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

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.