Implementing and measuring person-centredness using an APP for knowledge transfer: the iMPAKT app

Abstract

Objective The aim of the study was to evaluate a technological solution in the form of an App to implement and measure person-centredness in nursing. The focus was to enhance the knowledge transfer of a set of person-centred key performance indicators and the corresponding measurement framework used to inform improvements in the experience of care. Design The study used an evaluation approach derived from the work of the Medical Research Council to assess the feasibility of the App and establish the degree to which the App was meeting the aims set out in the development phase. Evaluation data were collected using focus groups (n = 7) and semi-structured interviews (n = 7) to capture the impact of processes experienced by participating sites. Setting The study was conducted in the UK and Australia in two organizations, across 11 participating sites. Participants 22 nurses from 11 sites in two large health care organizations were recruited on a voluntary basis. Intervention Implementing the KPIs and measurement framework via the APP through two cycles of data collection. Main Outcome Measures The main outcome was to establish feasibility in the use of the App. Results The majority of nurse/midwife participants found the App easy to use. There was broad consensus that the App was an effective method to measure the patient experience and generated clear, concise reports in real time. Conclusions The implementation of the person-centred key performance indicators using the App enhanced the generation of meaningful data to evidence patient experience across a range of different clinical settings.

Implementing person‐centred key performance indicators to strengthen leadership in community nursing: A feasibility study

“…Findings also reinforced the potential for real‐time reporting using the iMPAKT App, despite the technological challenges that were experienced during the implementation phase. Furthermore, the findings reflected the outcomes from previous implementation studies, highlighting the celebratory nature of implementing the KPIs as a process that can evidence the positive contribution of nursing and the potential to develop practice (McCance et al, 2015; McCance et al., 2020).…”

“…The evolution of this research led to a further study to develop and test the feasibility of a technological solution to facilitate the collection of data using the measurement tools. It demonstrated that the App made information more accessible, was captured in real time and used to improve the experience of care (McCance et al., 2020). The person‐centred nursing KPIs have largely been tested within acute care settings.…”

The Managerial Implications of the Key Performance Indicators in Healthcare Sector: A Cluster Analysis

“…Our results confirm the findings of McCance et al [42] that analysed the eight KPIs clustered within the person-centered processes domain of the framework, and these KPIs were related to patient satisfaction, confidence, and implication in the decision-making process about his/her care.…”

How nurses and midwives engage with patient experience data to inform person‐centred quality and safety improvements

“…Initially, the KPIs were tested using a paper‐based format. However, the findings of a feasibility study using a mobile health app to capture the KPI data (McCance, Lynch, et al, 2020) indicated that an app assisted data collection, collation and reporting. The app developed for this purpose is called iMPAKT (Implementing and Measuring Person‐centredness using an App for Knowledge Transfer) and captures quantitative and qualitative person‐centred data relating to the KPIs to evidence the patient experience.…”

“…The study reported by McCance, Lynch, et al (2020) found that using the app to capture data improved efficiency in the collection and reporting of results and the development of practice improvements. The findings reported in this paper are a follow on from the feasibility study reported by McCance, Lynch, et al (2020). The purpose of this study was to explore over time, how nurses and midwives engage with person‐centred data pertaining to the patient perspective collected via a mobile health (mHealth) app to inform person‐centred quality and safety improvements.…”