Patient-Mediated Interventions in Hospital: A Systematic Review

Authors

Georgia Tobiano, Gold Coast University Hospital
Shelley Roberts, Gold Coast University Hospital
Rachel Muir, Gold Coast University Hospital
Teresa Jerofke-Owen, Marquette UniversityFollow
Christine Ting, Gold Coast University Hospital
Sarah Thorning, Gold Coast University Hospital
Daren K. Heyland, Queen's University - Kingston, Ontario
Andrea P. Marshall, Gold Coast Health

Document Type

Article

Publication Date

2-2023

Publisher

Wiley

Source Publication

Journal of Advanced Nursing

Source ISSN

0309-2402

Abstract

Aims

To describe the characteristics of hospital-based, patient-mediated interventions and their impact on patient, clinician and organization outcomes.

Design

Systematic review.

Data Sources

Health literature databases (MEDLINE, CINAHL and EMBASE) were searched in August 2021. Backward and forward citation searching was conducted.

Review Methods

Studies investigating patient-mediated interventions, targeted at adult hospitalized patients were eligible. Data were extracted related to study and intervention characteristics. Narrative synthesis was used to understand intervention impact on patient, clinician and organization outcomes (as per a framework). Methodological quality was assessed using the Mixed Methods Assessment Tool.

Results

Thirty-three studies, reporting 18 interventions, were included. Twelve interventions prompted patients to report health information about their own health/needs/concerns and six interventions encouraged patients to provide feedback about clinical practice. Across all interventions, there was evidence that patients used patient-mediated interventions and that they may improve patient communication. Healthcare professional outcomes were mixed for actual/intended use, acceptability and usefulness of interventions; yet there was some evidence of healthcare professional behaviour change. Interventions that encouraged patients to report health information about their own health/needs/concerns appeared more successful than other types of interventions.

Conclusions

There is some evidence that hospital-based patient-mediated interventions may influence patient communication and healthcare professional behaviour. Patient-mediated interventions that encourage patients to report patient data before a clinical encounter may be more impactful than interventions that encourage patient feedback during or post-encounter.

Comments

Accepted version. Journal of Advanced Nursing, Vol. 79, No. 2 (2023): 418-441. DOI. © 2023 Wiley. Used with permission.

Recommended Citation

Tobiano, Georgia; Roberts, Shelley; Muir, Rachel; Jerofke-Owen, Teresa; Ting, Christine; Thorning, Sarah; Heyland, Daren K.; and Marshall, Andrea P., "Patient-Mediated Interventions in Hospital: A Systematic Review" (2023). College of Nursing Faculty Research and Publications. 995.
https://epublications.marquette.edu/nursing_fac/995