Payne Karl Fb, Weeks Lucy, Dunning Paul
Lincoln County Hospital, UK.
Health Informatics J. 2014 Mar;20(1):59-73. doi: 10.1177/1460458213478812.
We present a pilot study to investigate the impact of introducing a hospital-specific smartphone application into a cohort of British junior doctors. We created the iPhone application 'iTreat' that contained disease management and antibiotic dosing guidelines specific to our hospital, together with a postgraduate education department really simple syndication feed, a contact number phonebook and a favourites section. This intervention was trialled in a group of 39 foundation grade junior doctors, in a UK hospital, for a time period of 4 months. Mixed methods data capture, utilising survey and semi-structured interviews, was used to evaluate application usage patterns and potential barriers to endorsement of smartphone technology in the hospital setting. Sixty eight per cent of participants felt the application saved them time during clinical activities, with a decrease in the frequency of participants not referring to hospital clinical guidelines. The findings from this pilot study point towards the internal hospital environment as having a major impact upon smartphone usage. Participants viewed smartphone use as unprofessional in the ward-based setting, with a perceived negative attitude from other healthcare staff. An understanding of how healthcare staff choose to utilise smartphones in the clinical environment is crucial to enable the successful assimilation of smartphone technology into the hospital setting. This pilot study provides experience and parameters for future substantive studies being carried out by this group.
我们开展了一项试点研究，以调查向一群英国初级医生引入一款医院专用智能手机应用程序的影响。我们创建了iPhone应用程序“iTreat”，其中包含我院特有的疾病管理和抗生素给药指南，以及研究生教育部门的简易聚合内容源、联系电话簿和收藏夹部分。该干预措施在英国一家医院的39名基础级初级医生群体中进行了为期4个月的试验。采用混合方法数据采集，利用调查和半结构化访谈来评估应用程序的使用模式以及在医院环境中认可智能手机技术的潜在障碍。68%的参与者认为该应用程序在临床活动中节省了他们的时间，不参考医院临床指南的参与者频率有所下降。这项试点研究的结果表明，医院内部环境对智能手机的使用有重大影响。参与者认为在病房环境中使用智能手机不专业，且感觉其他医护人员持负面态度。了解医护人员在临床环境中如何选择使用智能手机对于使智能手机技术成功融入医院环境至关重要。这项试点研究为该团队未来开展的实质性研究提供了经验和参数。
