Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
권호 표지
DOI QR코드

DOI QR Code

Nurses' Perception of the Performance and Necessity of Nursing Services for Patients Engagement

간호사의 환자참여 간호서비스 수행정도와 필요성 인식

  • 이태화 (연세대학교 간호대학) ;
  • 장연수 (연세대학교 간호대학) ;
  • 지윤정 (연세대학교 간호대학) ;
  • 도현옥 (Joint Commission Internationall.연세대학교 간호대학) ;
  • 오경환 (세브란스병원 간호담당부) ;
  • 김창경 (세브란스병원 수석부) ;
  • 천자혜 (세브란스병원 적정진료관리팀) ;
  • 신혜경 (세브란스병원 간호팀) ;
  • 조미영 (세브란스병원) ;
  • 배정임 (세브란스병원)
  • Received : 2019.05.30
  • Accepted : 2019.06.24
  • Published : 2019.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to investigate the performance of patient engagement nursing services perceived by nurses and necessity in Korea. Methods: This study was a descriptive research. A total of 205 nurses participated in the study. The Smart Patient Engagement Assessment Checklist was developed by the investigators to assess patient engagement nursing services performance and necessity. The data were collected using online survey. Descriptive analysis and $x^2$ analysis were performed using SPSS 25.0 program. Results: The mean age of participants was $36.6{\pm}8.5years$ and the mean working experience was $12.92{\pm}9.23years$. Seventy eight percent of participants reported that patients and family participated in care as advisors through customer's suggestion or patient satisfaction assessment. The rate of patients' and family's engagement in care as advisors was significantly higher in tertiary hospitals ($x^2=28.54$, p<.001). About 89% of participants communicated with patients and family to make clinical decisions with a multidisciplinary approach. The rate of communication for multidisciplinary decision making was significantly higher in tertiary hospitals ($x^2=6.30$, p=.012). With regards to nurses' bedside patient handoff, 22.0% of participants reported that they were performing bedside patient handoff, and there was no significant difference between type of hospitals. About discharge planning, 72.2% of participants reported utilizing discharge checklist. Conclusion: Currently, patient engagement nursing services are applied partially in Korea. It seems that care protocols to be applied for patient engagement nursing services are insufficient. Therefore, patient engagement care protocols need to be developed to improve patient's health outcome and safety.

