Nagler Alisa, Schlueter Joanne, Johnson Constance, Griffith Brian, Prewitt Judy, Sloane Richard, Adams Martha
a Graduate Medical Education , Duke University Hospital , Durham , North Carolina , USA.
Teach Learn Med. 2014;26(3):258-65. doi: 10.1080/10401334.2014.910461.
Healthcare technologies and patient care have evolved rapidly. Healthcare communication techniques and technologies have lagged.
This pilot study was conducted at Duke University Hospital to investigate the benefits of using smartphones among healthcare team members to promote efficient and effective patient care.
This study used a pre-post implementation survey with an educational intervention. Teams (physicians, patient resource managers, physician assistants, and nurses) from medicine and surgery were randomly assigned a smartphone. A validated 28-question survey was used to assess user experience (7-point Likert scale, with 7 indicating more reliable, strongly agree, and faster). Participants were encouraged to attend focus groups to provide feedback on survey content and overall experience. Facilitators used guiding questions and transcripts were used for qualitative analysis.
Eighty-nine matched pre- and postsurveys were analyzed. Postimplementation data results declined for a majority of items, although remained favorable. This suggests the reality of smartphone use did not live up to expectations but was still considered an improvement over the current paging system. Differences by device and user were found, such as the iPhone being easier to use and the BlackBerry more professional; nonphysicians were more concerned about training and the sterility of the device. Themes elicited from focus groups included challenges of the current paging system, text message content, device ease of use and utility, service coverage, and professionalism.
Participants in this study recognized the benefit of using smartphones to reach team members in a timely and convenient manner while having access to beneficial applications. Lessons were learned for future implementations with more favorable experiences for participants. Perhaps most striking was the shared acknowledgment that the current system doesn't work well and an understanding of why.
医疗技术和患者护理发展迅速。而医疗沟通技术却滞后了。
本试点研究在杜克大学医院开展，旨在调查医疗团队成员使用智能手机对促进高效和有效的患者护理的益处。
本研究采用实施前-后的调查并进行教育干预。来自内科和外科的团队（医生、患者资源管理人员、医师助理和护士）被随机分配一部智能手机。使用经过验证的28个问题的调查问卷来评估用户体验（7点李克特量表，7表示更可靠、强烈同意以及更快）。鼓励参与者参加焦点小组，以就调查内容和总体体验提供反馈。主持人使用引导性问题，并将文字记录用于定性分析。
分析了89份匹配的调查前和调查后问卷。尽管实施后的数据结果对大多数项目有所下降，但仍保持良好。这表明智能手机的实际使用情况未达预期，但仍被认为比当前的传呼系统有所改进。发现了设备和用户之间的差异，例如iPhone更易于使用，黑莓更具专业性；非医生更关心培训和设备的无菌性。焦点小组得出的主题包括当前传呼系统的挑战、短信内容、设备易用性和实用性、服务覆盖范围以及专业性。
本研究的参与者认识到使用智能手机能及时、方便地联系团队成员并能使用有益应用程序的好处。为未来的实施吸取了经验教训，以使参与者有更良好的体验。或许最引人注目的是大家共同承认当前系统运行不佳以及对其原因的理解。
