Qualitative Analysis of Team Communication with a Clinical Texting System at a Midwestern Academic Hospital.
Journal
Applied clinical informatics
ISSN: 1869-0327
Titre abrégé: Appl Clin Inform
Pays: Germany
ID NLM: 101537732
Informations de publication
Date de publication:
03 2022
03 2022
Historique:
entrez:
16
3
2022
pubmed:
17
3
2022
medline:
24
3
2022
Statut:
ppublish
Résumé
Hospitals are increasingly replacing pagers with clinical texting systems that allow users to use smartphones to send messages while maintaining compliance for privacy and security. As more institutions adopt such systems, the need to understand the impact of such transitions on team communication becomes ever more significant. We conducted focus groups with hospitalists and individual interviews with nurses at one academic medical center in the Midwest. All interviews and focus groups were audiorecorded, transcribed, and deidentified for analysis. All transcripts and notes were independently read by two members of the research team and coded for themes. Twenty-one hospitalists and eight nurses participated in the study. Although study participants spoke favorably of texting, they identified more dissatisfactions with texting than benefits. There were disagreements regarding appropriate texting practices both within and between the hospitalists and nurses. Despite the benefits of texting, there is room for improving team communication and understanding in the realm of clinical texting. A lack of shared understanding regarding when and how to use texting may require long-term solutions that address teamwork and appropriateness.
Sections du résumé
BACKGROUND
Hospitals are increasingly replacing pagers with clinical texting systems that allow users to use smartphones to send messages while maintaining compliance for privacy and security. As more institutions adopt such systems, the need to understand the impact of such transitions on team communication becomes ever more significant.
METHODS
We conducted focus groups with hospitalists and individual interviews with nurses at one academic medical center in the Midwest. All interviews and focus groups were audiorecorded, transcribed, and deidentified for analysis. All transcripts and notes were independently read by two members of the research team and coded for themes.
RESULTS
Twenty-one hospitalists and eight nurses participated in the study. Although study participants spoke favorably of texting, they identified more dissatisfactions with texting than benefits. There were disagreements regarding appropriate texting practices both within and between the hospitalists and nurses.
CONCLUSION
Despite the benefits of texting, there is room for improving team communication and understanding in the realm of clinical texting. A lack of shared understanding regarding when and how to use texting may require long-term solutions that address teamwork and appropriateness.
Identifiants
pubmed: 35294986
doi: 10.1055/s-0042-1744389
pmc: PMC8926456
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
391-397Subventions
Organisme : NCATS NIH HHS
ID : UL1 TR001108
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR002529
Pays : United States
Informations de copyright
Thieme. All rights reserved.
Déclaration de conflit d'intérêts
None declared.
Références
J Crit Care. 2003 Jun;18(2):71-5
pubmed: 12800116
BMJ Qual Saf. 2021 Sep;30(9):747-754
pubmed: 33168635
Appl Clin Inform. 2016 Aug 10;7(3):777-89
pubmed: 27530155
J Gen Intern Med. 2016 Aug;31(8):863-70
pubmed: 27016064
Telemed J E Health. 2014 Jul;20(7):647-52
pubmed: 24784021
Appl Clin Inform. 2019 Jan;10(1):140-150
pubmed: 30812040
J Am Coll Surg. 2010 Jan;210(1):17-22
pubmed: 20123326
Am J Crit Care. 2001 Sep;10(5):341-50
pubmed: 11548567
J Gen Intern Med. 2021 Apr;36(4):1140-1143
pubmed: 32748344
J Med Syst. 2016 May;40(5):129
pubmed: 27079578
Sentinel Event Alert. 2015 Mar 31;(54):1-6
pubmed: 25831561
N Engl J Med. 2016 Jul 21;375(3):205-7
pubmed: 27468057
BMJ Open. 2014 Jan 21;4(1):e004268
pubmed: 24448849
Mayo Clin Proc. 2016 Jul;91(7):836-48
pubmed: 27313121
JAMA. 1988 Sep 23-30;260(12):1743-8
pubmed: 3045356
JAMA. 2010 Oct 20;304(15):1693-700
pubmed: 20959579
Br J Anaesth. 2007 Mar;98(3):347-52
pubmed: 17272386
J Hosp Med. 2017 Jul;12(7):530-535
pubmed: 28699941
J Am Med Inform Assoc. 2019 Apr 1;26(4):339-355
pubmed: 30689893
J Interprof Care. 2012 Jul;26(4):276-82
pubmed: 22482742
J Crit Care. 2014 Dec;29(6):908-14
pubmed: 25001565