scholarly journals The association of mobile device use of electronic health record with the wellbeing of nurses: cross-sectional survey study (Preprint)

2021 ◽  
Author(s):  
Tarja Heponiemi ◽  
Anu Kaihlanen ◽  
Kia Gluschkoff ◽  
Kaija Saranto ◽  
Sari Nissinen ◽  
...  
Keyword(s):  
Health Care ◽  
Mobile Devices ◽  
Mobile Device ◽  
Time Pressure ◽  
Ease Of Use ◽  
Survey Study ◽  
Technical Quality ◽  
Cross Sectional ◽  
Low Levels ◽  
Device Use

BACKGROUND Mobile devices such as tablets and smartphones are increasingly used in health care in many developed countries. Nurses form the largest group in health care that uses electronic health records (EHRs) and their mobile versions. Mobile devices are suggested to promote nurses’ workflow, constant updating of patient information and improve the communication within the health care team. However, little is known about their effect on nurses’ wellbeing. OBJECTIVE The present study aimed to examine the association of mobile device use of the EHR with nurses’ perceived time pressure, stress related to information systems (SRIS) and self-rated stress. Moreover, we examined whether mobile device use modifies the associations of EHR usability (ease of use and technical quality), experience in using EHRs and number of systems in daily use with these wellbeing indicators. METHODS The present study was a cross-sectional population-based survey study among 3,610 Finnish registered nurses gathered in 2020. The associations were examined using analyses of covariance and logistic regression adjusted for age, gender and employment sector (hospital, primary care, social service and other). RESULTS Those who used mobile version of their EHR had higher levels of time pressure ( F(1)= 14.96, p < .001) and SRIS ( F(1)= 6.11, p = .01) compared to those who did not use mobile versions. Moreover, the interactions of mobile device use with experience in using EHRs (F(1) = 14.93, p < .001), ease of use (F(1) = 10.16, p = .001) and technical quality (F(1) = 6.45, p = .01) were significant for SRIS. Inexperience in using EHRs, low levels of ease of use and technical quality were associated with higher SRIS and this association was more pronounced among those who used mobile devices. That is, the highest levels of SRIS were perceived among those who used mobile devices and were inexperienced EHR users, perceived low levels of ease of use or low levels of technical quality of their EHR. CONCLUSIONS According to our results it seems that at the moment mobile device use is not beneficial for the nurses’ wellbeing. In addition, mobile device use seems to intensify the negative effects of usability problems of the EHRs. Especially inexperienced users of EHRs seem be at disadvantage when using mobile devices. Thus, we suggest that EHRs and their mobile versions should be improved in a manner that they would be easier to use and would better support the nurses’ workflow. For example, improvements to problems related to small display, user interface and difficult data entry of mobile versions might be useful. Moreover, more training related to EHRs, their mobile versions and workflow related to these should be provided to nurses.

scholarly journals Patient Attitudes Toward Mobile Device Use by Health Care Providers in the Emergency Department: Cross-Sectional Survey

10.2196/16917 ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. e16917
Author(s):  
Mohamad Alameddine ◽  
Hani Tamim ◽  
Dima Hadid ◽  
Mohamad-Ali Cheaito ◽  
Maha Makki ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Mobile Devices ◽  
Health Care Providers ◽  
Mobile Device ◽  
Outcome Variable ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Device Use

Background Health care provider usage of mobile devices is increasing globally; however, there is little understanding of patient perceptions on this behavior in a health care setting. Objective The aim of this study was to assess patients’ attitudes toward mobile device usage by health care providers in the emergency department and to identify predictors of these attitudes. Methods The study was carried out at the emergency department of a large academic tertiary care medical center in Lebanon. A cross-sectional survey design was adopted by administering a questionnaire to medically stable adult patients who presented to the emergency department with an emergency severity index of 3, 4, or 5 between January 2017 and March 2018. The questionnaire collected relevant patient demographic information and included questions related to their mobile device usage along with those evaluating attitudes for the use of mobile devices by health care providers with respect to six major domains: role in health care, distraction potential, impact on communication, empathy, privacy, and professionalism. The attitude toward mobile device usage by health care providers in the emergency department was the main outcome variable. A stepwise logistic regression model was used to assess the association between the outcome variable and the demographic and attitude-related independent variables. Results Among the 438 eligible patients, 338 patients responded to the questionnaire for a response rate of 70.0%. Overall, 313/338 (92.6%) respondents agreed that mobile devices improve health care delivery, whereas 132/338 (39.1%) respondents were opposed to their usage by health care providers in the emergency department (95% CI: 34.0-44.4). The majority (240/338, 71.0%) of patients agreed that mobile devices are a source of distraction to health care providers in the workplace. Females (odds ratio [OR]=1.67, 95% CI: 1.00-2.78) as well as all patients (OR=2.54, 95% CI 1.36-4.76) who believed that mobile devices were a source of distraction, reflecting a lack of professionalism (OR=2.77, 95% CI 1.59-4.82) and impacting the provider’s ability to relate to the patient (OR=2.93, 95% CI 1.72-4.99), were more likely to agree that mobile devices should not be used in the emergency department. Conclusions Patients’ negative attitude toward mobile device use in the emergency department is largely driven by patient gender (females), patient perception of the distraction potential of the devices, and their negative impact on the health care provider’s empathy and professionalism. The findings of this study shed light on the importance of encouraging stakeholders to impose a digital professionalism code of conduct for providers working in acute health care settings.

