Moving Beyond Written Reinforcement: Using Video Skill Clips to Reinforce Pediatric Patient Education and Increase Caregiver Confidence

M. Grady
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Abstract

Purpose: This study explored the use of video skill clips to teach caregivers to perform medical procedures required in the care of their children. The purpose was to determine from the caregiver’s perspective, the feasibility, acceptability and effectiveness of video skill clips to reinforce discharge education and if this method of instruction increased their knowledge and confidence levels. Design and methods: This One- Group Pretest-Posttest study was conducted at a large Midwestern pediatric hospital in the United States where participants completed an investigator developed questionnaire before and after viewing the video skill clips. The study inclusion criteria were caregivers: (a) 18 years of age or older; (b) able to speak and understand English, and (c) with a child requiring a medical procedure at home. Exclusion criteria were caregivers (a) unable to complete the educational sessions; (b) who had received medical skill teaching or had watched the clips during previous admissions; (c) who were professional healthcare providers themselves. Data analysis consisted of paired t-test and descriptive statistics. Results: The 100% of participants stated the clips were feasible and acceptable (n=40, M= 94.15, SD 6.84). Medical procedural knowledge and confidence levels significantly increased among participants after watching the video skill clips (p=
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超越书面强化:使用视频技能剪辑加强儿科患者教育和增加护理人员的信心
目的:本研究探讨了使用视频技能剪辑来教照顾者执行照顾孩子所需的医疗程序。目的是从护理人员的角度确定视频技能剪辑加强出院教育的可行性、可接受性和有效性,以及这种指导方法是否提高了他们的知识和信心水平。设计和方法:这项一组测试前测试后研究在美国中西部一家大型儿科医院进行,参与者在观看视频技能剪辑前后完成了一份由研究人员编制的问卷。研究纳入标准为照顾者:(a)18岁或以上;(b) 能够说和理解英语,以及(c)与需要在家进行医疗程序的儿童在一起。排除标准为照顾者(a)无法完成教育课程;(b) 曾接受过医学技能教学或在之前的入院期间看过这些片段的人;(c) 他们本身就是专业的医疗保健提供者。数据分析包括配对t检验和描述性统计。结果:100%的参与者表示视频剪辑是可行和可接受的(n=40,M=94.15,SD 6.84)。观看视频技能剪辑后,参与者的医疗程序知识和信心水平显著提高(p=
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