Kathleen Anulao, DNP, MSN, RN, FNP-BC, RNFA

Abstract:

Problem: Preoperative education for parents whose children are undergoing an ophthalmic procedure or surgery is critical for a positive surgical experience. Current parent preoperative education practices in a pediatric ophthalmology clinic rely mainly on verbal instruction and can have inconsistent delivery.PICO Question: Among parents of pediatric patients undergoing ophthalmic procedure or surgery (P), how does the utilization of a preoperative educational video (I), compared to the current standard of practice (verbal instruction only) (C), impact surgical day parent satisfaction (O), over a three-month period? Methods: A quality improvement (QI) project was conducted between July 2022 to April 2023. Pre-surgical parents were identified in a pediatric ophthalmology clinic and viewed a 10-minute voice-narrated PowerPoint video containing standard parent education. Parents were given a paper copy of the slides and a QR code as a resource. Parents were asked to 1) evaluate the effectiveness of the video by completing the Patient Education Materials Assessment Tool for Audiovisual Materials (PEMAT-A/V), 2) answer demographic questions, and 3) complete the Hospital National Research Corporation (NRC) Health parent satisfaction survey. The NRC Health scores were compared three months before and after the preoperative video introduction. Percentages were used to evaluate sample characteristics and compare percentages of parent satisfaction scores pre- and post-video implementation. Results: A total of 43 parents watched the video and answered the PEMAT-A/V questionnaire. PEMAT-A/V scores showed that 93% of participants reported the video as easy to understand and that it acknowledged actionable items needed for day of surgery. Parent satisfaction scores improved from pre-intervention (n=50; 3 months) 87% compared to post-intervention (n=49; 2.5 months) 100%. Conclusion: Preoperative video education can positively impact satisfaction with surgical experience among parents of pediatric ophthalmology patients. Future development of parent educational videos based on procedure or surgery and in multiple languages could further impact parent understanding and overall satisfaction with the surgical experience.

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