Video discharge instructions for pediatric gastroenteritis in an emergency department: a randomized, controlled trial

Jové-Blanco, Ana; Solís-García, Gonzalo; Torres-Soblechero, Laura; Escobar-Castellanos, María; Mora-Capín, Andrea; García, Arístides Rivas; Castro-Rodríguez, Cristina; Marañón, Rafael

doi:10.1007/s00431-020-03827-w

Cited by 12 publications

(12 citation statements)

References 22 publications

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“…The results of this study are in line with research on video-based discharge planning instructions for pediatric gastroenteritis in the emergency department, the results show that when families receive video discharge instructions, the level of knowledge and skills of families caring for patients in hospitals increases compared to caregivers who only receive verbal instructions (Jové-Blanco et al, 2021;Suwardianto & Astuti, 2020;. These results are consistent with those obtained by Redzuan et al (2013) where the addition of video instructions about the response to diseases experienced by patients such as fever and headaches increased family knowledge after returning home.…”

Section: Discussionsupporting

confidence: 82%

The Effect Of Discharge Planning Combines Audiovisual With The Family Centered Nursing Preparedness Caring For Acute Post Stroke Patients

2022

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Background: The low level of family readiness in caring patients at home was caused by limited implementation of discharge planning (DP) when entered the hospital (EH) or before leaved the hospital (LH), This intervention has an impact on improving nursing services. Methods: This study was mixed method study, the first stage used qualitative research with exploratory descriptive approach to 5 participants at RSI Sakinah. The population was families of post ASP at Sakinah Hospital were divided into the intervention group (33) and control (33) patient, using consecutive sampling sample selection by specifying subjects who meet the research criteria are included in the study for a certain period of time, so that the number of respondents can be met. The independent variable was CADP. The dependent variable was FR to care post ASP. Data were collected using a modified FR questionnaire and analysed using Kolmogorov Smirnov, Wilcoxon sign rank, Mann Whitney. Results: The first phase of the study produced a CADP module for families of stroke patients, the second phase based on the Wilcoxon sign rank test showed that there was an effect after the intervention and Mann Whitney test showed the difference significant mean between intervention and control during EH (0.000; 0.000), during treatment (0.000;0.000), before LH (0.000;0.000). Conclusion: The CADP module and intervention increased FR to care ASP patients during EH, treatment and LH so they can be used as guides and media in providing DP education in hospitals for patients' families.

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Section: Discussionsupporting

confidence: 82%

The Effect Of Discharge Planning Combines Audiovisual With The Family Centered Nursing Preparedness Caring For Acute Post Stroke Patients

2022

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“…Overall, the methodological quality of the studies varied: 30% (11/37) of the studies met ≤60% of the criteria outlined by the MMAT (lower methodological quality), and 70% (26/37) of the studies met >60% of the criteria (higher methodological quality) [ 26 ]. Reviewers’ ratings for each methodological quality criterion are presented in Multimedia Appendix 2 [ 28 - 33 , 35 - 39 , 41 - 46 , 49 - 51 , 54 - 66 , 68 , 73 , 74 , 76 ].…”

Section: Resultsmentioning

confidence: 99%

“…Text message interventions were more likely to be measured on behavioral outcomes (eg, compliance with medication regime and follow-up appointment with primary care), whereas studies of video-based EDCTs typically used knowledge acquisition–related measures. A randomized controlled trial by Jové-Blanco et al [ 46 ] comparing video discharge instructions and standard verbal instructions for gastroenteritis showed that 49% of the intervention group and 18.6% of the control group answered all knowledge acquisition questions correctly ( P <.001) [ 48 ]. However, EDCTs with greater technological sophistication do not always produce better knowledge outcomes.…”

Section: Resultsmentioning

confidence: 99%

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Electronic Discharge Communication Tools Used in Pediatric Emergency Departments: Systematic Review

