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Mobil IKT inom omvårdnad: studier om sjuksköterskors och studenters användning av handdatorer
Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences. (eHälsoinstitutet)
2012 (Swedish)Doctoral thesis, comprehensive summary (Other academic)Alternative title
Mobile ICT in nursing practice : studies of nurses' and nursing students' usage (English)
Abstract [en]

Background: In nursing care, the steady increase of health related information implies aneed for useful Information and Communication Technology (ICT) tools that easilyprovide mobile access to accurate information. Updated information is usually available onthe Internet but personal computers are rarely available at the patients’ bedside. In Sweden,although handheld devices provide mobile access to information, they are rarely used innursing practice. Aim: This thesis aimed to explore the views of nurses and nursingstudents of using handheld devices in nursing practice. Method: Four intervention studieswere carried out during the years 2006 to 2008; a total of 30 nurses and 63 nursing studentsused handheld devices for 5-15 weeks in nursing practice, and answered questionnairesand/or participated in interviews. In 2012, a cross sectional study was undertaken with 111nurses and 287 nursing students answering a questionnaire about their views of usinghandheld devices. Quantitative data were analyzed using descriptive statistics andqualitative data were analyzed by content analysis. Results: The handheld device wasregarded to facilitate nursing practice and to be a useful tool with benefits for the patients,the nurses and for the nursing students. Independent of time and place, nurses and nursingstudents were able to access necessary information and also to make notes, plan their workand save time. The handheld device was regarded to improve patient safety and quality ofcare. The participants would not have to leave their patients to look up information,subsequently giving a more complete encounter. Additionally, the handheld device waspresumed to imply increased confidence, and support learning for nurses and nursingstudents. Conclusion: In order to continuously improve the safety and quality of healthcare,it is important to implement handheld devices in nursing practice. This issue is importantat all levels in the healthcare systems, from nurses to nursing management, policy makersand moreover for educators. Handheld devices adjusted for nursing, technical, statutory,cultural, and language country specific conditions, should be further developed,implemented, and evaluated in future research.

Abstract [sv]

Omvårdnad är ett informationsintensivt område och sjuksköterskor hanterardagligen en omfattande mängd information. Kunskapsmassan växer stadigtoch behovet av tillgång till aktuell information ökar. Vanligen finns aktuellinformation tillgänglig via Internet men det är inte alltid som en dator finns tillhands vid patientens sängkant. Mobil informations- och kommunikationsteknik(IKT) såsom en handdator kan lätt ge tillgång till den information sombehövs. Trots att det finns flera fördelar med att använda mobil IKT som stödinom omvårdnad, framför allt avseende tillgång till information, såsombeslutsstöd och för lärandet, används det ännu i ringa omfattning i Sverige.Avhandlingens övergripande syfte var att undersöka sjuksköterskors ochsjuksköterskestudenters uppfattningar om att använda handdatorer inomomvårdnad.Fyra av avhandlingens fem studier genomfördes från 2006 till 2008. Sammanlagtanvände 30 sjuksköterskor och 63 sjuksköterskestudenter handdatorer5-15 veckor i arbete eller verksamhetsförlagd utbildning (VFU). Deltagarnabesvarade enkäter före och efter användningen, och intervjuades individuellteller i grupp. I den femte studien, som genomfördes 2012, besvarade 111sjuksköterskor och 287 sjuksköterskestudenter en enkät om sin uppfattning omhanddatorer. Kvantitativ data analyserades med beskrivande statistik ochkvalitativ data analyserades med innehållsanalys.Studierna visade att en handdator kan vara ett stöd i det dagliga arbetet och iVFU som informations-, antecknings- och planeringsverktyg, och kan enkeltge en översikt av patienters läkemedelsanvändning. Sjuksköterskorna ochsjuksköterskestudenterna ansåg att handdatorn kan bidra till ökad patientsäkerhetoch vårdkvalitet på grund av den snabba tillgången till aktuellinformation, oberoende av tid och plats. Patientmötet kan bli mer helt dåpatienterna inte behöver lämnas och samtalet inte behöver avbrytas;vårdrelationer kan bli vårdande relationer. Deltagarna ansåg att handdatornkan vara ett stöd avseende trygghet, minskad stress och kontinuerligt lärande. Iframtiden bör sjuksköterskor och sjuksköterskestudenter ges tillgång till mobilIKT som stöd i sitt arbete och VFU, och införandet bör därför prioriteras påalla nivåer inom vård och utbildning. IKT-kompetensen måste ökas ochslutanvändarna måste vara delaktiga i utvecklingen och införandet. Fortsattforskning behövs avseende avancerade mobila IKT-stöd; anpassade försjuksköterskans arbete.

