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Gaur R, Patidar V, Kumar S, Sharma SK, Kalyani VC, Kalal N, Mudgal SK. Utilization of Smartphones and Attitude Regarding Their Use at the Workplace by Nurses: A Cross-Sectional Study. Cureus 2024; 16:e57000. [PMID: 38681409 PMCID: PMC11046013 DOI: 10.7759/cureus.57000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/26/2024] [Indexed: 05/01/2024] Open
Abstract
INTRODUCTION The use of personal smartphones in healthcare settings is widespread, with nurses often integrating these devices into their profession's practices. This study addresses the utilization of and attitudes toward smartphone use among nurses in the workplace. METHODS This study uses a descriptive cross-sectional design and includes 258 nurses from various departments in a tertiary care teaching and research hospital in India. Data was collected using Google Forms (Google LLC, Mountain View, California, United States) through a socio-demographic questionnaire and two scales: "Utilization of Smartphones at Workplace" and "Attitude Regarding Smartphone Use at Workplace." RESULTS The findings indicate that a significant proportion (64.3%) of participants use their smartphones for less than an hour at the workplace. Notably, a substantial majority (78.7%) agree that employers should implement a policy regarding smartphone use. Additionally, 34.1% use their smartphones for personal reasons for less than an hour, with 24.4% specifically engaging in social media use with a statistically significant difference (p <0.05). CONCLUSION The study finds an enormous gap in nurses' smartphone use, with a greater emphasis on personal and social media activities than professional responsibilities. Establishing a collaborative regulatory framework is essential for aligning smartphone use with patient care obligations and ensuring a balance between possible benefits and risks.
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Affiliation(s)
- Rakhi Gaur
- College of Nursing, All India Institute of Medical Sciences, Deoghar, Deoghar, IND
| | - Vipin Patidar
- College of Nursing, All India Institute of Medical Sciences, Deoghar, Deoghar, IND
| | - Suman Kumar
- Department of Microbiology, All India Institute of Medical Sciences, Deoghar, Deoghar, IND
| | - Suresh K Sharma
- College of Nursing, All India Institute of Medical Sciences, Jodhpur, Jodhpur, IND
| | - Vasantha C Kalyani
- College of Nursing, All India Institute of Medical Sciences, Deoghar, Deoghar, IND
| | - Nipin Kalal
- College of Nursing, All India Institute of Medical Sciences, Jodhpur, Jodhpur, IND
| | - Shiv K Mudgal
- College of Nursing, All India Institute of Medical Sciences, Deoghar, Deoghar, IND
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Noghan N, Sadri M, Hejazi SS, Noghan N, Jalilv M, Shirahmadi S. Nursing Performance and Smartphone Use in Clinical Settings. Indian J Occup Environ Med 2023; 27:286-292. [PMID: 38390489 PMCID: PMC10880827 DOI: 10.4103/ijoem.ijoem_107_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Accepted: 05/24/2022] [Indexed: 02/24/2024] Open
Abstract
Objectives The present study was conducted to examine the relationship between smartphone dependency and its effect on clinical tasks of nurses in educational and medical centers of Hamadan, in western Iran. Method In this cross-sectional study, 248 nurses were selected via the proportional allocation sampling method. The required data were collected using a self-report, reliable and validated questionnaire, covering patterns of smartphone use, smartphone dependency, effects of smartphone dependency, and influence of smartphone on the clinical performance of nurses. The collected data were analyzed through descriptive statistics and logistic regression analysis. Results The average age of the participants was 30.43 (± 5.68) years. The average smartphone dependency, effects of smartphone dependency, and clinical performance of the examined nurses were, respectively, 38.65 (20.93), 20.78 (13.90), and 29.48 (10.03). Clinical performance of nurses decreased with age (P = 0.02) and increase of smartphone dependency (P = 0.02), effects of smartphone dependency (P ≤ 0.001), and smartphone use while working (P ≤ 0.001). Higher work experience (P = 0.02) and the application of smartphone multiple capabilities (P = 0.02) had positive effects on the clinical performance of the examined nurses. Conclusions The results of this study indicated that using smartphones affects the clinical performance of nurses, and if not well managed, it can lead to some physical, psychological, and social problems for the individual nurse, patients, and society. Thus, training nurses and developing regulations for the use of smartphones in the workplace must be considered by the relevant authorities.
