VTE Prevention Ability Among Community Nurses in the Medical Consortium Based on the Kirkpatrick Mode Evaluation of the Effects of Training.

Abstract

Purpose: To explore the application of the Kirkpatrick model in VTE prevention training among community nurses in the medical consortium.

Method: A team of experts was established to formulate a VTE prevention ability training program for community nurses in the medical consortium. According to a literature review, the results of a questionnaire survey and the results of on-site supervision surveys of nurses in five community health service centers in the medical consortium. The Kirkpatrick model was applied to train 117 nurses in five community service centers, and the effects on the four dimensions (i.e., the reaction layer, learning layer, behavior layer, and results layer) were observed.

Results: A total of 100% of nurses' reported satisfaction with the training, and the attendance rate was ≥98%. After the training, the theoretical knowledge of VTE prevention and the results of the skills assessment of community nurses in the medical consortium were significantly greater than the pretraining levels (p < 0.001). Three months after training, the nurses' VTE prevention execution score significantly improved compared with the pretraining scores (p < 0.001). The compliance rate and standard rate of ankle pump movement significantly improved compared with those before training (p < 0.001).

Conclusion: Training based on the offset model can effectively improve VTE prevention knowledge among community nurses in the medical consortium, thereby enhancing VTE prevention among patients and at improving the compliance and standardization of patients' self-prevention. These findings provide a reference for future in-service training programs targeting VTE prevention among nurses in community hospitals.