Effectiveness of an Online Interactive E-book in Enhancing Home Care Nurses' Knowledge, Perceived Barriers, and Self-efficacy in Home Pressure Injury Care

Effectiveness of an Online Interactive E-book in Enhancing Home Care Nurses' Knowledge, Perceived Barriers, and Self-efficacy in Home Pressure Injury Care

The goal of this study is to learn if an interactive e-book helps home care nurses improve their skills in managing pressure injuries at home. It will also learn if digital learning can overcome the challenges of traditional training. The main questions it aims to answer are:

1. Does the e-book increase home care nurses' knowledge about pressure injury prevention and treatment?
2. Does it improve their confidence and reduce the barriers they face when providing wound care?
3. How long do the learning benefits last after completing the program?

Researchers will compare an interactive e-book to standard PDF training materials from the Ministry of Health and Welfare (MOHW) to see which is more effective for nursing education.

Participants will:

1. Use an online interactive e-book covering 11 units of wound care for 1 month
2. Use standard PDF training materials from the MOHW Long-term Care section
3. Complete surveys about their knowledge and skills before the study, immediately after the program, and 1 month later

Expected Outcomes and Contributions:

This study aims to solve the problem of nursing shortages and training difficulties in rural areas. The researchers expect that home care nurses will become more competent in wound management, leading to better patient health and fewer hospital readmissions. These results will support Taiwan's "Long-term Care 3.0" policy by driving innovation in digital education.

The goal of this study is to learn if an interactive e-book helps home care nurses improve their skills in managing pressure injuries at home. It will also learn if this digital tool can overcome barriers to traditional training.

The main questions it aims to answer are:

1. Does the e-book increase home care nurses' knowledge about pressure injury prevention and treatment?
2. Does it improve their confidence and reduce the barriers they face when providing wound care?
3. How long do these learning benefits last after the program ends? Researchers will compare an interactive e-book to standard PDF training materials from the Ministry of Health and Welfare (MOHW) to see which is more effective for nursing education.

Participants will:

1. Use an online interactive e-book on wound care for 1 month (Experimental Group)
2. Read standard PDF training materials from the MOHW Long-term Care section (Control Group)

Complete surveys about their knowledge and skills before the study, immediately after the program, and 1 month later

Inclusion Criteria:

• Registered nurses aged 18 years or older.
• Currently employed full-time as a home care nurse in a hospital-affiliated home care agency, private home care agency, or public health center.
• Have at least six months of clinical experience in home care nursing.
• Willing to participate in this study and sign the informed consent form.

Exclusion Criteria:

• Home care nurses who hold specialized certifications related to advanced wound care (due to their existing high level of expertise in pressure injury management).
• Nurses practicing in community nursing homes or residential care facilities.