Nursing Department, Inha University, Incheon, Republic of Korea.
College of Nursing, Kangwon National University, Chuncheon-si, Republic of Korea.
Int Nurs Rev. 2022 Sep;69(3):375-383. doi: 10.1111/inr.12739. Epub 2021 Dec 8.
This study aimed to investigate the differences in practices, policies, and perceptions of nurses regarding work-related utilization of smartphones in acute-care settings.
Mobile devices utilizing emerging technology are widely used in acute-care settings; however, concerns such as potential distraction, improper use, and negative impact on the nursing image in clinical practice remain valid.
Nurse managers (n = 8) and nurses (n = 181) were enrolled from eight academic tertiary hospitals that have comprehensive electronic medical record systems and mobile versions. Between October 2018 and February 2019, participants completed a questionnaire designed to explore their use of smartphones. The reporting guide for self-administered surveys of clinicians was applied.
Approximately 80% of nurses carried personal smartphones while working, with 70% using their devices for work. The prevalence of work-related smartphone use ranged from 3% to 43% by functionality, which was lower than that estimated by managers. Frequent uses included taking pictures/videos and internet browsing. Nurses were more positive than managers about the benefits of smartphone use and less burdened by related concerns. Novice and junior nurses were more optimistic than senior nurses. Only one hospital had a policy on nurses' use of personal devices at work.
Two unmet needs in the current clinical information system were identified: information supporting task-related knowledge at the bedside and security of data capture and communication.
The unintended perception gaps between nurses and managers regarding work-related smartphone use can be closed by nursing leadership. Unmet nursing informatics, particularly for information-seeking purposes, can be addressed in the context of quality assurance. Nurse leaders can advocate secure and proper use of smartphones in clinical practice.
本研究旨在调查护士在急性护理环境中与工作相关的智能手机使用实践、政策和认知方面的差异。
利用新兴技术的移动设备在急性护理环境中得到广泛应用；然而，潜在的分心、不当使用以及对临床实践中护理形象的负面影响等问题仍然存在。
从 8 家拥有全面电子病历系统和移动版本的学术型三级医院招募了护士长（n=8）和护士（n=181）。2018 年 10 月至 2019 年 2 月期间，参与者完成了一份旨在探索他们使用智能手机情况的问卷。本研究采用了自我管理调查临床医生的报告指南。
约 80%的护士在工作时携带个人智能手机，其中 70%的护士将其用于工作。根据功能划分，与工作相关的智能手机使用率从 3%到 43%不等，这一比例低于护士长的估计。常用功能包括拍照/录像和上网浏览。护士对智能手机使用的益处比管理者更为积极，对相关问题的负担感也较小。新手和初级护士比高级护士更为乐观。只有一家医院有关于护士在工作中使用个人设备的政策。
当前临床信息系统中存在两个未满足的需求：支持床边任务相关知识的信息和数据捕获与通信的安全性。
护理领导可以缩小护士和管理者之间在与工作相关的智能手机使用方面的感知差距。在质量保证的背景下，可以解决护理信息学方面的未满足需求，特别是在信息检索方面。护理领导者可以倡导在临床实践中安全、正确地使用智能手机。
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