PhD Candidate, School of Nursing, University of Wollongong, Wollongong, New South Wales, Australia.
Nurse Manager-iMPAKT Study, Nursing and Midwifery Research Unit Wollongong Hospital, Wollongong, New South Wales, Australia.
J Clin Nurs. 2022 Dec;31(23-24):3464-3476. doi: 10.1111/jocn.16173. Epub 2021 Dec 12.
To explore how nurses and midwives engage with patient experience data collected via a mobile health app to inform person-centred practice improvements.
A large amount of data is collected in healthcare, yet there is limited evidence outlining how nursing and midwifery staff utilise patient experience data to inform person-centred quality and safety improvements.
This study utilised action research, underpinned by Practice Development methodology and has been reported using the SQUIRE 2.0 checklist. Six clinical units (medical short stay, acute medical, surgical, oncology/haematology, day surgery and maternity) in a large health district in Australia engaged in three cycles of data collection using a mobile health app. The app captured patient experience data relating to the person-centred KPIs developed and tested by McCance et al. (2012). Staff used the data to develop and evaluate person-centred practice.
A number of improvements in scores and practice occurred through engaging with the data in a cyclical way. All six clinical units saw an improvement in four or more of the KPIs in the patient survey results from cycle one to cycle three, with two clinical units improving in all eight. On average across the six units, there was also an increase in time nurses/midwives were visible to their patients, an increase in clinical documentation reflecting the patients' needs and what was important to them, an increase in positive comments and a decrease in negative comments in patient stories.
This study shows that collecting and utilising data from the person-centred KPIs in a collaborative and cyclical way lead to enhanced patient experience and the development and implementation of person-centred quality and safety improvements.
Capturing and utilising data that are meaningful to nursing/midwifery teams in a cyclical, action-orientated approach result in person-centred practice improvements that enhance the experience of those that are receiving and delivering patient care.
探索护士和助产士如何利用通过移动健康应用程序收集的患者体验数据来改进以患者为中心的实践。
医疗保健领域收集了大量数据，但关于护理和助产人员如何利用患者体验数据来改进以人为本的质量和安全措施的证据有限。
本研究采用行动研究，以实践发展方法为基础，并按照 SQUIRE 2.0 清单进行了报告。澳大利亚一个大型卫生区的六个临床科室（医疗短期住院、急性内科、外科、肿瘤/血液科、日间手术和产科）使用移动健康应用程序进行了三轮数据收集。该应用程序收集了与 McCance 等人（2012 年）开发和测试的以人为本的关键绩效指标（KPI）相关的患者体验数据。工作人员利用这些数据来开发和评估以人为本的实践。
通过以循环方式处理数据，多项评分和实践得到了改善。从第一轮到第三轮，所有六个临床科室在患者调查结果中的四个或更多 KPI 上都有所改善，其中两个临床科室在所有八个 KPI 上都有所改善。在六个科室的平均值中，护士/助产士对患者的可见时间也有所增加，反映患者需求和对他们重要的内容的临床记录也有所增加，积极的评价也有所增加，患者故事中的负面评价也有所减少。
本研究表明，以协作和循环的方式收集和利用以人为本的 KPI 数据可提高患者体验，并促进以人为本的质量和安全改进的制定和实施。
以循环、行动导向的方式捕获和利用对护理/助产团队有意义的数据可改善以人为本的实践，从而提高接受和提供患者护理的人的体验。
