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Patients' and Care Providers' Perceptions of Television-Based Education in the Intensive Care Unit
Melissa L Thompson Bastin1, Grant Tyler Short2, Aaron M Cook2
1Melissa L. Thompson Bastin and Alexander H. Flannery are critical care pharmacists in the pulmonary and medical intensive care unit, Department of Pharmacy Services, University of Kentucky HealthCare, and assistant professors of pharmacy, Department of Pharmacy Practice and Science, University of Kentucky College of Pharmacy, Lexington, Kentucky. Grant Tyler Short is a pharmacy resident (postgraduate year 2), Department of Pharmacy Services, University of Kentucky Health-Care. Aaron M. Cook is the clinical coordinator for neuroscience and pulmonary/critical care, Department of Pharmacy Services, University of Kentucky HealthCare, and an associate professor of Pharmacy, Department of Pharmacy Practice and Science, University of Kentucky College of Pharmacy. Katie Rust is an intensive care nurse in the pulmonary and medical intensive care unit, University of Kentucky HealthCare, and a doctoral student, University of Kentucky College of Nursing, Lexington, Kentucky. mlthompson@uky.edu.
Background:
Delivery of patient education materials to promote health literacy is a vital component of patient-centered care, which improves patients' decision-making, reduces patients' anxiety, and improves clinical outcomes.
Objectives:
To evaluate perceptions of television-based patient education among patients, caregivers, nurses, and other care providers (attending physicians, advanced practice nurses, physician assistants, and resident fellows) in the intensive care unit.
Methods:
A Likert-scale survey of the perceptions of patients, caregivers, nurses, and other care providers in the medical and cardiovascular intensive care units of a large academic medical center. Perceptions of the effects of television-based education on anxiety, knowledge, and health-related decision-making were assessed.
Results:
A total of 188 participants completed the survey. Among them, 75% of nurses and 76% of other providers agreed or strongly agreed that television-based education improved patients' and caregivers' knowledge (P = .95). More nurses (47%) than other providers (29%) agreed that television-based education would lead to more informed health decisions by patients (P = .04). Patients and caregivers are 23 times more likely than providers to strongly agree that television-based education reduces anxiety, and they are more optimistic regarding the benefits of television-based education (relative risk ratio 23.47; 95% CI 9.75-56.45; P < .001).
Conclusion:
Patients and caregivers strongly suggested that television is a useful tool for providing health literacy education in an intensive care unit.