Elizabeth A Paton1, Sharon K Davis2, Nan Gaylord3, Xueyuan Cao4, Ankush Gosain5. 1. Department of Acute and Tertiary Care, College of Nursing, Le Bonheur Children's Hospital, University of Tennessee Health Science Center, 49 North Dunlap, 2nd Floor, Memphis, TN, 38105, USA. epaton@uthsc.edu. 2. College of Nursing, University of Tennessee, Room 241, 1200 Volunteer Blvd, Knoxville, TN, 37996, USA. 3. College of Nursing, University of Tennessee, Room 335, 1200 Volunteer Blvd, Knoxville, TN, 37996, USA. 4. Department of Acute and Tertiary Care, College of Nursing, University of Tennessee Health Science Center, 920 Madison Avenue, Memphis, TN, 38163, USA. 5. Department of Surgery and Pediatrics, Children's Foundation Research Institute, Le Bonheur Children's Hospital, University of Tennessee Health Sciences Center, 49 North Dunlap, Suite 266, Memphis, TN, 38105, USA.
Abstract
PURPOSE: Before performing a surgical procedure, informed consent (IC) is obtained. Parents may exhibit anxiety and/or a desire for more knowledge during the IC process for their child. The purpose of this study was to measure the impact of a multimedia intervention (MMI) versus conventional discussion on parental understanding and anxiety during the IC process for infants undergoing surgery for hypertrophic pyloric stenosis. METHODS: A time-interrupted series design was employed over a 9-month period. In the first phase, conventional discussion for IC was performed. In the second phase, a MMI was utilized. In both phases, anxiety scores and post-consent knowledge tests were collected. RESULTS: 31 participants were included in the study, 17 in the conventional consent and 14 in the MMI phase. Parental anxiety around the IC discussion was measured. There was a significant decrease in anxiety noted with use of the MMI (p = 0.046) but no significant difference in knowledge (p = 0.84). CONCLUSION: The MMI significantly reduced parental anxiety during the IC process. Providers may consider applying this type of MMI to other surgical procedures. Securing IC in a manner that improves knowledge and decreases anxiety may improve long-term understanding and parental satisfaction with the health care process.
PURPOSE: Before performing a surgical procedure, informed consent (IC) is obtained. Parents may exhibit anxiety and/or a desire for more knowledge during the IC process for their child. The purpose of this study was to measure the impact of a multimedia intervention (MMI) versus conventional discussion on parental understanding and anxiety during the IC process for infants undergoing surgery for hypertrophic pyloric stenosis. METHODS: A time-interrupted series design was employed over a 9-month period. In the first phase, conventional discussion for IC was performed. In the second phase, a MMI was utilized. In both phases, anxiety scores and post-consent knowledge tests were collected. RESULTS: 31 participants were included in the study, 17 in the conventional consent and 14 in the MMI phase. Parental anxiety around the IC discussion was measured. There was a significant decrease in anxiety noted with use of the MMI (p = 0.046) but no significant difference in knowledge (p = 0.84). CONCLUSION: The MMI significantly reduced parental anxiety during the IC process. Providers may consider applying this type of MMI to other surgical procedures. Securing IC in a manner that improves knowledge and decreases anxiety may improve long-term understanding and parental satisfaction with the health care process.
Authors: Elizabeth A H Wilson; Gregory Makoul; Elizabeth A Bojarski; Stacy Cooper Bailey; Katherine R Waite; David N Rapp; David W Baker; Michael S Wolf Journal: Patient Educ Couns Date: 2012-07-04
Authors: Eric H Rosenfeld; Monica E Lopez; Yangyang R Yu; Caitlin A Justus; Matthew M Borges; Rincy C Mathai; Aleena Karediya; Wei Zhang; Mary L Brandt Journal: Am J Surg Date: 2018-07-24 Impact factor: 2.565