Effects of a Video-Based Preoperative Educational Intervention Plus Nurse-Led Reinforcement Discussion on Knowledge,Self-Efficacy,and Resilience in Patients Undergoing Major Surgery
Restricted accessResearch articleFirst published online July, 2021
Effects of a Video-Based Preoperative Educational Intervention Plus Nurse-Led Reinforcement Discussion on Knowledge,Self-Efficacy,and Resilience in Patients Undergoing Major Surgery
This study aimed to verify the feasibility of a video-based preoperative educational intervention plus one-to-one, nurse-led reinforcement discussion in patients undergoing elective major surgery and to assess the impact of this combined intervention on patient- and nurse-perceived patient knowledge, self-efficacy, and resilience. Patients received written material at pre-admission and were offered the intervention at admission. Patients reported their knowledge and self-efficacy at pre-admission and after the intervention, and resilience at pre-admission and discharge. Nurses assessed patients’ knowledge and self-efficacy after the intervention. In all, 88/97 (90.7%) patients completed the intervention. The 80 patients with complete data reported a significant increase in their knowledge (p < .001) and self-efficacy (p < .001), but no difference in resilience (p = .72). Nurse-perceived patient knowledge agreed with patients’ perceptions (p = .57) but nurses scored patients’ self-efficacy lower (p < .001). The combined intervention was feasible, and patients perceived an improvement in their knowledge and self-efficacy. Nurses’ assessment partially agreed with patients’ perceptions.
AORN. (2005). AORN Guidance Statement: Preoperative patient care in the ambulatory surgery setting. AORN Journal, 81(4), 871–878.
2.
AusserhoferD.ZanderB.BusseR.SchubertM.De GeestS.RaffertyA. M.BallJ.ScottA.KinnunenJ.HeinenM.SjetneI. S.Moreno-CasbasT.KózkaM.LindqvistR.DiomidousM.BruyneelL.SermeusW.AikenL. H.SchwendimannR.ConsortiumR. C. (2014). Prevalence, patterns and predictors of nursing care left undone in European hospitals: Results from the multicountry cross-sectional RN4CAST study. BMJ Quality & Safety, 23(2), 126–135. https://doi.org/10.1136/bmjqs-2013-002318
3.
BanduraA. (1986). Social foundations of thought and action: A social cognitive theory. Prentice-Hall, Inc.
4.
CampagnaS.ClariM.DelfinoC.RolfoM.RizzoA.BerchiallaP.FerreroA. (2020). Impact of a preoperative video-based educational intervention on postoperative outcomes in elective major abdominal surgery: A randomized controlled trial. Journal of Gastrointestinal Surgery, 24(10), v2295–2297. https://doi.org/10.1007/s11605-020-04667-7
5.
ClearyP. D.McNeilB. J. (1988). Patient satisfaction as an indicator of quality care. Inquiry, 25(1), 25–36.
6.
CornettS. (2009). Assessing and addressing health literacy. Online Journal of Issues in Nursing, 14(3), 1–18.
7.
de BelvisA. G.FerreF.SpecchiaM. L.ValerioL.FattoreG.RicciardiW. (2012). The financial crisis in Italy: Implications for the healthcare sector. Health Policy, 106(1), 10–16. https://doi.org/10.1016/j.healthpol.2012.04.003
8.
DennyM. C.VahidyF.VuK. Y.SharriefA. Z.SavitzS. I. (2017). Video-based educational intervention associated with improved stroke literacy, self-efficacy, and patient satisfaction. PLoS One, 12(3), e0171952. https://doi.org/10.1371/journal.pone.0171952
9.
EngelK. G.HeislerM.SmithD. M.RobinsonC. H.FormanJ. H.UbelP. A. (2009). Patient comprehension of emergency department care and instructions: Are patients aware of when they do not understand?Annals of Emergency Medicine, 53(4), 454–461. https://doi.org/10.1016/j.annemergmed.2008.05.016
10.
GoubertL.TrompetterH. (2017). Towards a science and practice of resilience in the face of pain. European Journal of Pain, 21(8), 1301–1315. https://doi.org/10.1002/ejp.1062
11.
GravesK. D. (2003). Social cognitive theory and cancer patients' quality of life: A meta-analysis of psychosocial intervention components. Health Psychology, 22(2), 210–219.
