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=
Highlights
Background and SignificancePediatric nurses frequently teach caregivers to care for their ill child in the home environment
The intervention was twenty one medical procedures performed according to hospital policy were videotaped using an iPad; peer reviewed by pediatric registered nurses and caregivers who served on the hospital Family Advisory Board
The iPad allowed the nurses to produce and edit the medical procedures without the need of an expensive camera crew and the time that would be required for such an endeavor. This method will make future updating of the video skill clips when a procedure change occurs less cumbersome. These video skill clips were made available for caregiver viewing on iPads or the hospital’s inpatient educational learning management system
Summary
Pediatric nurses frequently teach caregivers to care for their ill child in the home environment When this care involves learning how to operate medical equipment and perform treatments and procedures, it can be very challenging and intimidating for a caregiver. The millennial learners, birth years ranging from 1982 to 2004, have grown up in an era of rapid technological growth [1,2]. They are adept with computers, cell phones, and video games and they connect with friends and family through social networking, text messaging and other technologymediated approaches [1,3]. The repeated exposure to technology has resulted in a group of young adults who have developed an enhanced visual and auditory orientation to learning [1,4,5]
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