scholarly journals Patient Attitudes Toward Mobile Device Use by Health Care Providers in the Emergency Department: Cross-Sectional Survey (Preprint)

2019 ◽  
Author(s):  
Mohamad Alameddine ◽  
Hani Tamim ◽  
Dima Hadid ◽  
Mohamad-Ali Cheaito ◽  
Maha Makki ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Mobile Devices ◽  
Health Care Providers ◽  
Mobile Device ◽  
Outcome Variable ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Device Use

BACKGROUND Health care provider usage of mobile devices is increasing globally; however, there is little understanding of patient perceptions on this behavior in a health care setting. OBJECTIVE The aim of this study was to assess patients’ attitudes toward mobile device usage by health care providers in the emergency department and to identify predictors of these attitudes. METHODS The study was carried out at the emergency department of a large academic tertiary care medical center in Lebanon. A cross-sectional survey design was adopted by administering a questionnaire to medically stable adult patients who presented to the emergency department with an emergency severity index of 3, 4, or 5 between January 2017 and March 2018. The questionnaire collected relevant patient demographic information and included questions related to their mobile device usage along with those evaluating attitudes for the use of mobile devices by health care providers with respect to six major domains: role in health care, distraction potential, impact on communication, empathy, privacy, and professionalism. The attitude toward mobile device usage by health care providers in the emergency department was the main outcome variable. A stepwise logistic regression model was used to assess the association between the outcome variable and the demographic and attitude-related independent variables. RESULTS Among the 438 eligible patients, 338 patients responded to the questionnaire for a response rate of 70.0%. Overall, 313/338 (92.6%) respondents agreed that mobile devices improve health care delivery, whereas 132/338 (39.1%) respondents were opposed to their usage by health care providers in the emergency department (95% CI: 34.0-44.4). The majority (240/338, 71.0%) of patients agreed that mobile devices are a source of distraction to health care providers in the workplace. Females (odds ratio [OR]=1.67, 95% CI: 1.00-2.78) as well as all patients (OR=2.54, 95% CI 1.36-4.76) who believed that mobile devices were a source of distraction, reflecting a lack of professionalism (OR=2.77, 95% CI 1.59-4.82) and impacting the provider’s ability to relate to the patient (OR=2.93, 95% CI 1.72-4.99), were more likely to agree that mobile devices should not be used in the emergency department. CONCLUSIONS Patients’ negative attitude toward mobile device use in the emergency department is largely driven by patient gender (females), patient perception of the distraction potential of the devices, and their negative impact on the health care provider’s empathy and professionalism. The findings of this study shed light on the importance of encouraging stakeholders to impose a digital professionalism code of conduct for providers working in acute health care settings.

scholarly journals Supporting Student-Initiated Mobile Device Use in Online Learning

2021 ◽  
Vol 25 (3) ◽  
Author(s):  
Karen Milheim ◽  
Christy Fraenza ◽  
Kim Palermo-Kielb
Keyword(s):  
Higher Education ◽  
Online Learning ◽  
Mobile Devices ◽  
Mobile Device ◽  
Online Courses ◽  
Ease Of Use ◽  
Future Research ◽  
Course Materials ◽  
Need Support ◽  
Device Use

Understanding the experiences of students who self-initiate mobile device use for online courses or course-related activities provides institutions with valuable insights. In this study, we report how students enrolled in online courses in higher education voluntarily used mobile devices for their coursework and course-related activities, the challenges in using these devices, and how they managed those challenges. We surveyed 103 college students enrolled in one or more fully online courses regarding their habits in using mobile devices for online learning. Findings reveal most participants use mobile devices for convenience, portability, and overall ease of use. The way the devices are used for course-related activities varies, however, with reasons ranging from taking notes and reading course materials, to downloading those materials, communicating, socializing, and other purposes. Challenges when using these devices often relate to access issues and overall limitations of the technology. Yet, despite these limitations, some reported that, depending on the task, even though using a mobile device often took longer compared to a laptop or PC, the convenience of using it was a greater benefit. Participants were surveyed about their experiences prior to the COVID-19 pandemic, providing additional perspectives for possible future research focused on emergency circumstances to remote teaching or alternative forms of instruction. Additionally, this study provides a foundation of how and why students choose to use mobile devices for coursework and in what ways they may need support from their institutions related to their use.

