Implementation of iPads to Increase Compliance With Delivery of New Parent Education in the Mother-Baby Unit: Retrospective Study.
Implementation of iPads to Increase Compliance With Delivery of New Parent Education in the Mother-Baby Unit: Retrospective Study.
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DOI：
10.2196/18830
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发表时间：
2021-06-15
影响因子：
3.7
通讯作者：
Kennedy AB
中科院分区：
文献类型：
--
作者：
Pavuluri H;Grant A;Hartman A;Fowler L;Hudson J;Springhart P;Kennedy AB
虐待性头部创伤(AHT)是一个严重的健康问题，每年在美国影响3000多名婴儿。美国儿科学会和疾病控制和预防中心(CDC)建议医疗保健提供者就AHT的危险向新父母提供咨询。以前的研究表明，父母教育在减少AHT事件方面是有效的。南卡罗来纳州的法律要求医院为所有新父母提供观看关于AHT的教育视频的机会。在南卡罗来纳州一个大型医疗保健系统内的几个交付中心，这项任务以不同的方式得到解决，使用了从DVD播放器到移动工作站再到个人设备的一系列查看方法。频繁的技术障碍和工作流程效率低下导致几个校区对这项任务的遵从率很低。为了提高家长观看这一教育视频的合规性，医疗保健系统通过使用iPad进行家长教育，使所有校园的视频观看协议标准化。现有文献表明，通过使用平板电脑，可以在医院环境中改善患者教育，但我们的文献搜索发现，围绕分娩住院期间父母和照顾者的教育研究存在空白。我们使用基于iPad的家长教育交付协议的实施来评估平板电脑是否可以改善在医院环境下交付新的家长教育的合规性。这项研究的目的是评估标准化使用iPad在母婴单元提供教育是否会提高父母对观看关于AHT的教育视频的接受率。我们采访了医生和护士，以确定在南卡罗来纳州一个大型医疗保健系统的6个校园实施基于iPad的标准化协议之前，有哪些先前的协议适用于教育新父母。通过回顾6个校区的5231份记录，进行了一项回顾性研究，以确定母婴单元家长观看AHT教育视频的干预前后的遵从率。各站点的总体合规性(P<；.001)从平均41.93%(SD46.24)提高到99.73%(SD0.26)(φ=0.510)。在引入iPad干预措施后，多达6个地点中的4个地点的合规率大幅上升(P<；.001)。其余两个没有显着性差异的地点(P>；0.05)有非常高的干预前遵从率。在实施了基于iPad的标准化协议来提供新的家长教育后，在母婴单元观看关于AHT的教育视频的新父母的比例有了显著改善。基于这些结果，其他卫生保健提供者应该认为iPad是向母婴病房的家庭提供以医院为基础的教育的可行和有效的方法。
Abusive head trauma (AHT) is a serious health problem affecting more than 3000 infants annually in the United States. The American Academy of Pediatrics and the Centers for Disease Control and Prevention (CDC) recommend that health care providers counsel new parents about the dangers of AHT. Previous studies demonstrate that parental education is effective at reducing AHT events. South Carolina law requires hospitals to offer all new parents with the opportunity to watch an educational video about AHT. This mandate is addressed in different ways at the several delivery centers within a large South Carolina health care system with a range of viewing methods utilized, from DVD players to mobile workstations to personal devices. Frequent technical barriers and workflow inefficiencies resulted in low rates of compliance with this mandate at several campuses. To improve compliance of parent viewing of this educational video, the health care system standardized video viewing protocol across all campuses by implementing the use of iPads for parental education. Existing literature suggests that patient education can be improved in the hospital setting by utilizing tablet computers, but our literature search identified a gap in research around the education of parents and caregivers during hospitalization for childbirth. We used the implementation of an iPad-based parental education delivery protocol to evaluate whether tablet computers can improve compliance with delivering new parent education in the hospital setting. The objective of this study was to evaluate whether the standardized use of iPads to deliver education in the mother–baby unit resulted in improved rates of parents’ acceptance of the opportunity to view an educational video about AHT. We interviewed physicians and nurses to determine what previous protocols were in place to educate new parents before a standardized iPad-based protocol was implemented across 6 campuses of a large South Carolina health care system. A retrospective study was conducted by review of 5231 records from across the 6 campuses to determine the pre- and postintervention compliance rates of viewing the AHT educational video by parents in the mother–baby unit. Compliance increased overall (P<.001) across sites from an average of 41.93% (SD 46.24) to 99.73% (SD 0.26) (φ=0.510). As much as 4 of 6 locations saw a significant increase in compliance rates after introducing the iPad intervention (P<.001). The remaining 2 locations that showed no significant difference (P>.05) had very high rates of preintervention compliance. Following the implementation of a standardized iPad-based protocol to deliver new parent education, there was a significant improvement in the percentage of new parents who viewed an educational video about AHT in the mother–baby unit. Based on these results, other health care providers should consider iPads to be a feasible and effective method for delivering hospital-based education to families in the mother–baby unit.