The study aims to evaluate the effectiveness of chatbot-facilitated education (CFE) in assisting nursing personnel to prevent child and adolescent abuse and neglect (CAN). The main questions it aims to answer are: 1. Does applying CFE enhance nurses' intention to report CAN? 2. Does applying CFE improve nurses' attitudes toward reporting CAN? 3. Does applying CFE increase nurses' knowledge of CAN? Researchers will compare CFE to lecture-based teaching to verify if CFE can improve the nurses' competency of CAN. Participants will: 1. Attend a CAN course for about 1.5 hours. The experimental group will use CFE, and the control group will only receive lecture-based teaching. 2. Have the CAN course, comprised of two main subjects: "CAN" and "Nurses' Roles and Functions in CAN". 3. Receive the learning effect assessment at three different time points: before the course, one week after, and four weeks after.
Based on the rigor of the study and the anticipated benefits to the participants, we will: 1. Commence participant enrollment only after the protocol has been reviewed and approved by the Research Ethics Committee of Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation. 2. Conduct a minimum of four courses until the participant group reaches full capacity. 3. Ensure that participants are not informed about the specific interventions of the course at the time of their enrollment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
98
The experimental group will use "chatbot" to facilitate teaching.
The control group only receives lecture-based teaching.
Tzu Chi University
Hualien City, Hualien County, Taiwan
Intention to Report Child and Adolescent Abuse and Neglect
This subscale is part of the Child and Adolescent Abuse and Neglect (CAN) Competency Assessment. It comprises eight simulated child abuse scenarios, with participants rating their intention to report each case on an 11-point scale ranging from 0 (no intention to report) to 10 (definite intention to report). The total possible score is 80, with higher scores indicating a stronger and more consistent intention to report suspected CAN cases.
Time frame: Pre-test (before the course), Post-test 1 (one week after), Post-test 2(four weeks after).
Attitude Toward Reporting Child and Adolescent Abuse and Neglect
This subscale is part of the Child and Adolescent Abuse and Neglect (CAN) Competency Assessment and consists of three sections: five items on attitudes toward child discipline, six items on perceptions of abusive parents, and seven items on professional responsibility in reporting child abuse, totaling 18 items. Participants rate each item on a 7-point Likert scale ranging from 0 (strongly disagree) to 6 (strongly agree). The maximum possible score is 108. Higher scores reflect more negative attitudes toward physical discipline, lower tolerance for abusive behavior by parents, and stronger endorsement of professional responsibility in reporting suspected child abuse.
Time frame: Pre-test (before the course), Post-test 1 (one week after), Post-test 2(four weeks after).
Knowledge About Child and Adolescent Abuse and Neglect
This subscale is part of the Child and Adolescent Abuse and Neglect (CAN) Competency Assessment and includes 13 true-false items. Participants are instructed to respond with "true," "false," or "don't know" for each statement. Correct responses receive one point, while incorrect or "don't know" responses receive zero. The total possible score is 13, with higher scores indicating greater knowledge of CAN and its relevant legal framework.
Time frame: Pre-test (before the course), Post-test 1 (one week after), Post-test 2(four weeks after).
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