Authors (including presenting author) :
Kwan KY, Leung YW, Fung HY, Yue CS, Chung TS, Ngan PL, Ng YB
Affiliation :
Department of Medicine and Geriatrics, United Christian Hospital
Introduction :
Information technology (IT) -based innovations improve health promotion and create more efficient and effective healthcare delivery systems.
“SMART” is an IT-based project launched in Cardiology Nurse Clinic - Pre-operative Assessment (CNPA) since 2018. CNPA provides nurse-led assessment for over 650 patients prior to cardiac interventions annually. It comprises, i) initial assessment with laboratory tests and electrocardiogram, ii) health education session, and iii) individual interview with clients and relatives. In 2018, the health education session was modified from 1-hour group talk to introductory videos demonstrated on tablet pc. Starting from 2019, use of QR code facilitates video preview prior to consultation and sharing among clients’ family.
Objectives :
To review the effectiveness of SMART in CNPA.
Methodology :
Client satisfaction survey was conducted in October and November 2019, incorporating with knowledge assessment with 4 close-ended questions to evaluate clients’ knowledge: i) necessity of fasting on day of cardiac intervention, ii) need of shaving prior to cardiac catheterization/ percutaneous coronary intervention, iii) duration of use of dual anti-platelet after drug eluting stent implantation, and iv) storage of glyceryl trinitrate.
Result & Outcome :
All clinic attendees (n=108) were invited for the client satisfaction survey with 95% response rate (5% being illiterate). 98% clients agreed that the introductory video clearly disseminated relevant information about cardiac interventions.
QR code facilitates video sharing and education. Over 97% clients agreed that preview of video could effectively minimise consultation time. 73.8% clients had video preview prior to consultation. Clients could watch the video at their convenience, rather than watching at crowded and noisy corridor in clinic. It is worth noticing that 92.1% clients shared the video with their family, whom could not attend the clinic. Health promotion and disease management were expedited among clients and family.
In the knowledge assessment, 86.4% clients scored all correct, revealing that video effectively aided in clients’ understanding of cardiac interventional procedures.
IT transforms healthcare in new era, allowing more effective exchange of information. During the ongoing pandemic of COVID-19, simple utilization of SMART in Cardiology Nurse Clinic allows shortening of consultation time without health knowledge being compromised. More cases can be catered in Cardiology Nurse Clinic for the time conserved.