12.
GriffeyR. T.ShinN.JonesS.AginamN.GrossM.KinsellaY.WilliamsJ. A.CarpenterC. R.GoodmanM.KaphingstK. A. (2015). The impact of teach-back on comprehension of discharge instructions and satisfaction among emergency patients with limited health literacy: A randomized, controlled study. Journal of Communication in Healthcare, 8(1), 10–21. https://doi.org/10.1179/1753807615y.0000000001
13.
HershL.SalzmanB.SnydermanD. (2015). Health literacy in primary care practice. American Family Physician, 92(2), 118–124.
14.
HornS. R.CharneyD. S.FederA. (2016). Understanding resilience: New approaches for preventing and treating PTSD. Experimental Neurology, 284(Pt B), 119–132. https://doi.org/10.1016/j.expneurol.2016.07.002
JohanssonK.SalanteraS.KatajistoJ. (2007). Empowering orthopaedic patients through preadmission education: Results from a clinical study. Patient Education and Counseling, 66(1), 84–91. https://doi.org/10.1016/j.pec.2006.10.011
18.
KellyP. A.HaidetP. (2007). Physician overestimation of patient literacy: A potential source of health care disparities. Patient Education and Counseling, 66(1), 119–122. https://doi.org/10.1016/j.pec.2006.10.007
19.
KoutoukidisG.StaintonK.HughsonJ. (2016). Tabbner's nursing care: Theory and practice: Elsevier Health Sciences.
20.
KrepsG. L. (2018). Promoting patient comprehension of relevant health information. Israel Journal of Health Policy Research, 7(1), 56. https://doi.org/10.1186/s13584-018-0250-z
21.
LaudadioA.MazzocchettiL.PérezF. J. F. (2014). Valutare la resilienza: teorie, modelli e strumenti. Carocci Editore.
22.
LinnA. J.van DijkL.van WeertJ. C. M.GebeyehuB. G.van BodegravenA. A.SmitE. G. (2018). Creating a synergy effect: A cluster randomized controlled trial testing the effect of a tailored multimedia intervention on patient outcomes. Patient Education and Counseling, 101(8), 1419–1426. https://doi.org/10.1016/j.pec.2018.03.017
23.
LoS. F.WangY. T.WuL. Y.HsuM. Y.ChangS. C.HayterM. (2010). A cost-effectiveness analysis of a multimedia learning education program for stoma patients. Journal of Clinical Nursing, 19(13–14), 1844–1854. https://doi.org/10.1111/j.1365-2702.2009.02931.x
24.
LorieA.ReineroD. A.PhillipsM.ZhangL.RiessH. (2017). Culture and nonverbal expressions of empathy in clinical settings: A systematic review. Patient Education and Counseling, 100(3), 411–424. https://doi.org/10.1016/j.pec.2016.09.018
25.
McDonaldS.PageM. J.BeringerK.WasiakJ.SprowsonA. (2014). Preoperative education for hip or knee replacement. The Cochrane Database of Systematic Reviews, 5, CD003526. https://doi.org/10.1002/14651858.CD003526.pub3
26.
McGaugheyI. (2004). Informed consent and knee arthroscopies: An evaluation of patient understanding and satisfaction. The Knee, 11(3), 237–242.
27.
MeighanM. M. (2018). Stroke education video does not affect patient satisfaction scores: A system analysis. The Journal of Neuroscience Nursing, 50(4), 233–237. https://doi.org/10.1097/jnn.0000000000000383
28.
PaleseA.AmbrosiE.ProsperiL.GuarnierA.BarelliP.ZambiasiP.AllegriniE.BazoliL.CassonP.MarinM.PadovanM.PicognaM.TaddiaP.SalmosaD.ChiariP.MarognolliO.CanzanF.GonellaS.SaianiL. (2015). Missed nursing care and predicting factors in the Italian medical care setting. Internal Emergency Medicine, 10(6), 693–702. https://doi.org/10.1007/s11739-015-1232-6
29.
