Patient-mediated interventions in hospital: A systematic review.

change management health personnel nurses patient education as topic patient engagement patient participation patient-mediated professional practice quality of health care systematic review

Journal

Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811

Informations de publication

Date de publication:
Feb 2023
Historique:
revised: 13 10 2022
received: 21 07 2022
accepted: 06 11 2022
pubmed: 22 11 2022
medline: 26 1 2023
entrez: 21 11 2022
Statut: ppublish

Résumé

To describe the characteristics of hospital-based, patient-mediated interventions and their impact on patient, clinician and organization outcomes. Systematic review. Health literature databases (MEDLINE, CINAHL and EMBASE) were searched in August 2021. Backward and forward citation searching was conducted. Studies investigating patient-mediated interventions, targeted at adult hospitalized patients were eligible. Data were extracted related to study and intervention characteristics. Narrative synthesis was used to understand intervention impact on patient, clinician and organization outcomes (as per a framework). Methodological quality was assessed using the Mixed Methods Assessment Tool. Thirty-three studies, reporting 18 interventions, were included. Twelve interventions prompted patients to report health information about their own health/needs/concerns and six interventions encouraged patients to provide feedback about clinical practice. Across all interventions, there was evidence that patients used patient-mediated interventions and that they may improve patient communication. Healthcare professional outcomes were mixed for actual/intended use, acceptability and usefulness of interventions; yet there was some evidence of healthcare professional behaviour change. Interventions that encouraged patients to report health information about their own health/needs/concerns appeared more successful than other types of interventions. There is some evidence that hospital-based patient-mediated interventions may influence patient communication and healthcare professional behaviour. Patient-mediated interventions that encourage patients to report patient data before a clinical encounter may be more impactful than interventions that encourage patient feedback during or post-encounter. To date, most patient-mediated intervention research has been conducted in primary care settings; we uncovered the types of patient-mediated interventions that have been trialled in hospitals. We found that patient communication and healthcare professional behaviour may be influenced by these patient-mediated interventions. Future researchers could explore the suitability and effectiveness of a wider range of hospital-based patient-mediated interventions. There was no funding to remunerate a patient/member of the public for this review.

Identifiants

pubmed: 36408930
doi: 10.1111/jan.15500
doi:

Types de publication

Systematic Review Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

418-441

Subventions

Organisme : GT salary provided by National Health and Medical Research Council Centre of Research Excellence

Informations de copyright

© 2022 John Wiley & Sons Ltd.

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Auteurs

Georgia Tobiano (G)

Gold Coast University Hospital, Gold Coast Health, Gold Coast, Queensland, Australia.
NHMRC CRE in Wiser Wound Care, Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia.

Shelley Roberts (S)

Gold Coast University Hospital, Gold Coast Health, Gold Coast, Queensland, Australia.
School of Health Sciences and Social Work, Griffith University, Gold Coast, Queensland, Australia.
Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia.

Rachel Muir (R)

Gold Coast University Hospital, Gold Coast Health, Gold Coast, Queensland, Australia.
Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia.
School of Nursing and Midwifery, Griffith University, Gold Coast, Queensland, Australia.

Teresa Jerofke-Owen (T)

College of Nursing, Marquette University, Milwaukee, Wisconsin, USA.

Christine Ting (C)

Gold Coast University Hospital, Gold Coast Health, Gold Coast, Queensland, Australia.

Sarah Thorning (S)

Gold Coast University Hospital, Gold Coast Health, Gold Coast, Queensland, Australia.

Daren K Heyland (DK)

Department of Critical Care Medicine, Queen's University, Kingston, Ontario, Canada.
Clinical Evaluation Research Unit, Kingston General Hospital, Kingston, Ontario, Canada.

Andrea P Marshall (AP)

Gold Coast University Hospital, Gold Coast Health, Gold Coast, Queensland, Australia.
Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia.
School of Nursing and Midwifery, Griffith University, Gold Coast, Queensland, Australia.

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