Improve the satisfaction of medical staff on the use of home nursing mobile APP by using a hybrid multi-standard decision model

Ziwei Ke; Weiyang Qian; Nan Wang; Yen-Ching Chuang; Biying Wei; Jing Feng

doi:10.1186/s12912-024-01918-9

Improve the satisfaction of medical staff on the use of home nursing mobile APP by using a hybrid multi-standard decision model

BMC Nurs. 2024 May 9;23(1):302. doi: 10.1186/s12912-024-01918-9.

Authors

Ziwei Ke^#¹, Weiyang Qian^#², Nan Wang³, Yen-Ching Chuang^{4

5

6}, Biying Wei⁷, Jing Feng⁸

Affiliations

¹ School of Nursing, Zhejiang Pharmaceutical University, Ningbo, Zhejiang, China.
² Neurosurgery, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, China.
³ Intensive Care Unit, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Zhejiang, Linhai, China.
⁴ Business College, Taizhou University, 318000, Taizhou, Zhejiang, China. yenching.chuang@gmail.com.
⁵ Institute of Public Health & Emergency Management, Taizhou University, 318000, Taizhou, Zhejiang, China. yenching.chuang@gmail.com.
⁶ Key Laboratory of evidence-based Radiology of Taizhou, 317000, Linhai, Zhejiang, China. yenching.chuang@gmail.com.
⁷ Shenzhen Third People's Hospital, 518112, Shenzhen, Guangdong, China. biying_wei@yeah.net.
⁸ Nursing Department, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, China. fengj@enzemed.com.

^# Contributed equally.

Abstract

Objective: To identify critical satisfaction gaps in a home nursing mobile application (APP) using a systematic decision-making model.

Methods: Initially, the decision-making trial and evaluation laboratory method was used to analyze the relationship structure and corresponding weights among the indicators. The Importance-Performance Analysis (IPA) method was used to identify the categories of all indicators and their corresponding strategic directions. Twenty-six home nursing specialists currently providing home nursing services were recruited for this study.

Results: The IPA results revealed that "Assurance," "Reliability," and "Personal security protection" are critical satisfaction gaps. From the influence network and weight results, "information quality" and "system quality" were the critical quality factors in the home nursing mobile APP. The influence of the network relationship structure and weight demonstrated a 98.12% significance level, indicating good stability.

Conclusion: Continuous improvement in information and system quality is recommended to optimize the overall quality of the home nursing mobile APP. Additionally, user demands should be considered, and personal safety guarantee functions should be developed and integrated into the system to ensure the safety of home nursing workers.

Keywords: Decision making and trial evaluation laboratory (DEMATEL); Home nursing; Importance-performance analysis (IPA); Mobile Application (APP); Multi-criteria decision-making (MCDM); Satisfaction.