Keywords

References

  1. Center for Advancing Health. A new definition of patient engagement: What is engagement and why is it important? Washington, DC: Center for Advancing Health; 2010.
  2. Kim YK, Kim HW, Paik JY, Hong CB, Lee K, Park TJ, et al. The association between chronic diseases and active patient participation. Korean Journal of Health Promotion. 2017;17(3):152-160. https://doi.org/10.15384/kjhp.2017.17.3.152
  3. Clancy CM. Patient engagement in health care. Health Services Research. 2011;46(2):389-393. https://doi.org/10.1111/j.1475-6773.2011.01254.x
  4. Joint Commission. Approved: 2019 national patient safety goals. Some changes effective immediately. Joint Commission Perspectives. 2009;29(10):1, 20-31.
  5. World Health Organization. Patient engagement: Technical series on safer primary care. Geneva: WHO; 2016.
  6. Higgins T, Larson E, Schnall R. Unraveling the meaning of patient engagement: A concept analysis. Patient Education and Counseling. 2017;100(1):30-36. https://doi.org/10.1016/j.pec.2016.09.002
  7. Barello S, Triberti S, Graffigna G, Libreri C, Serino S, Hibbard J, et al. eHealth for patient engagement: A systematic review. Frontiers in Psychology. 2016;6:2013. https://doi.org/10.3389/fpsyg.2015.02013
  8. Han E, Hudson Scholle S, Morton S, Bechtel C, Kessler R. Survey shows that fewer than a third of patient-centered medical home practices engage patients in quality improvement. Health Affairs. 2013;32(2):368-375. https://doi.org/10.1377/hlthaff.2012.1183
  9. Mullins CD, Abdulhalim AM, Lavallee DC. Continuous patient engagement in comparative effectiveness research. JAMA. 2012;307(15):1587-1588. https://doi.org/10.1001/jama.2012.442
  10. Prey JE, Woollen J, Wilcox L, Sackeim AD, Hripcsak G, Bakken S, et al. Patient engagement in the inpatient setting: A systematic review. Journal of the American Medical Informatics Association. 2014;21(4):742-750. https://doi.org/10.1136/amiajnl-2013-002141
  11. Santana MJ, Feeny D. Framework to assess the effects of using patient-reported outcome measures in chronic care management. Quality of Life Research. 2014;23(5):1505-1513. https://doi.org/10.1007/s11136-013-0596-1
  12. Davis RE, Jacklin R, Sevdalis N, Vincent CA. Patient involvement in patient safety: What factors influence patient participation and engagement? Health Expectations. 2007;10(3):259-267. https://doi.org/10.1111/j.1369-7625.2007.00450.x
  13. Sandy LG, Tuckson RV, Stevens SL. UnitedHealthcare experience illustrates how payers can enable patient engagement. Health Affairs. 2013;32(8):1440-1445. https://doi.org/10.1377/hlthaff.2012.1082
  14. Epstein RM, Street RL Jr. The values and value of patient-centered care. Annals of Family Medicine. 2011;9(2):100-103. https://doi.org/10.1370/afm.1239
  15. Coulter A, Ellins J. Effectiveness of strategies for informing, educating, and involving patients. BMJ. 2007;335:24. https://doi.org/10.1136/bmj.39246.581169.80
  16. Davis RE, Jacklin R, Sevdalis N, Vincent CA. Patient involvement in patient safety: What factors influence patient participation and engagement? Health Expectations. 2007;10(3):259-267. https://doi.org/10.1111/j.1369-7625.2007.00450.x
  17. Charmel PA, Frampton SB. Building the business case for patient-centered care. Healthcare Financial Management. 2008;62(3):80-85.
  18. Kim HS. The effects of a patient-participated nutritional education on nutritional and functional status among patients with gastrectomy [master's thesis]. Seoul: Seoul National University; 2012. p. 1-150.
  19. Kang J, Suh EE. Perceptions of quality of patient-centered nursing care among women with breast cancer. Perspectives in Nursing Science. 2015;12(2):115-123. https://doi.org/10.16952/pns.2015.12.2.115
  20. Bartz CC. International Council of Nurses and person-centered care. International Journal of Integrated Care. 2010;10 (5):None. https://doi.org/10.5334/ijic.480
  21. Agency for Healthcare Research and Quality. Guide to patient and family engagement in hospital quality and safety [Internet]. Rockville, MD: Agency for Healthcare Research and Quality; 2017 [cited 2019.July.01]. Available from: https://www.ahrq.gov/professionals/systems/hospital/engagingfamilies/guide.html.
  22. American Academy of Family Physicians. Joint principles of the patient-centered medical home. Delaware Medical Journal. 2008;80(1):21-22.
  23. Willard-Grace R, Sharma AE, Parker C, Potter MB. Engaging patients as partners in practice improvement: A survey of community health centers. Journal of Clinical Outcomes Management. 2016;23(7):311-319.
  24. Sharma AE, Willard-Grace R, Willis A, Zieve O, Dube K, Parker C, et al. "How can we talk about patient-centered care without patients at the table?" Lessons learned from patient advisory councils. Journal of the American Board of Family Medicine. 2016;29(6):775-784. https://doi.org/10.3122/jabfm.2016.06.150380
  25. Jenerette CM, Mayer DK. Patient-provider communication: The rise of patient engagement. Seminars in Oncology Nursing. 2016;32(2):134-143. https://doi.org/10.1016/j.soncn.2016.02.007
  26. Cha BK, Choi J. A comparative study on perception of patient safety culture and safety care activities: Comparing university hospital nurses and small hospital nurses. Journal of Korean Academy of Nursing Administration. 2015;21(4):405-416. https://doi.org/10.11111/jkana.2015.21.4.405
  27. Berger AM, Buzalko RJ, Kupzyk KA, Gardner BJ, Djalilova DM, Otte JL. Preferences and actual chemotherapy decisionmaking in the greater plains collaborative breast cancer study. Acta Oncologica. 2017;56(12):1690-1697. https://doi.org/10.1080/0284186x.2017.1374555
  28. Small DC, Fitzpatrick JJ. Nurse perceptions of traditional and bedside shift report. Nursing Management. 2017;48(2):44-49. https://doi.org/10.1097/01.Numa.0000511921.67645.47
  29. Schirm V, Banz G, Swartz C, Richmond M. Evaluation of bedside shift report: A research and evidence-based practice initiative. Applied Nursing Research. 2018;40:20-25. https://doi.org/10.1016/j.apnr.2017.12.004
  30. McCoy KA, Bear-Pfaffendof K, Foreman JK, Daniels T, Zabel EW, Grangaard LJ, et al. Reducing avoidable hospital readmissions effectively: A statewide campaign. Joint Commission Journal on Quality and Patient Safety. 2014;40(5): 198-204. https://doi.org/10.1016/S1553-7250(14)40026-6