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Affiliation(s)
- Nesa Noghan
- Department of Nursing, Asadabad University of Medical Sciences, Asadabad, Iran
| | - Mohadese Sadri
- Department of Public Health, Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Sima Sadat Hejazi
- Department of Nursing, Bojnurd Faculty of Nursing, North Khorasan University of Medical Sciences, Bojnurd, Iran
| | - Nima Noghan
- Department of Vocational Technical University, Technical and Vocational School No. 2, Hamedan (Shahid Jabbarian), Iran
| | - Meysam Jalilv
- Department of Nursing, Asadabad University of Medical Sciences, Asadabad, Iran
| | - Samaneh Shirahmadi
- Department of Community Oral Health, School of Dentistry and Dental Research Centers, Hamadan University of Medical Sciences, Hamadan, Iran
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Altamimi MH, Abdelraouf Alfuqaha O, Baniissa AS, AL-Maqbeh WT. Visitors and equipment failure as predictors of interruptions among nurses. CENTRAL EUROPEAN JOURNAL OF NURSING AND MIDWIFERY 2022. [DOI: 10.15452/cejnm.2021.12.0039] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
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Valipoor S, Bosch SJ. In the Moment: Fostering Mindfulness and Reducing Stressors in the Healthcare Workplace. HERD-HEALTH ENVIRONMENTS RESEARCH & DESIGN JOURNAL 2021; 14:386-398. [PMID: 33535815 DOI: 10.1177/1937586720988243] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
While healthcare design research has primarily focused on patient outcomes, there is a growing recognition that environmental interventions could do more by promoting the overall quality of care, and this requires expanding the focus to the health and well-being of those who deliver care to patients. Healthcare professionals are under high levels of stress, leading to burnout, job dissatisfaction, and poor patient care. Among other tools, mindfulness is recommended as a way of decreasing stress and helping workers function at higher levels. This article aims to identify potential environmental strategies for reducing work-related stressors and facilitating mindfulness in healthcare settings. By examining existing evidence on workplace mindfulness and stress-reducing design strategies, we highlight the power of the physical environment in not only alleviating stressful conditions but intentionally encouraging a mindful perspective. Strategies like minimizing distractions or avoiding overstimulation in the healthcare environment can be more effective if implemented along with the provision of designated spaces for mindfulness-based programs. Future research may explore optimal methods and hospital workers' preferences for environments that support mindfulness and stress management. The long-term goal of all these efforts is to enhance healthcare professionals' well-being, reignite their professional enthusiasm, and help them be resilient in times of stress.
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Affiliation(s)
- Shabboo Valipoor
- Department of Interior Design, College of Design, Construction and Planning, 3463University of Florida, Gainesville, FL, USA
| | - Sheila J Bosch
- Department of Interior Design, College of Design, Construction and Planning, 3463University of Florida, Gainesville, FL, USA
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Fiorinelli M, Di Mario S, Surace A, Mattei M, Russo C, Villa G, Dionisi S, Di Simone E, Giannetta N, Di Muzio M. Smartphone distraction during nursing care: Systematic literature review. Appl Nurs Res 2021; 58:151405. [PMID: 33745553 DOI: 10.1016/j.apnr.2021.151405] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2020] [Revised: 08/26/2020] [Accepted: 01/31/2021] [Indexed: 10/22/2022]
Abstract
AIM To investigate the impact of smartphone distraction on the quality and safety of care provided by the nursing population during work. BACKGROUND About 80% of nurses use the smartphone in the workplace both for personal purposes and as a useful support to improve the quality of care. Distraction from smartphones during care is a phenomenon that should be known and managed within each health service. METHODS A systematic review of the literature was conducted using the PRISMA methodology. The sources included in the review study were subjected to a qualitative assessment using the GRADE method. RESULTS Sixteen articles were included in the review. Studies included highlight the positive and negative consequences of using mobile devices during nursing practice. Findings identify the smartphone as a generator of stimuli capable of diverting the attention of the person from the priority activities and absorbing the cognitive resources useful for carrying out these activities. Some studies aimed to show the restriction policies and/or the strategies for reducing disruptions. This review highlights how the free and indiscriminate use of the smartphone can negatively affect patient safety and the nurse-patient relationship through the dehumanization and depersonalization of care. CONCLUSIONS Mobile technology can improve nurses' performance and the quality of care provided. However, the application of regulations and policies by healthcare facilities is desirable to avoid inappropriate use of these devices by nurses. The available data do not provide a precise estimate of the effect that distraction from smartphones has on the outcomes of nursing care.