Place, publisher, year, edition, pages
Växjö, Kalmar: Linnaeus University Press, 2012. , p. 74
Series
Linnaeus University Dissertations ; 104/2012
Keyword [en]
computers handheld, nurses, nursing informatics, nursing students, patient safety, quality of healthcare
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
URN: urn:nbn:se:lnu:diva-22399ISBN: 978-91-86983-88-8 (print)OAI: oai:DiVA.org:lnu-22399DiVA: diva2:566909
Public defence
2012-12-07, N2007, Smålandsgatan 26E, Kalmar, 13:00 (Swedish)
Opponent
Supervisors
Projects
Nurse Companion
Available from: 2012-11-23 Created: 2012-11-10 Last updated: 2017-05-30Bibliographically approved
List of papers
1. Experience of mobile devices in nursing practice
Open this publication in new window or tab >>Experience of mobile devices in nursing practice
2012 (English)In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 32, no 4, p. 50-54Article in journal (Refereed) Published
Abstract [en]

Background: In nursing care, the steady increase of healthrelated information implies that there is need for useful tools thateasily provide mobile access to accurate information.Aim: This study is aimed at exploring nurses’ and nursingstudents’ experience of using a mobile device in nursing practice,with the emphasis on usefulness, information retrieval, savingtime, patient safety, the quality of care, and confidence in thework performed.Methods: In this descriptive intervention study, registered nurses(RN) (n=14) and nursing students (NS) (n=7) used mobiledevices in nursing practice during a period of 15 weeks, andreplied to questionnaires prior to and after the intervention.Results and conclusion: We found that the mobile device wasperceived as useful and was presumed to imply increased confidenceand time savings, and to contribute to improved patientsafety and quality of care by enhancing access to necessaryinformation. To facilitate nursing practice, mobile devicesadjusted for technical, statutory, cultural, and language countryspecificconditions, should be further developed and implementedfor RNs and NSs. Furthermore, future research shouldinclude the end-users’ views.

Keyword
computers handheld, intervention study, nurses, nursing informatics, nursing students
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-21529 (URN)
Available from: 2012-09-05 Created: 2012-09-05 Last updated: 2017-12-07Bibliographically approved
2. Nursing students' experience of using a personal digital assistant (PDA) in clinical practice: an intervention study
Open this publication in new window or tab >>Nursing students' experience of using a personal digital assistant (PDA) in clinical practice: an intervention study
2013 (English)In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 33, no 10, p. 1246-1251Article in journal (Refereed) Published
Abstract [en]

Background

A personal digital assistant (PDA) is a multifunctional information and communication tool allowing nursing students to keep up to date with expanding health related knowledge.

Objectives

This study was aimed at exploring nursing students' experience of using a PDA in clinical practice.

Method

In this intervention study, nursing students (n=67) used PDAs during a period of 15weeks, replied to questionnaires, and participated in focus group interviews.

Results

The PDA was found to support nursing students in clinical practice and to have the potential to be a useful tool with benefits for both the patients and for the students. The PDA was regarded as useful, and was presumed to imply increased confidence and time savings, and contribute to improved patient safety and quality of care.

Conclusions

With available mobile technology, nursing students would be able to access necessary information, independent of time and place. Therefore, it is important that stakeholders and educators facilitate the use of PDAs to support nursing students during their clinical practice, in order to prepare them for their future work, and to continuously improve the safety and quality of healthcare.

Place, publisher, year, edition, pages
Elsevier, 2013
Keyword
computers handheld, intervention study, nursing informatics, nursing practice, nursing students
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-28874 (URN)10.1016/j.nedt.2012.08.019 (DOI)000326410800028 ()2-s2.0-84884140638 (Scopus ID)
Projects
Nurse Companion
Available from: 2013-09-15 Created: 2013-09-15 Last updated: 2017-12-06Bibliographically approved
3. Experience of using a personal digital assistant in nursing practice – a single case study
Open this publication in new window or tab >>Experience of using a personal digital assistant in nursing practice – a single case study
2011 (English)In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 19, no 7, p. 855-862Article in journal (Refereed) Published
Abstract [en]

Aim The aim of this study was to describe one nurse’s experience of using a personal digital assistant (PDA) in nursing practice.

Background Nurses handle large amounts of information and a PDA may contain valuable information that nurses need in their daily work.

Methods In this qualitative single case study, data were collected through an open-ended interview with one registered nurse and were analysed by content analysis.

