Evidence map›Paper›PMID 35419788›Full record

ArticleApplied clinical informatics2022

Improving Provisioning of an Inpatient Portal: Perspectives from Nursing Staff.

Alice A Gaughan, Daniel M Walker, Lindsey N Sova, Shonda Vink, Susan D Moffatt-Bruce, Ann Scheck McAlearney

Abstract read
In one paragraph

Article in Applied clinical informatics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
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  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Alice A GaughanThe Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research (CATALYST), College of Medicine, The Ohio State University, Columbus, Ohio, United States.
Daniel M WalkerThe Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research (CATALYST), College of Medicine, The Ohio State University, Columbus, Ohio, United States.
Lindsey N SovaThe Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research (CATALYST), College of Medicine, The Ohio State University, Columbus, Ohio, United States.
Shonda VinkThe Ohio State University Wexner Medical Center, Columbus, Ohio, United States.
Susan D Moffatt-BruceRoyal College of Physicians and Surgeons of Canada, Ottawa, Canada.
Ann Scheck McAlearneyThe Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research (CATALYST), College of Medicine, The Ohio State University, Columbus, Ohio, United States.

Funding

The Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS)P30HS024379 · AHRQ · OHIO STATE UNIVERSITY · PI MCALEARNEY, ANN SCHECK · 2015 to 2015
$4.0M
High Tech and High Touch (HT2): Transforming patient engagement through portal technology at the bedsideR01HS024091 · AHRQ · OHIO STATE UNIVERSITY · PI MCALEARNEY, ANN SCHECK · 2015 to 2018
$967k
Development and Evaluation of Socio-Technical Metrics to Inform HIT AdaptationR21HS024767 · AHRQ · WASHINGTON UNIVERSITY · PI YEN, PO-YIN · 2016 to 2017
$291k
AHRQ HHS P30 HS024379AHRQ HHS R01 HS024091AHRQ HHS R21 HS024767
6 · The paper itself

Abstract

backgroundInpatient portals are recognized to provide benefits for both patients and providers, yet the process of provisioning tablets to patients by staff has been difficult for many hospitals.

objectiveOur study aimed to identify and describe practices important for provisioning an inpatient portal from the perspectives of nursing staff and provide insight to enable hospitals to address challenges related to provisioning workflow for the inpatient portal accessible on a tablet.

methodsQualitative interviews were conducted with 210 nursing staff members across 26 inpatient units in six hospitals within The Ohio State University Wexner Medical Center (OSUWMC) following the introduction of tablets providing access to an inpatient portal, MyChart Bedside (MCB). Interviews asked questions focused on nursing staffs' experiences relative to MCB tablet provisioning. Verbatim interview transcripts were coded using thematic analysis to identify factors associated with tablet provisioning. Unit provisioning performance was established using data stored in the OSUWMC electronic health record about provisioning status. Provisioning rates were divided into tertiles to create three levels of provisioning performance: (1) higher; (2) average; and (3) lower.

resultsThree themes emerged as critical strategies contributing to MCB tablet provisioning success on higher-performing units: (1) establishing a feasible process for MCB provisioning; (2) having persistent unit-level MCB tablet champions; and (3) having unit managers actively promote MCB tablets. These strategies were described differently by staff from the higher-performing units when compared with characterizations of the provisioning process by staff from lower-performing units.

conclusionAs inpatient portals are recognized as a powerful tool that can increase patients' access to information and enhance their care experience, implementing the strategies we identified may help hospitals' efforts to improve provisioning and increase their patients' engagement in their health care.

Indexed as

Nursing StaffPatient PortalsElectronic Health RecordsHumansInpatientsPatient ParticipationQualitative Research

Identifiers

PMID35419788
PMCPMC9008224

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.