Background 

Electronic health (e-health) learning is a potential avenue to educate health professionals about accurately using infant pain assessment tools, although little is known about the impact of e-health interventions on clinical competence.

Purpose: 

To evaluate whether an e-health learning module for teaching the accurate use of the Premature Infant Pain Profile-Revised (PIPP-R) pain assessment tool results in immediate and sustained competency to assess infant pain.

Methods: 

Neonatal intensive care unit (NICU) nurses who participated in a larger study across 2 tertiary NICUs in Canada examining the implementation and clinical utility of the PIPP-R e-learning module completed 2 follow-up evaluations at 1 week and 3 months. Participants were asked to view a video recording of an infant undergoing a painful procedure and to assess the infant's pain intensity response using the PIPP-R measure. Immediate and sustained competency was assessed via interrater consensus of participant-reported PIPP-R scores compared with those of an experienced trained coder.

Results: 

Of the 25 eligible nurses, 22 completed 1-week and 3-month follow-up evaluations. At the 1-week follow-up, 84% of nurses scored the video accurately compared with 50% at 3 months. Behavioral pain indicators were more likely to be scored incorrectly than physiological indicators.

Implications for Practice: 

Follow-up training after completion of the initial e-learning module training may improve competency related to the clinical use of the PIPP-R tool to assess infant pain over time.

Implications for Research: 

Additional study regarding the need and timing of e-health training to optimize sustained competency in infant pain assessment is warranted.

中文翻译：

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早产儿疼痛概况修订版 (PIPP-R) 电子学习模块的评估：即时和持续能力

背景 

电子健康（e-health）学习是教育卫生专业人员准确使用婴儿疼痛评估工具的潜在途径，尽管人们对电子健康干预对临床能力的影响知之甚少。

目的： 

评估用于教授准确使用早产儿疼痛概况修订版 (PIPP-R) 疼痛评估工具的电子健康学习模块是否能够立即和持续地评估婴儿疼痛。

方法： 

新生儿重症监护病房 (NICU) 护士参与了一项针对加拿大 2 个三级 NICU 的大型研究，检查了 PIPP-R 电子学习模块的实施和临床实用性，他们在 1 周和 3 个月内完成了 2 次随访评估。参与者被要求观看婴儿经历疼痛过程的视频记录，并使用 PIPP-R 测量评估婴儿的疼痛强度反应。通过参与者报告的 PIPP-R 分数与经验丰富的训练有素的编码员的分数进行比较，评估即时和持续的能力。

结果： 

在 25 名符合条件的护士中，22 名完成了 1 周和 3 个月的随访评估。在 1 周的随访中，84% 的护士对视频进行了准确评分，而在 3 个月时这一比例为 50%。与生理指标相比，行为疼痛指标更容易被错误评分。

对实践的影响： 

完成初始电子学习模块培训后的后续培训可能会提高与临床使用 PIPP-R 工具相关的能力，以评估婴儿疼痛随着时间的推移。

对研究的影响： 

有必要进一步研究电子健康培训的需求和时间，以优化婴儿疼痛评估的持续能力。