A COMPUTER-ASSISTED INSTRUCTIONAL SYSTEM FOR THE EDUCATION OF PREOPERATIVE PATIENTS IN A CLINICAL SETTING (CAI PROGRAM).
Contributors: Lehigh University.
Published: 1986
Number of pages: 165
Subjects: Education, Health.; Health Sciences, Nursing.
Description: The purpose of this study was to: (1) design and determine the effectiveness of a computer-assisted instructional program for teaching the preoperative patient in a clinical setting; (2) evaluate the response of the registered professional nurse and the patient to CAI technology; (3) assess whether CAI would provide the instruction required to meet the learning needs of patient's within the constraints of time imposed by the prospective payment system of diagnostic related groups.

The literature review indicated a need for improvement in patient education in a clinical setting. It was also noted that professional nurses are commited to their teaching role as an integral part of their practice. However, time constraints of the prospective payment system has made the teaching role of the nurse more difficult.

The study was conducted over a period of six months at Muhlenberg Hospital Center, Bethlehem, Pennsylvania. The patients who participated in the study were in the clinical environment and scheduled for surgery on the day following their preoperative instruction.

Formative evaluation processes provided assurance that the content was accurate, current, instructionally sound and met the learning needs of the preoperative patient.

Summative evaluation employed the criterion referenced pre-test/post-test method to assess the patient's achievement of the behavioral objectives. The pre-test was used to determine the patient's knowledge of preoperative events prior to instruction. The post-test, using the 80 percent rule, was employed to determine the acceptable level of achievement of the objectives and to measure the effectiveness of instruction.

Descriptive statistics were used to analyze the Instructional Quality Profile, the microSIFT Courseware Evaluations, and the patient's achievement of the instructional goals. The findings provided evidence that the CAI program was instructionally sound.

It was concluded that: (1) computer-assisted instruction was an effective method for teaching preoperative patients in the clinical setting; (2) it offered a satisfactory alternative method for teaching the patient about routine preoperative activities; (3) the professional nurses and patients had a positive attitude toward computer-assisted instruction in the clinical setting; (4) CAI was congruent with time limitations imposed by DRG's.
Notes: Source: Dissertation Abstracts International, Volume: 47-01, Section: A, page: 0092.

Thesis (ED.D.)--LEHIGH UNIVERSITY, 1986.

School code: 0105.