Manocha Sanjay, Spiegelman Jamie, Miller Ethan, Solomon Shirley
A physician and director in the Department of Critical Care at Humber River Hospital as well as an assistant professor in the Department of Medicine at Queen's University. He can be reached by email at
A physician in the Department of Critical Care at Humber River Hospital.
Healthc Q. 2020 May;23(SP):35-42. doi: 10.12927/hcq.2020.26174.
For decades, the main communication technology in hospitals has been the paging system. In the era of digital communication, smartphones have been adopted by hospitals seeking to modernize processes and offer real-time, two-way communication to increase efficiency.
The aim of this study was to explore physicians' and nurses' perceptions of the impact of smartphones on communication and efficiency.
Mann-Whitney U-tests were used to compare differences in item scores between physicians and nurses on 17 questionnaire items relating to smartphone impact on interpersonal relationships and communication, efficiency and reliability. An open-ended question was used to elicit additional feedback.
In total, 43 nurses and 27 physicians participated in the study. Nurses' ratings were significantly higher than physicians' on a number of questionnaire items, including the following: smartphones have a positive impact on efficiency (Mdn = 4.0 vs. 3.0, U = 321.0, p = 0.027, r = .33), smartphones increase my accessibility to physicians (Mdn = 5.0 vs. 3.0, U = 277.0, p = 0.009, r = 0.42) and smartphones reduce interruptions versus pagers (Mdn = 4.0 vs. 2.0, U = 224.0, p > 0.0001, r = 0.47).
The findings suggest that smartphone technology may reduce the locus of control for physicians, potentially limiting their ability to prioritize patients' needs and manage workflow efficiently.
几十年来,医院的主要通信技术一直是传呼系统。在数字通信时代,医院采用智能手机来实现流程现代化,并提供实时双向通信以提高效率。
本研究旨在探讨医生和护士对智能手机对沟通和效率影响的看法。
采用曼-惠特尼U检验来比较医生和护士在17项与智能手机对人际关系、沟通、效率和可靠性影响相关的问卷项目上的得分差异。使用一个开放式问题来获取更多反馈。
共有43名护士和27名医生参与了该研究。在一些问卷项目上,护士的评分显著高于医生,包括以下方面:智能手机对效率有积极影响(中位数分别为4.0和3.0,U = 321.0,p = 0.027,r = 0.33),智能手机增加了我与医生的联系(中位数分别为5.0和3.0,U = 277.0,p = 0.009,r = 0.42),与传呼机相比,智能手机减少了干扰(中位数分别为4.0和2.0,U = 224.0,p > 0.0001,r = 0.47)。
研究结果表明,智能手机技术可能会降低医生的控制权,潜在地限制他们优先处理患者需求和有效管理工作流程的能力。