Jamu Joseph Tawanda, Lowi-Jones Hannah, Mitchell Colin
University of the West of England, UK.
Imperial College Healthcare NHS Trust, UK.
Nurse Educ Pract. 2016 Jul;19:107-12. doi: 10.1016/j.nepr.2016.03.007. Epub 2016 Mar 29.
Clinical guidelines and policies are widely available on the hospital intranet or from the internet, but can be difficult to access at the required time and place. Clinical staff with smartphones could use Quick Response (QR) codes for contemporaneous access to relevant information to support the Just in Time Learning (JIT-L) paradigm. There are several studies that advocate the use of smartphones to enhance learning amongst medical students and junior doctors in UK. However, these participants are already technologically orientated. There are limited studies that explore the use of smartphones in nursing practice. QR Codes were generated for each topic and positioned at relevant locations on a medical ward. Support and training were provided for staff. Website analytics and semi-structured interviews were performed to evaluate the efficacy, acceptability and feasibility of using QR codes to facilitate Just in Time learning. Use was intermittently high but not sustained. Thematic analysis of interviews revealed a positive assessment of the Just in Time learning paradigm and context-sensitive clinical information. However, there were notable barriers to acceptance, including usability of QR codes and appropriateness of smartphone use in a clinical environment. The use of Just in Time learning for education and reference may be beneficial to healthcare professionals. However, alternative methods of access for less technologically literate users and a change in culture of mobile device use in clinical areas may be needed.
临床指南和政策在医院内部网或互联网上广泛可得，但在需要的时间和地点可能难以获取。配备智能手机的临床工作人员可以使用二维码即时获取相关信息，以支持即时学习（JIT-L）模式。有几项研究主张在英国使用智能手机来促进医学生和初级医生的学习。然而，这些参与者已经对技术有一定倾向。探索在护理实践中使用智能手机的研究有限。为每个主题生成了二维码，并放置在医疗病房的相关位置。为工作人员提供了支持和培训。进行了网站分析和半结构化访谈，以评估使用二维码促进即时学习的有效性、可接受性和可行性。使用情况时高时低，未能持续。访谈的主题分析显示，对即时学习模式和情境敏感的临床信息给予了积极评价。然而，接受方面存在显著障碍，包括二维码的可用性以及在临床环境中使用智能手机的适宜性。将即时学习用于教育和参考可能对医疗保健专业人员有益。然而，对于技术知识较少的用户，可能需要其他获取方式，并改变临床领域移动设备的使用文化。
