Effect of Multi-media Health Education on Nurses' Workload and Patient's Satisfaction

If Muti-media Health Education Reduces the Workload of Nurses Without Affecting Patient's Satisfaction:a Perspective Randomized Controlled Trial

Assessing whether multi-media health education reduce nurse workload and does not decrease the satisfaction of patients in surgical ward when admission.

Study Overview

• Status: Completed
• Conditions: Health Education
• Intervention / Treatment: Other: Multimedia video health education

Detailed Description

Operation usually causes severe physical and mental stress to the patients, mainly because of fear and anxiety caused by patients worrying about the uncertainty about surgery, and finally affecting the patient's surgical efficacy and recovery. This is the main reason in terms of surgical nurse workload is much more than those internal medicine nurse.

As a major part of nursing work, health education has especially important to patients. The quality and efficiency of health education directly affects the rehabilitation of patients. It can help patients correctly understand the relevant knowledge of disease and master the skills of recovery.

At present, the health education in surgery department is mainly carried out by oral face-to-face communication and guidance from admission nurses. This kind of education method showed time-consuming and laborious.In addition, oral guidance is more reliable on nurse ability of expression and acknowledgement. Multimedia-based health education is an update mode combined with audio-visual stimulation and patients' own participation. Mobile terminal makes patient more acceptable, flexible, standardized in receiving the health education during hospitalization. This prospective study is aimed to assess whether multimedia-video education could reduce nurse workload and do not decrease the satisfaction of surgical patients.

• Study Type: Interventional
• Enrollment (Actual): 184
• Phase: Not Applicable

Contacts and Locations

Study Locations

• China
  • Gansu
    • Lanzhou, Gansu, China, 730000
      • Jia Yao

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 75 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Patients older than 18 years with general diseases and who need surgical treatment
• Primary school or above education history, with clear awareness, can cooperate with the collection of clinical data, and can communicate in Chinese
• Patients who signed the informed consent

Exclusion Criteria:

• Patients with visual and hearing impairment
• Patients with mental illness, dementia and other mental disorders
• Patients with complications of heart, brain and nephropathy
• Patients who cannot take care of themselves
• Emergency and critically ill patients
• Patients participated other research

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Multimedia video education; The experimental group conducted multimedia video education while admission.	Other: Multimedia video health education; The experimental group conducted multimedia video education while admission.
No Intervention: None multimedia video education; The control group conducted usual nursing of oral face-to-face education on admission.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Nursing workload	Daily working hours for admission nurses on patients guidance on the first 24 hours in hospital, include the length of guidance time and the inquiry times.	1 month
The satisfaction of patients, family members, doctors and nurses about health education: Questionnaire	The questionnaires were designed by ourselves according to relevant research and literature, to quantify the level of satisfaction on admission health education for patients and family members, and also doctors and nurses . The patients and family members satisfaction questionnaire has 11 satisfaction questions, which scored on a scale of 1-5(one to five stars, one star represents unsatisfactory, five stars represent highly satisfactory). The scores range from 11-55.; 11-21 Unsatisfactory; 22-32 Not quite satisfactory; 33-43 Generally satisfactory; 44-55 Highly satisfactory The doctors and nurses satisfaction questionnaire has 15 satisfaction questions, which scored on a scale of 1-5(one to five stars, one star represents unsatisfactory, five stars represent highly satisfactory). The scores range from 15-75.; 15-29 Unsatisfactory; 30-44 Not quite satisfactory; 45-59 Generally satisfactory; 60-75 Highly satisfactory	1 month

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Patients' anxiety level before and after health education: Zung Self Rating Anxiety Scale（SAS）	The Zung Self-Rating Anxiety Scale (SAS) is an anxiety measure designed by William WK Zung to quantify the level of anxiety for patients experiencing anxiety related symptoms. The self-administered test has 20 questions. Each question is scored on a scale of 1-4 (none or a little of the time, some of the time, good part of the time, most of the time). There are fifteen questions worded toward increasing anxiety levels and five questions worded toward decreasing anxiety levels. The scores range from 20-80.; 20-44 Normal Range; 45-59 Mild to Moderate Anxiety Levels; 60-74 Marked to Severe Anxiety Levels; 75-80 Extreme Anxiety Levels	1 month
Inquiry times on health education content of patients family members	The exactly times of patient's family members ask nursing staff for health education content.	1 month
The times of patients and their family members watched the health education videos	The times of patients and their family members watched the health education videos.	1 month

Collaborators and Investigators

• Sponsor: Hepatopancreatobiliary Surgery Institute of Gansu Province
• Investigators: Principal Investigator: Jia Yao, Ph. D., Hepatopancreatobiliary Surgery Institute of Gansu Province

Publications and helpful links

General Publications

• Jacob C, Sanchez-Vazquez A, Ivory C. Clinicians' Role in the Adoption of an Oncology Decision Support App in Europe and Its Implications for Organizational Practices: Qualitative Case Study. JMIR Mhealth Uhealth. 2019 May 3;7(5):e13555. doi: 10.2196/13555.
• Hindi AMK, Seston EM, Bell D, Steinke D, Willis S, Schafheutle EI. Independent prescribing in primary care: A survey of patients', prescribers' and colleagues' perceptions and experiences. Health Soc Care Community. 2019 Jul;27(4):e459-e470. doi: 10.1111/hsc.12746. Epub 2019 Mar 18.

Study record dates

Study Major Dates

• Study Start (Actual): September 10, 2019
• Primary Completion (Actual): December 30, 2022
• Study Completion (Actual): December 30, 2022

Study Registration Dates

• First Submitted: June 14, 2019
• First Submitted That Met QC Criteria: June 17, 2019
• First Posted (Actual): June 18, 2019

Study Record Updates

• Last Update Posted (Actual): April 12, 2023
• Last Update Submitted That Met QC Criteria: April 11, 2023
• Last Verified: April 1, 2023

More Information

Terms related to this study

• Keywords: Nurse; Surgery; Health Education; Workload; Multimedia; Patients Satisfaction
• Other Study ID Numbers: Multi-media health education

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No