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Affiliation(s)
- Massimo Fiorinelli
- University Hospital Foundation "Agostino Gemelli" IRCCS - Catholic University of Sacred Heart, Italy
| | - Sofia Di Mario
- Department of Clinical and Molecular Medicine, Sapienza University of Rome, Italy
| | - Antonella Surace
- Department of Clinical and Molecular Medicine, Sapienza University of Rome, Italy
| | - Micol Mattei
- Department of Clinical and Molecular Medicine, Sapienza University of Rome, Italy
| | - Carla Russo
- Department of Clinical and Molecular Medicine, Sapienza University of Rome, Italy
| | | | - Sara Dionisi
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Italy
| | - Emanuele Di Simone
- Nursing, Technical, Rehabilitation, Assistance and Research Department - IRCCS Istituti Fisioterapici Ospitalieri - IFO, Rome, Italy
| | - Noemi Giannetta
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Italy; Vita-Salute San Raffaele University, Milan, Italy.
| | - Marco Di Muzio
- Department of Clinical and Molecular Medicine, Sapienza University of Rome, Italy
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Atherley A, Hu W, Teunissen PW, Hegazi I, Dolmans D. Appraising the use of smartphones and apps when conducting qualitative medical education research: AMEE Guide No. 130. MEDICAL TEACHER 2021; 43:68-74. [PMID: 33131366 DOI: 10.1080/0142159x.2020.1838461] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Smartphone use is rampant in everyday life and is increasing in: patient management, teaching and learning of medicine and health research. There is untapped potential to use smartphones as research tools in MER for a range of research approaches. Qualitative research is increasingly common in medical education research (MER). Smartphone use as a research tool has not been well explored in MER and this Guide will be useful to researchers considering integrating smartphones specifically in qualitative MER. First, we discuss the potential for smartphones in qualitative MER. Then, we discuss the opportunities and drawbacks for using smartphones in qualitative MER. We then provide three principles to consider when conducting smartphone MER: communication, ethics and reflection. Next we share ten lessons that emerged from the literature and our experiences. We end by looking to the future of smartphones in qualitative MER and hope this Guide provides evidence-based information to optimise smartphone use in qualitative MER. This Guide is important as there is an urgent need to redefine ethical boundaries to account for blurred lines between personal and professional use of smartphones.
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Affiliation(s)
- Anique Atherley
- School of Health Professions Education (SHE), Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands
- School of Medicine, Campbelltown Campus, Western Sydney University, Penrith, Australia
| | - Wendy Hu
- School of Medicine, Campbelltown Campus, Western Sydney University, Penrith, Australia
| | - Pim W Teunissen
- School of Health Professions Education (SHE), Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands
- Department of Obstetrics and Gynaecology, VU University Medical Centre, Amsterdam, the Netherlands
| | - Iman Hegazi
- School of Medicine, Campbelltown Campus, Western Sydney University, Penrith, Australia
| | - Diana Dolmans
- School of Health Professions Education (SHE), Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands
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Altamimi TN, Alex J, Khan MM, Nair BVS. Development and validation of a Smartphone Impact Scale among healthcare professionals. J Taibah Univ Med Sci 2020; 15:387-397. [PMID: 33132811 PMCID: PMC7564985 DOI: 10.1016/j.jtumed.2020.05.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2020] [Revised: 05/19/2020] [Accepted: 05/22/2020] [Indexed: 11/15/2022] Open
Abstract
Objectives Smartphone overuse is prevalent among healthcare professionals. There is no standard scale that can measure the impact of smartphone usage on healthcare professionals. This study aimed to develop and validate a tool, the Smartphone Impact Scale (SIS), that can effectively measure the use of smartphone among healthcare professionals. Methods We developed a generic instrument to study the impact of smartphone usage among healthcare professionals. A total of 1436 healthcare professionals from various regions of KSA participated in this study through an online questionnaire-based survey. The psychometric properties of the SIS were developed using content validity index (CVI), factor analysis, internal consistency, and test-retest reliability analysis. Results A 23-item scale was selected for reliability and validity analysis. The average CVI was found to be 0.824. The internal consistency with Cronbach's alpha value was 0.91, and test-retest reliability was 0.85. The Cronbach's alpha values for Factors 1 and 2 were 0.875 and 0.803, respectively. The confirmatory factor analysis indices were as follows: root mean square of approximation = 0.0710, comparative fit index = 0.861, Tucker–Lewis index = 0.845, and the coefficient of determination = 0.969. The correlation between two factors was 0.66. After factor analysis, we developed a final questionnaire with 23 items. Conclusions Our SIS showed a three-factor structure and appropriate psychometric characteristics. Due to its adequate reliability and validity, SIS can be conveniently used to evaluate the impact of smartphone usage on healthcare professionals.