Wozney¹,

Curran²,

Archambault³

et al. 2022

JMIR Pediatr Parent

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Background Electronic discharge communication tools (EDCTs) are increasingly common in pediatric emergency departments (EDs). These tools have been shown to improve patient-centered communication, support postdischarge care at home, and reduce unnecessary return visits to the ED. Objective This study aimed to map and assess the evidence base for EDCTs used in pediatric EDs according to their functionalities, intended purpose, implementation context features, and outcomes. Methods A systematic review was conducted following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) procedures for identification, screening, and eligibility. A total of 7 databases (EBSCO, MEDLINE, CINAHL, PsycINFO, EMBASE Scopus, and Web of Science) were searched for studies published between 1989 and 2021. Studies evaluating discharge communication–related outcomes using electronic tools (eg, text messages, videos, and kiosks) in pediatric EDs were included. In all, 2 researchers independently assessed the eligibility. Extracted data related to study identification, methodology, settings and demographics, intervention features, outcome implementation features, and practice, policy, and research implications. The Mixed Method Appraisal Tool was used to assess methodological quality. The synthesis of results involved structured tabulation, vote counting, recoding into common metrics, inductive thematic analysis, descriptive statistics, and heat mapping. Results In total, 231 full-text articles and abstracts were screened for review inclusion with 49 reports (representing 55 unique tools) included. In all, 70% (26/37) of the studies met at least three of five Mixed Method Appraisal Tool criteria. The most common EDCTs were videos, text messages, kiosks, and phone calls. The time required to use the tools ranged from 120 seconds to 80 minutes. The EDCTs were evaluated for numerous presenting conditions (eg, asthma, fracture, head injury, fever, and otitis media) that required a range of at-home care needs after the ED visit. The most frequently measured outcomes were knowledge acquisition, caregiver and patient beliefs and attitudes, and health service use. Unvalidated self-report measures were typically used for measurement. Health care provider satisfaction or system-level impacts were infrequently measured in studies. The directionality of primary outcomes pointed to positive effects for the primary measure (44/55, 80%) or no significant difference (10/55, 18%). Only one study reported negative findings, with an increase in return visits to the ED after receiving the intervention compared with the control group. Conclusions This review is the first to map the broad literature of EDCTs used in pediatric EDs. The findings suggest a promising evidence base, demonstrating that EDCTs have been successfully integrated across clinical contexts and deployed via diverse technological modalities. Although caregiver and patient satisfaction with EDCTs is high, future research should use robust trials using consistent measures of communication quality, clinician experience, cost-effectiveness, and health service use to accumulate evidence regarding these outcomes. Trial Registration PROSPERO CRD42020157500; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=157500

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“…It is of utmost importance that written discharge instructions, which often score poorly on assessments of understandability, be at an appropriate reading level 14 19. Finally, use of bedside communication adjuncts such as white boards20 and videos21 22 have also proven helpful.…”

Section: Discussionmentioning

confidence: 99%

Patient and clinician perceptions of the trauma and acute care surgery hospitalization discharge transition of care: a qualitative study

McFadden

Gosdin

Jurkovich

et al. 2022

Trauma Surg Acute Care Open

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ObjectivesTrauma and acute care surgery (TACS) patients face complex barriers associated with hospitalization discharge that hinder successful recovery. We sought to better understand the challenges in the discharge transition of care, which might suggest interventions that would optimize it.MethodsWe conducted a qualitative study of patient and clinician perceptions about the hospital discharge process at an urban level 1 trauma center. We performed semi-structured interviews that we recorded, transcribed, coded both deductively and inductively, and analyzed thematically. We enrolled patients and clinicians until we achieved data saturation.ResultsWe interviewed 10 patients and 10 clinicians. Most patients (70%) were male, and the mean age was 57±16 years. Clinicians included attending surgeons, residents, nurse practitioners, nurses, and case managers. Three themes emerged. (1) Communication (patient-clinician and clinician-clinician): clinicians understood that the discharge process malfunctions when communication with patients is not clear. Many patients discussed confusion about their discharge plan. Clinicians lamented that poorly written discharge summaries are an inadequate means of communication between inpatient and outpatient clinicians. (2) Discharge teaching and written instructions: patients appreciated discharge teaching but found written discharge instructions to be overwhelming and unhelpful. Clinicians preferred spending more time teaching patients and understood that written instructions contain too much jargon. (3) Outpatient care coordination: patients and clinicians identified difficulties with coordinating ongoing outpatient care. Both identified the patient’s primary care physician and insurance coverage as important determinants of the outpatient experience.ConclusionTACS patients face numerous challenges at hospitalization discharge. Clinicians struggle to effectively help their patients with this stressful transition. Future interventions should focus on improving communication with patients, active communication with a patient’s primary care physician, repurposing, and standardizing the discharge summary to serve primarily as a means of care coordination, and assisting the patient with navigating the transition.Level of evidenceIII—descriptive, exploratory study.

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Video discharge instructions for pediatric gastroenteritis in an emergency department: a randomized, controlled trial

Cited by 12 publications

References 22 publications

The Effect Of Discharge Planning Combines Audiovisual With The Family Centered Nursing Preparedness Caring For Acute Post Stroke Patients

The Effect Of Discharge Planning Combines Audiovisual With The Family Centered Nursing Preparedness Caring For Acute Post Stroke Patients

Electronic Discharge Communication Tools Used in Pediatric Emergency Departments: Systematic Review

Patient and clinician perceptions of the trauma and acute care surgery hospitalization discharge transition of care: a qualitative study

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