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Fluid and electrolyte management: increasing the knowledge of House Officers using an interactive eLearning tool.

Freya Bakko1, Annabel Brown2, Micol Lupi3,4

  • 1Imperial College Healthcare NHS Trust, London, UK. Freya.bakko@nhs.net.

Irish Journal of Medical Science
|July 13, 2022
PubMed
Summary

An interactive eLearning tutorial significantly improved House Officers' knowledge and confidence in intravenous (IV) fluid and electrolyte prescribing. This low-cost intervention enhanced skills in managing fluid and electrolyte balance.

Keywords:
ElectrolytesFluidsMedical educationPostgraduate educationPrescribingeLearning

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Area of Science:

  • Medical Education
  • Digital Health Interventions
  • Clinical Skills Training

Background:

  • Interactive case-based tutorials are established methods for House Officer learning.
  • Limited research exists on optimizing these tutorials and their impact on clinical practice.

Purpose of the Study:

  • To evaluate an eLearning tutorial on intravenous (IV) fluid and electrolyte prescribing.
  • To assess improvements in House Officers' knowledge and confidence in fluid and electrolyte balance physiology and prescribing.

Main Methods:

  • An interactive eLearning module covering IV fluid and electrolyte prescribing was developed.
  • House Officers completed pre- and post-eLearning questionnaires and a feedback survey.
  • The study involved the 2019-2020 cohort nationwide.

Main Results:

  • A 22% increase in correct answers on knowledge tests was observed (75% pre- to 97% post-eLearning, p < 0.001).
  • Confidence in assessing and managing fluid requirements increased by 53%.
  • Confidence in managing electrolyte requirements increased by 57.1%.

Conclusions:

  • Interactive eLearning tutorials are effective, low-cost interventions for improving IV fluid prescribing skills.
  • The module significantly enhanced House Officers' knowledge and confidence in fluid and electrolyte management.