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Affiliation(s)
- Tahani N Altamimi
- Department of Family and Community Medicine, College of Medicine, Dar Al Uloom University, Riyadh, KSA.,Department of Family and Community Medicine, College of Medicine, University of Hail, Hail, KSA
| | - Johnson Alex
- Department of Behavior Science, College of Medicine, Dar Al Uloom University, Riyadh, KSA
| | - Moizuddin M Khan
- Department of Basic Medical Sciences, College of Medicine, Dar Al Uloom University, Riyadh, KSA
| | - Binu V S Nair
- Department of Biostatistics, National Institute of Mental Health and Neurosciences, Bengaluru, India
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Use of Personal Communication Devices in Clinical Settings: Perception of Staff Nurses. J Nurs Adm 2020; 50:192-197. [PMID: 32175934 DOI: 10.1097/nna.0000000000000867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE This survey study describes how nurses use personal communication devices while providing direct patient care and identifies generational differences. BACKGROUND Personal communication devices enhance and distract from patient care. Generational differences exist and these should be included in workplace policies. METHODS A study-specific survey was developed. Data were collected from 335 qualified participants and descriptively analyzed in total, then by generational specific study groups. RESULTS The perception of these participants is that personal communication devices do not pose a serious work distraction nor have a negative effect on patient care. Yet generational differences exist related to the presence of these devices in providing patient care. CONCLUSIONS Access to personal communication devices, while at work, is an expectation. The reasons for accessing these devices, and the perception that these devices have a negative impact on work performance, should be included when developing workplace policies.
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Haluza D, Hofer F. Exploring perceptions on medical app use in clinical communication among Austrian physicians: Results of a validation study. Health Informatics J 2019; 26:1659-1671. [PMID: 32723170 DOI: 10.1177/1460458219888420] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Physicians increasingly use medical applications to facilitate clinical information management. The respective effect on clinical communication and quality of healthcare provision has not been studied in the Austrian context so far. Thus, the current cross-sectional online study analyzed prevalent medical applications use and views on clinical communication competence in everyday medical practice among Austrian physicians (n = 151) and validated the survey tool. More than half of the participants used medical applications in daily clinical practice. The top three benefits of medical applications use were higher quality of healthcare, location-independent health service access, and higher efficiency in healthcare resource allocation. Moreover, study participants felt that communication competence acquired during medical studies inadequately prepared them for daily clinical practices. Medical applications use certainly affects the therapeutic alliance between patients and physician. This study supports the importance of initiating an open, constructive discussion among healthcare stakeholders and developing according to evidence-based guidelines.
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Bülbüloğlu S, Özdemir A, Kapıkıran G, Sarıtaş S. The effect of nomophobic behavior of nurses working at surgical clinics on time management and psychological well-being. JOURNAL OF SUBSTANCE USE 2019. [DOI: 10.1080/14659891.2019.1692926] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Semra Bülbüloğlu
- Department of Surgical Nursing, Bahçeşehir University, İstanbul, Turkey
| | - Ahmet Özdemir
- Department of Surgical Nursing, K.Sutcu Imam University, K.Maraş, Turkey
| | - Gürkan Kapıkıran
- Department of Surgical Nursing, Inonu University, Malatya, Turkey
| | - Serdar Sarıtaş
- Department of Surgical Nursing, InonuUniversity, Malatya, Turkey
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Zarandona J, Cariñanos-Ayala S, Cristóbal-Domínguez E, Martín-Bezos J, Yoldi-Mitxelena A, Hoyos Cillero I. With a smartphone in one's pocket: A descriptive cross-sectional study on smartphone use, distraction and restriction policies in nursing students. NURSE EDUCATION TODAY 2019; 82:67-73. [PMID: 31445465 DOI: 10.1016/j.nedt.2019.08.001] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/20/2018] [Revised: 06/28/2019] [Accepted: 08/01/2019] [Indexed: 06/10/2023]
Abstract
BACKGROUND The use of personal smartphones is a reality in healthcare settings. Current research is allowing us to understand in what ways they help with communication and decision making at the point of care and their impact on patient safety. OBJECTIVES The objectives of this study were to characterize the use of smartphones by nursing students, and assess their opinions about the use of such phones as a distracting factor during clinical practicum and smartphone restriction policies. DESIGN Descriptive cross-sectional study. PARTICIPANTS 234 students from one School of Nursing in Spain completed the survey in 2017. METHODS A questionnaire was created based on various validated instruments for assessing students' use of smartphones, distraction associated with this use and the development of policies on their use during clinical practice. RESULTS While 23.3% of participants admitting to using their smartphone for personal reasons at least once during their practicum, they perceived that their own level of distraction was low (6.9%). Notably, the level of distraction associated with others' smartphone use was perceived to be higher than that associated with their own use. Students' opinions about policies were significantly related to the frequency of witnessing other students and nurses being distracted (r = 0.139, p < 0.05), but not to their own distraction experiences (r = 0.114, p = 0.084). CONCLUSIONS Smartphones are not widely used for professional purposes among nursing students, while personal use is commonplace. Nurse educators, students and nurse mentors need to work together to introduce strategies to facilitate care delivery through the use of mobile devices but at the same time must be aware of the risks associated with distractions, including to patient safety.
