Embedding the Use of Patient Multimedia Educational Resources Into Cardiac Acute Care: Prospective Observational Study.
Anastasia Hutchinson, Damien Khaw, Annika Malmstrom-Zinkel and 4 others
PMID 39024556WHAT IT FOUND
Cardiac nurses used a bedside multimedia app mainly to give information about ICU and ward stay.
Pain records were rarely opened, and goals and exercise were not the main uses.
Key findings
01Across 343 usage sessions, ICU recovery information was accessed in 237 sessions, while the pain record was accessed in 20 sessions.
02Video and audio use were more likely during the COVID-19 restriction phase, but other material access and session length measures did not differ between phases.
03In-depth sessions were more likely than rapid view or content exploration sessions to access exercise, audio, and pain record content.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was done at a private hospital, so results may not apply to other services. It counted anonymous app sessions, not individual patients, and it did not measure recovery, understanding, safety, or patient participation outcomes. Only patients who used the app were included, so people who did not use it, or who could not use it because of illness, language, or cognition, are not represented. Implementation relied on passive diffusion after one training session because of COVID-19 restrictions, so the study does not show what happens with structured ongoing support. App pain scores were not used for formal clinical pain assessment. Nurse satisfaction came from three interviews, not from a systematic evaluation of all staff.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not read sustained app use as proof that cardiac patients understood their care, engaged in recovery, or recovered better. The study counted anonymous clicks and sessions, not patient outcomes, and pain scores in the app were not used as formal clinical assessments.