Authors (including presenting author) :
Chu SMK(1), Lai KWA(1), Cheng W(2), Mok WP(2), Lam SC(2)
Affiliation :
(1)Department of Anaesthesia, TWH, (2)Nursing Surgery, TWH
Introduction :
Patient’s health literacy varies which affect their understanding of anaesthetic risk and make health decisions. Information about anaesthesia was delivered via multichannel including anaesthetic fact sheet and educational video to suit patients of different age group and education level. All patients will have Preoperative anaesthetic consultation with anaesthetist, and informed consent signed before operation. The educational video (eTV) was implemented in Pre-Anaesthetic Clinic (PAC) in April 2014 and updated in 2018. It was implemented in ward in July 2018 and all pre-op patients will watch the eTV before surgery.
Objectives :
To provide information about anaesthesia to patients before operation in a simple, clear and attention grabbing way via an educational video to improve patient understanding and satisfaction, decrease patient anxiety and to enhance workflow aiming to shorten nurse counselling and anaesthetic consultation time.
Methodology :
Patients were given Anaesthetic eTV to watch in addition to Anaesthetic Fact Sheet in PAC for day patients and in ward for inpatients before surgery. Patients attending PAC and in ward were invited to answer a standardized questionnaire to solicit their opinion on information with respect to Fact Sheet and eTV. Nursing staff survey was done during the same period.
Result & Outcome :
A total of 273 questionnaires were distributed and 188 returned by patient with response rate of 68.9%. Of the 188 patients who answered questionnaire after watching eTV: 89.2% agree they are more familiar with flow of preoperative anaesthetic consultation. 88.2% agree they know more about anaesthesia. 89.2% commented eTV is easy to understand. 84.3% thought eTV is easier to understand than fact sheet. 71.4% agree information is adequate. 78.8% agree eTV provides answers to most frequently asked questions. 85.3% agree eTV improves satisfaction. 81% agree anxiety is reduced. 30 questionnaires were returned by nursing staff. 83% agreed eTV helped patient to understand pre-operative anaesthetic consultation 87% thought eTV covered important topics on anaesthesia. 73% thought information is adequate. 57% agreed eTV help save nursing time. Conclusion: Overall anaesthetic eTV achieves objectives in more than 71% patients. 57% nursing staff commented that eTV is beneficial for staff to concentrate on other patients and an average of 9 minutes was saved. Use of iPad in video-based education in SOPD was suggested.
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