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Affiliation(s)
- Jagoba Zarandona
- Vitoria-Gasteiz Nursing School, Osakidetza-Basque National Health Service, Jose Atxotegi s/n, 01009 Vitoria-Gasteiz, Basque Country, Spain.
| | - Susana Cariñanos-Ayala
- Vitoria-Gasteiz Nursing School, Osakidetza-Basque National Health Service, Jose Atxotegi s/n, 01009 Vitoria-Gasteiz, Basque Country, Spain.
| | | | - Jesús Martín-Bezos
- Vitoria-Gasteiz Nursing School, Osakidetza-Basque National Health Service, Jose Atxotegi s/n, 01009 Vitoria-Gasteiz, Basque Country, Spain.
| | - Alaitz Yoldi-Mitxelena
- Vitoria-Gasteiz Nursing School, Osakidetza-Basque National Health Service, Jose Atxotegi s/n, 01009 Vitoria-Gasteiz, Basque Country, Spain.
| | - Itziar Hoyos Cillero
- Faculty of Medicine and Nursing, Department of Nursing, University of the Basque Country (UPV/EHU), Spain.
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Di Muzio M, Napoli C, Fiorinelli M, Orsi GB. Nurses distracted by smartphone use during clinical practice: Italian validation of the "Nurses' use of Personal Communication Devices (PCD) questionnaire". Appl Nurs Res 2019; 49:23-28. [PMID: 31495415 DOI: 10.1016/j.apnr.2019.07.008] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2019] [Revised: 04/23/2019] [Accepted: 07/27/2019] [Indexed: 10/26/2022]
Affiliation(s)
- Marco Di Muzio
- Department of Clinical and Molecular Medicine, Sapienza University of Rome, Via di Grottarossa 1035 - 00189 Rome, Italy.
| | - Christian Napoli
- Department of Surgical and Medical Sciences and Translational Medicine
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Alameddine M, Soueidan H, Makki M, Tamim H, Hitti E. The Use of Smart Devices by Care Providers in Emergency Departments: Cross-Sectional Survey Design. JMIR Mhealth Uhealth 2019; 7:e13614. [PMID: 31199328 PMCID: PMC6592497 DOI: 10.2196/13614] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2019] [Revised: 04/04/2019] [Accepted: 04/04/2019] [Indexed: 02/02/2023] Open
Abstract
BACKGROUND The use of smart devices (SDs) by health care providers in care settings is a common practice nowadays. Such use includes apps related to patient care and often extends to personal calls and applications with frequent prompts and interruptions. These prompts and interruptions enhance the risk of distractions caused by SDs and raise concerns about service quality and patient safety. Such concerns are exacerbated in complex care settings such as the emergency department (ED). OBJECTIVE The objective of this study was to measure the frequency and patterns of SD use among health care providers in the ED of a large academic health center in Lebanon. The perceived consequences of care providers using SDs on provider-to-provider communication and the care quality of patients in the ED were assessed. Additionally, factors associated with the use of SDs and the approval for regulating such use were also investigated. METHODS The study was carried out at the ED of an academic health center with the highest volume of patient visits in Lebanon. The data were collected using a cross-sectional electronic survey sent to all ED health care providers (N=236). The target population included core ED faculty members, attending physicians, residents, medical students, and the nursing care providers. The regression model developed in this study was used to find predictors of medical errors in the ED because of the use of SDs. RESULTS Half of the target population responded to the questionnaire. A total of 83 of 97 respondents (86%) used one or more medical applications on their SDs. 71 out of 87 respondents (82%) believed that using SDs in the ED improved the coordination among the care team, and 71 out of 90 (79%) respondents believed that it was beneficial to patient care. In addition, 37 out of 90 respondents (41%) acknowledged that they were distracted when using their SDs for nonwork purposes. 51 out of 93 respondents (55%) witnessed a colleague committing a near miss or an error owing to the SD-caused distractions. Regression analysis revealed that age (P=.04) and missing information owing to the use of SDs (P=.02) were major predictors of committing an error in the ED. Interestingly, more than 40% of the respondents were significantly addicted to using SDs and more than one-third felt the need to cut down their use. CONCLUSIONS The findings of this study make it imperative to ensure the safety and wellbeing of patients, especially in high intensity, high volume departments like the ED. Irrespective of the positive role SDs play in the health care process, the negative effects of their use mandate proper regulation, in particular, an ethical mandate that takes into consideration the significant consequences that the use of SDs may have on care processes and outcomes.
