Abstract Details

Title The Effectiveness of Video Teaching of the Neurological Examination for Surgical and Neurosciences Nurses

Topic Research Methodology, �鶹��ýӳ��, and History

Presentation(s) P6 - Poster Session 6 (12:00 PM-1:00 PM)

Poster/Presentation
Number 13-001

Objective To determine if video instruction improves critical care nurses’ abilities to perform an effective bedside neurological examination.

Background Video instruction through smartphones and computers has transformed it into a useful and widespread learning tool. Video learning has been shown more effective for learners, and is viewed as beneficial because of the increased accessibility, leading to greater confidence and higher levels of learning motivation and satisfaction.

Design/Methods In this prospective, single center, IRB exempt study, neurosciences ICU registered nurses (RN) and general surgical ICU RNs were sequentially approached for study enrollment. All full-time bedside nurses were eligible. To establish a baseline, RNs performed an observed neurological exam on an ICU patient with a neurointensivist. The RN and neurointensivist both filled out surveys on the nurse’s ability to perform the neurological exam. Then, the RNs were randomly allocated to watching an instructional video on the neurological exam or no structured education. After one week, RNs were re-evaluated in the same manner of observation and follow up surveys. Student’s T tests were performed to compare differences in median survey scores in each group.

Results A total of 56 nurses were enrolled into the study. Eighteen were full-time neurosciences ICU nurses, 38 were full-time surgical ICU nurses. In the group of neurosciences ICU nurses, video instruction did not improve the neurointensivists’ evaluation of their neurological exams (p=0.75) or their own self-assessments (p=0.44). In the group of surgical ICU nurses, self-survey scores increased significantly in both the video (improved by 23 points, p<0.001) and non-video group (increased by 10 points, p=0.03). These improvements were based on a 100-point scale.

Conclusions Video learning helps to significantly increase learner confidence in performing the neurological examination in general surgical ICU nurses.

Authors/Disclosures
Thomas J. Williams, MD (UPMC) PRESENTER	Dr. Williams has nothing to disclose.
Brittany Lachance, MD (Chest Medicine Associates)	Dr. Lachance has nothing to disclose.
Yorghos Tripodis	Yorghos Tripodis has received personal compensation in the range of $5,000-$9,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for American Medical Association.
	No disclosure on file
	No disclosure on file
David M. Greer, MD, F�鶹��ýӳ�� (Boston University School of Medicine)	Dr. Greer has received personal compensation in the range of $10,000-$49,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Thieme, Inc. Dr. Greer has received personal compensation in the range of $5,000-$9,999 for serving as an Expert Witness for multiple. Dr. Greer has received publishing royalties from a publication relating to health care. Dr. Greer has received publishing royalties from a publication relating to health care. Dr. Greer has received publishing royalties from a publication relating to health care. Dr. Greer has a non-compensated relationship as a Treasurer-Elect with American Neurological Association that is relevant to �鶹��ýӳ�� interests or activities. Dr. Greer has a non-compensated relationship as a President with Neurocritical Care Society that is relevant to �鶹��ýӳ�� interests or activities.
Anna Marisa Cervantes-Arslanian, MD, F�鶹��ýӳ�� (BU Dept of Neurology)	Dr. Cervantes-Arslanian has nothing to disclose.
Courtney Takahashi, MD, F�鶹��ýӳ�� (John Muir Medical Center)	Dr. Takahashi has received personal compensation in the range of $0-$499 for serving as a Consultant for Pfizer . Dr. Takahashi has received personal compensation in the range of $0-$499 for serving as an officer or member of the Board of Directors for Insight Neuro LLC . Dr. Takahashi has received personal compensation in the range of $500-$4,999 for serving as an Expert Witness for Keches Law Group. Dr. Takahashi has received personal compensation in the range of $10,000-$49,999 for serving as an Expert Witness for Brain IDX . Dr. Takahashi has received personal compensation in the range of $10,000-$49,999 for serving as an Expert Witness for McGowan Law. Dr. Takahashi has received personal compensation in the range of $500-$4,999 for serving as a Employee, Founder with Tora Connections. Dr. Takahashi has a non-compensated relationship as a Committee Member with �鶹��ýӳ�� that is relevant to �鶹��ýӳ�� interests or activities.