Authors (including presenting author) :
LO SL(1), CHOY WY(2), WONG L(2), LI C(3)
Affiliation :
(1) Integrated Care Centre, Princess Margaret Hospitatl, (2) Surgery, Princess Margaret Hospitatl, (3) Orthopaedics & Traumatology, Princess Margaret Hospitatl
Introduction :
Background: Integrated Care Centre (ICC), Princess Margaret Hospital, provides effective and quality care to patients undergoing invasive investigations and surgical procedures. The Pre-operative Assessment Clinic and Same Day Surgery of ICC serve around 1000 patients with more than 400 elective operations per month by 7 nurses. Increased workload in the busy working environment is encountered. Well pre-operative preparation is crucial for the smoothness of operation. Provision of pre-operative audiovisual information is an efficient and convenient way to inform patients and reduce their anxiety (Jlala et al.,2010). Hence, a well structured patient education audiovisual aid is prepared to replace real time education talk. Our aim is to evaluate the effectiveness of this pre-operative audiovisual aid on patient's readiness for operation.
Objectives :
Intended Improvement: To save nursing man-hour of around 30-45 minutes per day and standardize the content of educational session by developing a pre-operative education audiovisual aid to replace education talk.
Methodology :
Actions for improvement: A well-structured patient pre-operative education audiovisual aid with same content as education talk, additional photos and descriptions was developed. An audit with quasi-experimental study design was conducted from Dec 2018 to Jan 2019 to evaluate the effectiveness of the audiovisual aid by comparing with education talk. A questionnaire about knowledge on pre-operative preparation and service satisfaction was distributed to Chinese adult patients without mental retardation after the educational session followed by Q&A session. Patient’s compliance of pre-operative procedure was also recorded on the operation day.
Result & Outcome :
Outcome: Questionnaires were distributed to 139 patients (61 males; mean age: 58.6 ± 13.9 years) with 100% response rate. There were 69 and 70 patients in the talk and video groups respectively. There was no difference in the distribution of age, gender and specialty between two groups. All patients underwent operation as scheduled without delay or cancellation. Significant difference was found in knowing surgery date (talk: 87% vs. video: 98.6%; p=0.009) and fasting for surgery (talk: 85.5% vs. video: 95.7%; p=0.039). There was no significant difference on patient satisfaction between two groups. In conclusion, pre-operative education audiovisual aid is recommended because it not only has similar effects and outcomes on patient preparation for operation, but also saves nursing man-hour compared with education talk.
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