and ankle circumferences). Discussion The results of this study may be translated to clinical practice, incorporating a specific autonomy recovery programme into comprehensive rehabilitation programmes of care for cancer patients with asthenia. The current study addresses to improve the conventional clinical practice by proposing a multimodal physical exercise and functional rehabilitation program intervention, which will be implemented by an interdisciplinary team, to try to improve the autonomy of cancer patients with cancer-related asthenia. Trial registration ClinicalTrials.gov; ID: NCT04761289. (February 18, 2021). https://clinicaltrials.gov/ct2/show/ NCT04761289.
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Affiliation(s)
- Eduardo José Fernández-Rodríguez
- Department of Nursing and Physiotherapy, University of Salamanca, Salamanca, Spain.,Medical Oncology Service, University Hospital Complex of Salamanca, Salamanca, Spain.,Institute of Biomedical Research of Salamanca (IBSAL), Salamanca, Spain
| | - Jesús González-Sánchez
- Department of Nursing and Physiotherapy, University of Salamanca, Salamanca, Spain. .,Institute of Biomedical Research of Salamanca (IBSAL), Salamanca, Spain.
| | - Ana Silvia Puente-González
- Department of Nursing and Physiotherapy, University of Salamanca, Salamanca, Spain.,Institute of Biomedical Research of Salamanca (IBSAL), Salamanca, Spain
| | - José Ignacio Recio-Rodríguez
- Department of Nursing and Physiotherapy, University of Salamanca, Salamanca, Spain.,Institute of Biomedical Research of Salamanca (IBSAL), Salamanca, Spain
| | - Celia Sánchez-Gómez
- Institute of Biomedical Research of Salamanca (IBSAL), Salamanca, Spain.,Department of Developmental and Educational Psychology, University of Salamanca, Salamanca, Spain
| | - Roberto Méndez-Sánchez
- Department of Nursing and Physiotherapy, University of Salamanca, Salamanca, Spain.,Institute of Biomedical Research of Salamanca (IBSAL), Salamanca, Spain
| | - Juan Jesús Cruz-Hernández
- Medical Oncology Service, University Hospital Complex of Salamanca, Salamanca, Spain.,Institute of Biomedical Research of Salamanca (IBSAL), Salamanca, Spain.,Department of Medicine, University of Salamanca, Salamanca, Spain
| | - María Isabel Rihuete-Galve
- Department of Nursing and Physiotherapy, University of Salamanca, Salamanca, Spain.,Medical Oncology Service, University Hospital Complex of Salamanca, Salamanca, Spain.,Institute of Biomedical Research of Salamanca (IBSAL), Salamanca, Spain
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