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. 2022 Apr 13;13(2):355–362. doi: 10.1055/s-0042-1743561

Table 3. Strategies for MCB provisioning, compared across higher- and lower-performing units.

Strategy Higher-performing units Lower-performing units
Establishing MCB provisioning processes So, when we get a new admission, I always offer MyChart Bedside to patients. -nurse
We're always talking about tablets. I mean every morning: did we get all the tablets out to the new admissions? -nurse
As soon as the patient gets here. Doesn't matter whether they like it or not...we have to stop everything and go to their room to offer it. And if they say no, we can turn it back. -patient care associate
So, on our floor, we try to make sure everyone at least gets asked [about MCB]. And we can document that. -unit clerical associate
I can see who has been at least offered one, or who has one, or who doesn't have one, who hasn't been offered. So, I can see all those things. And if there's someone who doesn't have one, I can kind of mention to a PCA or a nurse “Hey have you offered Mr. Jones in Room 2 a tablet yet?” -unit clerical associate
When the patient gets here, we offer if they need it. Or as needed. -nurse
Having persistent unit-level MCB tablet champions Our coordinator up here…, usually she'll let me know if someone still needs set-up with the tablet. So, I'll go in, you know, I'll kind of ask them if they would be interested. -patient care associate
I go through in the morning and see which patients have them, which patients have codes in them and have activated them. And if they haven't done that then I try to make sure that it gets done for the day. Then, in addition to that, when I'm rounding, I make sure that the patients have their tablets and know how to use them. -charge nurse
The manager is kind of on top of everything. And during the change of shifts, sometimes they tell us which patients have gotten tablets. That kind of makes it easier for us to like narrow it down and try as much as possible to get those tablets to them as soon as possible. And, if you don't do that, the manager will come down to ask you. -patient care associate
Not discussed by interviewees.
Having unit managers actively promote MCB tablets I talked to all the UCAs and I said, “hey guys this is SUPER important. I don't care for the most part, you know I want you to answer call lights and help with your call and stuff like that, but other than that, if you could go above and beyond for this.” - nurse manager
I've tried to think of ways we could do small huddles in our morning huddles and be like, “Here's things we need to do with this [MCB tablet]. Remind your patients to ask questions. Here's information they can get with that. And, this is bedside. It's right here for them, so why not utilize that? It can help you.” -charge nurse
I mean it is everyone's responsibility. A lot of the ANMs in [the hospital] are kind of spearheading a lot of the MyChart education and everything. So, I just make it a point if I don't see one around, I will ask if they would like one. -assistant nurse manager
I mean typically our management will let us know… we typically get emails saying, “Hey, people have forgotten to ask patients on admission,” or, “You didn't document.” One or the other. Maybe that patient has a tablet, but you didn't document you gave them a tablet. So, we get feedback either way. -nurse
We get emails sent out about those things. So, our MyChart has been very good. The percentage-wise from what I've seen, what has been sent out to the unit as a whole. - patient care associate
I think we've gotten it [reports on MCB tablet provisioning rates] once or twice. I've heard of it, but I know she sends out a lot of emails, so I don't know. -nurse
I personally send out our weekly report, our compliance reports. Which we have done great documenting-wise, but still trying to. I know they're being offered, but I don't know to the extent. I think the speech could be better, you know what I mean? -nurse manager
I don't, no. I don't think so [receive reports on MCB tablet provisioning rates]. We are not told best strategy. We're just told we have to do it. -nurse