Developing multimedia patient education of arteriovenous ...esdhweb.ucl.dk/330871.Multimedia patient education in AV fistula.pdf · Developing multimedia patient education of arteriovenous

Developing multimedia patient

education of arteriovenous fistula

(AVF) in Lohja hemodialysis unit(AVF) in Lohja hemodialysis unit

Pirjo Silvennoinen,Director of Nursing internal disease

5.11.2013

Contents

• Hemodialysis unit / Lohja hospital

• Developing project

• Dissemination process• Dissemination process

• Roles of the participants

• Learning experiences

• Discussion

Hemodialysis (HD) Unit/ Lohja Hospital

– Since 2007

– 30 patients , treatments 3 times a

week eachweek each

– Patients with end state of renal

disease

– 10 registered nurses (RN), head

nurse, secretary, nephrologist

Developing project

• Aim:

– To develop e-health in hemodialysis patient education by using multimedia during the treatment session

– Produce guiding material of how patients should – Produce guiding material of how patients should take care of their arteria-venous fistula (AVF)

• The developement work is a part of Pro Stars project which developes e-health services in patient care (2012-2013)

• A part of future international Five Stars project (2013-2016)

Dissemination process

1. Recognizing the need for change

2. Description of the present patient education

system in HD unit

3. Searching for knowledge

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3. Searching for knowledge

4. Manuscript preparation for the multimedia

presentation

5. Developing work continues in 2013

6. Evaluation of the new patient education system

in the future

Role of the nurses

• Continuous dialogue between the nurse and the

student

– evaluating the references and the produced

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– evaluating the references and the produced

knowledge

– modifying the interview questions

– helping in content analysis of the data

– evaluating the multimedia manuscript

Role of the student

• Information retrieval

– Interviewing the patients

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– Research & theoretical knowledge

• Analyzing the information / data

• Writing the manuscript for DVD

Role of the information specialist

• Guiding in information retrieval together

with the lecturer

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• Helping out with keywords and

databases

• Helping to evaluate relevant sources

Role of the lecturer

• Supporting the development process

through the student

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through the student

• Guiding the student, evaluating her

learning process and thesis

• Dialogue between the student, the nurse

and the information specialist

Mutual roles of the participants

Together

we are

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we are

moreWe all are

learners

Everyone

brings

something to

the group

Learning experiences

Nurse:

-learned a new way to develop one’s work

Student:

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Student:

- learned to apply theoretical knowledge into practise

-learned new skills in aseptic care of HD patient

Information specialist:

- gained understanding of authentic information needs

in multiprofessional teamwork

Discussion

• Important issues in cooperation:

– attitude

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– commitment

– resources

– participants’ informing

References

• Ahonen, O. , Blek-Vehkaluoto, M. ,Ekola, S., Partamies, S., Sulosaari, V. & Uski- Tallqvist, T. 2012. Kliininen hoitotyö. Sisätauteja, kirurgisia sairauksia ja syöpätauteja sairastavan hoito. Sanoma Pro Oy. Helsinki.

• Arenas,M.D., Sanchez-Paya, J., Barril, G., Garcia-Valdecasas, J., Gorriz, J.L., Soriano, A., Antolin, A., Lacueva, J., Garcia, S., Sirvent, A., Espinosa, M., & Angoso, M. 2005. A multicentric survey of the practice of hand hygiene in haemodialysis units: factors affecting compliance. Nephrol Dial Transplant 20, 1164-71.

• Association for Professionals in Infection Control (APIC). 2010. Guide to elimination of infections in dalysis.

12/11/2013

• Association for Professionals in Infection Control (APIC). 2010. Guide to elimination of infections in dalysis.

• Gilpin, V. & Nichols, W. 2010. Vascular access for hemodialysis: thrills and thrombosis. Journal of vascular nursing 28, 78–83.

• HUS - Experts at work. 2004. Libris Oy.

• Konner, K., Nonnast-Daniel, B. & Ritz, E. 2003. The Arteriovenous Fistula. J Am Soc Nephrol 14, 1669–1680.

• Kyngäs, H., Kääriäinen, M., Poskiparta, M., Johanssaon, K., Hirvonen, E. & Renfors, T. 2007. Ohjaaminen hoitotyössä. Prvoo. WSOY.

• Learning by developing (LbD) strategy. 2011. Laurea University of Applied Sciences (referred 21 March 2013). Available online at http://www.laurea.fi/en/information_on_Laurea/Strategy/Documents/Pedagogical_strategy_low_res_01092011.pdf

• McDonnell, E. 2002. Protecting a hemodialysis fistula. Nursing 11, 18.

• Parkkunen, N., Vertio, H. & Koskinen-Ollonkist, P. 2001. Terveysaineiston suunnittelun ja arvioinnin opas. Helsinki. Terveyden edistämisen laitos.

• Syrjälä, H. & Teirilä, I. 2010. Käsihygienia. Teoksessa Hoitoon liittyvien Infektioiden torjunta. Kuntaliitto

Thank you!Leena Tuominen, RN, MNSc, Clinical Nurse Specialist, Hospital District

of Helsinki and Uusimaa / Helsinki University Central Hospital

(HUCH) [email protected]

12/11/2013

(HUCH) [email protected]

Eeva-Liisa Alasjärvi, RN, Hospital District of Helsinki and Uusimaa /

HUCH eeva-liisa.alasjä[email protected]

Erja Huovila, Information specialist, M.A., Laurea University of Applied

Sciences [email protected]

Ros-Mari Eklund, RN, Hospital District of Helsinki and Uusimaa / Lohja

Hospital Area

[email protected]