Authors: (including presenting author): :
Chan PW Paven (1), Lam HK (1), Law KY (1)
Affiliation: :
(1) Specialist Out-patient Department, Queen Mary Hospital
Keyword 1: :
Patient Education
Keyword 2: :
Visual Learning
Keyword 5: :
caregiver and patient education
Keyword 6: :
quality service
Introduction: :
In the Specialist Out-patient Department at Queen Mary Hospital, approximately 150 patients are arranged to undergo endoscopic examinations, such as oesophago-gastro-duodenoscopy (OGD) per week. Previously, nurses dedicated 5 to 10 minutes to individually reading through and explaining pre-endoscopy preparation instructions to patients. This one-on-one approach was time-consuming, leading to long patient queues and an increased number of clients waiting for clinical treatments in the busy waiting area. Additionally, some patients, particularly the elderly, may struggle with reading or have difficulty in recalling instructions, resulting in low compliance with preparation requirements.
Objectives: :
To improve the patient education process, optimize patient flow and staff efficiency, and enhance compliance with preparation guidelines, our department developed educational videos that outline pre-endoscopy preparation.
Methodology: :
We produced four videos covering common endoscopic procedures, including colonoscopy and OGD. Each video is designed with clear subtitles, relevant animations, and an elder-friendly pace featuring a loud and clear voice-over, lasting approximately 1.5 to 2 minutes. After consultation, nurses invite patients to view the educational videos in a designated area of the nursing room. Patients are also provided with QR codes linked to the videos for convenient future access or to share with family members. Over a period of five weeks, beginning on December 1, 2025, we conducted a survey to assess the number of patients viewing the videos in the categories of reduction in nursing time spent on education, patients' self-rated understanding, and overall satisfaction with the educational process.
Result & Outcome: :
During this five-week period, 496 patients viewed the educational videos, with 265 completing the survey. The time nurses spent on relevant education decreased significantly—from an average of 5 minutes to 1 minute (an 80% reduction) for OGD cases and from 10 minutes to 3 minutes (a 70% reduction) for colonoscopy cases. Notably, 61% and 27% of patients rated their understanding of the instructions as 5/5 and 4/5, respectively, while 93% expressed satisfaction with the educational process. The use of instructional videos has effectively optimized pre-procedural teaching, improving patient understanding and satisfaction while conserving nursing resources. In order to enhance the patient's experience during their clinical visit, greater use of visual and aural elements could be used.
