Author:
Chew Keng Sheng,Ooi Say Keat,Abdul Rahim Noor Fareen,Wong Shirly Siew-Ling,Kandasamy Vanitha,Teo Shin-Shin
Abstract
Abstract
Background
Conventional cognitive interventions to reduce medication errors have been found to be less effective as behavioural change does not always follow intention change. Nudge interventions, which subtly steer one’s choices, have recently been introduced.
Methods
Conducted from February to May 2023, this study aimed to determine the relationships between perceived effectiveness and perceived ease of implementation of six nudge interventions to reduce medication errors, i.e., provider champion, provider’s commitment, peer comparison, provider education, patient education and departmental feedback, and the moderating effects of seniority of job positions and clinical experience on nudge acceptability. Partial Least Square Structural Equation Modelling was used for data analysis.
Results and discussion
All six nudge strategies had significant positive relationships between perceived effectiveness and acceptability. In three out of six interventions, perceived ease of implementation was shown to have positive relationships with perceived acceptability. Only seniority of job position had a significant moderating effect on perceived ease of implementation in peer comparison intervention. Interventions that personally involve senior doctors appeared to have higher predictive accuracy than those that do not, indicating that high power-distance culture influence intervention acceptability.
Conclusion
For successful nudge implementations, both intrinsic properties of the interventions and the broader sociocultural context is necessary.
Funder
Universiti Malaysia Sarawak
Publisher
Springer Science and Business Media LLC