Abstract

BackgroundAdapting educational tools to meet user needs is a critical aspect of translating research evidence into best clinical practices. The objectives of this study were to evaluate usability and effectiveness of educational tools about infant vaccination pain management directed to postnatal nurses.MethodsMixed methods design. A template pamphlet and video included in a published clinical practice guideline were subjected to heuristic usability evaluation and then the revised tools were reviewed by postnatal hospital nurses in three rounds of interviews involving 8 to 12 nurses per round. Nurses’ knowledge about evidence-based pain management interventions was evaluated at three time points: baseline, after pamphlet review, and after video review.ResultsOf 32 eligible postnatal nurses, 29 agreed to participation and data were available for 28. Three overarching themes were identified in the interviews: 1) utility of information, 2) access to information, and 3) process for infant procedures. Nurses’ knowledge improved significantly (p < 0.05) from the baseline phase to the pamphlet review phase, and again from the pamphlet review phase to the video review phase.ConclusionsThis study demonstrated usability and knowledge uptake from a nurse-directed educational pamphlet and video about managing infant vaccination pain. Future studies are needed to determine the impact of implementing these educational tools in the postnatal hospital setting on parental utilization of analgesic interventions during infant hospitalization and future infant vaccinations.

Highlights

  • Adapting educational tools to meet user needs is a critical aspect of translating research evidence into best clinical practices

  • We developed the first evidence-based clinical practice guideline (CPG) in 2010 to address vaccination pain management in children [11]

  • Qualitative analysis Overall, three overarching themes were identified from the interviews: 1) utility of information, 2) access to information and 3) process for infant procedures

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Summary

Introduction

Adapting educational tools to meet user needs is a critical aspect of translating research evidence into best clinical practices. The objectives of this study were to evaluate usability and effectiveness of educational tools about infant vaccination pain management directed to postnatal nurses. According to the Knowledge-to-Action Framework [10], for scientific evidence to be adopted in clinical practice, best-practice guidelines and educational tools are needed. We developed the first evidence-based clinical practice guideline (CPG) in 2010 to address vaccination pain management in children [11]. Successful implementation of guideline educational tools requires they be adapted to the local context [10]. This is achieved through an iterative process of obtaining

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