PaleseA.GonellaS.FontaniveA.GuarnierA.BarelliP.ZambiasiP.AllegriniE.BazoliL.CassonP.MarinM.PadovanM.PicognaM.TaddiaP.SalmasoD.ChiariP.FrizonT.MarognolliO.CanzanF.AmbrosiE., . . . ESAMED Group. (2017). The degree of satisfaction of in-hospital medical patients with nursing care and predictors of dissatisfaction: Findings from a secondary analysis. Scandinavian Journal of Caring Sciences, 31(4), 768–778. https://doi.org/10.1111/scs.12396
RogersE. S.WallaceL. S.WeissB. D. (2006). Misperceptions of medical understanding in low-literacy patients: Implications for cancer prevention. Cancer Control, 13(3), 225–229. https://doi.org/10.1177/107327480601300311
32.
RoncoM.IonaL.FabbroC.BulfoneG.PaleseA. (2012). Patient education outcomes in surgery: A systematic review from 2004 to 2010. International Journal of Evidence-Based Healthcare, 10(4), 309–323. https://doi.org/10.1111/j.1744-1609.2012.00286.x
33.
RoseJ.WeiserT. G.HiderP.WilsonL.GruenR. L.BicklerS. W. (2015). Estimated need for surgery worldwide based on prevalence of diseases: A modelling strategy for the WHO Global Health Estimate. The Lancet Global Health, 3(Suppl 2), S13–20. https://doi.org/10.1016/S2214-109X(15)70087-2
34.
SafeerR. S.KeenanJ. (2005). Health literacy: The gap between physicians and patients. American Family Physician, 72(3), 463–468.
35.
ShanL.LiY.DingD.WuQ.LiuC.JiaoM.HaoY.HanY.GaoL.HaoJ.WangL.XuW.RenJ. (2016). Patient satisfaction with hospital inpatient care: Effects of trust, medical insurance and perceived quality of care. PLoS One, 11(10), e0164366. https://doi.org/10.1371/journal.pone.0164366
36.
SlaterB. A.HuangY.DalawariP. (2017). The impact of teach-back method on retention of key domains of emergency department discharge instructions. Journal of Emergency Medicine, 53(5), e59–e65. https://doi.org/10.1016/j.jemermed.2017.06.032
37.
TeamR. C. (Producer). (2017). R: A language and environment for statistical computing. R Foundation for Statistical Computing.
38.
TokishJ. M.KissenberthM. J.TolanS. J.SalimT. I.TadlockJ.KellamT.LongC. D.CrawfordA.LonerganK. T.HawkinsR. J.ShanleyE. (2017). Resilience correlates with outcomes after total shoulder arthroplasty. Journal of Shoulder and Elbow Surgery, 26(5), 752–756. https://doi.org/10.1016/j.jse.2016.12.070
39.
TuongW.LarsenE. R.ArmstrongA. W. (2014). Videos to influence: A systematic review of effectiveness of video-based education in modifying health behaviors. Journal of Behavioral Medicine, 37(2), 218–233. https://doi.org/10.1007/s10865-012-9480-7
40.
van EckC. F.ToorA.BanffyM. B.GambardellaR. A. (2018). Web-based education prior to outpatient orthopaedic surgery enhances early patient satisfaction scores: A prospective randomized controlled study. Orthopaedic Journal of Sports Medicine, 6(1), 1–13. https://doi.org/10.1177/2325967117751418
41.
WeiserT. G.RegenbogenS. E.ThompsonK. D.HaynesA. B.LipsitzS. R.BerryW. R.GawandeA. A. (2008). An estimation of the global volume of surgery: A modelling strategy based on available data. The Lancet, 372(9633), 139–144. https://doi.org/10.1016/S0140-6736(08)60878-8
42.
WoffordJ. L.SmithE. D.MillerD. P. (2005). The multimedia computer for office-based patient education: A systematic review. Patient Education and Counseling, 59(2), 148–157. https://doi.org/10.1016/j.pec.2004.10.011
43.
ZoggC. K.OttesenT. D.KebaishK. J.GalivancheA.MurthyS.ChangoorN. R.ZoggD. L.PawlikT. M.HaiderA. H. (2018). The cost of complications following major resection of malignant neoplasia. Journal of Gastrointestinal Surgery, 22(11), 1976–1986. https://doi.org/10.1007/s11605-018-3850-6
Supplementary Material
Please find the following supplemental material available below.
For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.
For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.
