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护士在工作中使用个人手机的社会技术分析。

Sociotechnical analysis of nurses' use of personal mobile phones at work.

作者信息

Bautista John Robert, Lin Trisha T C

机构信息

PhD Candidate, Wee Kim Wee School of Communication and Information, Nanyang Technological University, 31 Nanyang Link, 637718, Singapore.

Associate Professor, Department of Radio & Television, National Chengchi University, No. 64, Section 2, Zhinan Rd, Wenshan District, Taipei City, Taiwan.

出版信息

Int J Med Inform. 2016 Nov;95:71-80. doi: 10.1016/j.ijmedinf.2016.09.002. Epub 2016 Sep 16.

DOI:10.1016/j.ijmedinf.2016.09.002
PMID:27697234
Abstract

BACKGROUND

Nurses' use of personal mobiles phones at work is a growing trend in healthcare organizations. Although recent studies have explored the positive and negative implications of nurses using personal mobile phones at work, none has yet analyzed the interactions of sociotechnical components (users, technology and policy) on nurses' use of personal mobile phones at work.

OBJECTIVES

Identify sociotechnical interactions by analyzing each sociotechnical component (users, technology and policy) that affects nurses' use of personal mobile phones at work.

METHODS

In-depth interviews were conducted with 30 nurses employed in 13 hospitals in the Philippines. The respondents include staff nurses (n=23), charge nurses (n=4), and nurse managers (n=3). Staff nurses were asked on their use of personal mobile phones at work, while charge and nurse managers were asked on their observations regarding staff nurses' use of personal mobile phones at work. Responses were analyzed qualitatively using sociotechnical analysis.

RESULTS

Sociotechnical analysis indicated that staff nurses used their personal mobile phones at work in various ways because its use helped in their nursing work, but inevitably altered a few of their routines. Although most hospitals had policies that prohibit the use of mobile phones, staff nurses justified their use of personal mobile phones by using it for work purposes and for the benefit of their patients. Staff nurses highlighted the absence of hospital-provided mobile phones as a key reason for using personal mobile phones at work. Charge nurses and nurse managers also influenced staff nurses' use of personal mobile phones at work.

CONCLUSIONS

Nurses could use their personal mobile phones at work for work purposes to enhance their clinical performance and improve patient care. Hospital administrators can leverage on nurses' use of personal mobile phones at work by formulating policies that consider both the benefits and potential drawbacks of mobile phone usage. Recommendations are made for the formulation of hospital policies to optimize the use of personal mobile phones of nurses at work.

摘要

背景

护士在工作中使用个人手机在医疗保健机构中是一种日益增长的趋势。尽管最近的研究探讨了护士在工作中使用个人手机的积极和消极影响,但尚未有研究分析社会技术要素(用户、技术和政策)之间的相互作用对护士在工作中使用个人手机的影响。

目的

通过分析影响护士在工作中使用个人手机的每个社会技术要素(用户、技术和政策)来识别社会技术相互作用。

方法

对菲律宾13家医院的30名护士进行了深入访谈。受访者包括普通护士(n = 23)、护士长(n = 4)和护士经理(n = 3)。询问普通护士在工作中使用个人手机的情况,而询问护士长和护士经理对普通护士在工作中使用个人手机的观察情况。使用社会技术分析法对回答进行定性分析。

结果

社会技术分析表明,普通护士在工作中以各种方式使用个人手机,因为其使用有助于他们的护理工作,但不可避免地改变了他们的一些日常工作。尽管大多数医院都有禁止使用手机的政策,但普通护士以用于工作目的和为患者谋福利为由为自己使用个人手机进行了辩解。普通护士强调医院未提供手机是在工作中使用个人手机的一个关键原因。护士长和护士经理也影响了普通护士在工作中使用个人手机。

结论

护士可以在工作中出于工作目的使用个人手机,以提高他们的临床绩效并改善患者护理。医院管理人员可以通过制定既考虑手机使用的好处又考虑其潜在弊端的政策,来利用护士在工作中使用个人手机的情况。针对制定医院政策以优化护士在工作中使用个人手机的情况提出了建议。

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