Use of Patient-Reported Data within the Acute Healthcare Context: A Scoping Review

Abstract

Patient-reported outcome measures (PROMs), patient-reported experience measures (PREMs) and patient satisfaction surveys provide important information on how care can be improved. However, data collection does not always translate to changes in practice or service delivery. This scoping review aimed to collect, map and report on the use of collected patient-reported data used within acute healthcare contexts for improvement to care or processes. Using JBI methods, an extensive search was undertaken of multiple health databases and trial registries for published and unpublished studies. The concepts of interest included the types and characteristics of published patient experience and PROMs research, with a specific focus on the ways in which data have been applied to clinical practice. Barriers and facilitators to the use of collected data were also explored. From 4057 records, 86 papers were included. Most research was undertaken in North America, Canada or the UK. The Hospital Consumer Assessment of Healthcare Providers and Systems tool (HCAHPS) was used most frequently for measuring patient satisfaction. Where reported, data were applied to improve patient-centred care and utilization of health resources. Gaps in the use of patient data within hospital services are noticeable. Engaging management and improving staff capability are needed to overcome barriers to implementation.

Associated factors of nurse‐sensitive patient outcomes: A multicentred cross‐sectional study in psychiatric inpatient hospitals

“…Our results on associated factors are helpful to understand and interpret the scores on the MH‐NURSE‐POS (Burr & Richter, 2021; González‐Blanch et al, 2021; Kynoch et al, 2022). Identifying facilitating and impeding factors of the nurse–patient relationship by measuring patient‐level associations is a first step to understanding the black box of processes of interpersonal change.…”

“…They are not the evaluation of patient‐reported experiences of the nurse–patient relationship. (Coster et al, 2018; de Bienassis et al, 2021; Kynoch et al, 2022; Moorhead et al, 2018, Steel et al, 2020). The scores for nurse‐sensitive patient outcomes were collected directly from the patient with no interpretation from anyone other than the patient (Kampstra et al, 2018; Kingsley & Patel, 2017; Wolff et al, 2021).…”

“…To ensure safe and effective mental health care, responsive to the evolving societal values of care, there has been an elevated interest in improving health outcomes, particularly from patients' perspectives (Kersting et al, 2020; Kilbourne et al, 2018; Pathare et al, 2018; Scheid & Wright, 2017; Shaw et al, 2019). These patient‐reported outcomes have the potential to capture information about whether and to what degree health care is effective from the perspective of the patient (Kampstra et al, 2018; Kynoch et al, 2022; Vanhaecht et al, 2021). Patient‐reported outcomes refer to the patient's health status or condition (e.g.…”

“…Robust evidence on how associations, such as relational‐contextual factors and patient characteristics, influence nurse‐sensitive patient outcomes of the nurse–patient relationship is limited (Burr et al, 2017; Desmet et al, 2021; Kynoch et al, 2022, Prentice et al, 2021). This lack of evidence is a barrier on improving the quality of the nurse–patient relationship in clinical mental health nursing practice and in nursing education (Connell et al, 2022; Coster et al, 2018; González‐Blanch et al, 2021; Moorhead et al, 2018).…”

“…Therefore, measuring nurse‐sensitive patient outcomes of the nurse–patient relationship and its associated factors is an important strategy. It helps to understand the processes of interpersonal change by psychiatric and/or mental health nurses that have the potential to increase the value of the nurse–patient relationship in nursing practice, (nursing) management and policymaking (Deproost, 2018; Forchuk, 2021; Kynoch et al, 2022; Peplau, 1991; Prentice et al, 2021; Santos & Cutcliffe, 2018, Wheeler, 2013).…”