TRAKEOSTOMİ BAKIMIYLA İLGİLİ ÇEVRİMİÇİ VİDEO AKIŞ SİTELERİNDE YAYINLANAN VİDEOLAR TIP EĞİTİMİNDE KULLANILMAK İÇİN UYGUN MUDUR?

Yıl 2023, , 281 - 288, 24.10.2023

Murat Tanyıldız , Furkan Yavuz , Sinem Oğuz , Aslı Ece Yakıcı , Ömer Özden , Ozan Gökler

https://doi.org/10.26650/JARHS2023-1283136

Öz

Amaç : Sağlık personeli ve tıp öğrencilerine yönelik eğitim veren çevrimiçi bir video akışı sitesindeki trakeostomi bakımıyla ilgili videoların kalitesini analiz etmeyi amaçladık.
Gereç ve Yöntem: YouTube araması “trakeostomi bakımı” ve “pediatrik trakeostomi bakımı” anahtar kelimeleri kullanılarak yapıldı. Toplam görüntüleme sayısı, video süresi ve video kaynağı kaydedildi. Video içeriğinin eğitim kalitesi ve doğruluğu DISCERN, Global Quality Score (GQS) ve Journal of the American Medical Association (JAMA) puanları kullanılarak değerlendirildi. İkinci olarak tıp fakültesi öğrencilerine ve yoğun bakım hemşirelerine trakeostomi bakımına ilişkin soruları içeren bir ön test uygulandı. Katılımcılar son teste girmeden önce DISCERN, JAMA ve GQS puanları en yüksek olan üç videoyu izlediler. Daha sonra ön ve son test puanları karşılaştırıldı. Katılımcılar son teste girmeden önce DISCERN, JAMA ve GQS puanları en yüksek olan üç videoyu izlediler. Daha sonra ön ve son test puanları karşılaştırıldı.
Bulgular: İlk 339 videodan kopya, İngilizce olmayan ve düşük ses kalitesine sahip videolar hariç tutuldu ve 122 video analiz edildi. Ortalama DISCERN puanı 39,4±8,7 (orta), ortalama JAMA puanı 2,1±0,8 (orta), GQS ortalaması 3,3±1,1 (orta) idi. Videoların 61’i (%50) tıp eğitimi, 57 m’si (%46,7) hasta eğitimi ile ilgiliydi. Videoların çoğu doktor dışı sağlık personeli tarafından yüklendi. Ön ve son test sonuçları, tıp eğitimi veren siteler ve akademik kurumlar tarafından yüklenen videoların eğitim kalitesinin daha yüksek olduğunu ve çevrimiçi eğitim için kullanılabileceğini gösterdi.
Sonuçlar: YouTube’daki en yüksek DISCERN, JAMA ve GQS puanlarına sahip trakeostomi bakım videoları, kaynak kısıtlı merkezlerdeki tıp öğrencileri ve hemşireler tarafından çevrimiçi öğrenim için kullanılabilir.

Anahtar Kelimeler

Trakeostomi bakımı, çevrimiçi ve dijital öğrenme, YouTube video kalitesi

ARE ONLINE STREAMING VIDEOS ON TRACHEOSTOMY CARE APPROPRIATE FOR MEDICAL EDUCATION?

Öz

Objective: We aimed to analyze the quality of videos about tracheostomy care on an online video streaming site for teaching healthcare staff and medical students.
Material and Methods: In this cross-sectional, quantitative and exploratory study, firstly an online YouTube search was performed using the keywords “tracheostomy care” and “pediatric tracheostomy care”. The total view counts, video duration and video source were recorded. The educational quality and accuracy of the video content were evaluated using the DISCERN, Global Quality Score (GQS), and Journal of the American Medical Association (JAMA) scores. Secondly, a pre-test comprising questions about tracheostomy care was administered to medical faculty students and intensive care nurses. Participants watched the three videos with the highest DISCERN, JAMA, and GQS scores before taking a post-test. The pre- and post-test scores were then compared.
Results: From the initial 339 videos, duplicated, non-English, and low sound quality videos were excluded, and 122 videos were analyzed. The mean DISCERN score was 39.4±8.7 (fair), the mean JAMA score 2.1±0.8 (fair), and the mean GQS 3.3±1.1 (fair). Sixty-one (50%) videos were related to medical education and 57 (46.7%) to patient education. Most of the videos were uploaded by non-physician healthcare staff. The pre- and post-test results showed that the videos uploaded by medical education websites and academic institutions had higher educational quality and may be utilized for online education.
Conclusions: Tracheostomy care videos on YouTube with the highest DISCERN, JAMA and GQS scores could be used for online learning by medical students and nurses in resource-limiting centers.

Anahtar Kelimeler

Tracheostomy care, online and digital learning, YouTube video quality

Teşekkür

Special thanks to the medical students and intensive care nurses who voluntarily participated in this study. We also thank to Koc University Hospital Aerodigestive Team for their valuable insight.

