Award Date

May 2023

Degree Type


Degree Name

Doctor of Nursing (ND)



First Committee Member

Kathleen Thimsen

Second Committee Member

Mina Attin

Third Committee Member

Andreas Stefik

Number of Pages



Background: The Department of Health and Human Services (HHS) defines health literacy as the degree to which an individual has the capacity to find, understand, and use information and services to inform health-related decisions and actions for themselves and others. In the emergency department (ED), it is estimated that the prevalence of inadequate health literacy can reach as high as 88 percent. There is a need to implement literacy-sensitive interventions in the ED. Purpose: The purpose of this project was to engineer an intervention that explored the feasibility of the use of personal technology to deliver video-based education to adult patients with undifferentiated levels of health literacy in a community ED to improve comprehension of material and assess satisfaction with the discharge method. The use of personal devices has become integral to the dissemination of information and utilizing this technology was postulated to improve access to health information in the ED environment. Method: An education tool was designed to be accessed by a personal device, such as a smart phone or tablet, via QR code and was used to deliver educational videos to patients presenting to the ED with back pain. Collection and analysis of data from health literacy assessment, pre-and posttest comprehension of material, and a survey of preference/satisfaction was conducted. Implications for Practice. Improving the delivery of patient education in the ED may improve communication of key health aspects to individuals with inadequate health literacy and improve comprehension and satisfaction with delivery method.


Back pain; Discharge instructions; Emergency department; Health literacy; Patient education; Video education


Nursing | Science and Mathematics Education

File Format


File Size

1360 KB

Degree Grantor

University of Nevada, Las Vegas




IN COPYRIGHT. For more information about this rights statement, please visit