Antibiotic information application offers nurses quick support

Jobke Wentzel, Regine van Drie-Pierik, Lars Nijdam, Jos Geesing, Robbert Sanderman, Julia E.W.C. van Gemert-Pijnen

Research output: Contribution to journalArticleAcademicpeer-review

7 Citations (Scopus)
2 Downloads (Pure)

Abstract

Background Nurses can be crucial contributors to antibiotic stewardship programs (ASPs), interventions aimed at improving antibiotic use, but nurse empowerment in ASPs adds to their job complexity. Nurses work in complex settings with high cognitive loads, which ask for easily accessible information. An information application (app) was developed to support nurses in ASPs. The efficiency, effectiveness, and user satisfaction regarding this antibiotic app were tested in a pilot study. Methods The app was introduced into 2 lung wards of a local teaching hospital. During the 8-month pilot study, the 62 nurses of the wards had access to the app. Changes in user satisfaction regarding information support, safety attitudes, and ASP behavior were assessed with a questionnaire. At baseline, 28 nurses completed the (e-mail) questionnaire; after the study, 18 nurses participated. Scenario-based tests were done to assess app efficiency and effectiveness at baseline (n = 16) and in a randomized control (without the app, n = 17) and intervention condition (with the app, n = 17). Results Significant improvements were found regarding task support (P = .041), reliability (P = .004), unobtrusiveness (P = .000), relevance (P = .002), user friendliness (P = .000), speed, and hyperlinks (P = .001). An improvement in communication was observed regarding nurse-physician understanding (P = .034). With the app, nurses solved the scenarios faster than without it. Conclusions The human-centered design approach and persuasive strategy of task support were effective in reducing time needed to find information. Stewardship-related behaviors need active education strategies.
Original languageEnglish
Pages (from-to)677-684
JournalAmerican journal of infection control
Volume44
Issue number6
DOIs
Publication statusPublished - 19 Feb 2016

Fingerprint

Nurses
Anti-Bacterial Agents
Postal Service
Teaching Hospitals
Communication
Physicians
Safety
Education
Lung

Keywords

  • eHealth
  • Antibiotic stewardship
  • Nurse
  • Task support

Cite this

Wentzel, Jobke ; van Drie-Pierik, Regine ; Nijdam, Lars ; Geesing, Jos ; Sanderman, Robbert ; van Gemert-Pijnen, Julia E.W.C. / Antibiotic information application offers nurses quick support. In: American journal of infection control. 2016 ; Vol. 44, No. 6. pp. 677-684.
@article{c556c7803e6b40618138c70ba86ecbaf,
title = "Antibiotic information application offers nurses quick support",
abstract = "Background Nurses can be crucial contributors to antibiotic stewardship programs (ASPs), interventions aimed at improving antibiotic use, but nurse empowerment in ASPs adds to their job complexity. Nurses work in complex settings with high cognitive loads, which ask for easily accessible information. An information application (app) was developed to support nurses in ASPs. The efficiency, effectiveness, and user satisfaction regarding this antibiotic app were tested in a pilot study. Methods The app was introduced into 2 lung wards of a local teaching hospital. During the 8-month pilot study, the 62 nurses of the wards had access to the app. Changes in user satisfaction regarding information support, safety attitudes, and ASP behavior were assessed with a questionnaire. At baseline, 28 nurses completed the (e-mail) questionnaire; after the study, 18 nurses participated. Scenario-based tests were done to assess app efficiency and effectiveness at baseline (n = 16) and in a randomized control (without the app, n = 17) and intervention condition (with the app, n = 17). Results Significant improvements were found regarding task support (P = .041), reliability (P = .004), unobtrusiveness (P = .000), relevance (P = .002), user friendliness (P = .000), speed, and hyperlinks (P = .001). An improvement in communication was observed regarding nurse-physician understanding (P = .034). With the app, nurses solved the scenarios faster than without it. Conclusions The human-centered design approach and persuasive strategy of task support were effective in reducing time needed to find information. Stewardship-related behaviors need active education strategies.",
keywords = "eHealth, Antibiotic stewardship, Nurse, Task support",
author = "Jobke Wentzel and {van Drie-Pierik}, Regine and Lars Nijdam and Jos Geesing and Robbert Sanderman and {van Gemert-Pijnen}, {Julia E.W.C.}",
year = "2016",
month = "2",
day = "19",
doi = "10.1016/j.ajic.2015.12.038",
language = "English",
volume = "44",
pages = "677--684",
journal = "American journal of infection control",
issn = "0196-6553",
publisher = "Mosby Inc.",
number = "6",

}

Antibiotic information application offers nurses quick support. / Wentzel, Jobke; van Drie-Pierik, Regine; Nijdam, Lars; Geesing, Jos; Sanderman, Robbert; van Gemert-Pijnen, Julia E.W.C.

