Date of Award

Spring 2018

Document Type

Dissertation

Degree Name

Doctor of Nursing Practice (DNP)

First Advisor

MacMillan, Deborah

Second Advisor

O'Neal, Ann

Third Advisor

Doss, Josie

Abstract

Video capture of simulation provides observation from a wide-angle view. This study introduced a new technique, “patient-perspective” video capture, using a camera mounted into eyeglasses allowing learners to view their nonverbal and verbal communication through the patient’s eyes and to compare this to the wide-angle view. The participants (n = 29) were Nurse Practitioner students. The majority were female (93.2%), with a mean age of 36.8, SD = 12.31. The sample consisted of Millennials (65.6%), Generation Xers (13.8%), and Baby Boomers (20.7%). The average number of years of nursing practice was 9.89. Instruments measured demographics, five domains of patient-centered care (PCC), and participant’s comparison of wide-angle and patient-perspective video capture. Analysis revealed significant differences between age groups in post-video perceptions of PCC domains, Interest in Patient Agenda x2(2) = 7.183, p = 0.028, and Patient Involvement in Care x2(2) = 8.084, p = 0.018. Post hoc analysis for both domains indicated the significance was between Baby Boomers and Millennials (U = 16.500, z = -2.597, p = 0.009; U = 15.500, z = -2.653, p = 0.008, respectively). A significant difference was found between post-video perception of Patient Involvement in Care based on Years of Nursing Practice, x2(2) = 8.874, p = 0.012. Post hoc test indicated the significant difference was between nurses with 1 to 5 years and 6 to 10 years (U = 17.500, z = -2.441, p = 0.015), and nurses with 1 to 5 years of practice and 11 or more years (U = 15.500, z = -2.593, p = 0.010). Participants identified benefits of both video capture techniques but found patient-perspective video more insightful for provider communication. Patient-perspective video capture enhances the debriefing experience and the reflective process regarding patient-provider communication.

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