Educational technology: educational video to support home care management for liver transplant patients

Knihs, Neide da Silva; Betta, Evelin da Silva Della; Silva, Ariadne Matzembacher da; Magalhães, Aline Lima Pestana; Grespi, Letícia de Oliveira; Paim, Sibele Maria Schuantes; Pessoa, João Luís Erbs; Costa, Juliana Martins

doi:10.1590/0034-7167-2024-0456

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ORIGINAL ARTICLE • Rev. Bras. Enferm. 78 (3) • 2025 • https://doi.org/10.1590/0034-7167-2024-0456 linkcopy

Educational technology: educational video to support home care management for liver transplant patients

Tecnologia educativa: video educativo para apoyar la gestión de la atención domiciliaria de clientes sometidos a trasplante de hígado

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objectives: to develop and validate educational video to support the management of home care for clients undergoing liver transplantation.

Methods: a study supported by Instructional Design, through the following stages: analysis: data obtained through three studies already developed by the researchers; design: the script learning objectives were outlined; sequences of scenes, professionals involved, location, language, illustrative figures and necessary materials. Moreover, content validity: production - video development; implementation and evaluation - the video was used by clients undergoing liver transplantation followed by their assessment of this product. Descriptive statistics were used for data analysis.

Results: the video addressed five contents according to clients’ needs, being validated by six nurses with more than four years of experience in transition of liver transplant care and by nine clients with an average hospital discharge time of 31 days. The overall average score of “very good” was over 61%, followed by the “good” score, with an average of 23.8%.

Final Considerations: the study enabled including professionals with expertise in the subject, with adjustments being made according to user demand. It is worth noting that this tool has the potential to support self-care in home environments.

Descriptors:
Educational Technology; Liver Transplantation; Health Promotion; Postoperative Care; Treatment Adherence and Compliance

Learning objective

Example of a script description for one of the scenes/stages in the video

Support clients, family and caregivers in developing and monitoring blood glucose levels.

Hello, welcome, this is a video to support the client, family and caregiver in managing home care. Here, we will guide and assist in the step-by-step process of monitoring blood glucose, an essential care for the continuity of home treatment.

We will begin by presenting the materials needed to perform the blood glucose test. The first step is to ensure that you have all the materials: glucometer - a device to measure the level of glucose (popularly known as “sugar”) in the blood; lancet; test strip; cotton; and 70% liquid alcohol. These materials will be provided by the health team at the time of your discharge from the hospital through your Basic Health Unit. Do not worry, you won’t need to buy anything. It is important to note that this blood glucose test must be performed for some time, also at home. It is necessary because the organ is recovering, due to the use of high doses of immunosuppressants and corticosteroids. As time passes and the organ recovers, in addition to adjustments in the medication, this test will no longer be necessary. The healthcare team that is monitoring you will inform you when there is no longer a need to monitor your glucose levels.

Attention: show how to clean the workbench, talk about the importance of cleaning, and then show and point out the materials on the workbench.

Criteria	Agree (%)	Partially agree (%)
Objectivity	82.13	17.87
Simplicity	80.18	19.82
Clarity	82.96	17.04
Credibility	89.72	15.27
Relevance	84.17	15.85
Agreement	84.68	15.32
Mean	83.97	16.81

Script excerpt defined by the researchers

Script excerpt after adjustments to suggestions by experts

Regarding the non-use of animals, it is important to note that they contain bacteria, viruses and other microorganisms that are invisible to our eyes. However, any contact with the client, who already has low immunity, can result in the acquisition of these bacteria, viruses and other contaminations that may be present in animals.

Regarding the non-use of animals, it is important to minimize or avoid contact with animals, as well as not handling your pet’s feces and urine. It is very important, at this stage, that you avoid sleeping with your pet and keep all vaccinations up to date to prevent diseases. Animals have bacteria, viruses and other microorganisms that are invisible to our eyes; therefore, it is necessary to wash your hands after playing. Any contact with the client, who already has low immunity, can result in the acquisition of these bacteria, viruses and other contaminations, which may be present in animals.

Criteria	Very good (%)	Good (%)	Reasonable (%)	Poor (%)
1 – Video length	42.8	42.8	14.4	00
2 – Figures, characters and materials in the video	50.0	33.3	16.7
3 – Contributes to improving knowledge about home care	71.4	14.3	00	14.3
4 – Information in the video and the step-by-step guide to providing care are clear	71.4	14.3	00	14.3
5 – Information can improve care and support the management of home care	71.4	14.3	00	14.3
Mean	61.4	23.8	6.2	8.6

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