Kaynakça

• 1. Abril MK, Berkowitz DM, Chen Y, Waller LA, Martin GS, Kempker JA. The epidemiology of adult tracheostomy in the United States 2002-2017:A serial cross-sectional study. Crit Care Explor 2021;3(9):e0523. google scholar
• 2. Muller RG, Mamidala MP, Smith SH, Smith A, Sheyn A. Incidence, epidemiology, and outcomes of pediatric tracheostomy in the United States from 2000 to 2012. Otolaryngol Head Neck Surg 2019;160(2):332-8. google scholar
• 3. Garrubba M, Turner T, Grieveson C. Multidisciplinary care for tracheostomy patients: a systematic review. Crit Care 2009;13(6):R177. google scholar
• 4. Seymour-Walsh AE, Bell A, Weber A, Smith T. Adapting to a new reality: COVID-19 coronavirus and online education in the health professions. Rural Remote Health 2020;20(2):6000. google scholar
• 5. Blogger G. YouTube user statistics 2022. Available from: URL: https://www.globalmediainsight.com/blog/youtube-users-statistics/. google scholar
• 6. Drozd B, Couvillon E, Suarez A. Medical YouTube videos and methods of evaluation: Literature review. JMIR Med Educ 2018;4(1):e3. google scholar
• 7. Hasamnis AA, Patil SS. YouTube as a tool for health education. J Educ Health Promot 2019;8:241. google scholar
• 8. Özsaban A, Bayram A, Durgun H. Youtube videos as an educational resource for ventrogluteal injection: A content, reliability and quality analysis. Nurse Educ Today 2021;107:105107. google scholar
• 9. Tanyıldız B, Oklar M. Evaluating the quality, utility, and reliability of the information in uveitis videos shared on YouTube. Int Ophthalmol 2023;43(2):549-55. google scholar
• 10. Enver N, Doruk C, Kara H, Gürol E, Incaz S, Mamadova U. YouTube™ as an information source for larynx cancer: a systematic review of video content. Eur Arch Otorhinolaryngol 2020;277(7):2061-9. google scholar
• 11. Charnock D, Shepperd S, Needham G, Gann R. DISCERN: an instrument for judging the quality of written consumer health information on treatment choices. J Epidemiol Community Health 1999;53(2):105-11. google scholar
• 12. Silberg WM, Lundberg GD, Musacchio RA. Assessing, controlling, and assuring the quality of medical information on the Internet: Caveant lector et viewor--Let the reader and viewer beware. JAMA 1997;277(15):1244-5. google scholar
• 13. Chen Z, Pan S, Zuo S. TikTok and YouTube as sources of information on anal fissure: A comparative analysis. Front Public Health 2022;10:1000338. google scholar
• 14. Jung MJ, Seo MS. Assessment of reliability and information quality of YouTube videos about root canal treatment after 2016. BMC Oral Health 2022;22(1):494. google scholar
• 15. Sasse M, Ohrndorf S, Palmowski A, Wagner AD, Burmester GR, Pankow A, et al. Digital health information on autoinflammatory diseases: a YouTube quality analysis. Rheumatol Int 2023;43(1):163-71. google scholar
• 16. Bernard A, Langille M, Hughes S, Rose C, Leddin D, Veldhuyzen van Zanten S. A systematic review of patient inflammatory bowel disease information resources on the world wide web. Am J Gastroenterol 2007;102(9):2070-7. google scholar
• 17. Erdem MN, Karaca S. Evaluating the accuracy and quality of the information in kyphosis videos shared on YouTube. Spine (Phila Pa 1976). 2018;43(22):E1334-E9. google scholar
• 18. Gause G, Mokgaola IO, Rakhudu MA. Technology usage for teaching and learning in nursing education: An integrative review. Curationis 2022;45(1):e1-e9. google scholar
• 19. Kuçuk B, Sirakaya E. An Analysis of YouTube videos as educational resources for patients about refractive surgery. Cornea 2020;39(4):491-4. google scholar
• 20. Yildiz MB, Yildiz E, Balci S, Özçelik Köse A. Evaluation of the quality, reliability, and educational content of YouTube videos as an information source for soft contact lenses. Eye Contact Lens 2021;47(11):617-21. google scholar
• 21. Ozdemir Zeydanli E, Alkan AA. Era of “Dr. YouTube”:Evaluation of YouTube videos as a valid source for patient education on keratoconus. Eye Contact Lens 2021;47(9):526-32. google scholar
• 22. Fisher J, Geurts J, Valderrabano V, Hügle T. Educational quality of YouTube videos on knee arthrocentesis. J Clin Rheumatol 2013;19(7):373-6. google scholar
• 23. Kartz M, Nandi N. Social media and medical education in the context of the COVID-19 Pandemic: Scoping review. JMIR Med Educ 2021;7(2):e25892. google scholar
• 24. Tackett S. Medical education videos for the world: an analysis of viewing patterns for a YouTube channel. Acad Med 2018;93(8):1150-6. google scholar
• 25. Sterling M, Leung P, Wright D, Bishop TF. The use of social media in graduate medical education: A systematic review. Acad Med 2017;92(7):1043-56. google scholar
• 26. Azer SA. Are DISCERN and JAMA suitable instruments for assessing YouTube videos on thyroid cancer? Methodological Concerns. J Cancer Educ 2020;35(6):1267-77. google scholar
• 27. Gill P, Arlitt M, Li Z, Mahanti A. YouTube traffic characterization: A view from the edge. IMC ‘07: Proceedings of the 7th ACM SIGCOMM conference on internet measurement Association for Computing Machinery, New York, NY, USA, 2007. p.15-28. google scholar
• 28. Gross RT, Ghaltakhchyan N, Nanney EM, Jackson TH, Wiesen CA, Mihas P et al. Evaluating video-based lectures on YouTube for dental education. Orthod Craniofac Res 2023. doi: 10.1111/ ocr.12669. google scholar