The effects of a ‘COVID Nurse Assistant’ application on patient satisfaction in COVID isolation rooms
https://doi.org/10.4081/hls.2023.11168
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Introduction: The COVID-19 pandemic has caused a major shift in the healthcare delivery system. With the limited personal protection equipment and a nursing service shortage caused ineffective nursing care delivered to COVID-19 patients. Wearing full personal protective equipment (PPE) hinders nurse-patients communication and inhibiting the achievement of treatment goals. This study aims to examine the effect of a ‘COVID Nurse Assistant’ (CNA) application on patient satisfaction in COVID-19 isolation rooms.
Design and Methods: This was a comparative study with an experimental and control group design. The participants were patients confirmed positive with COVID-19 receiving care in an isolation room for at least three days and were fully conscious. The intervention used was accessing health information related to COVID-19 through a mobile-friendly application namely-‘COVID Nurse Assistant’. The instrument used was the Patient Satisfaction Questionnaire (PSQ-18) translated into Bahasa Indonesia. In addition, an independent t-Test was used to perform statistical analysis.
Results and Discussions: A total 158 respondents completed the online survey among of 219 eligible patients (72% response rate). The score in the general and financial satisfaction sub-scales reported by patients in the experimental group were significantly different from the control with p-values of 0.032 and 0.018 respectively. However, other subscales were not significantly different between the two groups.
Conclusions: The implementation of the CNA online application has noteworthy implications on patient satisfaction. However, further studies examining similar system in different clinical areas would provide better information for the optimal use of technology in patient education.
Cucinotta D, Vanelli M. WHO declares COVID-19 a pandemic. Acta Bio Medica: Atenei Parmensis 2020;91:157.
Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020;395:497-506. DOI: https://doi.org/10.1016/S0140-6736(20)30183-5
Lin S, Pan H, Wu H, et al. Epidemiological and clinical characteristics of 161 discharged cases with coronavirus disease 2019 in Shanghai, China. BMC Infect Dis 2020;20:1-10.
Kahar F, Dirawan GD, Samad S, et al. The Epidemiology of COVID-19, Attitudes and Behaviors of the Community During the COVID Pandemic in Indonesia. IJISRT 2020;5:1681–7. DOI: https://doi.org/10.38124/IJISRT20AUG670
Lin S, Pan H, Wu H, et al. Epidemiological and clinical characteristics of 161 discharged cases with coronavirus disease 2019 in Shanghai, China. BMC Infect Dis 2020;20:780. DOI: https://doi.org/10.1186/s12879-020-05493-7
Arasli H, Furunes T, Jafari K, et al. Hearing the voices of wingless angels: A critical content analysis of nurses’ COVID-19 experiences. Int J Environ Res Public Health 2020;17:8484. DOI: https://doi.org/10.3390/ijerph17228484
World Health Organization. Rational use of personal protective equipment for coronavirus disease 2019 (COVID-19) and considerations during severe shortages. Geneva: WHO; 2020.
Purcell LN, Charles AG. An Invited Commentary on “World Health Organization declares global emergency: A review of the 2019 novel Coronavirus (COVID-19)": Emergency or new reality? Int J Surg 2020;76:111. DOI: https://doi.org/10.1016/j.ijsu.2020.03.002
Galehdar N, Toulabi T, Kamran A, et al. Exploring nurses’ perception about the care needs of patients with COVID-19: a qualitative study. BMC Nursing 2020;19:1-8. DOI: https://doi.org/10.1186/s12912-020-00516-9
Wong CKM, Yip BHK, Mercer S, et al. Effect of facemasks on empathy and relational continuity: a randomised controlled trial in primary care. BMC Fam Pract 2013;14:1-7. DOI: https://doi.org/10.1186/1471-2296-14-200
Yam CH, Wong EL, Cheung AW, et al. Framework and components for effective discharge planning system: a Delphi methodology. BMC Health Serv Res 2012;12:1-16. DOI: https://doi.org/10.1186/1472-6963-12-396
Nguyen OT, Tabriz AA, Huo J, et al. Impact of Asynchronous Electronic Communication–Based Visits on Clinical Outcomes and Health Care Delivery: Systematic Review. J Med Internet Res 2021;23:e27531. DOI: https://doi.org/10.2196/27531
Abd-Alrazaq A, Hassan A, Abuelezz I, et al. Overview of Technologies Implemented During the First Wave of the COVID-19 Pandemic: Scoping Review. J Med Internet Res 2021;23:e29136. DOI: https://doi.org/10.2196/29136
Nursalam D. Nursing Management: Applications in Professional Nursing Practice. Jakarta: Salemba Medika; 2014.
Imaninda V, Azwar S. Modification of patient satisfaction questionnaire short form (PSQ-18) into Indonesian. Jurnal Psikologi UGM 2016;2:229467. DOI: https://doi.org/10.22146/gamajop.31864
Marshall GN, Hays RD. The Patient Satisfaction Questionnaire Short Form (PSQ-18). Santa Monica, CA: RAND Corporation; 1994.
