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Hospital staffs’ perceptions of an electronic program to engage patients in nutrition care at the bedside: a qualitative study
- Source :
- BMC Medical Informatics and Decision Making, BMC Medical Informatics and Decision Making, Vol 17, Iss 1, Pp 1-11 (2017)
- Publication Year :
- 2017
- Publisher :
- BioMed Central, 2017.
-
Abstract
- Background Advancements in technology are enabling patients to participate in their health care through self-monitoring and self-management of diet, exercise and chronic disease. Technologies allowing patients to participate in hospital care are still emerging but show promise. Our team is developing a program by which hospitalised patients can participate in their nutrition care. This study explores hospital staffs’ perceptions of using this technology to engage patients in their care. Methods This qualitative study involved semi-structured interviews with hospital staff providing routine nutrition care to patients (i.e. dietitians, nutrition assistants, nurses, doctors and foodservice staff) from five wards at a tertiary metropolitan teaching hospital in Australia. The hospital currently uses an electronic foodservice system (EFS) for patient meal ordering, accessed through personal screens at the bedside. Participants were shown the EFS program on an iPad and asked about their perceptions of the program, with questions from a semi-structured interview guide. Staff were interviewed individually or in small focus groups. Interviews lasted 15–30 min and were audio recorded and later transcribed. Data were analysed using thematic analysis. Results Nineteen staff participated in interviews. Overall, they expressed positive views of the EFS program and wanted it to be implemented in practice. Their responses formed three themes, each with a number of subthemes: 1) Enacting patient participation in practice; 2) Optimising nutrition care; and 3) Considerations for implementing an EFS program in practice. Staff thought the program would improve various aspects of nutrition care and enable patient participation in care. Whilst they raised some concerns, they focused on overcoming barriers and facilitating implementation if the program were to be adopted into practice. Conclusions Staff found an EFS program designed to engage patients in their nutrition care acceptable, as they saw benefits to using it for both patients and staff. Staff recognised characteristics of the program itself, as well as allocation of roles and responsibilities in operationalising it, were pivotal for successful implementation in practice. Their perspectives will inform program and intervention design, and implementation and evaluation strategies. Electronic supplementary material The online version of this article (doi:10.1186/s12911-017-0495-4) contains supplementary material, which is available to authorized users.
- Subjects :
- 020205 medical informatics
Health information technology
Attitude of Health Personnel
Health Informatics
Patient-centred care
02 engineering and technology
lcsh:Computer applications to medicine. Medical informatics
Health informatics
03 medical and health sciences
0302 clinical medicine
Ambulatory care
Nursing
Food Service, Hospital
Patient-Centered Care
Health care
0202 electrical engineering, electronic engineering, information engineering
Nutrition care
Medicine
Humans
030212 general & internal medicine
Medical Informatics Applications
Patient participation
Beside technology
Qualitative Research
business.industry
Health Policy
Focus group
3. Good health
Computer Science Applications
Hospitalization
Personnel, Hospital
lcsh:R858-859.7
Thematic analysis
Hospital staff
business
Qualitative research
Research Article
Subjects
Details
- Language :
- English
- ISSN :
- 14726947
- Volume :
- 17
- Database :
- OpenAIRE
- Journal :
- BMC Medical Informatics and Decision Making
- Accession number :
- edsair.doi.dedup.....88e9511d43f760ec279cbc4698ec7525