Evaluation of Educational Video on Nurses Discharge Teaching

Abstract

<p>Poster presentation</p> <p>Session C presented Thursday, September 14, 2017</p> <p>Purpose: During 2015, patients presenting to an urban pediatric emergency department (ED) for vomiting accounted for one of the top five chief complaints.&nbsp; The American Academy of Pediatrics and the Centers for Disease Control and Prevention recommend oral rehydration (ORT) as the first line of treatment for vomiting in mildly dehydrated children.&nbsp; The ED does not currently have an established procedure for oral rehydration education, thus leading to incomplete, inaccurate, or absent education for the caregiver.&nbsp; The purpose of the project was to develop an educational video for nursing staff to be used in teaching oral rehydration to caregivers.&nbsp; Nursing staff knowledge level was assessed regarding ORT education.</p> <p>Design: Quality improvement initiative.</p> <p>Setting: A 53-bed teaching level 1 urban pediatric trauma center in southeastern United States with approximately 70,000 visits annually.</p> <p>Participants/Subjects: Conveinence sample of ED nursing staff - 38 RNs with varying degress (ADN, BSN, and MSN) and years of experience.&nbsp; All participants reported having given oral rehydration instructions in the past.</p> <p>Methods: Participants included a convenience sample of 38 ED nursing staff members in an urban pediatric ED with approximately 69,000 visits annually.&nbsp; Participants completed a pre and post survey after viewing the educational video on oral rehydration.&nbsp; Data was collected and entered into an excel spreadsheet and a z test for proportions was used to compare groups.</p> <p>Results/Outcomes: When answering the question "What is your standard script for oral rehydration education for a patient that is 2 years old?&rdquo; participants gave varying answers with only 73.68% giving the same answer as what is listed in the ED&rsquo;s patient care guidelines.&nbsp; After viewing the video, 94.73% of participants reported they would use the video in the future, comparing percent of RNs reporting giving instructions consistent with our PCGs in pre test to those in post test, we found measured difference in the proportions was 21% (z=2.53, p=0.011), (95% Cl 5%, 37%).</p> <p>Participants listed perceived barriers to using the educational video in the ED as time, means of showing the video, or both.</p> <p>Implications: Based on data collected during this study, participants are highly likely to use the educational video for oral rehydration education; however, they listed barriers to use of the video.&nbsp; The researchers recommend increasing the number and availability of educational devices for nursing staff to effectively educate patients and caregivers. Further, the researchers recommend conducting a study on patients and caregivers to assess understanding for performing oral rehydration for children with the chief complaint of vomiting using the education video.</p>