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Affiliation(s)
- Mohamad Alameddine
- American University of Beirut, Faculty of Health Sciences, Department of Health Management and Policy, Beirut, Lebanon
| | - Hussein Soueidan
- American University of Beirut, Evidence Based Health Management Unit, Beirut, Lebanon
| | - Maha Makki
- American University of Beirut, Faculty of Medicine, Department of Emergency Medicine, Beirut, Lebanon
| | - Hani Tamim
- American University of Beirut, Faculty of Medicine, Department of Internal Medicine, Beirut, Lebanon
| | - Eveline Hitti
- American University of Beirut, Faculty of Medicine, Department of Emergency Medicine, Beirut, Lebanon
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Hofer F, Haluza D. Are Austrian practitioners ready to use medical apps? Results of a validation study. BMC Med Inform Decis Mak 2019; 19:88. [PMID: 31014333 PMCID: PMC6480835 DOI: 10.1186/s12911-019-0811-2] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2018] [Accepted: 04/09/2019] [Indexed: 11/19/2022] Open
Abstract
Background As part of the mobile revolution, smartphone-based applications (apps) have become almost indispensable in today’s information society. Consequently, the use of medical apps among healthcare professionals has increased heavily over the past years. As little is known on medical app use in day-to-day clinical practice in Austria, the present study aims at closing this knowledge gap by assessing respective prevalence, readiness, and concerns among Austrian practitioners. Methods We conducted a cross-sectional online survey among a sample of 151 Austrian doctors (mean age 45.0, SD 12.0, 55.0% females). We developed a German study questionnaire on the basis of the Practitioner Telehealth Readiness Assessment Tool (PRAT) to assess medical app use-related readiness and attitudes, and validated it using principal component analysis. Results In our study, 74% of participants used medical apps on a daily basis, with clarity, ease of use, speed, and support in clinical routine mentioned as most important app features. However, the majority of participants perceived certain barriers to use medical apps. Younger participants used more medical apps, were more likely to use them during work, and yielded higher readiness scores. The most often used medical apps were Diagnosia and Embryotox (both 28.5%). Conclusions Nowadays, medical apps serve as an important source of information for many doctors and are especially popular among younger physicians. The omnipresence of smartphones in the smocks of healthcare workers raised awareness for potential shortcomings regarding disruption of traditional face-to-face doctor-patient interaction among all healthcare stakeholders. This study’s finding thus highlight the need for initiating a public discussion on legal and social frameworks to successfully integrate mobile apps into everyday clinical.
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Affiliation(s)
- Fanni Hofer
- Center for Public Health, Department of Environmental Health, Medical University of Vienna, Kinderspitalgasse 15, 1090, Vienna, Austria
| | - Daniela Haluza
- Center for Public Health, Department of Environmental Health, Medical University of Vienna, Kinderspitalgasse 15, 1090, Vienna, Austria.
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Sims MH, Hodges Shaw M, Gilbertson S, Storch J, Halterman MW. Legal and ethical issues surrounding the use of crowdsourcing among healthcare providers. Health Informatics J 2018; 25:1618-1630. [PMID: 30192688 DOI: 10.1177/1460458218796599] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
As the pace of medical discovery widens the knowledge-to-practice gap, technologies that enable peer-to-peer crowdsourcing have become increasingly common. Crowdsourcing has the potential to help medical providers collaborate to solve patient-specific problems in real time. We recently conducted the first trial of a mobile, medical crowdsourcing application among healthcare providers in a university hospital setting. In addition to acknowledging the benefits, our participants also raised concerns regarding the potential negative consequences of this emerging technology. In this commentary, we consider the legal and ethical implications of the major findings identified in our previous trial including compliance with the Health Insurance Portability and Accountability Act, patient protections, healthcare provider liability, data collection, data retention, distracted doctoring, and multi-directional anonymous posting. We believe the commentary and recommendations raised here will provide a frame of reference for individual providers, provider groups, and institutions to explore the salient legal and ethical issues before they implement these systems into their workflow.
