Optimising identification and management of hypoglycaemia in hospital inpatients by nurses through an online video education resource.

The intervention is a 13 minute educational video developed by the investigators on diagnosing and managing hypoglycaemia in hospital inpatients with diabetes mellitus and the adverse consequences of hypoglycaemia for patients. Nurses on surgical hospital wards at Nepean Hospital will be invited to participate in the study via an invitation email sent by their Nursing Unit Manager on 3 occasions, approximately 1 week apart. The study design is a pre and post- intervention observational design. Nurses who consent to participate will provide written informed consent via a REDCap data base and complete an online baseline questionnaire on their knowledge and clinical practice in diagnosing and managing hypoglycaemia. They will be directed on questionnaire completion through a weblink to the online education video. They will also receive an email containing the link to the video on questionnaire completion, so that they can watch it at another time or refer back to it. They can access it from any place. It is hosted on the Hospital You Tube channel. Participating nurses will be emailed a follow up questionnaire 1 month after completing the baseline questionnaire, to assess their knowledge of diagnosing and managing hypoglycaemia. The follow-up questionnaire will contain the same clinical questions as the baseline questionnaire. In addition, nurses will be asked in the follow-up questionnaire whether they have viewed the education video or not. From 1 week after the last email invitation to the study has been sent to nurses, a prospective audit will be conducted for 3 months, 8 months and 12 months after the intervention to determine the number of episodes of hypoglycaemia and whether they are managed according to the hospital procedure on management of hypoglycaemia or not. This will also enable determination of whether, if their is an improvement in management, it is sustained for 12 months. A retrospective audit looking at the same information as for the prospective audit will be conducted for 3 months, 8 months and 12 months prior to the first invitation email for the study. The management of hypoglycaemia and number of episodes will be compared between the pre-intervention and post intervention as to whether management is conducted as per the hospital hypoglycaemia procedure. The educational video is on a private YouTube channel which does not provide individual analytics. However, the total number of views and average view time will be recorded. Participation in the project is recorded via nurses filling out the consent form and baseline questionnaire. However, we will not be able to determine whether an individual nurse has watched the video or not except by that nurse’s answer in the follow-up survey to the question asking whether they have watched the video or not.