Authors (including presenting author) :
Leung PK, Hui LM, Tsang SM, Yip MY, Law YP
Affiliation :
Department of Obstetrics & Gynaecology, Pamela Youde Nethersole Eastern Hospital
Introduction :
As part of Clinical Service Plan for HKEC, strong collaboration between PYNEH SAC and QMH CARE had been set up to provide service in assisted reproduction. Since cross-cluster referrals from QMH in 2018, the number of Intrauterine Insemination at PYNEH increased from 27 in 2017 to 217 in 2021, an 8-fold increase in the number of couples who required pre-treatment nurse counselling. The traditional mode of face-to-face information delivery by nurses to individual couples had led to long waiting times at clinic. Upon expansion of service, yet with limited nursing manpower, streamlining current practice would improved quality of nursing care delivery.
Objectives :
To stramline nursing counselling process;
To provide standardized and comprehensive pre-treatment nursing counselling;
To maintain clients with same level of understanding to subfertility treatment.
Methodology :
Self-administered questionnaires were designed on clients' level of knowledge, level of anxiety and preference of receiving treatment information. In phase 1 (April - May/2022), 26 self-administered questionnaires were collected, including the face-to-face nursing counselling time. In phase 2 (May - August/2022), a self-developed 5-6 minutes educational video on procedures of using Ovulation Induction Drugs and Intrauterine Insemination was introduced to clients. Total 61 pre and post - intervention questionnaires were collected. The clients’ level of understanding was evaluated via 8-10 true / false questions. additional explanation was provided by nurse as required and the post-video nurse counselling time was recorded.
Result & Outcome :
Before counselling, 44.3% (27) of clients did not understand the treatment procedures. The average anxiety score was 3 out of 5. 91.8% (56) of clients preferred combine mode of text & video on receiving information. After watching the educational video, 68.9% (42) of clients increased level of understanding on treatment procedures. 93.4% (57) of clients decreased their anxiety level. 95% (58) of clients gave correct answers to true / false questions and satisfied with this mode on receiving information. The average nurse counselling time was 18 minutes using traditional mode for each couple and 5 minutes after showing educational video.
The nursing counselling session for couples undergoing subfertility treatment was important to provide the clients with treatment information and emotional support so as to address their concerns and ease their stresses. Our data suggested that video-based information delivery improved clients' understanding and satisfaction while relieved their anxiety and reduced the waiting time. Upon the positive feedback from clients, the use of educational videos in nursing counselling session were fully launched in our Subfertility Clinic.