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Affiliation(s)
| | | | - Seth Gilbertson
- University at Buffalo, The State University of New York, USA
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Alvarez-Tobón VA, Luna-Gómez IF, Torres-Silva EA, Higuita-Úsuga A, Rivera-Mejía PT. Tecnologías de Información y Comunicación (TIC) aplicadas en cuidados paliativos: revisión de tema. PSICOONCOLOGIA 2018. [DOI: 10.5209/psic.61440] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
Objetivo: Revisar las herramientas utilizadas en las investigaciones de e-salud en cuidados paliativos durante los últimos cinco años Método: se realizó una revisión bibliográfica en las bases de datos PubMed, Scopus y Bireme sobre el tema de cuidados paliativos, e-salud y costos en los últimos cinco años. Resultados: El uso de las tecnologías de la información es favorable para usuarios que reciben cuidados paliativos, ya que facilita su seguimiento y el manejo de sus síntomas, además de mejorar la comunicación entre profesionales y pacientes, disminuyendo en algunos casos los desplazamientos geográficos y reduciendo los costos asociados a la atención de estos pacientes. Conclusión: la e-salud implementada a través de diferentes herramientas de intervención ha demostrado ser valiosa para los pacientes con enfermedad avanzada en cuidados paliativos, ofreciendo potenciales beneficios educativos y de optimización de recursos y tiempo para pacientes, cuidadores, que les permite mejorar su contacto con profesionales de la salud.
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Aguilera-Manrique G, Márquez-Hernández VV, Alcaraz-Córdoba T, Granados-Gámez G, Gutiérrez-Puertas V, Gutiérrez-Puertas L. The relationship between nomophobia and the distraction associated with smartphone use among nursing students in their clinical practicum. PLoS One 2018; 13:e0202953. [PMID: 30148870 PMCID: PMC6110512 DOI: 10.1371/journal.pone.0202953] [Citation(s) in RCA: 69] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2018] [Accepted: 08/13/2018] [Indexed: 11/18/2022] Open
Abstract
Background The increasing concern about the adverse effects of overuse of smartphones during clinical practicum implies the need for policies restricting smartphone use while attending to patients. It is important to educate health personnel about the potential risks that can arise from the associated distraction. Objective The aim of this study was to analyze the relationship between the level of nomophobia and the distraction associated with smartphone use among nursing students during their clinical practicum. Methods A cross-sectional study was carried out on 304 nursing students. The nomophobia questionnaire (NMP-Q) and a questionnaire about smartphone use, the distraction associated with it, and opinions about phone restriction policies in hospitals were used. Results A positive correlation between the use of smartphones and the total score of nomophobia was found. In the same way, there was a positive correlation between opinion about smartphone restriction polices with each of the dimensions of nomophobia and the total score of the questionnaire. Conclusions Nursing students who show high levels of nomophobia also regularly use their smartphones during their clinical practicum, although they also believe that the implementation of policies restricting smartphone use while working is necessary.
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Affiliation(s)
- Gabriel Aguilera-Manrique
- Department of Nursing, Physiotherapy and Medicine, Faculty of Health Sciences, University of Almería, Almería, Spain
- Research Group for Health Sciences CTS-451, University of Almería, Almería, Spain
| | - Verónica V. Márquez-Hernández
- Department of Nursing, Physiotherapy and Medicine, Faculty of Health Sciences, University of Almería, Almería, Spain
- Research Group for Health Sciences CTS-451, University of Almería, Almería, Spain
- * E-mail:
| | - Tania Alcaraz-Córdoba
- Department of Nursing, Physiotherapy and Medicine, Faculty of Health Sciences, University of Almería, Almería, Spain
| | - Genoveva Granados-Gámez
- Department of Nursing, Physiotherapy and Medicine, Faculty of Health Sciences, University of Almería, Almería, Spain
- Research Group for Health Sciences CTS-451, University of Almería, Almería, Spain
| | - Vanesa Gutiérrez-Puertas
- Department of Nursing, Physiotherapy and Medicine, Faculty of Health Sciences, University of Almería, Almería, Spain
| | - Lorena Gutiérrez-Puertas
- Department of Nursing, Physiotherapy and Medicine, Faculty of Health Sciences, University of Almería, Almería, Spain
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Wright S, Crofts G, Ucer TC, Speechley SD. Dentists' perceptions of smart phone use in the clinical environment. Br Dent J 2018; 225:320-324. [PMID: 30141511 DOI: 10.1038/sj.bdj.2018.642] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/23/2018] [Indexed: 11/09/2022]
Abstract
Objective To determine the use of smart phones in clinical practice and to determine the perceived impact on patient safety. Study design A closed questionnaire survey with an exploratory open question. Setting, materials and methods A questionnaire was sent to a sample of 216 delegates that have attended courses provided by an education provider in the North West of England between 2015–2017. Results There was a response rate of 49.5% which represented 107 returned questionnaires. The mean year of qualification is 2008. Of the respondents,105 were general dental practitioners, and two were hospital based dentists. Of the respondents, 82.2% had their smart phone in surgery, and of these 88% had the smart phone on silent, with the respondents on average receiving three texts, four emails and one call each session. Of the respondents, 40.9% were not aware that they received a text, 53.4% an email, and 37.5% a telephone call. Whilst 50.1% responded, in some way, to a text, 46.6% to an email and 62.5% to a telephone call. Of the respondents, 61.7% think that having a phone in the surgery is a distraction. Of the respondents, 20.7% stated that smart phones should not be allowed in the surgery under any circumstance, whilst 24.1% stated that they should be allowed if on silent and out of view, and 16.4% allowed their use but not in front of patients. Conclusions Eighty-eight percent of respondents had their smart phone with them in the surgery, with 61.7% reporting it to be a distraction from their clinical duties. It is our recommendation that each clinic has a protocol or policy that governs the use of smart phones focusing on patient safety.
