Co-development of “BRAIN-TRK”: Qualitative examination of acceptability, usability and feasibility of an App to support nurses' care for patients with behavioural and psychological symptoms of neurocognitive disorders in hospital

作者: A. M. Redley , B. , Richardson , B. , Peel

DOI: 10.1111/JOCN.14874

关键词:

摘要: AIMS AND OBJECTIVES (a) Describe the co-development of a point-of-care App to promote uptake best practice recommendations and consolidate nurses' knowledge for managing symptoms neurocognitive disorders. (b) Report acceptability, usability feasibility nurses patient care in hospital. BACKGROUND Strategies used hospitals reduce symptoms, risk harm, or complications behavioural psychological associated with disorders are frequently inconsistent recommendations. DESIGN Three-stage, mixed-methods, process outcome evaluation. METHODS The was co-developed experts, nurse end-users consumer. Evaluation data were collected from convenience sample observed during delivery 80.5 hr 38 patients; (n = 32 patients); individual focus group interviews (n = 25). Reporting adhered an adapted STROBE checklist. RESULTS included three components: cognition assessment; tailored evidence-based strategies; monitoring evaluation effectiveness. Observation captured using 44.7% (n = 17) eligible inpatients. Cognitive screening completed at least once each patient, 146 assessments recorded. Interview indicated App's acceptability enhanced by familiarity perceived benefits, but hindered increases workload, use, pressure use resistance change. Feasibility easy navigation, clear useful content, unclear expectations, unfamiliarity device-related factors. CONCLUSIONS provided tool that was, overall, considered feasible acceptable support practice. Findings provide guidance enhance future implementation. RELEVANCE TO CLINICAL PRACTICE Co-development evidence key stakeholders enabled creation novel, technology. Real-time access assessment tools supported clinical decision-making; workload barriers use.

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