350 - Adult Coloring Book Pages in Perioperative Orientation Courses
Description: Adult coloring has been studied and utilized in psychology to improve focus, decrease anxiety, and channel emotions in students and patients. It has yielded positive results when used in therapy and counseling. New perioperative team members can experience stress and anxiety during orientation. This can inhibit knowledge retention. Utilizing adult coloring in orientation courses could provide similar benefits and promote learning. St. David’s Healthcare offers new graduate perioperative nurses and surgical technologists a comprehensive six-month orientation program that incorporates classroom teaching with clinical training. The partnership’s perioperative nurse educators and the St. David’s Institute for Learning (IFL) coordinate the program. The courses address core operating room topics and best practices. Some courses are approximately eight hours in length and primarily conducted through lecture. Long periods of lecture may not be optimal for some adult learners. When longer lectures are utilized for education, adult learners can benefit from kinesthetic learning. Therefore, adult coloring exercises could be beneficial in these courses. The adult coloring project team included the St. David’s South Austin Medical Center perioperative nurse educator and the IFL orientation program leader. To prepare for the adult coloring project, current literature was reviewed, a coloring page was selected, supplies were collected, and a survey was created. The course selected to implement the coloring pages covers a variety of topics, including: communication, environmental sanitation and terminal cleaning, infection prevention, and wound classification. The course also offers a debriefing session that can be emotional for participants. To implement the change, each student in the selected course received the same coloring book page, colored pencils, and had access to a pencil sharpener. Instructions were provided at the beginning of the course. The instructions are simple: students are free to use the pages throughout the course, additional pages and pencils would be available if needed, and there would be a survey to follow the course. Survey results were collected over the course of a year and included 36 participants. The survey consisted of six statements, rated on a Likert scale, addressing stress in the classroom, comfort, focus, channeling emotions, overall satisfaction, and distraction. The participants reported decreased stress, increased focus, and increased comfort. The pages assisted in channeling emotions experienced during debriefing. The participants did not perceive the pages to be a distraction from the course content. Results from this project indicate that offering this exercise was beneficial. Creating a continuing nursing education course on adult coloring as a lecture tool may benefit current and future nurse educators. Verbatim comments requested that more courses utilize the coloring book pages. One participant indicated that this exercise deterred utilization of personal electronic devices during the course. The perioperative education team will continue to utilize the coloring pages and offer pages in additional lecture-focused courses. The team will continue to collect survey results to track trends over an extended period.