The effects of a mobile application for patient participation to improve patient safety.


Journal

Health expectations : an international journal of public participation in health care and health policy
ISSN: 1369-7625
Titre abrégé: Health Expect
Pays: England
ID NLM: 9815926

Informations de publication

Date de publication:
08 2022
Historique:
revised: 01 04 2022
received: 26 08 2021
accepted: 06 04 2022
pubmed: 12 5 2022
medline: 30 7 2022
entrez: 11 5 2022
Statut: ppublish

Résumé

Patient participation in patient safety activities in care processes is a fundamental element of safer care. Patients play an important role in preventing patient safety incidents and improving health outcomes. Therefore, healthcare providers need to develop and provide educational materials and actionable tools for patient participation. This study aimed to develop a mobile application for health consumers' participation and evaluate the effect of the mobile application on improving health consumers' participation in patient safety. A quasi-experimental design was adopted. We developed a mobile application on the basis of a needs assessment, literature review, compilation of patient safety topics, and validity testing of the application. The target population included Korean adults aged between 30 and 65 years who had visited a medical institution more than once within the most recent 6 months. The intervention group received patient participation training by using the mobile application, Application for Patient Participation in Safety Enhancement, for 2 months. The primary outcome variables were patient safety knowledge, self-efficacy of participation, willingness to participate and experience of patient participation in patient safety activities. End-user satisfaction was assessed using a questionnaire. To assess participants' experiences with the intervention, qualitative data were collected through a focus group interview and open-ended responses to an end-user satisfaction survey. The intervention group (n = 60) had significantly higher overall average scores than the control group (n = 37) with regard to patient safety knowledge (p < .001), self-efficacy of participation (p = .001), willingness to participate (p = .010) and experience of participation (p = .038) in the post-survey. The total mean end-user satisfaction score was 3.56 ± 0.60. The participants expressed the realization that patients could play an important role in improving patient safety. This study demonstrated that educating health consumers through a mobile application with useful information improves patient participation in patient safety activities. Educational materials and patient participation tools could motivate health consumers' health-related behaviours. Patients were involved during the programme development and evaluation.

Sections du résumé

BACKGROUND
Patient participation in patient safety activities in care processes is a fundamental element of safer care. Patients play an important role in preventing patient safety incidents and improving health outcomes. Therefore, healthcare providers need to develop and provide educational materials and actionable tools for patient participation.
OBJECTIVES
This study aimed to develop a mobile application for health consumers' participation and evaluate the effect of the mobile application on improving health consumers' participation in patient safety.
METHODS
A quasi-experimental design was adopted. We developed a mobile application on the basis of a needs assessment, literature review, compilation of patient safety topics, and validity testing of the application. The target population included Korean adults aged between 30 and 65 years who had visited a medical institution more than once within the most recent 6 months. The intervention group received patient participation training by using the mobile application, Application for Patient Participation in Safety Enhancement, for 2 months. The primary outcome variables were patient safety knowledge, self-efficacy of participation, willingness to participate and experience of patient participation in patient safety activities. End-user satisfaction was assessed using a questionnaire. To assess participants' experiences with the intervention, qualitative data were collected through a focus group interview and open-ended responses to an end-user satisfaction survey.
RESULTS
The intervention group (n = 60) had significantly higher overall average scores than the control group (n = 37) with regard to patient safety knowledge (p < .001), self-efficacy of participation (p = .001), willingness to participate (p = .010) and experience of participation (p = .038) in the post-survey. The total mean end-user satisfaction score was 3.56 ± 0.60. The participants expressed the realization that patients could play an important role in improving patient safety.
CONCLUSIONS
This study demonstrated that educating health consumers through a mobile application with useful information improves patient participation in patient safety activities. Educational materials and patient participation tools could motivate health consumers' health-related behaviours.
PATIENT OR PUBLIC CONTRIBUTION
Patients were involved during the programme development and evaluation.

Identifiants

pubmed: 35543141
doi: 10.1111/hex.13503
pmc: PMC9327837
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1601-1618

Informations de copyright

© 2022 The Authors. Health Expectations published by John Wiley & Sons Ltd.

Références

J Eval Clin Pract. 2013 Apr;19(2):285-91
pubmed: 22332730
Health Aff (Millwood). 2013 Feb;32(2):223-31
pubmed: 23381514
Procedia Comput Sci. 2020;176:3571-3580
pubmed: 33042319
Qual Saf Health Care. 2010 Oct;19(5):e10
pubmed: 20427301
Comput Inform Nurs. 2017 Dec;35(12):639-646
pubmed: 28691932
Nurs Health Sci. 2013 Sep;15(3):398-405
pubmed: 23480423
Issue Brief (Commonw Fund). 2016 Feb;5:1-11
pubmed: 26934758
BMJ Open. 2020 Mar 25;10(3):e035831
pubmed: 32213526
Patient Educ Couns. 2016 Dec;99(12):1923-1939
pubmed: 27450481
Int J Nurs Pract. 2015 Jun;21(3):258-68
pubmed: 24666538
Behav Res Methods. 2009 Nov;41(4):1149-60
pubmed: 19897823
Qual Health Res. 2005 Nov;15(9):1277-88
pubmed: 16204405
Saudi J Anaesth. 2017 May;11(Suppl 1):S80-S89
pubmed: 28616007
J Gen Intern Med. 2006 Apr;21(4):367-70
pubmed: 16686815
J Med Internet Res. 2017 Feb 21;19(2):e46
pubmed: 28223262
Patient Educ Couns. 2020 Jan;103(1):5-14
pubmed: 31447194
Health Expect. 2013 Dec;16(4):e164-76
pubmed: 22151624
J Med Internet Res. 2020 Apr 13;22(4):e17342
pubmed: 32281936
Qual Saf Health Care. 2002 Mar;11(1):76-80
pubmed: 12078376
BMC Health Serv Res. 2020 Mar 31;20(1):269
pubmed: 32234042
West J Nurs Res. 2021 Oct;43(10):972-983
pubmed: 33353509
J Patient Saf. 2021 Jan 1;17(1):44-50
pubmed: 30633064
J Nurs Care Qual. 2019 Jan/Mar;34(1):73-79
pubmed: 29889721
Health Expect. 2007 Sep;10(3):259-67
pubmed: 17678514
Health Expect. 2022 Aug;25(4):1601-1618
pubmed: 35543141
Int J Qual Health Care. 2017 Jun 01;29(3):392-398
pubmed: 28371819
Int J Nurs Terminol Classif. 2010 Jan-Mar;21(1):21-32
pubmed: 20132355
BMJ Qual Saf. 2014 Jul;23(7):548-55
pubmed: 24336575
Int J Med Inform. 2009 May;78(5):340-53
pubmed: 19046928
JMIR Mhealth Uhealth. 2020 Apr 1;8(4):e15098
pubmed: 32234704

Auteurs

Nam-Ju Lee (NJ)

College of Nursing, Seoul National University, Seoul, South Korea.
The Research Institute of Nursing Science, Seoul National University, Seoul, South Korea.

Shinae Ahn (S)

Department of Nursing, Wonkwang University, Jeonbuk, South Korea.

Miseon Lee (M)

College of Nursing, Seoul National University, Seoul, South Korea.

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