Authors (including presenting author) :
CHEUNG WSJ, MAK HK, PANG HN, TSEUNG CHT, CHEUNG KK, CHOI CLJ, WONG KW, LEE MD, MAK KW, YUEN TY, WONG WY, WOO MC, CHANYYR
Affiliation :
Department of Medicine & Rehabilitation, Tung Wah Eastern Hospital
Introduction :
Effective patient admission is crucial for healthcare outcomes (Martins, 2024). Current 20-page pamphlets hinder comprehension due to their complexity. A trial demonstrated that caregivers receiving discharge information via video had greater knowledge and satisfaction than those with written instructions (Bloch & Bloch, 2013). To improve this process, an admission video with QR codes has been developed for efficient information delivery. This pilot study will compare the video method to traditional pamphlets during patient orientation, enhancing emotional connections and care planning.
Objectives :
- To develop admission video.
- To compare the effect of ward orientation methods in pamphlet versus video.
- To enhance patients and their relatives' understandings towards the information during admission with visual and auditory elements.
- To increase accessibility of the information regarding patient admission.
- To enhance patients and relatives’ satisfaction and engagement during the admission.
- To reduce staff workload in the repetitive patient orientation during admission.
Methodology :
A comprehensive video was developed to provide the essential information on patient admission, including hospital details and care instructions. This video was offered to patients and their relatives during admission, while the traditional pamphlet was still provided simultaneously.
Before the pilot project, nursing staff and ward clerks were briefed on the use of the admission video. During ward visiting hours, primary nurses or ward clerks assisted in displaying the video via ward iPads or television.
The effectiveness of each delivery method was assessed by a 5-point Likert scale questionnaire, accessible via a QR code attaching on the patient’s bedside table. Additionally, the effectiveness of the video on reduction of staff workload was evaluated through open- ended discussions and questionnaire.
Result & Outcome :
Results
The survey results reveal a clear superiority of the Admission Video over the Traditional Pamphlet. The video achieved high average scores (0 for strongly disagree & 5 for strongly agree) across all categories, particularly in content clarity (4.78) and design (4.84), while effectively addressing general considerations (4.56) and safety (4.66). In contrast, the pamphlet scored lower, particularly in understanding responsibilities of medical team (2.16) and reducing anxiety (2.19). Respondents overwhelmingly preferred the video, believing it could replace the pamphlet (4.81). These findings underscore the video’s effectiveness in enhancing patient understanding and engagement, suggesting its implementation as the primary orientation tool during admissions.
Conclusion
Transitioning to the video format is recommended to enhance patient and family understanding and improve their overall experience during hospitalization. This pilot study provided a strong implication of the study into a larger sample size. The scalability of the admission video to other ward within hospital will be furthered promoted. The long- term costs and benefits of the video versus pamphlets could also be explored.
