McQuilken, William D, BA

Schultz, Judith M, Ba, CSTR

Shisslak, Deanna

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksDepartment of SurgeryInstructional Posters and Prevention Education:Do they really Work?William D. McQuilken BALehigh Valley Health Network, William_D.McQuilken@lvhn.orgDeanna ShisslakLehigh Valley Health Network, Deanna.Shisslak@lvhn.orgJudith M. Schultz Ba, CSTRLehigh Valley Health Network, Judith_M.Schultz@lvhn.orgFollow this and additional works at: https://scholarlyworks.lvhn.org/surgeryPart of the Maternal and Child Health Commons, Other Medical Specialties Commons, PublicHealth Education and Promotion Commons, and the Surgery CommonsThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtMcQuilken, W., Shisslak, D., Schultz, J. (2014, April 2-5). Instructional posters and Prevention Education: Do they really Work? Posterpresented at: The Society of Trauma Nurses 17th Annual Conference, New Orleans, LA.McQuilken, W., Shisslak, D., Schultz, J. (2014, April 27-29). Instructional posters and Prevention Education: Do they really Work? Posterpresented at: The Lifesavers Conference, Nashville.McQuilken, W., Shisslak, D., Schultz, J. (2014, June 24-26). Instructional posters and Prevention Education: Do they really Work? Posterpresented at: The national Highway Traffic Safety (NHTSA) Region II Passenger Safety conference.Lehigh Valley Health Network, Allentown, PennsylvaniaInstructional Posters and Prevention Education:  Do They Really Work?William D. McQuilken, BA, Deanna Shisslak, Judith M. Schultz, BA, CSTRBackground:© 2014 Lehigh Valley Health NetworkThis study aimed to investigate child passenger safety (CPS) knowledge levels in parents of infants born at Lehigh Valley Health Network for effectiveness of CPS educational posters, which were developed to instruct parents on proper child safety seat (CSS) infant positioning and CSS restraint system usage. Posters were displayed in the Emergency Department, Pediatric Unit, Pediatric Intensive Care Unit, Neonatal Intensive Care Unit, and each Mother-Baby Unit (MBU) room. We hypothesized that the posters displayed in the MBU, along with patients  socioeconomic status, play a role in CPS knowledge.Study Design:Randomized survey sample.Methods:A questionnaire was randomly administered to parents of newborns. The questionnaire was designed to test the parents’ knowledge of CPS with the goal of identifying whether knowledge was gained during their hospital stay and, if so, whether the knowledge was acquired from the CPS poster. Data collected was specific to the understanding of proper infant placement into the restraint system, usage of the instructions provided on the poster, level and source of knowledge prior to birth admission, and perceived knowledge gain since admission. The questionnaire also captured demographic information—gender, age, race, number of children already in the home, level of education, and insurance status—to determine whether any of these factors affect CPS knowledge.  Results:In the 201 completed surveys, females completed 71.2% of the surveys, males 28.8%. However, 64.6% of the males had correct answers as opposed to 55.6% of females (p = .054). Parents >40 years of age had more correct answers (70%) as compared to those <30 years of age (53%, p = .246) or ages 30-39 (63%, p = 1.0). Using a one-way ANOVA with Bonferroni Correction, correct answers based on race showed “white” as 63%, with white vs. Hispanic (40.5%, p<.001). All other race comparisons were not significant.  Absolute trending was displayed in education level, where “college degree” had most accurate answers (63%) (high school (51%) vs. college p=.009). Correct answers of those with private insurance was 68.1% as compared to parents with Medicare (35.4%, p<.001) or Medicaid (42.9%, p<.001). Of the study participants, 42.1% of parents acknowledge having read the poster in the MBU. Of those who read the poster, 77.5% reported that they had an increased knowledge of CSS and CPS after reading it.        Conclusion:When utilized in the Mother-Baby Unit, the CPS posters appear to increase parental knowledge of child passenger safety as well as child safety seat information. Of the parents surveyed, 57.9% reported that they never read the CPS poster. In addition, while more females completed the study than males, females had a lower accuracy rate. These two factors may suggest a need for more appropriate poster placement in the patient room. Results also show that socioeconomic status is a factor in baseline CPS knowledge; education for this population needs to be heightened. Setting:Mother-Baby Unit, Lehigh Valley Health Network, Allentown PA, January 2013 through May 2013. Sample:201 parents were randomly selected by either the Trauma Prevention Coordinator or the Parent Education Coordinator while rounding on the MBU.Properly Securing Child in Rear-Facing Seatl e h i g h  v a l l e y  h e a l t h  n e t w o R kalways follow vehicle and car seat instructions for correct use. neveR leave your child unattended in car seats, inside or outside of the vehicle.1.  Place baby’s back and bottom flat in seat.2.  Harness slots should be at or below baby’s shoulders.3.  Harness straps must be snug. You should not be able to pinch any slack in harness at baby’s shoulders.4.  Place harness retainer clip at armpit level.5.  Avoid bulky clothing under the snug harnesses. Place a blanket over the child after child is secured in the car seat.6.  Place rolled blanket between child and crotch strap (if necessary).7.  Place rolled blankets at sides of head for positioning (if necessary).8.  Baby’s head must be 1 inch below top of car seat shell.9.  Always follow manufacturer’s instructions for placement of carrier handle.10.  No nonregulated products attached to the seat, i.e. toys, wrap and rides, etc.974238308 - 08/12 610-402-CaRe lvhn.orgChild Passenger Safety Knowledge Evaluation  The purpose of this voluntary child passenger safety knowledge assessment is to gain valuable insight into our existing child passenger safety education program here at Lehigh Valley Health Network. Completion of this questionnaire implies consent to use the collected data for quality improvement purposes.  Directions: Please fill in all boxes like this:   or write your answers in the space provided. 1.  Where did you get your information on how to place your newborn into the car seat?  Family  Friends  Internet  Parent Ed. Classes  Health care provider  Car seat check  Car seat instructions  Other ________________________________  2.  Has your knowledge of child passenger safety increased during this hospital stay?  Yes   No  3.  What improved your knowledge since admission here?  Nursing staff   Pediatrician  OBGYN  Other health care provider  Hospital handouts  Other _______________________________  No new knowledge gained  4.  How should the child be dressed before placement in the car seat?  Non-bulky everyday clothing  Dress according to weather conditions  Heavy clothing to keep the baby warm  5.  Where should bulky clothing be placed?  Under the harness straps  On top of the harness straps  Can be placed in either position   6.  How should the harness straps be placed in the car seat on the child?  At or below the shoulders  At the shoulders  Above the shoulders   7.  How should the harness straps be:  Loose with slack  Snug without slack  Tight pushing on the shoulders  8.  Where should the retainer clip or chest clip be placed?  Anywhere  Over the abdomen  At armpit level  Demographic Information:  Age_____  Sex: M F  Race:  White only  Black only  Hispanic   >1 race  Other  # Children in house besides new baby _____  Insurance Status:  Private/Commercial  Medicare  Medicaid    Self  Level of Education:  Less than High School  Some college  High School   College degree Back side questions:  Verbally asked:  PYN:  Did you read the (child safety seat) poster in the room? Yes or No? PKYN:  Did you gain any knowledge from reading the poster that helped you answer any of the survey questions? Yes or No? 

Instructional Posters and Prevention Education: Do they really Work?

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Instructional Posters and Prevention Education: Do they really Work?

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