Document Type : Original Article

Authors

Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

BACKGROUND: One of the important challenges faced by health‑care system is to raise the level of 
knowledge of nurses about cerebrovascular accident(CVA) nursing care in the emergency department. 
Therefore, the aim of this study was comparison of two new educational techniques (noninteractive 
multimedia learning and workshop) on knowledge of nurses about CVA nursing care in the emergency 
department.
MATERIALS AND METHODS: This experimental study was conducted with a two‑group design. 
Sixty‑four eligible nurses working in the emergency department in selected hospitals affiliated to 
Isfahan University of Medical Sciences, Isfahan, Iran, were selected as the study participants. Nurses 
were randomly assigned into two groups of noninteractive multimedia (n = 32) and workshop (n = 32) 
using random number table. The data‑gathering tools including a demographic questionnaire (6 items) 
and knowledge questionnaire (24 items) were completed before and 2 weeks after the intervention in 
both the groups. Data were analyzed using SPSS 18 and descriptive (mean and standard deviation) 
and analytical statistics (ANOVA, independent t‑test, and paired t‑test). The level of statistical 
significance was P ≤ 0.05.
RESULTS: The result shows that independent t‑test showed that there was not a significant difference 
between the mean total scores of nurses’ knowledge before intervention in the two groups (P > 0/05). 
Furthermore, the results of paired t‑test showed a significant difference in the knowledge score 
2 weeks after compared to before the education in both the groups (P < 0.005). In addition, the 
results of independent t‑test showed a significant difference in the knowledge score 2 weeks after 
the intervention in the two groups (P < 0.005). The average knowledge score in the workshop group 
was significantly higher than in noninteractive multimedia learning group.
CONCLUSION: According to the result, new educational techniques such as noninteractive 
multimedia learning and workshop could improve knowledge of nurses about CVA nursing care in 
the emergency department.

Keywords

s of interest.
References
1. Alimohammadi N, Maleki B, Shahriari M, Chitsaz A. Effect of a 
care plan based on Roy adaptation model biological dimension 
on stroke patients’ physiologic adaptation level. Iran J Nurs 
Midwifery Res 2015;20:275‑81.
2. Xing C, Arai K, Lo EH, Hommel M. Pathophysiologic cascades 
in ischemic stroke. Int J Stroke 2012;7:378‑85.
3. Mukherjee D, Patil CG. Epidemiology and the global burden of 
stroke. World Neurosurg 2011;76:S85‑90.
4. Johnson M, Bakas T. A review of barriers to thrombolytic therapy: 
Implications for nursing care in the emergency department. 
J Neurosci Nurs 2010;42:88‑94.
5. Mohammad A, Ali I, Bakhtiar A, Ali S, Leila A. Evaluation of 
the performance of emergency nurses and its comparison with 
international standards in educational and medical centers 
affiliated to Urmia University of Medical Sciences in 2009. J Urmia 
Sch Nurs Midwifery 2010;8:156‑61.
6. Traynelis L. Emergency department nurses’ knowledge of 
evidence‑based ischemic stroke care. Kaleidoscope 2012;10:44.
7. Fahami F, Mohamadirizi S, Bahadoran P. Effect of electronic 
education on the awareness of women about post partum breast 
feeding. Int J Pediatr 2014;2:57‑63.
8. Khoobi M, Mohamadi N, Parvizi S, Haghani H, Izadibidani F. 
A comparison of nursing students’ satisfaction in compact 
disc‑based education vs. traditional education. Iran J Med Educ 
2015;15:89‑97.
9. Hashemiparast MS, Sadeghi R, Ghaneapur M, Azam K, 
Tol A. Comparing E‑learning and lecture‑based education in 
control of nosocomial infections. Journal of Payavard Salamat. 
2016 Jul 10;10(3):230‑8.
10. Chioh MS, Yan CC, Tang KL, Mustaffa SM, Koh MG, Sim TW, 
et al. The use of the personal digital assistant by nursing students 
in the classroom and clinical practice: A questionnaire survey. 
Singapore Nurs J 2013;40:38‑44.
11. Mohamadirizi S, Bahadoran P, Fahami F. Comparison between 
the impacts of e‑learning and booklet education on nulliparous 
women’s satisfaction about postpartum care. Iran J Obstet 
Gynecol Infert 2013;16:1‑8.
12. Harless WG, Zier MA, Harless MG, Duncan RC, Braun MA, 
Willey S, et al. Evaluation of a virtual dialogue method for breast 
cancer patient education. Patient Educ Couns 2009;76:189‑95.
13. Yazdannik A, Mohamadirizi S, Nasr‑Esfahani M. Comparison of 
the effect of electronic education and workshop on the satisfaction 
of nurses about Emergency Severity Index triage. J Educ Health 
Promot 2020;9:158.
14. Mohamadirizi S, Fahami F, Bahadoran P, Mokhtari F. The effect 
of E‑Learning education on primipar women’s knowledge about 
neonatal care. Iran J Neonatol 2013;4:24‑7.
15. Al‑Emran M, Elsherif HM, Shaalan K. Investigating attitudes 
towards the use of mobile learning in higher education. Comput 
Hum Behav 2016;56:93‑102.
16. Karamizadeh Z, Zarifsanayei N, Faghihi AA, Mohammadi H, 
Habibi M. The study of effectiveness of blended learning approach 
for medical training courses. Iranian Red Crescent Medical 
Journal. 2012 Jan;14(1):41.