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教学医院环境中手机使用的影响与认知

The Impact and Perception of Cell Phone Usage in a Teaching Hospital Setting.

作者信息

Caminiti Courtney, Deng Lily, Greenberg Patricia, Scolpino Anthony, Chen Catherine, Yang Ellen, Oleske James M

机构信息

New Jersey Medical School-Rutgers University, Newark, NJ, USA.

Department of Biostatistics, Rutgers School of Public Health, Rutger University, New Brunswick, NJ, USA.

出版信息

J Patient Exp. 2020 Dec;7(6):1627-1633. doi: 10.1177/2374373519892416. Epub 2020 Jul 17.

Abstract

OBJECTIVE

To evaluate perceptions regarding cell phone use in a teaching hospital setting among health care providers, residents, medical students, and patients.

METHODS

Fifty-three medical students, 41 resident physicians, 32 attending physicians, and 46 nurses working at University Hospital completed a questionnaire about cell phone use practices and their perceptions of cell phone use in the hospital. Forty-three inpatients admitted to medical/surgical units at University Hospital were surveyed at bedside about their perceptions regarding physicians' cell phone use.

RESULTS

All health care providers identified cell phones as a risk to patient confidentiality with no specific group significantly more likely to attribute risk than another. Practitioners were identified as either primarily as inpatient or outpatient practitioners. Inpatient practitioners were significantly more likely to rate cell phones as beneficial to patient care than outpatient practitioners. Physicians were statistically more likely to rate mobile phones as beneficial to patient care as compared to nurses. Among the patient population surveyed, one quarter noted that their physician had used a cell phone in their presence. The majority of those patients observing practitioner cell phone use had reported a beneficial or neutral impact on their care. Perceived risk of cell phones to patient confidentiality was equal across health care providers surveyed. Physician and medical students were significantly more likely to rate cell phones as beneficial to patients' care than nurse providers. Patients indicated that their physicians used cell phones in their presence at low rates and reported that the use was either neutral or beneficial to the care they received.

摘要

目的

评估医疗服务提供者、住院医师、医学生和患者对教学医院环境中使用手机的看法。

方法

在大学医院工作的53名医学生、41名住院医师、32名主治医师和46名护士完成了一份关于手机使用习惯以及他们对医院内手机使用看法的调查问卷。对大学医院内科/外科病房收治的43名住院患者在床边进行调查,询问他们对医生使用手机的看法。

结果

所有医疗服务提供者都认为手机对患者隐私构成风险,没有哪个特定群体比其他群体更倾向于将其视为风险。从业者被分为主要负责住院患者或门诊患者的两类。与门诊从业者相比,负责住院患者的从业者明显更倾向于认为手机对患者护理有益。与护士相比,医生在统计学上更倾向于认为手机对患者护理有益。在接受调查的患者群体中,四分之一的人指出他们的医生在他们面前使用过手机。大多数观察到从业者使用手机的患者报告称这对他们的护理有积极或中性的影响。在接受调查的所有医疗服务提供者中,对手机对患者隐私的潜在风险的认知是相同的。与护士相比,医生和医学生明显更倾向于认为手机对患者护理有益。患者表示他们的医生在他们面前使用手机的频率较低,并报告这种使用对他们所接受的护理是中性或有益的。

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