Patient Empowerment and Nursing Clinical Workflows Enhanced by Integrated Bedside Terminals.

Background: Integrated bedside terminals (IBTs) were implemented at Humber River Hospital with the goal of supporting patient independence and autonomy and improving nursing workflows. The IBTs provide access to a range of convenience and entertainment services as well as access to personal health i...

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Publicado en:Nursing Leadership (1910-622X) Vol. 32; pp. 43 - 58
Autores principales: Burkoski, Vanessa, Yoon, Jennifer, Hutchinson, Derek, Hall, Trevor N. T., Solomon, Shirley, Gelmi, Stephano, Fernandes, Kevin, Collins, Barbara E.
Formato: pictorial research tables/charts Journal Article
Publicado: Longwoods Publishing 2019 Special Issue
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2019 Special Issue
      vid: 32
      pid: 20495
      pub: Longwoods Publishing
      place: Toronto, Ontario
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        atl: Patient Empowerment and Nursing Clinical Workflows Enhanced by Integrated Bedside Terminals.
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        au:
          Burkoski, Vanessa
          Yoon, Jennifer
          Hutchinson, Derek
          Hall, Trevor N. T.
          Solomon, Shirley
          Gelmi, Stephano
          Fernandes, Kevin
          Collins, Barbara E.
        affil: Chief Nursing Executive & Chief, People Strategy, Humber River Hospital, Toronto, ON
      sug:
        subj:
          Clinical Information Systems Evaluation
          Patient Bedside
          Empowerment
          Patient Education
          Workflow
          Nursing Practice
          Human
          Male
          Female
          Adolescence
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Cross Sectional Studies
          Semi-Structured Interview
          Descriptive Statistics
          Questionnaires
          Summated Rating Scaling
          Chi Square Test
          Fisher's Exact Test
          Content Analysis
          Data Analysis Software
          Social Media Utilization
          Thematic Analysis
          Nurse-Patient Relations
          Readability
          Data Display
          Computer Peripherals
          Multimethod Studies
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Background: Integrated bedside terminals (IBTs) were implemented at Humber River Hospital with the goal of supporting patient independence and autonomy and improving nursing workflows. The IBTs provide access to a range of convenience and entertainment services as well as access to personal health information. Due to the novelty of the technology, there is a paucity of empirical data on patients' use of, satisfaction with and perceptions of bedside terminals. Aim: The purpose of this study was to evaluate the impact of IBTs on patient empowerment and nursing workflows. Methods: A mixed methods design was employed using a cross-sectional patient survey and semi-structured interviews with nurses. The patient survey assessed patient empowerment and satisfaction with the range of services offered through the IBT. Patient scores were summarized using descriptive statistics. Additionally, face-to-face interviews with nurses were used to illicit feedback regarding the IBTs' impacts on nursing workflows. Results: In total, 113 patients and 11 nurses participated in the study. Analysis of patient satisfaction surveys indicated that the IBTs enhanced the patient experience and increased self-care management. Nurses reported that the IBTs helped patients feel comfortable and entertained and helped enhance the nurse-patient relationship. However, nurses also expressed concern that elderly patients were less inclined to use the IBT. Conclusion: The results from the present study suggest that the IBT system has the potential to empower patients and decrease demands on nurses. Patients' notes incorporated into the IBT may provide the necessary level of involvement to garner a greater sense of patient empowerment. The IBT does not replace the need for nurses to deliver information to patients in a manner that supports their trust.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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