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Choi and Lee: The Effects of Smartphone Application to Educate Patient on Patient Safety in Hospitalized Surgical Patients
Original Article

Korean J Adult Nurs 2017;29(2):154-165.

Published online: 9 April 2017

DOI: https://doi.org/10.7475/kjan.2017.29.2.154

The Effects of Smartphone Application to Educate Patient on Patient Safety in Hospitalized Surgical Patients

Hyo Jin Choi, Ph.D., RN1, Eunjoo Lee, Ph.D., RN2,

1Assistant Professor, Department of Nursing, Sunlin University, Pohang, Korea

2Professor, College of Nursing, Research Institute of Nursing Science, Kyungpook National University, Daegu, Korea

Corresponding author: Lee, Eunjoo College of Nursing, Kyungpook National University, 680 Gukchaebosang-ro, Jung-gu, Daegu 41944, Korea. Tel: +82-53-420-4934, Fax: +82-53-425-1258, E-mail: jewelee@knu.ac.kr

- This manuscript is based on a part of the first author's doctoral dissertation from Kyungpook National University.

Received 15 February 201722 March 2017       Accepted 25 April 2017

Copyright © 2017 Korean Society of Adult Nursing

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study was designed to evaluate a patient safety application in the prevention of adverse event among surgical patients. Seventy three surgical patients with thirty six of them using the patient safety application and the rest (N=37) were provided educational booklet. Further, the instrument would measure patients' right to know, knowledge about patient safety, and attitude toward patient safety.

Methods

The patient safety application was developed by the ADDIE along with input from experts, patients and an extensive literature review. Data were collected from 7 September through 20 October 2015.

Results

The experimental group had significantly higher scores in patients' right to know (t=2.01, p=.024), knowledge on patient safety (t=3.80, p<.001) and attitude toward patient safety (t=2.74, p=.004) than those of the control group.

Conclusion

The patient safety application developed using Smartphone could be an effective tool enhancing patient involvement in preventing adverse events that may occur to patients. Further studies are recommended with diverse subjects with varying medical conditions.

Keywords: Patient safety, Smartphone, Mobile applications, Patients

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Figure 1.
Development process of the Smartphone application.
kjan-29-154f1.tif
Figure 2.
Contents of Smartphone application for surgical patients.
kjan-29-154f2.tif
Figure 3.
General overview of patient safety application for surgical patients.
kjan-29-154f3.tif
Table 1.
Homogeneity of General Characteristics and Outcome Variables between Experimental and Control Groups (N=73)
Variables Categories Exp. (n=36) Cont. (n=37) x2 or t or z p
n (%) or M± SD n (%) or M± SD
Age (year) 38.31±12.30 41.62±13.12 1.11 .269
Gender Male 23 (63.9) 25 (67.6) 0.11 .741
Female 13 (36.1) 12 (32.4)
Education level† Elementary school 1 (2.8) 3 (8.1) -0.89 .376
Junior high school 3 (8.3) 6 (16.2)
High school 23 (63.9) 19 (51.4)
College 9 (25.0) 9 (24.3)
Surgical types† Fracture fixation 25 (69.4) 29 (78.4) -0.78 .433
Skin graft 4 (11.1) 2 (5.4)
Arthroscopy 7 (19.4) 6 (16.2)
Anesthesia types General 12 (33.3) 17 (45.9) 1.21 .271
Regional 24 (66.7) 20 (54.1)
Right to know 3.40±0.39 3.43±0.41 0.29 .385
Knowledge on patient safety 57.57±16.45 54.86±18.92 0.65 .258
Attitude toward patient safety 3.55±0.54 3.58±0.43 0.28 .392

Exp.=experimental group; Cont.=control group;

† Mann-Whitney U test.

Table 2.
Comparison of Outcome Variables between Experiment and Control Groups (N=73)
Variables Exp. (n=36) Cont. (n=37) t p
M± SD M± SD
Right to know 3.66±0.52 3.44±0.42 2.01 .024
Knowledge on patient safety 74.65±15.90 60.14±16.74 3.80 ＜.001
Attitude toward patient safety 3.89±0.49 3.60±0.41 2.74 .004

Exp.=experimental group; Cont.=control group.

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