In: American journal of infection control, Vol. 44, No. 6, 19.02.2016, p. 677-684.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Antibiotic information application offers nurses quick support

AU - Wentzel, Jobke

AU - van Drie-Pierik, Regine

AU - Nijdam, Lars

AU - Geesing, Jos

AU - Sanderman, Robbert

AU - van Gemert-Pijnen, Julia E.W.C.

PY - 2016/2/19

Y1 - 2016/2/19

N2 - Background Nurses can be crucial contributors to antibiotic stewardship programs (ASPs), interventions aimed at improving antibiotic use, but nurse empowerment in ASPs adds to their job complexity. Nurses work in complex settings with high cognitive loads, which ask for easily accessible information. An information application (app) was developed to support nurses in ASPs. The efficiency, effectiveness, and user satisfaction regarding this antibiotic app were tested in a pilot study. Methods The app was introduced into 2 lung wards of a local teaching hospital. During the 8-month pilot study, the 62 nurses of the wards had access to the app. Changes in user satisfaction regarding information support, safety attitudes, and ASP behavior were assessed with a questionnaire. At baseline, 28 nurses completed the (e-mail) questionnaire; after the study, 18 nurses participated. Scenario-based tests were done to assess app efficiency and effectiveness at baseline (n = 16) and in a randomized control (without the app, n = 17) and intervention condition (with the app, n = 17). Results Significant improvements were found regarding task support (P = .041), reliability (P = .004), unobtrusiveness (P = .000), relevance (P = .002), user friendliness (P = .000), speed, and hyperlinks (P = .001). An improvement in communication was observed regarding nurse-physician understanding (P = .034). With the app, nurses solved the scenarios faster than without it. Conclusions The human-centered design approach and persuasive strategy of task support were effective in reducing time needed to find information. Stewardship-related behaviors need active education strategies.

AB - Background Nurses can be crucial contributors to antibiotic stewardship programs (ASPs), interventions aimed at improving antibiotic use, but nurse empowerment in ASPs adds to their job complexity. Nurses work in complex settings with high cognitive loads, which ask for easily accessible information. An information application (app) was developed to support nurses in ASPs. The efficiency, effectiveness, and user satisfaction regarding this antibiotic app were tested in a pilot study. Methods The app was introduced into 2 lung wards of a local teaching hospital. During the 8-month pilot study, the 62 nurses of the wards had access to the app. Changes in user satisfaction regarding information support, safety attitudes, and ASP behavior were assessed with a questionnaire. At baseline, 28 nurses completed the (e-mail) questionnaire; after the study, 18 nurses participated. Scenario-based tests were done to assess app efficiency and effectiveness at baseline (n = 16) and in a randomized control (without the app, n = 17) and intervention condition (with the app, n = 17). Results Significant improvements were found regarding task support (P = .041), reliability (P = .004), unobtrusiveness (P = .000), relevance (P = .002), user friendliness (P = .000), speed, and hyperlinks (P = .001). An improvement in communication was observed regarding nurse-physician understanding (P = .034). With the app, nurses solved the scenarios faster than without it. Conclusions The human-centered design approach and persuasive strategy of task support were effective in reducing time needed to find information. Stewardship-related behaviors need active education strategies.

KW - eHealth

KW - Antibiotic stewardship

KW - Nurse

KW - Task support

U2 - 10.1016/j.ajic.2015.12.038

DO - 10.1016/j.ajic.2015.12.038

M3 - Article

VL - 44

SP - 677

EP - 684

JO - American journal of infection control

JF - American journal of infection control

SN - 0196-6553

IS - 6

ER -