Perception and Use of a Patient Care Window to Improve Care and Family Engagement

理解和使用患者护理窗口来改善护理和家庭参与

• 批准号: 8806152
• 负责人: Onur Asan
• 金额: $ 16.12万
• 依托单位: MEDICAL COLLEGE OF WISCONSIN
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-09-30 至 2016-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8806152
• 关键词: Perception; Use; Patient; Care; Window

DESCRIPTION (provided by applicant): Despite the rapidly spreading adoption of health information technology (HIT), it is unclear whether the potential of these technologies have been realized. One explanation is the "Field of Dreams" fallacy, which questions the belief that simply implementing a technology guarantees its use. Regardless of the purported quality of the technology or the fact that a given HIT was installed, ultimately, it is the perceptions of those intended to use the technology that determine both its use and whether potential benefits are realized. In addition, studies show that HIT has the potential to improve patient/family-centered care and engagement, a recent "hot topic" in healthcare research. However, it is unclear if there is evidence to support designing technologies to engage this population. Thus, more developmental research is needed on new types of technology that could potentially improve patient/family engagement. To address this gap in the literature, we propose to study provider and family perceptions and use of a specific technology: Patients' Interactive Care Window (PICWi). The findings of this pilot study will inform future interventional studies. The aims of th project are to: 1) Determine the specific needs of PICU patients/families that could inform changes to the design and use of the PICWi to enhance use and family/patient engagement, and 2) Determine the specific needs of PICU physicians and nurses that could inform redesign of the PICWi to enhance use. We will pursue these aims in the Pediatric Intensive Care Unit at Children's Hospital of Wisconsin (CHW). This research study will measure both the perceived needs and the opportunities for improving this novel HIT, which will help inform future interventions in redesigning the PICWi in order to improve use and family engagement. The results from our investigation will have important implications for patient care, allowing for more efficient and tailored decision-making, thereby improving patient quality of life and potentially reducing health care costs.

描述（由申请人提供）：尽管健康信息技术（HIT）的采用迅速普及，但尚不清楚这些技术的潜力是否已经实现。一种解释是“梦的领域”谬误，它质疑简单地实现一项技术就能保证其使用的信念。不管技术的质量如何，也不管某一命中测试系统是否已经安装，最终，决定技术的使用和是否实现潜在利益的是打算使用该技术的人的看法。此外，研究表明，HIT有可能改善以患者/家庭为中心的护理和参与，这是医疗保健研究中最近的“热门话题”。然而，目前尚不清楚是否有证据支持设计技术来吸引这一人群。因此，需要对可能改善患者/家庭参与的新型技术进行更多的发展研究。为了解决文献中的这一差距，我们建议研究提供者和家庭的看法和使用一种特定的技术：病人的互动护理窗口（PICWi）。这项初步研究的结果将为未来的干预性研究提供信息。该项目的目的是：1）确定PICU患者/家庭的特定需求，这些需求可以告知PICWi的设计和使用变更，以增强使用和家庭/患者参与，以及2）确定PICU医生和护士的特定需求，这些需求可以告知PICWi的重新设计，以增强使用。我们将在威斯康星州儿童医院（CHW）的儿科重症监护室实现这些目标。这项研究将衡量改善这种新型HIT的感知需求和机会，这将有助于为未来重新设计PICWi的干预措施提供信息，以改善使用和家庭参与。我们的调查结果将对患者护理产生重要影响， 高效和定制的决策，从而提高患者的生活质量，并可能降低医疗保健成本。