Patient Empowerment and Nursing Clinical Workflows Enhanced by Integrated Bedside Terminals

Abstract

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.

Pengaruh Empowerment Terhadap Pengambilan Keputusan Asuhan Keperawatan

“…Perawat yang mendapatkan lingkungan dengan pemberdayaan (empowerment) memberikan dampak pada penyelenggaraan pelayanan kepada pasien, ketegangan kerja, kepuasan kerja dan retensi perawat ditempat kerja. Praktik dari manajemen ini tidak hanya meningkatkan kontribusi atau produktifitas perawat dengan efektif tetapi juga memungkinkan perawat untuk melatih otonomi, merasakan, dan mengerti akan nilainilai terhadap kerja dan kepuasan (Burkoski et al, 2019).…”