Effectiveness of mHealth–Safe Kids Hospital for the prevention of hospitalized children safety incidents: A randomized controlled trial

Il Tae Park; Won Oak Oh; Gwang Cheon Jang; Jihee Han

doi:10.1111/jnu.12693

Effectiveness of mHealth–Safe Kids Hospital for the prevention of hospitalized children safety incidents: A randomized controlled trial

Il Tae Park, Won Oak Oh, Gwang Cheon Jang, Jihee Han

Research output: Contribution to journal › Article › peer-review

7 Citations (Scopus)

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.

Original language	English
Pages (from-to)	623-633
Number of pages	11
Journal	Journal of Nursing Scholarship
Volume	53
Issue number	5
DOIs	https://doi.org/10.1111/jnu.12693
Publication status	Published - 2021 Sept

Bibliographical note

Funding Information:
This research was conducted with support from the National Research Foundation of South Korea under grant number NRF-2016R1A2B1015455.Clinical Resources Center for Disease Control and Prevention. Child Safety and Injury Prevention. https://www.cdc.gov/safechild/ Ontario. Ministry of Health and Long-Term Care. Injury Prevention Guideline. https://www.health.gov.on.ca/en/pro/programs/publichealth/oph_standards/docs/protocols_guidelines/Injury_Prevention_Guideline_2018_en.pdf Agency for Healthcare Research and Quality. Preventing Falls in Hospitals. https://www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/index.html Center for Disease Control and Prevention. Child Safety and Injury Prevention. https://www.cdc.gov/safechild/ Ontario. Ministry of Health and Long-Term Care. Injury Prevention Guideline. https://www.health.gov.on.ca/en/pro/programs/publichealth/oph_standards/docs/protocols_guidelines/Injury_Prevention_Guideline_2018_en.pdf Agency for Healthcare Research and Quality. Preventing Falls in Hospitals. https://www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/index.html

Funding Information:
This research was conducted with support from the National Research Foundation of South Korea under grant number NRF‐2016R1A2B1015455. Clinical Resources

Publisher Copyright:
© 2021 Sigma Theta Tau International

Keywords

child
child health
hospitalized
mobile application
patient safety

ASJC Scopus subject areas

General Nursing

Access to Document

10.1111/jnu.12693

Cite this

@article{bce30382e01a4428a4c1b5df83475b8b,

title = "Effectiveness of mHealth–Safe Kids Hospital for the prevention of hospitalized children safety incidents: A randomized controlled trial",

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{\textquoteright} 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.",

keywords = "child, child health, hospitalized, mobile application, patient safety",

author = "Park, {Il Tae} and Oh, {Won Oak} and Jang, {Gwang Cheon} and Jihee Han",

note = "Funding Information: This research was conducted with support from the National Research Foundation of South Korea under grant number NRF-2016R1A2B1015455.Clinical Resources Center for Disease Control and Prevention. Child Safety and Injury Prevention. https://www.cdc.gov/safechild/ Ontario. Ministry of Health and Long-Term Care. Injury Prevention Guideline. https://www.health.gov.on.ca/en/pro/programs/publichealth/oph_standards/docs/protocols_guidelines/Injury_Prevention_Guideline_2018_en.pdf Agency for Healthcare Research and Quality. Preventing Falls in Hospitals. https://www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/index.html Center for Disease Control and Prevention. Child Safety and Injury Prevention. https://www.cdc.gov/safechild/ Ontario. Ministry of Health and Long-Term Care. Injury Prevention Guideline. https://www.health.gov.on.ca/en/pro/programs/publichealth/oph_standards/docs/protocols_guidelines/Injury_Prevention_Guideline_2018_en.pdf Agency for Healthcare Research and Quality. Preventing Falls in Hospitals. https://www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/index.html Funding Information: This research was conducted with support from the National Research Foundation of South Korea under grant number NRF‐2016R1A2B1015455. Clinical Resources Publisher Copyright: {\textcopyright} 2021 Sigma Theta Tau International",

year = "2021",

month = sep,

doi = "10.1111/jnu.12693",

language = "English",

volume = "53",

pages = "623--633",

journal = "Journal of Nursing Scholarship",

issn = "1527-6546",

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number = "5",

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T1 - Effectiveness of mHealth–Safe Kids Hospital for the prevention of hospitalized children safety incidents

T2 - A randomized controlled trial

AU - Park, Il Tae

AU - Oh, Won Oak

AU - Jang, Gwang Cheon

AU - Han, Jihee

N1 - Funding Information: This research was conducted with support from the National Research Foundation of South Korea under grant number NRF-2016R1A2B1015455.Clinical Resources Center for Disease Control and Prevention. Child Safety and Injury Prevention. https://www.cdc.gov/safechild/ Ontario. Ministry of Health and Long-Term Care. Injury Prevention Guideline. https://www.health.gov.on.ca/en/pro/programs/publichealth/oph_standards/docs/protocols_guidelines/Injury_Prevention_Guideline_2018_en.pdf Agency for Healthcare Research and Quality. Preventing Falls in Hospitals. https://www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/index.html Center for Disease Control and Prevention. Child Safety and Injury Prevention. https://www.cdc.gov/safechild/ Ontario. Ministry of Health and Long-Term Care. Injury Prevention Guideline. https://www.health.gov.on.ca/en/pro/programs/publichealth/oph_standards/docs/protocols_guidelines/Injury_Prevention_Guideline_2018_en.pdf Agency for Healthcare Research and Quality. Preventing Falls in Hospitals. https://www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/index.html Funding Information: This research was conducted with support from the National Research Foundation of South Korea under grant number NRF‐2016R1A2B1015455. Clinical Resources Publisher Copyright: © 2021 Sigma Theta Tau International

PY - 2021/9

Y1 - 2021/9

N2 - 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.

AB - 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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Effectiveness of mHealth–Safe Kids Hospital for the prevention of hospitalized children safety incidents: A randomized controlled trial

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

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