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Implementation and evaluation of a pilot Match-A-Nurse programme to provide home-based care in Singapore
BMJ Innovations Pub Date : 2021-01-01 , DOI: 10.1136/bmjinnov-2019-000343
Seng Bin Ang, Sylvia Neo, Benedix Koh, Shu Juan Cheng, Irene Tan, Julian Thumboo, Louise Gek Huang Goh, Satvinder Singh Dhaliwal

Background To enable our seniors to age in place and at home, healthcare needs to shift towards delivering care in the community while taking advantage of technology, to enhance the productivity and effectiveness of home-based nursing care. Home-based nursing care is also less expensive, more convenient and as effective as care received in a hospital. Methods The pilot Match-A-Nurse programme linked discharged patients from two public hospitals in Singapore requiring home-based nursing care to nurses living or working close to them through a mobile application. Patients’ requests are listed in the application which was developed by adopting a ‘hybrid agile’ framework for nurses to ‘bid’ for jobs. The concept is similar to a taxi booking application. Information on demographics, skills competency, services required, bidding frequency and patient and nurse satisfaction were collected and analysed. Results The Match-A-Nurse programme was successfully implemented and was received positively by patients and nurses. Patients were satisfied with the time taken to confirm the visit, the quality of care and would recommend the programme to others. Nurses were also satisfied with the usability of the application and the level of support provided to them. In addition, patient’s information can be readily accessed through the application. Conclusions The technical feasibility and practical potential of this programme is evidenced by the nurses’ and patients’ willingness to participate, their satisfaction with the programme and the ability of the prototype mobile application to secure patient documentation, and the adherence of programme to the legal and insurance employment regulations in Singapore.

中文翻译:

在新加坡实施和评估Match-A-Nurse试点计划以提供家庭护理

背景技术为了使我们的老年人能够在家中和在家中老龄化,医疗保健需要转变为在利用技术优势的同时向社区提供护理,以提高家庭护理的生产率和有效性。基于家庭的护理也更便宜,更方便并且与医院所接受的护理一样有效。方法试点Match-A-Nurse计划通过移动应用程序将新加坡两家公立医院中需要家庭护理的出院患者与居住或工作在其附近的护士联系起来。通过采用“混合敏捷”框架让护士“竞标”工作而开发的应用程序中列出了患者的要求。该概念类似于出租车预订应用程序。有关人口统计,技能能力,所需服务的信息,收集并分析招标频率以及患者和护士的满意度。结果Match-A-Nurse程序已成功实施,并得到患者和护士的好评。患者对确认就诊所需的时间,护理质量感到满意,并会向其他人推荐该计划。护士还对应用程序的可用性和为其提供的支持水平感到满意。此外,可以通过该应用程序轻松访问患者的信息。结论该计划的技术可行性和实践潜力由护士和患者的参与意愿,他们对该计划的满意程度以及原型移动应用程序能够保护患者文档的能力得到证明,
更新日期:2020-12-29
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