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Show Improving Prenatal Spina Bifida Education through an Educational Video Tool Laura Holden RN, BSN, FNP-DNP Student, Jennifer Hamilton, APRN, DNP, CPNP-PC & Paula Peterson, RN, MS, PNP Key Findings: The purpose of this DNP project was to improve parental understanding and comfort to care for their child with Spina Bifida by offering an educational video tool . Background Where would you prefer to access an educational video specifically about caring for a child with Spina Bifida Number of Responses- Multiple Responses Allowed, 16 • Spina bifida (SB) is a neural tube defect that occurs surveyed, 11 responses during the first month of development of the fetus. • Upon ultrasound concern for SB, parents typically DVD handed out at Prenatal Visit 4 attend a prenatal visit to discuss their child’s likely prognosis and what care their child with SB may Local Spina Bifida Website 7 need. YouTube link provided at Prenatal 10 • At an urban pediatric hospital, SB providers also Visit provide the parents with a binder of educational 0 2 4 6 8 10 material. • Through informal feedback from parents of children with SB and local SB providers, it has been found that parents are unable to retain important education from this prenatal visit. Methods • We collected 16 Needs Assessment Surveys, 11 were complete. The following results were found: • The most frequent qualitative themes were to improve education regarding urinary tract infections, bowel management, early intervention and normalcy of SB children. These themes were thus emphasized in the educational video tool. • The majority parents preferred YouTube as the 12 manner used to distribute the educational tool • In our pilot program of the educational tool, we had one prenatal phase parent and one postnatal phase parent respond to the Pre-Intervention and PostIntervention Survey. We found that our audio visual educational tool did clinically retain parental understanding and improve comfort to care for their children in this phase of our project. Conclusions Pre-Intervention vs Post-Intervention in Pilot Program Prenatal Phase Participant Overall Understanding of SB Prenatal Phase Participant Overall Comfort to Care for SB Postnatal Phase Participant Overall Understanding of SB Pre-Intervention Strongly Agree Agree Neither Disagree or Agree Disagree Postnatal Phase Participant Overall Comfort to Care for SB Strongly Disagree • The educational video tool was designed to reflect the written educational binder used at a local pediatric hospital. The tool was 24 minute video produced in a PowerPoint format with voice over. • To assess the impact of our educational intervention, we chose to use the following tools: • A Needs Assessment Survey: designed to help tailor the development of the educational tool regarding specific topics previous parents felt they needed further education. • Our pilot program: A Pre-Intervention Survey, viewing the educational video tool on YouTube, and then a Post-Intervention Survey. The surveys directly compare (via Likert scale) if parents thought the tool improved their understanding and comfort to care for their child. Results • Our project demonstrated: • An educational video tool was indeed desired by parents and promises to be an effective tool to disseminate information to parents expecting a child with SB. • In our pilot program, by providing an additional source of information in a new format, parental understanding was reinforced and parents had an improved comfort to care for their child. • Furthermore, our project confirmed the additional need for dedicated research and publication regarding the education of families of children with congenital defects. Post-Intervention COLLEGE OF NURSING |
