A Survey on the Perceptions and Attitudes Towards Patient-Reported Outcomes Among 527 Nursing Staff in China

This study aimed to investigate the key factors influencing nursing staff's knowledge and attitudes towards patient-reported outcomes (PROs) in Chinese tertiary hospitals, and to examine the demographic and professional determinants of these perceptions, thereby providing a foundation for strategies to enhance engagement and promote the comprehensive implementation of PROs.

This study employed a cross-sectional design to survey 527 nursing staff from four tertiary hospitals in China using general information, self-designed knowledge understanding and demand questionnaires, and Liu Huan's localised Outcome Measures Questionnaire (OMQ). Multiple linear regression analysis was employed to analyse the influencing nursing staff's attitudes towards patient-reported outcomes (PROs).

The preferred methods of acquiring and wanting to understand were through reading literature (223 people, 42.36%) and academic conferences (186 people, 35.27%). The content of interest included the usage of measurement tools (382 people, 72.48%) and application (424 people, 80.51%). The total OMQ score was 64.12 ± 0.92, with an average item score of 2.96 ± 0.21. There were significant differences in attitudes scores among educational levels, departments, understanding and nursing capabilities. Multiple linear regression analysis showed that educational level were influencing factors for the total OMQ score and the practice barriers section of the questionnaire (p < 0.05), while understanding, age and title were influencing factors for the negative attitudes section of the OMQ (p < 0.05).

Nursing staff in tertiary hospitals recognise the value of patient-reported outcomes, have a strong willingness to learn related content, and also harbour some negative attitudes. Measures can be taken against these influencing factors to enhance knowledge and attitudes, thus actively applying them in clinical practice.