Improving the Perception of Patient-Centered Wellness in a Virtual Population During the COVID-19 Pandemic

J Dr Nurs Pract. 2021 Jun 9;JDNP-D-20-00078. doi: 10.1891/JDNP-D-20-00078. Online ahead of print.

Abstract

Background: Perceived health-related quality of life (HRQOL) is fundamental to well-being and is a meaningful way to measure physical and mental health.

Local problem: No standard method exists for measuring perceived HRQOL during the COVID-19 pandemic in participants as they attempt to improve their self-determined wellness goals. An implementation plan that considers the social distancing limitations imposed can be used to predict an individual's likelihood of long-term success.

Methods: During the four, 2-week plan-do-study-act (PDSA) cycles, the Social Cognitive Theory model informed the implementation of the four core interventions. To guide iterative changes, the data was analyzed through Excel and run charts.

Interventions: The four core interventions were the shared decision-making tool (SDMT), health mobile app tool (HMAT), wellness tracker tool (WTT), and the team engagement plan.

Results: Among 28 participants, perceived quality of life increased by 70%, engagement in shared decision-making increased to 82%, app use and confidence increased to 85%, and goal attainment reached 81%.

Conclusions: The SDMT, health app, and wellness tracker created a methodical plan of accountability for increasing participant wellness. The contextual barrier of the COVID-19 pandemic added a negative wellness burden which was mitigated by creating a patient-centered culture of wellness.

Keywords: COVID-19; health-related quality of life; patient-centered care; wellness.