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December 21, 2022BMC NursingOpen Access

Effects of an educational program using a virtual social network on nurses’ knowledge and performance of blood pressure measurement: a randomized controlled trial

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Key result

A WhatsApp-based educational program significantly increased nurses' blood pressure measurement knowledge scores compared to routine education (81.8% vs 55.3%, p<0.001) and reduced measurement error.

Why the study?

Inaccurate blood pressure measurement techniques are common among healthcare providers, and distance education through virtual social networks may offer an accessible method for continuous professional education.

Does a WhatsApp-based educational program improve blood pressure measurement knowledge and performance in nurses?

Comparison

24 education sessions via WhatsApp vs routine education via traditional lecture

Design

Randomized controlled trial

Authors

MEMohamed E. H. ElzekyMansoura UniversityNSNoha F. M. ShahineMansoura University

Discussion

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Implication

Supports mobile training adoption for nurses now; extends RCT evidence on digital education for clinical measurement skills.

Study Design

Type

RCT (n=70)

Blinding

Single-blind

Randomization

Block randomization with a block size of 4

Multicenter

Yes

Structured PICO

Does a WhatsApp-based educational program improve blood pressure measurement knowledge and performance in nurses?

P
Population
70 cardiac nurses in Egypt were randomized to a WhatsApp-based educational program or routine education to evaluate blood pressure measurement knowledge and performance.
I
Intervention
24 consecutive daily blood pressure measurement education sessions using WhatsApp (video clips, texts, images, audio clips, video presentations) in addition to routine education.
C
Comparator
Routine education using a 1-hour traditional lecture training regarding blood pressure measurement.
O
Outcome
Blood pressure measurement knowledge (questionnaire), performance (observation checklist), and range of error (difference between observer and reference BP) before and after intervention.surrogate

Main Result

Absolute Event Rate: 81.8% vs 55.3%

p-value: p=<0.001

A WhatsApp-based educational program significantly improved nurses' theoretical knowledge and accuracy of blood pressure measurement, though it did not significantly improve practical performance scores.

Limitations

  • Short follow-up period to assess knowledge, performance, and accuracy of readings outcomes
  • Potential Hawthorne effect
  • Only cardiac nurses were evaluated, limiting generalizability to other specialties
  • Unknown whether accuracy of readings and knowledge gains were maintained during practice

Cite This Study

Elzeky et al. (2022) conducted an RCT in Blood pressure measurement knowledge and performance (n=70). WhatsApp-based educational program vs. Routine education (1-hour traditional lecture) was evaluated on Total knowledge score (p=<0.001). A WhatsApp-based educational program significantly increased nurses' blood pressure measurement knowledge scores compared to routine education (81.8% vs 55.3%, p<0.001) and reduced measurement error.

synapsesocial.com/papers/6a8969981acf8e321fbd56c2https://doi.org/10.1186/s12912-022-01137-0
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Blood Pressure Measurement Education and Evaluation Program improves measurement accuracy in community‐based nurses: A pilot study2007 · 41 citations
  2. 2(In)accuracy of blood pressure measurement in 14 Italian hospitals2012 · 43 citations
  3. 3Barriers to Accurate Blood Pressure Measurement in the Medical Office2018 · 53 citations
  4. 4Promoting sustainability in quality improvement: an evaluation of a web-based continuing education program in blood pressure measurement2018 · 22 citations
  5. 5Knowledge, perception and practice of health professionals regarding blood pressure measurement methods: a scoping review2020 · 23 citations