TY -非盟的吴,罗伯特AU -罗索,彼得盟——全,谢尔曼AU -李维斯,斯科特AU - Lo,维维安盟——黄,布莱恩盟——张马克AU -猜拳,但丁PY - 2011 DA - 2011/08/29 TI -评估临床医师之间的使用智能手机进行交流:一个混合方法研究乔- J地中海互联网Res SP - e59六世- 13 - 3 KW -电子邮件KW -手机KW -跨学科交流KW -医院通信系统AB -背景:临床医生之间的沟通对于提供高质量的患者护理至关重要，但往往受到当前系统限制的阻碍。黑莓(blackberry)等智能手机可能会改善通信，但迄今为止，对这些技术的研究还很有限。目的:我们的目的是描述智能手机是如何被用于普通内科病房的临床沟通，并确定它们对团队效率和沟通的影响。方法:这是一项混合方法的研究，从智能手机电话和电子邮件的频率、临床医生的访谈和临床交流互动的人种学观察中收集数据。对定性和定量数据进行了三角测量，以制定包括不同方法的全面和有代表性见解的共同主题。结果:我们的研究结果表明，在24小时内，护士平均向医生发送22.3封电子邮件，大部分是通过“团队智能手机”发送的，这是特定医疗团队指定的主要联系人。在24小时内，携带团队智能手机的医生平均收到21.9封电子邮件和6.4个电话，同时发送6.9封电子邮件，拨打8.3个电话。我们的分析确定了与使用智能手机进行临床交流相关的积极和消极结果。在使用寻呼机进行医生、护士和专职卫生专业人员的临床交流时，效率明显提高。 In particular, residents found that the use of smartphones helped to increase their mobility and multitasking abilities. Negative outcomes included frequent interruptions and discordance between what doctors and nurses considered urgent. Nurses perceived a worsening of the interprofessional relationships due to overreliance on messaging by text with a resulting decrease in verbal communication. Unprofessional behaviors were observed in the use of smartphones by residents. Conclusions: Routine adoption of smartphones by residents appeared to improve efficiency over the use of pagers for physicians, nurses, and allied health professionals. This was balanced by negative communication issues of increased interruptions, a gap in perceived urgency, weakened interprofessional relationships, and unprofessional behavior. Further communication interventions are required that balance efficiency and interruptions while maintaining or even improving interprofessional relationships and professionalism. SN - 1438-8871 UR - //www.mybigtv.com/2011/3/e59/ UR - https://doi.org/10.2196/jmir.1655 UR - http://www.ncbi.nlm.nih.gov/pubmed/21875849 DO - 10.2196/jmir.1655 ID - info:doi/10.2196/jmir.1655 ER -