RNQualitativeJournal of advanced nursing2026

Timely Implementation of Patient-Reported Outcomes in Clinical Care: Insights From Clinicians and Health Informatics Experts.

So Hyeon Bang, Jung A Kang, Kyle Reyes and 11 others

PMID 41305927

WHAT IT FOUND

Clinicians and informatics experts identified timing as critical for patient-reported outcomes.

Early collection supports prevention, while routine integration aids disease management. Barriers include time constraints, language differences, and lack of standardization. Support staff and electronic health record alerts facilitate timely use.

Key findings

01Early implementation of patient-reported outcomes is viewed as critical for preventive care and identifying health risks, while longitudinal tracking supports active disease management.

02Time constraints and workflow inefficiencies are major barriers, often causing patient-reported outcome results to be entered late or not at all in busy clinical settings.

03Support staff, such as research coordinators, and verbal administration of questionnaires are key facilitators for collecting data from patients with lower literacy or engagement.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study did not include patient perspectives, so barriers to completion from the patient side are inferred from clinician reports. The interview guide was not specifically designed to explore timing, which may have limited the depth of responses on this topic. Participants were leaders from specific large health systems, which may not reflect practices in smaller or less resourced settings. Some participants may have had limited familiarity with specific patient-reported outcome tools, potentially biasing their perceptions.

The easy way to misread this

Do not interpret the identified facilitators and barriers as evidence that implementing these strategies improves patient outcomes. This study reports expert opinions on workflow challenges, not tested interventions or clinical results.

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