Thayaparan AJ, Mahdi E. The Patient Satisfaction Questionnaire Short Form (PSQ-18) as an adaptable, reliable, and validated tool for use in various settings. Medical Education Online 2013;18:21747. DOI: https://doi.org/10.3402/meo.v18i0.21747
Leigh J, Vasilica C, Dron R, et al. Redefining undergraduate nurse teaching during the coronavirus pandemic: use of digital technologies. Br J Nurs 2020;29:566-9. DOI: https://doi.org/10.12968/bjon.2020.29.10.566
Woolliscroft JO. Innovation in Response to the COVID-19 Pandemic Crisis. Acad Med 2020;95:1140-1142. DOI: https://doi.org/10.1097/ACM.0000000000003402
Gagne M, Legault C, Boulet L-P, et al. Impact of adding a video to patient education on quality of life among adults with atrial fibrillation: a randomized controlled trial. Patient Educ Counsel 2019;102:1490-8. DOI: https://doi.org/10.1016/j.pec.2019.03.015
Idriss NZ, Alikhan A, Baba K, et al. Online, video-based patient education improves melanoma awareness: a randomized controlled trial. Telemedicine and e-Health 2009;15:992-7. DOI: https://doi.org/10.1089/tmj.2009.0055
Peker SV, Yılmaz E, Baydur H. The effect of preoperative video-assisted patient education on postoperative activities of daily living and quality of life in patients with femoral fracture. J Clinical Experiment Investigat 2020;11:em00736. DOI: https://doi.org/10.5799/jcei/7844
Wilson EA, Park DC, Curtis LM, et al. Media and memory: the efficacy of video and print materials for promoting patient education about asthma. Patient Educ Counsel 2010;80:393-8. DOI: https://doi.org/10.1016/j.pec.2010.07.011
Fiore-Silfvast B, Hartung C, Iyengar K, et al. Mobile video for patient education: the midwives’ perspective. In: Proceedings of the 3rd ACM Symposium on Computing for Development - ACM DEV ’13 [Internet]. Bangalore, India: ACM Press; 2013 [cited 2022 Jan 1]. p. 1. Available from: http://dl.acm.org/citation.cfm?doid=2442882.2442885 DOI: https://doi.org/10.1145/2442882.2442885
Ministry of Health Republic of Indonesia. Ministry of Health Decision No. HK.01.07/Menkes/238/2020 about Technical Instructions for Reimbursement of Treatment Costs for Certain Emerging Infectious Disease Patients for Hospitals Providing Corona Virus Disease 2019 (COVID-19) Services. Jakarta: Ministry of Health Republic of Indonesia; 2020.
Setiati S, Azwar MK. COVID-19 and Indonesia. Acta Medica Indonesiana 2020;52:84-9.
National Center for Immunization and Respiratory Diseases (U.S.). Division of Viral Diseases., editor. Strategies to mitigate healthcare personnel staffing shortages. 2020 Apr 30; Available from: https://stacks.cdc.gov/view/cdc/88616
Lim ST, Janaway B, Costello H, et al. Persistent psychotic symptoms following COVID-19 infection. B J Psych Open 2020;6:e105. DOI: https://doi.org/10.1192/bjo.2020.76
Yohannes AM. COPD patients in a COVID-19 society: depression and anxiety. Expert Rev Respir Med 2021;15:5–7. DOI: https://doi.org/10.1080/17476348.2020.1787835
Nakata H, Miyamoto T, Ogoh S, et al. Effects of acute hypoxia on human cognitive processing: A study using ERPs and SEPs. J Appl Physiol 2017;123:1246-55. DOI: https://doi.org/10.1152/japplphysiol.00348.2017
Bandura A. Guide for Constructing Self-Efficacy Scales (Revised) [Internet]. ResearchGate. [cited 2022 Jan 1]. Available from: https://www.researchgate.net/publication/233894825_Guide_for_Constructing_Self-Efficacy_Scales_Revised
Heslin PA, Klehe U-C. Self-Efficacy. 2006 Sep 22; cited 2022 Jan 1; Available from: https://papers.ssrn.com/abstract=1150858
Bastani F. The effect of education on nutrition behavioral intention and self-efficacy in women. Health Scope 2012;1: 12-7. DOI: https://doi.org/10.5812/jhs.4520
Coulter A. Patient engagement—what works? J Ambulatory Care Manag 2012;35:80-9. DOI: https://doi.org/10.1097/JAC.0b013e318249e0fd
Nieuwlaat R, Wilczynski N, Navarro T, et al. Interventions for enhancing medication adherence. Cochrane Database Syst Rev 2014;2014:CD000011. DOI: https://doi.org/10.1002/14651858.CD000011.pub4
Meterko M, Wright S, Lin H, et al. Mortality among patients with acute myocardial infarction: the influences of patient‐centered care and evidence‐based medicine. Health Services Research 2010;45:1188-204. DOI: https://doi.org/10.1111/j.1475-6773.2010.01138.x
Loh A, Simon D, Wills CE, et al. The effects of a shared decision-making intervention in primary care of depression: a cluster-randomized controlled trial. Patient Educ Counsel 2007;67:324-32. DOI: https://doi.org/10.1016/j.pec.2007.03.023
Copyright (c) 2023 the Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Downloads
Citations