scholarly journals Electronic Health Record Acceptance by Physicians: A Single Hospital Experience in Daily Practice

2021 ◽  
Vol 1 (1) ◽  
pp. 6-17
Author(s):  
Andrija Pavlovic ◽  
Nina Rajovic ◽  
Jasmina Pavlovic Stojanovic ◽  
Debora Akinyombo ◽  
Milica Ugljesic ◽  
...  
Keyword(s):  
Health Care ◽  
Logistic Regression ◽  
Electronic Health Record ◽  
Technology Acceptance ◽  
Daily Practice ◽  
Ease Of Use ◽  
Future Research ◽  
Health Record ◽  
Cross Sectional ◽  
Electronic Health

Introduction: Potential benefits of implementing an electronic health record (EHR) to increase the efficiency of health services and improve the quality of health care are often obstructed by the unwillingness of the users themselves to accept and use the available systems. Aim: The aim of this study was to identify factors that influence the acceptance of the use of an EHR by physicians in the daily practice of hospital health care. Material and Methods: The cross-sectional study was conducted among physicians in the General Hospital Pancevo, Serbia. An anonymous questionnaire, developed according to the technology acceptance model (TAM), was used for the assessment of EHR acceptance. The response rate was 91%. Internal consistency was assessed by Cronbach’s alpha coefficient. A logistic regression analysis was used to identify the factors influencing the acceptance of the use of EHR. Results: The study population included 156 physicians. The mean age was 46.4 ± 10.4 years, 58.8% participants were female. Half of the respondents (50.1%) supported the use of EHR in comparison to paper patient records. In multivariate logistic regression modeling of social and technical factors, ease of use, usefulness, and attitudes towards use of EHR as determinants of the EHR acceptance, the following predictors were identified: use of a computer outside of the office for reading daily newspapers (p = 0.005), EHR providing a greater amount of valuable information (p = 0.007), improvement in the productivity by EHR use (p < 0.001), and a statement that using EHR is a good idea (p = 0.014). Overall the percentage of correct classifications in the model was 83.9%. Conclusion: In this research, determinants of the EHR acceptance were assessed in accordance with the TAM, providing an overall good model fit. Future research should attempt to add other constructs to the TAM in order to fully identify all determinants of physician acceptance of EHR in the complex environment of different health systems.

scholarly journals Exploring Safety Aspects in Dental School Clinics Including Droplet Infection Prevention

2020 ◽  
Vol 8 (E) ◽  
pp. 509-515
Author(s):  
Asmaa Abdelnaby ◽  
Laila Mahmoud Kamel ◽  
Jylan Elguindy ◽  
Reham Yousri Elamir ◽  
Eman Elfar
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Infection Control ◽  
Dental Health ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Safety Practices ◽  
Preparedness Plan ◽  
Dental Schools

BACKGROUND: Health-care safety focuses on improving patient’s and worker’s safety in a safe working clinics’ environment and prevent infection transmission including droplet infections as seasonal influenza and novel coronavirus (COVID-19). Dental health-care personnel (DHCP) are the target of safety measures and are themselves responsible for elimination of preventable harm. Dental schools are expected to demonstrate the model for quality safe care. AIM: This study aims to achieve high-quality safe dental care at dental clinics, Faculty of Dentistry, Cairo University. METHODS: A cross-sectional survey study was conducted at two Dental Outpatient Clinics, Cairo University. Disk review of policies, observation checklists for practices and awareness questionnaires of DHCP were used. RESULTS: DHCP showed good awareness for most of infection control (IC) and X-ray safety items. However, there are no policies or procedures to control droplet infections in the clinics. The clinics were closed in the current COVID-19 pandemic. There were poor patient safety practices, hand hygiene compliance, and personal protective equipment (PPE) use except for protecting clothes and disposable gloves. Students showed better compliance for patient safety guidelines. Other safety policies were poorly communicated. CONCLUSION: There should be preparedness plan to deal with any droplet infection outbreak, epidemic or pandemic as COVID-19 in all dental settings. There is a need to initiate dental safety unit in dental schools to implement, communicate, train, and supervise all dental safety practices including infection control.

scholarly journals A study of students’ attitudes towards using ICT in a social constructivist environment

2016 ◽  
Author(s):  
Yang Silin ◽  
David Kwok
Keyword(s):  
Technology Acceptance ◽  
Qualitative Data ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Survey Study ◽  
Learning Tools ◽  
Perceived Ease Of Use ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Students Attitudes

