Portable Video Media Versus Standard Verbal Communication in Surgical Information Delivery to Nurses: A Prospective Multicenter, Randomized Controlled Crossover Trial.

BACKGROUND Continuing education of health professionals is important for delivery of quality health care. Surgical nurses are often required to understand surgical procedures. Nurses need to be aware of the expected outcomes and recognize potential complications of such procedures during their daily work. Traditional educational methods, such as conferences and tutorials or informal education at the bedside, have many drawbacks for delivery of this information in a universal, standardized, and timely manner. The rapid uptake of portable media devices makes portable video media (PVM) a potential alternative to current educational methods. OBJECTIVE To compare PVM to standard verbal communication (SVC) for surgical information delivery and educational training for nurses and evaluate its impact on knowledge acquisition and participant satisfaction. DESIGN Prospective, multicenter, randomized controlled crossover trial. SETTING Two hospitals: Gosford District Hospital and Wyong Hospital. PARTICIPANTS Seventy-two nursing staff (36 at each site). INTERVENTION Information delivery via PVM--7-minute video compared to information delivered via SVC. OUTCOME MEASURES Knowledge acquisition was measured by a 32-point questionnaire, and satisfaction with the method of education delivery was measured using the validated Client Satisfaction Questionnaire (CSQ-8). RESULTS Knowledge acquisition was higher via PVM compared to SVC 25.9 (95% confidence interval [CI] 25.2-26.6) versus 24.3 (95% CI 23.5-25.1), p = .004. Participant satisfaction was higher with PVM 29.5 (95% CI 28.3-30.7) versus 26.5 (95% CI 25.1-27.9), p = .003. Following information delivery via SVC, participants had a 6% increase in knowledge scores, 24.3 (95% CI 23.5-25.1) versus 25.7 (95% CI 24.9-26.5) p = .001, and a 13% increase in satisfaction scores, 26.5 (95% CI 25.1-27.9) versus 29.9 (95% CI 28.8-31.0) p < .001, when they crossed-over to information delivery via PVM. LINKING EVIDENCE TO ACTION PVM provides a novel method for providing education to nurses that improves knowledge retention and satisfaction with the educational process.

[1]  Jeannie P. Cimiotti,et al.  Effects of Nurse Staffing and Nurse Education on Patient Deaths in Hospitals With Different Nurse Work Environments , 2011, Medical care.

[2]  C. Schupp,et al.  Portable video media for presenting informed consent and wound care instructions for skin biopsies: a randomized controlled trial , 2010, The British journal of dermatology.

[3]  D. Cook,et al.  Instructional Design Variations in Internet-Based Learning for Health Professions Education: A Systematic Review and Meta-Analysis , 2010, Academic medicine : journal of the Association of American Medical Colleges.

[4]  J G Hardman,et al.  Effect of preoperative multimedia information on perioperative anxiety in patients undergoing procedures under regional anaesthesia. , 2010, British journal of anaesthesia.

[5]  A. Armstrong,et al.  Online, video-based patient education improves melanoma awareness: a randomized controlled trial. , 2009, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[6]  Karen Page,et al.  Podcasts and videostreaming: Useful tools to facilitate learning of pathophysiology in undergraduate nurse education? , 2009, Nurse education in practice.

[7]  D. McNeil,et al.  Evidence-based patient education: knowledge transfer to endodontic patients. , 2009, Journal of dental education.

[8]  T. Hoffmann,et al.  A Randomized Trial Comparing Digital Video Disc with Written Delivery of Falls Prevention Education for Older Patients in Hospital , 2009, Journal of the American Geriatrics Society.

[9]  Michael K. Paasche-Orlow,et al.  Asthma 1-2-3: A Low Literacy Multimedia Tool to Educate African American Adults About Asthma , 2009, Journal of Community Health.

[10]  A. Gawlinski,et al.  Effect of a preoperative instructional digital video disc on patient knowledge and preparedness for engaging in postoperative care activities. , 2009, The Nursing clinics of North America.

[11]  E. Versino,et al.  Effectiveness of an Informative Video on Reducing Anxiety Levels in Patients Undergoing Elective Coronarography: An RCT , 2009, European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology.

[12]  D. Treise,et al.  Development and evaluation of a patient empowerment video to promote hydroxyurea adoption in sickle cell disease. , 2009, Journal of the National Medical Association.

[13]  D. Cook,et al.  Internet-based learning in the health professions: a meta-analysis. , 2008, JAMA.

[14]  N. Kinnane,et al.  Evaluation of the addition of video-based education for patients receiving standard pre-chemotherapy education. , 2008, European journal of cancer care.

[15]  I-Ju Chen,et al.  A feasibility study on the adoption of e-learning for public health nurse continuing education in Taiwan. , 2007, Nurse education today.

[16]  Suzanne Austin Boren,et al.  eLearning: A review of Internet‐based continuing medical education , 2004, The Journal of continuing education in the health professions.

[17]  O. Okojie,et al.  Current practices and medico-legal aspects of pre-operative consent. , 2004, East African medical journal.

[18]  P. Hewett,et al.  Effects of video information on precolonoscopy anxiety and knowledge: a randomised trial , 1999, The Lancet.

[19]  N. Freemantle,et al.  Impact of formal continuing medical education: do conferences, workshops, rounds, and other traditional continuing education activities change physician behavior or health care outcomes? , 1999, JAMA.

[20]  G. Furze,et al.  Continuing education in nursing: a review of the literature. , 1999, Journal of advanced nursing.

[21]  G O Barnett,et al.  “Just‐in‐time” clinical information , 1997, Academic medicine : journal of the Association of American Medical Colleges.

[22]  L. Ellis.  Evaluating the effects of continuing nurse education on practice: Researching for impact , 1996 .

[23]  A D Oxman,et al.  No magic bullets: a systematic review of 102 trials of interventions to improve professional practice. , 1995, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[24]  A D Oxman,et al.  Changing physician performance. A systematic review of the effect of continuing medical education strategies. , 1995, JAMA.

[25]  M. Vogt,et al.  The impact of podcasting on the learning and satisfaction of undergraduate nursing students. , 2010, Nurse education in practice.

[26]  P. Mazmanian,et al.  CONTEMPO UPDATES LINKING EVIDENCE AND EXPERIENCE Continuing Medical Education and the Physician as a Learner Guide to the Evidence , 2002 .

[27]  M. Blegen,et al.  Nurse experience and education: effect on quality of care. , 2001, The Journal of nursing administration.

[28]  A. Jabbar,et al.  Effects of video information on pre-colonoscopy anxiety and knowledge: a randomized trial. , 2001, Gastrointestinal endoscopy.

[29]  R. Zwick,et al.  The client satisfaction questionnaire. Psychometric properties and correlations with service utilization and psychotherapy outcome. , 1982, Evaluation and program planning.

[30]  W. Hargreaves,et al.  Assessment of client/patient satisfaction: development of a general scale. , 1979, Evaluation and program planning.