Abstract
Purpose : The purpose of this study was to verify the effectiveness of a learning outcome creation program by implementing a training course to improve the explanation skills of PHN. Methods : Eleven medium-level PHNs participated in a training course from the local government controlled by Healthcare Center A. We verified the outcomes by making measurements before and after the learning programs using three evaluation tables. The evaluation process included checking whether the essential stages of the changing process had been cleared, based on learning worksheets and transcripts from the training sessions. Results : The "skill review sheet to demonstrate the necessity and outcomes of activities" indicated improvement in at least 5 of the 39 items for all participants, with a mean value of 12.6 items per person. A significant improvement in the overall score was found in the "scale of capability to develop professionalism as PHN", as well as in "transfer and development of professionalism," "compliance with rules in activities" and "self-development of skills." As regards "self-assessment of skills to perform professional activities as PHN," a significant improvement was observed in the overall score and "community support and management skills." Furthermore, three participants aiming to improve "skills to demonstrate the necessity and outcomes of activities," as well as eight participants aiming for "establishment of professionalism," cleared the essential stages: "recognition of one's current status and challenges" and "preparation and execution of a learning plan." All participants recognized that explanation skills are indispensable for their activities. Observation : We found that the learning program effectively improved the explanation skills of PHNs of the local government. The program is therefore suitable for municipal in-service training.
