J Adv Nurs. 2022 Jul 21. doi: 10.1111/jan.15386. Online ahead of print.
ABSTRACT
AIM: Explore how nurses and midwives use patient experience data collected from a mobile health app to influence the development of person-centred practice.
DESIGN: Participatory action research, underpinned by the Person-Centred Nursing Framework and Practice Development principles.
METHODS: Six clinical units in a large health district engaged in three action cycles from 2018 to 2020 using a mobile health app. Nursing/midwifery staff on the units (N = 177) utilized data collected via the app to evaluate and improve person-centred practice. A pre-post survey using the PCPI-S was conducted to evaluate staff perceptions of person-centredness. Data from the surveys (n = 101 in 2018 and n = 102 in 2020) and 17 semi-structured interviews were used to understand the influence working with these data had on person-centred practice. The Guidelines for Best Practices in the Reporting of Participatory Action Research have been used to report this study.
RESULTS: Improvements in person-centred practice were noted across both data sets. There was a statistically significant increase in two domains of the PCPI-S in the independent t-test and across all three domains in the paired t-test results. Thematic analysis resulted in the identification of six themes: Getting everyone on board, once we understood, keeping on track, there’s a person in the bed, knowing you’re doing a good job and improving over time.
CONCLUSION: Engaging with the data collected from the app in a facilitated and collaborative way results in increases in person-centredness.
IMPACT: This study provides insight into how nurses and midwives used data from a mHealth app to evaluate and improve person-centred practice. Utilizing the data generated by the app resulted in increased person-centredness amongst staff and changes to practice and culture. Nursing and midwifery teams who are supported to engage with patient experience data in an action-oriented way will see person-centred practice improvements, affecting patients and staff.
PMID:35864521 | DOI:10.1111/jan.15386
