Browsing School of Nursing by Subject "Cardiac Catheterization"
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The Effect of Pre-Procedural Video Education on Patients Undergoing Cardiac CatheterizationProblem & Purpose: Nearly half of adult Americans demonstrate poor health literacy and have difficulty understanding health information. Utilizing video in education supports multiple learning styles, promoting better learning outcomes. The standard of care for patients receiving cardiac catheterization is providing outpatient education prior to the procedure date. Evidence has shown that pre-procedural video-based education improves patient satisfaction. Using video in the Cardiac Preparation and Recovery Unit benefits patients by providing audiovisual education the day of cardiac catheterization. Standardizing a process to utilize these videos and increasing the number of patients they are played for, may improve patient satisfaction. Methods: At the start of implementation, the Cardiac Preparation and Recovery Unit was added to the medical center patient education video viewing system for data tracking and reporting. The pre-procedure checklist in the electronic health record was edited to include the education method provided to the patient, allowing staff to document that video education occurred during admission. Staff received a resource sheet on the process of playing, documenting, and tracking the videos. Monthly staff meetings were attended to provide updates on project progress. Follow up phone call surveys were completed by a patient care coordinator then audited for videos played, benefit, and overall patient satisfaction. Using Microsoft Excel® software, an independent t-test was performed to determine statistical significance (p<0.05) of patient satisfaction between patients who watched the pre-procedural video and those who did not. Results: The median percentage of videos played per week increased from 0% during the pre-implementation phase to 64.5% during the implementation phase. 100% of total patients who watched the video (n=38) found it beneficial. Combining pre-implementation and implementation patient satisfaction scores, total satisfaction scores of patients who watched the video (n=38) was not statistically significant (p=0.46) from scores of patients who did not (n=89). Conclusions: 100% of cardiac catheterization patients reported that the video-based education was beneficial, even though patient satisfaction was not statistically significant when associated with pre-procedural video-based education. In settings within the organization where non-emergent surgical procedures are conducted, it is recommended that the staff utilize pre-procedural videos for patient education.