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A multi-nudge-based behavioural insight into ward nurses' respiratory rate measurement: An observational study
Shunsuke Takaki1, Koji Hara2, Ayana Motoyama3
1Department of Critical Care Medicine, Yokohama City University Hospital, Yokohama, Japan.
Journal of Clinical Nursing
|August 9, 2024
Summary
Implementing multi-nudges improved respiratory rate measurement (RRM) in hospitals. Addressing barriers like time and equipment enhances nurse behavior, leading to better patient evaluations and care quality.
Area of Science:
- Healthcare quality improvement
- Behavioural science in medicine
- Clinical practice observation
Background:
- Low rates of respiratory rate measurement (RRM) were observed, impacting patient evaluation and triage.
- Healthcare worker behavior significantly influences the accuracy and frequency of RRM.
Purpose of the Study:
- To observe changes in RRM following the introduction of multi-nudges.
- To identify barriers and challenges affecting healthcare worker behavior in RRM.
- To improve RRM in a hospital setting.
Main Methods:
- An observational study was conducted at a hospital implementing multi-nudges.
- Healthcare worker behavior related to RRM was analyzed.
- Electronic data were used to track respiration rate measurement rates.
Main Results:
- Initial RRM rates were found to be low.
- Poster implementation led to a rapid increase in measurement rates.
- Barriers such as time constraints and equipment availability were identified.
Conclusions:
- Multi-nudges effectively change ward nurses' behavior, enhancing medical care quality.
- Behavioral economics principles can positively influence behavior in medical settings.
- Addressing nurses' awareness and barriers can increase RRM, improving patient evaluations.
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