I see, I learn, I do: Development and evaluation of a video‐enhanced nasogastric tube feeding training programme for caregivers

Abstract

Abstract Aim We examined the effectiveness of a video‐enhanced education package in improving caregiver outcomes (number of steps at first feeding attempt, time to achieve competency and knowledge) compared to the current institutional training approach. Design Quasi‐experiment. Methods From August 2016–June 2017, we recruited 112 caregivers in a Singaporean tertiary hospital. We allocated 72 and 40 caregivers to video‐enhanced and standard education, respectively. Median values are reported with interquartile ranges (IQR), and analysed using Mann–Whitney U test. Results Caregivers taught with our video‐enhanced package performed a median of 7.0 (IQR = 3.5–7.5) out of eight steps correctly at their first attempt, a 40% increase. There was no change in the median number of training sessions but the 75th percentile dropped to 9.3 from 6.0, a 35% reduction. Post‐training knowledge improved from a median of 0.5 (IQR = 0–2.0) to 1.0 (IQR = 0–3.0). The video‐enhanced package can improve caregivers' knowledge and accelerate their skill competency.

Keywords

• caregiver training
• dysphagia
• education
• nasogastric tube
• older adults
• Singapore