[[alternative]]Learning Effects of Mobile Learning Community in Case Management Continuing Education for Psychiatric Nurses

[[abstract]]目的：本研究旨在建置個案管理繼續教育於行動學習社群的學習模式，並探討進行此學習模式後對精神衛生護理人員個案管理知識的成效及學習感受。方法：本研究為實驗法，兩組前後測量設計，以北部某精神專科醫院精神衛生護理人員為研究對象，隨機分派方式分為實驗組與對照組，對照組不特別介入，實驗組則介入本研究之行動學習社群，進行個案管理繼續教育課程學習，學習時間為2014年8月1日至9月30日，共計八週。行動學習社群之建置是參照文獻原則及研究生針對行動學習社群的課程訓練經驗所設計，將個案管理五個課程單元、五個學習評量、個案管理師經驗分享及個案管理案例討論內容建置於社群學習平台。於研究對象加入前及學習後，以個案管理知識量表、學習感受量表及開放性問題收集資料，收案期間自2014年7月1日至10月30日止。以百分比、平均數及標準差等進行描述性的統計分析，以t檢定、卡方檢定及重複測量變異數分析等進行推論性的統計分析。結果：共48位精神衛生護理人員完成前後測量，實驗組與對照組各24人。結果顯示時間與組別之F(1,45)= 24.58、p < .01，二變項在個案管理知識分數有交互作用，且達顯著差異，亦即實驗組與對照組其個案管理知識分數隨時間具有顯著差異，且實驗組高於對照組。於實驗組24位研究對象的學習感受在整體課程之同意程度平均達4.27（4.04至4.67之間），顯示研究對象對整體行動學習社群之學習感受趨於正向。結論與建議：本研究結果支持所發展之行動學習社群學習模式，能有效提升個案管理繼續教育之學習成效，為個案管理繼續教育的有效學習方式。可提供醫療院所護理人員繼續教育之參考替代學習方式。[[abstract]]Purpose: The purpose of the study was to develop a case management continuing education in mobile learning community and exam its learning effectiveness for psychiatric nurses.Methods: Randomized controlled trial with pre- and post-tests was the research design. The study participants were psychiatric nurses employed in the psychiatric center located at the Northern Taiwan. The experimental group participated in a mobile learning community in case management learning while the control group didn’t join the special community. This mobile learning community was designed with 5 simulated learning modules, 5 self-assessment questions, experience sharing session from case managers, and case discussion materials. During the study period from July 1th to October 30, 2014, both the experimental and the control group were surveyed with a case management knowledge scale, a learning experience survey, and open-end questions before and after their 8-week-learnings. Through percentage, mean, and standard deviation of the data base performing descriptive statistics. In the meanwhile, this study executed inferential statistics by t-test, chi-square test, and repeated measure ANOVA.Results: The result revealed that 48 psychiatric nurses average assigned to the experimental group and the control group, duration and different groups are obvious variations at case management knowledge index with significant interference by F(1,45)= 24.58, and p < .001 higher level in experimental group than the other. Among 24 research subjects in experimental group, based on the learning experience survey, the score achieved average 4.27 (4.04 to 4.67) represented the participants of the mobile learning community have more positive learning experience.Conclusions and Recommendations: The study findings supported that the developed learning model in mobile learning community could improve the learning effectiveness of case management continuing education. Moreover, this mobile learning model may serve as an alternative learning method for nursing continuing education in medical institutions