Effectiveness of an Online Interactive E-book in Enhancing Home Care Nurses' Knowledge, Perceived Barriers, and Self-efficacy in Home Pressure Injury Care

The goal of this study is to learn if an interactive e-book helps home care nurses improve their skills in managing pressure injuries at home. It will also learn if digital learning can overcome the challenges of traditional training. The main questions it aims to answer are: 1. Does the e-book increase home care nurses' knowledge about pressure injury prevention and treatment? 2. Does it improve their confidence and reduce the barriers they face when providing wound care? 3. How long do the learning benefits last after completing the program? Researchers will compare an interactive e-book to standard PDF training materials from the Ministry of Health and Welfare (MOHW) to see which is more effective for nursing education. Participants will: 1. Use an online interactive e-book covering 11 units of wound care for 1 month 2. Use standard PDF training materials from the MOHW Long-term Care section 3. Complete surveys about their knowledge and skills before the study, immediately after the program, and 1 month later Expected Outcomes and Contributions: This study aims to solve the problem of nursing shortages and training difficulties in rural areas. The researchers expect that home care nurses will become more competent in wound management, leading to better patient health and fewer hospital readmissions. These results will support Taiwan's "Long-term Care 3.0" policy by driving innovation in digital education.