Results The findings show that the PDA provides immediate access to information anywhere and at anytime, with advantages for both the nurse and for her patients. The PDA increased her confidence and efficiency in practice; it was easier to keep up-to-date and spend more time with the patient. Furthermore, the PDA was perceived as improving patient safety and patient participation.

Conclusions The PDA requires improved content and more functions. Ease of use should also be improved. This study indicates that PDAs could be valuable and may inspire further research.

Implications for nursing management The incorporation of a multifunctional PDA is an important issue for nursing management, as it could both change and provide new possibilities for nursing practice. The use of PDAs could also aid decision-making, improve patient safety and benefit patient outcomes.

Place, publisher, year, edition, pages
Blackwell Publishing Ltd, 2011
Keyword
computers handheld, nurses, nursing informatics, nursing practice, personal digital assistant
National Category
Medical and Health Sciences
Research subject
Health and Caring Sciences, Health Informatics
Identifiers
urn:nbn:se:lnu:diva-10968 (URN)10.1111/j.1365-2834.2011.01261.x (DOI)2-s2.0-80054013923 (Scopus ID)
Available from: 2011-02-28 Created: 2011-02-28 Last updated: 2017-12-11Bibliographically approved
4. Personal digital assistant with a barcode reader - a medical decision support system for nurses in home care.
Open this publication in new window or tab >>Personal digital assistant with a barcode reader - a medical decision support system for nurses in home care.
2010 (English)In: International Journal of Medical Informatics, ISSN 1386-5056, E-ISSN 1872-8243, Vol. 79, no 4, p. 232-242Article in journal (Refereed) Published
Abstract [en]

Introduction: Inappropriate medication among elderly people increases the risk of adverse drug–drug interactions, drug-related falls and hospital admissions. In order to prevent these effects it is necessary to obtain a profile of the patients’ medication. A personal digital assistant (PDA) can be used as a medical decision support system (MDSS) to obtain a profile of the patients’ medication and to check for inappropriate drugs and drug combinations, and to reduce medication errors.Aim: The aim of the present study was to evaluate nurses’ experiences of using a MDSS in a PDA with a barcode reader, in order to obtain profiles of the patients’ medication, regarding drug–drug interactions, therapeutic duplications, and warnings for drugs unsuitable for elderly in home care.Methods: The LIFe-reader® is a MDSS in a PDA with a barcode reader. By scanning the drug packages in the patients’ home, the LIFe-reader® obtained profiles of the patients’ medication and checked for drug–drug interactions, therapeutic duplications and warnings for drugs unsuitable for elderly people. The LIFe-reader® also contained, e.g. drug information and medical reference works. Nurses (n = 15) used the LIFe-reader® for five weeks during their nursing home care practice assignment. The nurses answered questionnaires about the content and functions of the LIFe-reader® before, during and after the nursing home care practice assignment, and were interviewed in focus groups. Descriptive statistics were used and content analysis was applied for qualitative data.Results: By using the LIFe-reader®, the majority of the nurses found it easy to obtain profiles of the patients’ medication and check for drug–drug interactions, therapeutic duplications and warnings for drugs unsuitable for elderly people. Most nurses regarded the LIFe-reader® to reduce drug-related risks of falling, and some thought it could reduce the drug-related admissions to hospitals. The scanning function was described as easy and time saving, although not always possible to use. The LIFe-reader® was regarded as a useful and user-friendly MDSS, but more content and functions were requested.Conclusions: We found that the LIFe-reader® has the potential to be a useful and user-friendly MDSS for nurses in home care when obtaining profiles of the patients’ medication regarding drug–drug interactions, therapeutic duplications and warnings for drugs unsuitable for elderly. A regular scanning of the patients’ drugs in their home might support nurses and general practitioners (GPs) in reducing the inappropriate use of drugs. If the LIFe-reader® should be used in a larger scale among nurses, more content and functions are necessary.

Place, publisher, year, edition, pages
Oxford: Elsevier, 2010
Keyword
Medical informatics, Personal digital assistant, Computers, handheld, Decision support system, clinical Pharmaceutical preparations, Automatic data processing, Bar code, NursesHome care services, Nursing
National Category
Nursing
Research subject
Health and Caring Sciences, Health Informatics
Identifiers
urn:nbn:se:hik:diva-2656 (URN)10.1016/j.ijmedinf.2010.01.004 (DOI)2-s2.0-77649191022 (Scopus ID)
Projects
NurseCompanion
Available from: 2010-02-14 Created: 2010-02-14 Last updated: 2017-12-12Bibliographically approved

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