Abstract
Does a perioperative decision aid tool help increase patient and nursing staff engagement? Background: Rapid reductions in healthcare reimbursement caused by the value-based care movement have healthcare organizations searching for methods to shoulder the responsibility of improving patient outcomes. Involving the patient as a key component in their care is mentioned in both the IOM's Six Aims for Improvement (2001) and the IHI's Triple Aim. Further research provides support to suggest increased patient engagement is capable of translating into many positive dividends for both the organization and the patient. Methods: Using shared decision making principles, a perioperative education decision aid (POE-DA) was designed and implemented for two months with preoperative patients in a mid-sized Midwest hospital. The tool was designed to increase patient engagement and participation with the hospital-prescribed online education modules. To evaluate the POE-DA, thoughts and attitudes of nurses were gathered pre and post implementation via an online Qualtrics survey. Findings: Preliminary findings indicate the practice change was difficult to implement. Only one patient in two months returned to the PAT visit with their ticket in hand. Twenty-five members of the nursing staff completed the pre-survey. While 56% (n=14) of the nursing staff indicated they discussed the online education modules with patients as part of their preoperative appointment less than half of the sample (40%; n=9) answered they were definitely or probably confident explaining benefits associated with the online modules. Post-survey results are currently under analysis to determine nursing staff feedback about the POE-DA implementation. Discussion: Preliminary results indicate an opportunity to influence patient initiation rates by bridging the gap between the staff (40%; n=9) who do not currently discuss the importance of the online education modules with their patients.
Sigma Membership
Lambda Epsilon
Lead Author Affiliation
University of Indianapolis, Indianapolis, Indiana, USA
Type
Poster
Format Type
Text-based Document
Study Design/Type
Quasi-Experimental Study, Other
Research Approach
Mixed/Multi Method Research
Keywords:
Shared Decision Making, Empowerment, Engagement, Pre-operative, Surgical Patient, Education, Online Education
Recommended Citation
Morris, Toni, "Does a perioperative decision aid tool help increase patient and staff engagement?" (2019). General Submissions: Presenations (Oral and Poster). 159.
https://www.sigmarepository.org/gen_sub_presentations/2018/posters/159
Conference Name
Unknown
Conference Host
University of Washington
Conference Location
Linnwood, Washington USA
Conference Year
2018
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Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Self-submission
Does a perioperative decision aid tool help increase patient and staff engagement?
Linnwood, Washington USA
Does a perioperative decision aid tool help increase patient and nursing staff engagement? Background: Rapid reductions in healthcare reimbursement caused by the value-based care movement have healthcare organizations searching for methods to shoulder the responsibility of improving patient outcomes. Involving the patient as a key component in their care is mentioned in both the IOM's Six Aims for Improvement (2001) and the IHI's Triple Aim. Further research provides support to suggest increased patient engagement is capable of translating into many positive dividends for both the organization and the patient. Methods: Using shared decision making principles, a perioperative education decision aid (POE-DA) was designed and implemented for two months with preoperative patients in a mid-sized Midwest hospital. The tool was designed to increase patient engagement and participation with the hospital-prescribed online education modules. To evaluate the POE-DA, thoughts and attitudes of nurses were gathered pre and post implementation via an online Qualtrics survey. Findings: Preliminary findings indicate the practice change was difficult to implement. Only one patient in two months returned to the PAT visit with their ticket in hand. Twenty-five members of the nursing staff completed the pre-survey. While 56% (n=14) of the nursing staff indicated they discussed the online education modules with patients as part of their preoperative appointment less than half of the sample (40%; n=9) answered they were definitely or probably confident explaining benefits associated with the online modules. Post-survey results are currently under analysis to determine nursing staff feedback about the POE-DA implementation. Discussion: Preliminary results indicate an opportunity to influence patient initiation rates by bridging the gap between the staff (40%; n=9) who do not currently discuss the importance of the online education modules with their patients.