Miss Kylie Draper1,2, Professor David Greenfield2, Doctor Indu Nair1
1Sydney Local Health District, , Australia, 2The University of Tasmania, , Australia
BACKGROUND: Inter-hospital transfers facilitate optimal continuity of care however, no standardised education existed within our acute-care and rehabilitation facilities. Patient feedback identified a gap in service delivery indicating a lack of information provided prior to hospital transfer resulting in a negative association to experience and recovery.
METHODS: A quantitative randomised case-controlled study was conducted at a quaternary acute-care hospital for patients identified for inpatient rehabilitation at a secondary facility. “Rehab Vision” was developed by staff with consumer engagement: a seven-minute educational video portraying the rehabilitation hospital. Participants included adult inpatients (18-100years) referred for inpatient rehabilitation. Those with cognitive impairment or inability to comprehend English were excluded. All participants completed a baseline questionnaire evaluating their understanding of the inpatient rehabilitation process. Participants in the treatment group were shown “Rehab Vision” and completed a post-video questionnaire.
RESULTS: Twenty-one patients (10 male; 11 female) (8 treatment; 12 control; 1 did not consent) were eligible to participate. The majority (40%) were admitted from an orthopaedic ward, corresponding with the finding of orthopaedic conditions as the primary diagnosis for 52% of participants. The mean age for all participants was 71years (range 84-27years). Mean age for the treatment group was 73years (range 64-52years). Improvements in patient knowledge and understanding were observed across all questions following the provision of “Rehab Vision”. Furthermore, following the provision of “Rehab Vision” a statistically significant improvement was identified for participant reaction (p=.001) and knowledge of rehabilitation (p=.003), with all patients reporting an overall positive response. Findings confirmed the positive impact of adequate education to utilise patient engagement along with the benefits of standardised communication to improve handover.
CONCLUSION: “Rehab Vision” is an effective tool to improve patient knowledge and understanding of inpatient rehabilitation. As a result, “Rehab Vision” will be implemented as part of standardised care and widely distributed to staff and consumers.
ACKNOWLEDGEMENTS: Sandeep Gupta, Kiel Harvey, Jane Linton, Michael Morris and John Sheehy.
Kylie is a speech pathologist currently working at Balmain Hospital within rehabilitation and sub-acute aged care. Kylie also has a variety of clinical experience in acute and outpatient settings. She has additionally been involved in clinical supervision and training of both undergraduate and post graduate speech pathology students. Kylie has completed a Bachelor of Health Sciences (Hearing and Speech) at The University of Sydney and Bachelor of Health Sciences (Speech Pathology) at Charles Sturt University. She was also successful in receiving a Sydney Local Health District Scholarship to complete a Masters of Health Service Management through The University of Tasmania.