Skip to main content

ORIGINAL RESEARCH article

Front. Public Health
Sec. Public Health Education and Promotion
Volume 12 - 2024 | doi: 10.3389/fpubh.2024.1478147
This article is part of the Research Topic Innovative Teaching and Learning in Health Education and Promotion View all 10 articles

Development of A Social Learning Theory-Based Pressure Injury Training Program for Nursing Assistants in Chinese Nursing Homes

Provisionally accepted
Yanxia Guo Yanxia Guo 1,2Shengnan Yang Shengnan Yang 3*Plernpit Boonyamalik Plernpit Boonyamalik 1*Arpaporn Powwattana Arpaporn Powwattana 1*Lingxia Xu Lingxia Xu 2*
  • 1 Faculty of Public Health, Mahidol University, Ratchathewi, Bangkok, Thailand
  • 2 Jiangsu College of Nursing, Huai'an, China
  • 3 Jiangsu Health Vocational College, Nanjing, Jiangsu Province, China

The final, formatted version of the article will be published soon.

    Introduction: Pressure injury (PI) is a significant concern in Chinese nursing homes, particularly in China, especially due to the rapidly aging population. Nursing assistants play a vital role in PI prevention and management but often lack adequate training. To address this gap, we developed a training program for nursing assistants based on Social Learning Theory (SLT), aimed at improving their competencies in PI prevention and management. The modified Delphi method was used to gather expert consensus on the program's structure and content. Methods: A two-round Delphi process was performed involving an expert panel in wound care, community nursing, geriatric nursing, and nursing education. The training program was designed based on SLT, emphasizing observational learning, enactive learning, and behavioral reinforcement. Several experts evaluated the training program's content, which was informed by systematic reviews and qualitative interviews with stakeholders. Data analysis included expert's positive coefficient, expert's authority coefficient (Cr), expert's coordination coefficient (Kendall's W), and coefficient of variation (CV) were used to reflect reliability and consensus. Results: Consensus was reached on 79 key indicators for the training program, which included 4 first-level indicators (training objectives, content, methods, and evaluation), 13 second-level indicators, and 62 third-level indicators. The expert authority coefficient was 0.93, and Kendall's W values of 0.372 (P<0.001) in the first round and 0.177 (P<0.001) in the second round indicated strong agreement among experts. The program integrates SLT principles, such as attention, retention, motor reproduction, and motivation, to enhance the training's effectiveness. Conclusion: The study developed a comprehensive SLT-based PI training program for nursing assistants in Chinese nursing homes using the modified Delphi method. The program addresses the critical need for competency-based training in PI prevention and management. Future research should focus on the implementation and evaluation of this program in real-world settings to determine its effectiveness in improving nursing assistants' skills and reducing PI incidence among elderly residents.

    Keywords: Pressure injury, training program, Nursing assistants, Delphi method, social learning theory, Nursing Homes

    Received: 09 Aug 2024; Accepted: 23 Oct 2024.

    Copyright: © 2024 Guo, Yang, Boonyamalik, Powwattana and Xu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Shengnan Yang, Jiangsu Health Vocational College, Nanjing, Jiangsu Province, China
    Plernpit Boonyamalik, Faculty of Public Health, Mahidol University, Ratchathewi, 10400, Bangkok, Thailand
    Arpaporn Powwattana, Faculty of Public Health, Mahidol University, Ratchathewi, 10400, Bangkok, Thailand
    Lingxia Xu, Jiangsu College of Nursing, Huai'an, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.