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Effects of iPad Video Education on Patient Knowledge, Satisfaction, and Cardiac Rehabilitation Attendance

Wischer, Julie L., DNP, APRN, AGACNP-BC, AGPCNP-BC, CNP; Oermann, Marilyn H., PhD, RN, ANEF, FAAN; Zadvinskis, Inga M., PhD, RN; Kinney, Kimberly C., MSN, BSN, RN, NE-BC

doi: 10.1097/QMH.0000000000000185
Quality Improvement for Cardiovascular Care

Purpose: The purpose of this project was to examine the outcomes of using video education as an adjunct to standard discharge education for patients receiving percutaneous coronary intervention. Outcomes included knowledge about heart disease and discharge instructions, satisfaction with the video education, and the percentage of patients with cardiac rehabilitation referrals who attended their first cardiac rehabilitation session.

Methods: This project analyzed data on 224 participants. A video delivered via an iPad was used to provide adjunct discharge education to patients who underwent percutaneous coronary intervention procedures and were on the 24-hour overnight postrecovery unit. Participants completed a test to gauge knowledge learned. Descriptive statistics, the paired t test, and the Fisher exact test were used to evaluate the efficacy of this education.

Results: A paired t test showed significant knowledge improvement between the pretest percentage correct (mean = 88.97) and the posttest (mean = 96.62): t = −9.657, df = 223, P < .001. A majority of the patients (86.3%, n = 183) were very satisfied with the video education, and 98.1% (n = 208) stated it improved their knowledge and confidence about caring for their heart disease. Despite these reported improvements, there was no significant increase in cardiac rehabilitation attendance (P = .80).

Conclusion: Patients of all ages embraced the use of video education on iPads as an adjunct to standard discharge education. Patients felt more confident and informed on discharge about the expectations of caring for their heart disease and the need for cardiac rehabilitation. Despite knowing the benefits of cardiac rehabilitation, it remained an underutilized resource for these patients.

OhioHealth Riverside Methodist Hospital, Columbus, Ohio (Dr Wischer and Ms Kinney); Duke University School of Nursing, Durham, North Carolina (Dr Oermann); and OhioHealth (formerly) and The Ohio State University College of Nursing, Columbus (Dr Zadvinskis).

Correspondence: Julie L. Wischer, DNP, APRN, AGACNP-BC, AGPCNP-BC, CNP, 3525 Olengtangy River Road, Suite 5300, Columbus, OH 43214 (

This project received philanthropy funding through a private donor who had no association with the implementation of the project.

The authors declare no conflicts of interest.

© 2018Wolters Kluwer Health | Lippincott Williams & Wilkins