Does a Perioperative Decision Aid Tool Help Increase Patient and Staff Engagement?
Review TypeAbstract Review Only: Reviewed by Event Host
Repository Posting Date2019-06-28T20:47:58Z
Author DetailsToni Morris RN, MSN, DNP, Assistant Professor, School of Nursing University of Indianapolis, 317.696.1073, firstname.lastname@example.org, email@example.com
Lead Author Sigma AffliationLambda Epsilon
Lead Author AffliationUniversity of Indianapolis School of Nursing
Level of EvidenceQuasi-Experimental Study, Other
Research ApproachMixed/Multi Method Research
KeywordsShared Decision Making; Empowerment; Engagement; Pre-operative; Surgical Patient; Education; Online Education
CINAHL HeadingsPerioperative Nursing; Perioperative Care -- Methods; Consumer Participation; Decision Support Techniques; Professional-Patient Relations; Decision Making, Shared; Patient Education -- Methods; Perioperative Care; Patient Education
Does a perioperative decision aid tool help increase patient and nursing staff engagement? Background: Rapid reductions in healthcare reimbursement caused by the value-based care movement have healthcare organizations searching for methods to shoulder the responsibility of improving patient outcomes. Involving the patient as a key component in their care is mentioned in both the IOM’s Six Aims for Improvement (2001) and the IHI’s Triple Aim. Further research provides support to suggest increased patient engagement is capable of translating into many positive dividends for both the organization and the patient. Methods: Using shared decision making principles, a perioperative education decision aid (POE-DA) was designed and implemented for two months with preoperative patients in a mid-sized Midwest hospital. The tool was designed to increase patient engagement and participation with the hospital-prescribed online education modules. To evaluate the POE-DA, thoughts and attitudes of nurses were gathered pre and post implementation via an online Qualtrics survey. Findings: Preliminary findings indicate the practice change was difficult to implement. Only one patient in two months returned to the PAT visit with their ticket in hand. Twenty-five members of the nursing staff completed the pre-survey. While 56% (n=14) of the nursing staff indicated they discussed the online education modules with patients as part of their preoperative appointment less than half of the sample (40%; n=9) answered they were definitely or probably confident explaining benefits associated with the online modules. Post-survey results are currently under analysis to determine nursing staff feedback about the POE-DA implementation. Discussion: Preliminary results indicate an opportunity to influence patient initiation rates by bridging the gap between the staff (40%; n=9) who do not currently discuss the importance of the online education modules with their patients.
Conference Name29th Annual Pacific Northwest Ambulatory Care Nursing Conference
Conference HostUniversity of Washington
Conference LocationLinnwood, Washington USA
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