Abstract
BackgroundThis study aims to investigate the effects of a nursing quality control and audit application (app) on the autonomous learning of nursing staff and nursing quality management by nursing supervisors. A multilevel interactive app is developed to assist nursing staff in conducting online autonomous learning and nursing supervisors in identifying problems and creating nursing quality improvement plans. The app could also present the different evaluation results of wards in visual charts for supervisors to review.MethodsA single-group pre- and post-test design was applied. Data were collected from 131 nurses between October 2019 and October 2020 to analyze the differences between nursing staffs’ willingness to engage in autonomous learning and the integrity of nursing quality improvement plan writing before and after the intervention. The structured questionnaires included open-ended questions that cover aspects of nursing quality control, the audit app, and the information acceptance intention of nurses.ResultsThe participants’ age and job title are negatively correlated with the app’s usability, while the ability to use 3C (Computer, Communication, and Consumer Electronics products including mobile phones and laptops) equipment is positively correlated with the willingness to use the app. Nurses’ satisfaction with the convenience of the online autonomous learning method is 92%, which indicates that the app could improve their willingness to learn. Following the intervention of the app, nursing supervisors’ satisfaction with the integrity of nursing quality improvement plan writing increased from 41 to 88%.ConclusionsUsing information technology products to assist in nursing quality management in clinical practice has a significant effect on nurses’ load reduction and head nurses’ satisfaction. Multilevel interactive nursing quality control and audit apps can improve nursing staff’s willingness to learn independently, nursing quality, and the integrity of plan writing. Thus, nursing quality control and audit apps can be considered as suitable nursing quality control tools.
Highlights
Aim The purpose of this study was to discuss the development of a multilevel interactive nursing quality control and audit app, examine the effects of nursing staffs’ willingness to engage in autonomous learning, determine the integrity of nursing quality improvement plan writing through a simplified nursing quality audit process for nurses and nursing supervisors, and propose a new TAM, that is, acceptance model 2 (ATAM2)
Following the introduction of a nursing quality control and audit app for nurses and nursing supervisors, this study investigated the changes in nursing staff’s autonomous learning and the integrity of nursing quality improvement plan writing both before and after (6 months after the introduction of the app) the intervention
Our study found that nursing staff with the nursing skill classification of N4 demonstrated higher usability and willingness to use than others
Summary
This study aims to investigate the effects of a nursing quality control and audit application (app) on the autonomous learning of nursing staff and nursing quality management by nursing supervisors. Most hospitals in Taiwan have established audit teams under the quality management committee of the nursing department to monitor the quality of nursing care. Members of this audit team check and monitor the different nursing quality indicators listed in the quality monitoring criteria of the Central Nursing Quality Index Monitoring Program [2]. It is important to introduce information digitization to existing nursing practice, in order to improve nursing quality and the learning efficiency of ward nurses and ensure the effectiveness of nursing audits [5, 6]
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