Four levels of evaluation nurse training program on regional food

to verify the effectiveness of a regional nutrition training program for nurses based on four levels of assessment: response, learning, behavior, and conclusions.

Methods:

this was a longitudinal, almost experimental before and after type of study, carried out in 2014 with eight nurses and 62 mothers attended in the Primary Health Care Units of the rural area of Ceará, Brazil, in a training program using educational technology on regional food.

Results:

the evaluations showed a positive reaction from the nurses; a very good post-test average (92.3%); a change in nurses’ behavior, verified by 30 educational activities after training; and satisfactory results, verified by improvement in knowledge, attitude and practice of the mothers about regional food and food safety after participating in the educational interventions carried out by the trained nurses.

Conclusions:

the training program was considered effective, showing positive results in the four levels of evaluation.

Descriptors:
Educational Assessment; Food and Nutritional Education; Training; Health Promotion; Nursing

Meetings	Program
1^st meeting (1^st week)	- Application of pre-test knowledge in nurses. - Workshop for the use of educational technology on regional food.
2^nd meeting (2^nd to 5^th week)	- Field activity: Educational intervention carried out by each nurse trained at UAPS in which she worked with the selected mothers.
3^rd meeting (6^th week)	- Round of conversation on educational interventions. - Delivery of the nurses' journal's follow-up to be used within 30 days.
4^th meeting (10^th week)	- Round of conversation based on the journal's follow-up used in the previous month and discussion of selected scientific articles about the topic.
5^th meeting (13^th week)	- Initial feedback on mothers' knowledge, attitude, and practice one month after the educational intervention. - Application of the post-test knowledge and reaction form to the training program with nurses.

Axes	Applicable
Knowledge	- Have heard of regional foods and know what they are for; - Cites at least three types of those foods; - And mentions at least two types of preparation options using those foods.
Attitude	- Knows the importance of introducing regional foods into a child's food routine; - Highlights the benefits of this diet: preventing malnutrition and obesity; promoting food security; and/or being a new food alternative.
Practice	- Mention having already offered the child some regional food; - Accepts that this food may be included whenever it is considered necessary.

Nurses	Pre-test N (%)	Post-test N (%)	p ^a a Wilcoxon Test.
Nurse 1	13 (100.0)	12 (92.3)	0.999
Nurse 2	13 (100.0)	13 (100.0)	1.000
Nurse 3	12 (92.3)	11 (84.6)	0.999
Nurse 4	9 (69.2)	13 (100.0)	0.523
Nurse 5	9 (69.2)	11 (84.6)	0.824
Nurse 6	8 (61.5)	12 (92.3)	0.503
Nurse 7	11 (84.6)	11 (84.6)	1.000
Nurse 8	12 (92.3)	13 (100.0)	0.999
Average success	10.8±1.9(83.6±15.8)	12±0.9 (92.3±7.1)

	Before N = 62	After N = 62	1 month N = 44	3 months N = 28	6 months N = 23	p ^b b Cochrane's Q Test.
Knowledge
Applicable	0 (0.0)	50 (80.6)	40 (90.9)	27 (96.4)	23 (100)	--
Not applicable	62 (100)	12 (19.4)	4 (9.1)	1 (3.6)	23 (100)	--
Attitude
Applicable	45 (72.6)	58 (93.5)	38 (86.3)	25 (89.3)	23 (100)	0.186
Not applicable	17 (27.4)	4 (6.5)	6 (9.7)	3 (10.7)		0.186
Practice
Applicable	14 (22.6)	21 (33.9)	24 (54.5)	14 (50)	15 (65.2)	0.022
Not applicable	48 (77.4)	41 (66.1)	20 (45.5)	14 (50)	8 (34.8)	0.022

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author: Ádria Marcela Vieira Ferreira. E-mail: adriamarcela@hotmail.