Authors (including presenting author) :
LUI WM, WONG MK
Affiliation :
Department of Medicine and Geriatrics, United Christian Hospital
Introduction :
It has been brought to the management’s attention that some conflicting views about nasogastric tube feeding and careful hand feeding feeding between patients’ family and the healthcare team arise. The provision of clear, evidence-based information about options and likely outcomes is an essential basis for improving patient communication and promoting shared decision-making.
Objectives :
The aim of this program was to develop a patient education video about dysphagia and feeding choices in the contexts of acute stroke and advanced dementia conditions. The objectives were: 1. to convey the healthcare team’s approach on feeding options in the two conditions; 2. to explain benefits and risks of nasogastric tube feeding and careful hand feeding in the two conditions; and 3. to enhance communication between patients and healthcare team.
Methodology :
A patient education video content for dysphagia and its medical management in acute stroke and advanced dementia conditions was developed in Nov 2018. It was reviewed by a ward manager and a nonmedical layperson for checking if it was clear and simple to understand. It was then put on the ward’s iPad and introduced to all nursing colleagues through handover meeting and circular. Patients and/ or their family who have raised considerable concern about patients’ feeding modes that the healthcare team suggests are target participants for the education video presentation. Satisfaction questionnaires consisting of three questions were developed to yield user response from both participants and nurses in a pilot period. Two questions rated on a 5-point Likart scale and one open question for both groups of participants were listed below: PATIENTS GROUP 1. Are you satisfied with this health education? 2. Are you satisfied with this kind of health education? 3. Do you have any comments? NURSES GROUP 1. Are you satisfied with this health education? 2. Do you agree that this health education aid your work? 3. Do you have any comments?
Result & Outcome :
The program was piloted in Dec 2018. One patient’s family and eight nursing colleagues were recruited. In the patients group, both Questions 1 and 2 have all scored 5. It has shown that the participated patient’s family was satisfied with the health education and this kind of video health education. On the other hand, one half of the nurses have rated 4 and another half have rated 5 to Question 1. Whilst 12.5% have rated 3 and another 12.5% have rated 4, 75% of nurses have rated 5 in response to Question 2. All these have demonstrated that majority of nurses found this patient education video satisfactory and helpful to their work. No other comment was yielded. The pilot patient education video presentation is considered to be effective to enhance communication with patients and their family members about dysphagia and feeding options in the conditions of acute stroke and advanced dementia. It also appears to be effective in promoting satisfaction among patients and nurses.
Co-location with:
