Effectiveness of mHealth-Safe Kids Hospital for the prevention of hospitalized children safety incidents: A randomized controlled trial
- Authors
- Park, Il Tae; Oh, Won-Oak; Jang, Gwang-Cheon; Han, Jihee
- Issue Date
- Sep-2021
- Publisher
- WILEY
- Keywords
- child; child health; hospitalized; mobile application; patient safety
- Citation
- JOURNAL OF NURSING SCHOLARSHIP, v.53, no.5, pp.623 - 633
- Indexed
- SCIE
SSCI
SCOPUS
- Journal Title
- JOURNAL OF NURSING SCHOLARSHIP
- Volume
- 53
- Number
- 5
- Start Page
- 623
- End Page
- 633
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/136781
- DOI
- 10.1111/jnu.12693
- ISSN
- 1527-6546
- Abstract
- Background Preschool-age children in hospitals are at a high risk of unexpected incidents. Safety incidents in hospitals can cause serious damage to the children. Objective To determine the effectiveness of the mobile-type mHealth Safe Kids Hospital (SKH) application (app) for the prevention of hospitalized child safety incidents. Design This study used a three-group, randomized controlled trial pre-post design. Setting(s) This study was conducted in the pediatric ward of three general hospitals in Korea. Participants A total of 124 eligible hospitalized children and their caregivers were enrolled in the study from June to December 2018. Of these, 116 finally participated in the study, and 8 were excluded because they were discharged before the intervention. Methods Hospitalized preschool-age children and their caregivers were randomly allocated into three groups: experimental group I (n = 39), experimental group II (n = 39), and the control group (n = 38). Experimental group I received the SKH app intervention, the experimental group II received a paper-based intervention, whereas the control group received the usual intervention. Participants' outcomes of awareness, knowledge, and behavior related to hospital safety, were assessed at two time points: baseline and 24 h after the intervention. Results Hospital safety awareness had a higher increase after intervention in experimental groups I and II than in the control group. Among the four subdomains of hospital safety awareness, there was a significant increase in the scores of experimental group I on three subdomains after the intervention: falls (F = 8.19, p < 0.001), burns (F = 6.73, p = 0.002), and medical devices (F = 6.81, p = 0.002). In hospital safety knowledge and safety behavior, experimental group I had the highest average score after the intervention compared with experimental group II and the control group; however, there was no statistically significant difference in the average score of the three groups. Conclusions Using the SKH app is easy to attract the interest of preschool-age children and is also easy for nurses to use in clinical trials; thus, it is considered to be a useful educational intervention to prevent safety incidents in clinical fields in future. Clinical Relevance It is thought to contribute to the prevention of preschool-age children's safety incidents in pediatric wards.
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