2022 Volume 42 Pages 549-558
Aims: This study aimed to develop an operational system based on the reinforcement principle for nurses to ensure proper functioning of the patient self-management program.
Methods: In the operational system, leader nurses provide differential reinforcement to the nurse’s feedback behavior on the correctness of the patient’s judgment. The system was incorporated into the self-management program and introduced to hospitals A and B, with Standard-care phase, Intervention phase (I phase), and Follow-up phase (FU phase) settings.
Results: During the I phase, the nurses’ feedback behavior execution rate increased and was maintained during the FU phase. The patient’s judgment execution rate also increased during the I phase. The feedback behavior adequacy rate of nurses at hospitals A and B increased to 78.0% and 70.9%, respectively, while the patient’s judgment adequacy rate increased to 69.5% and 74.7%, respectively.
Conclusions: These results demonstrate that this system increased not only the appropriate feedback behavior of nurses based on self-management program but also the patient’s appropriate judgment.