This study aims to examine the factors that support or hinder students’ attitudes towards using information and communication technology (ICT) in problem-based learning (PBL) using the technology acceptance model (TAM) (Davis, 1989) among polytechnic students. A total of 737 first-year polytechnic students in Singapore participated in the cross-sectional survey study by completing a questionnaire (The assessment of attitude and intention to use ICT tools among polytechnic students), which gathered both quantitative and qualitative data. Based on the analysis of the quantitative data, perceived usefulness and perceived ease of use are found to be significantly and positively correlated with attitudes towards using ICT. Results from the analysis of the qualitative data suggest five major themes (engagement, communication, information gathering, collaboration and efficiency) on what students enjoyed most about using ICT. On the other hand, Internet connectivity, usability, technical issues and ICT competency are the four other themes that categorised the difficulties students faced using ICT. An important implication is to develop polytechnic lecturers’ competency in the use of ICT-enabled learning tools as a priority to enable them to successfully integrate ICT in their PBL lessons. 

scholarly journals Quality of collaboration and information handovers in palliative care: a survey study on the perspectives of nurses in the Southwest Region of the Netherlands

2020 ◽  
Vol 30 (4) ◽  
pp. 720-727
Author(s):  
Marijanne Engel ◽  
Andrée van der Ark ◽  
Rosanne Tamerus ◽  
Agnes van der Heide
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Health Care Professionals ◽  
Information Exchange ◽  
Survey Study ◽  
Regional Survey ◽  
Cross Sectional ◽  
Organizational Collaboration ◽  
Deceased Patient

Abstract Background When patients receiving palliative care are transferred between care settings, adequate collaboration and information exchange between health care professionals is necessary to ensure continuity, efficiency and safety of care. Several studies identified deficits in communication and information exchange between care settings. Aim of this study was to get insight in the quality of collaboration and information exchange in palliative care from the perspectives of nurses. Methods We performed a cross-sectional regional survey study among nurses working in different care settings. Nurses were approached via professional networks and media. Respondents were asked questions about collaboration in palliative care in general and about their last deceased patient. Potential associations between quality scores for collaboration and information handovers and characteristics of respondents or patients were tested with Pearson’s chi-square test. Results A total of 933 nurses filled in the questionnaire. Nurses working in nursing homes were least positive about inter-organizational collaboration. Forty-six per cent of all nurses had actively searched for such collaboration in the last year. For their last deceased patient, 10% of all nurses had not received the information handover in time, 33% missed information they needed. An adequate information handover was positively associated with timeliness and completeness of the information and the patient being well-informed, not with procedural characteristics. Conclusion Nurses report that collaboration between care settings and information exchange in palliative care is suboptimal. This study suggests that health care organizations should give more attention to shared professionalization towards inter-organizational collaboration among nurses in order to facilitate high-quality palliative care.

scholarly journals Characteristics and Circumstances of Falls in the Community-Dwelling Older Adult Population

2020 ◽  
Vol 11 ◽  
pp. 215013272094050 ◽  
Author(s):  
María Pilar Molés Julio ◽  
Ana Lavedán Santamaría ◽  
Teresa Botigué Satorra ◽  
Olga Masot Ariño ◽  
Aurora Esteve Clavero ◽  
...  
Keyword(s):  
Health Care ◽  
Older Adult ◽  
Statistical Significance ◽  
Adult Population ◽  
Community Dwelling ◽  
Survey Study ◽  
Single Family ◽  
Cross Sectional ◽  
Randomized Sampling ◽  
Older Adult Population

Objective: The study aimed to describe the characteristics and circumstances of falls in the community-dwelling older adult population. Design: This was a cross-sectional observational and descriptive study involving primary health care centers in Lleida and Castellón de la Plana, Spain. Randomized sampling was used to include 966 individuals aged 75 years or older residing in single-family homes and in possession of a health care card. Data were obtained using the Survey on Fragility in Older People in Lleida (FRALLE survey). Study variables included the occurrence of falls in the past year and fall characteristics such as whether it was a first or successive fall, cause, season, and time of the day the fall occurred, whether the respondent fell flat on the ground, and time the participant remained on the floor. Other variables involved the circumstances of the fall, including the general location of the fall and specific location within the home if applicable, lighting/weather conditions, objects which may have precipitated the fall, floor conditions, and type of footwear. Results: The prevalence of falls was 25.9% with regard to the previous year, with 70% of these participants reporting having fallen previously. Falls most often occurred by accident, during the daytime, and in the winter. Variables that showed statistical significance with regard to age group were: falling flat on the ground ( P = .031), fall location ( P = .000), presence of an object favoring the fall ( P = .039), floor conditions ( P = .011), and type of footwear ( P = .029). By sex, variables that showed statistical significance included the need for assistance to get up ( P = .045) and type of footwear ( P = .028). Conclusions: The prevalence of falls was found to be similar in the studied cities. The results show the most common characteristics and circumstances of falls in older adults in the community, making it possible to guide future preventive strategies.

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