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Evaluation of real-time use of electronic patient-reported outcome data by nurses with patients in home dialysis clinics

  • Author(s) / Creator(s)
  • Background: Internationally, the use of patient-reported outcomes (PROs) is increasing. Electronic PROs (ePROs)
    offer immediate access of such reports to healthcare providers. The objectives of this study were to assess nurses’
    perspectives on the usefulness and impact of ePRO administration in home dialysis clinics and assess patient
    perceptions of satisfaction with nursing care following use of ePROs.
    Methods: A concurrent, longitudinal, mixed methods study was conducted over 6 months during home dialysis
    outpatient clinic visits in two cities. Patients (n = 99) provided ePROs using tablet computers when they visited
    the clinic on two consecutive occasions approximately 3 months apart. Results were scored, printed, and given
    to nurses before patient appointments. Patients completed satisfaction items from the Comox Valley Nursing
    Centre Client questionnaire following their appointments. All clinic nurses (n = 11) participated and they were
    each interviewed twice, three months and six months after the start of the study.
    Results: The five themes that emerged from the interviews with the nurses include: enhancing focus of the nurses,
    directing interdisciplinary follow-up, offering support to patients through the process, interpreting results from the
    visual display, and integrating into workflow.
    Scores on the Client Questionnaire suggested that patients believed that they received excellent care (97%), and
    that the nurses perfectly understood their needs (90.9%). However, their satisfaction with care did not change over
    time when ePRO data was repeatedly provided to their nurses.
    Conclusions: Nurses reported that sharing ePRO data in real-time informed their practice. Although there was no
    statistically significant change in patient satisfaction scores over time, some patients reported changes and benefits
    from the use of ePROs. Further research is needed to provide guidance about how ePRO data could enhance
    person-centered care.

  • Date created
    2017-01-01
  • Subjects / Keywords
  • Type of Item
    Article (Published)
  • DOI
    https://doi.org/10.7939/r3-ejx3-be34
  • License
    Attribution-NonCommercial 4.0 International
  • Language
  • Citation for previous publication
    • Schick-Makaroff, K., & Molzahn, A. E. (2017). Evaluation of real-time use of electronic patient-reported outcome data by nurses with patients in home dialysis clinics. BMC health services research, 17(1), 439. https://doi.org/10.1186/s12913-017-2377-y