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Affiliation(s)
- S Wright
- School of Health Sciences, University of Salford
| | - G Crofts
- School of Health Sciences, University of Salford
| | - T C Ucer
- School of Health Sciences, University of Salford
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Abstract
The use of smartphones in acute care settings remains controversial due to security concerns and personal use. The purposes of this study were to determine (1) the current rates of personal smartphone use by nurses in acute care settings, (2) nurses' preferences regarding the use of smartphone functionality at work, and (3) nurse perceptions of the benefits and drawbacks of smartphone use at work. An online survey of nurses from six acute care facilities within one healthcare system assessed the use of personal smartphones in acute care settings and perceptions of the benefits and drawbacks of smartphone use at work. Participants (N = 735) were primarily point-of-care nurses older than 31 years. Most participants (98%) used a smartphone in the acute care setting. Respondents perceived the most common useful and beneficial smartphone functions in acute care settings as allowing them to access information on medications, procedures, and diseases. Participants older than 50 years were less likely to use a smartphone in acute care settings and to agree with the benefits of smartphones. There is a critical need for recognition that smartphones are used by point-of-care nurses for a variety of functions and that realistic policies for smartphone use are needed to enhance patient care and minimize distractions.
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Affiliation(s)
- Greir Ander Huck Flynn
- Author Affiliations: School of Nursing, University of Louisville (Mr Flynn and Dr Polivka); and Institute for Nursing, Norton Healthcare, Louisville (Mr Flynn), KY; and Memorial Hermann Hospital (Mrs Behr), Houston, TX
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Iglesias-Posadilla D, Gómez-Marcos V, Hernández-Tejedor A. Apps and intensive care medicine. Med Intensiva 2017; 41:227-236. [PMID: 28318677 DOI: 10.1016/j.medin.2017.01.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2016] [Revised: 01/11/2017] [Accepted: 01/15/2017] [Indexed: 10/19/2022]
Abstract
Technological advances have played a key role over the last century in the development of humankind. Critical Care Medicine is one of the greatest examples of this revolution. Smartphones with multiple sensors constitute another step forward, and have led to the development of apps for use by both professionals and patients. We discuss their main medical applications in the field of Critical Care Medicine.
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Affiliation(s)
- D Iglesias-Posadilla
- Servicio de Medicina Intensiva, Hospital Universitario de Burgos, Burgos, España.
| | - V Gómez-Marcos
- Servicio de Medicina Intensiva, Hospital Universitario de Cruces, Baracaldo, Vizcaya, España
| | - A Hernández-Tejedor
- Servicio de Medicina Intensiva, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, España
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Nurse manager and student nurse perceptions of the use of personal smartphones or tablets and the adjunct applications, as an educational tool in clinical settings. Nurse Educ Pract 2017; 23:1-7. [DOI: 10.1016/j.nepr.2016.12.004] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2015] [Revised: 10/06/2016] [Accepted: 12/06/2016] [Indexed: 11/17/2022]
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Jamal A, Temsah MH, Khan SA, Al-Eyadhy A, Koppel C, Chiang MF. Mobile Phone Use Among Medical Residents: A Cross-Sectional Multicenter Survey in Saudi Arabia. JMIR Mhealth Uhealth 2016; 4:e61. [PMID: 27197618 PMCID: PMC4891571 DOI: 10.2196/mhealth.4904] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2015] [Revised: 10/22/2015] [Accepted: 11/09/2015] [Indexed: 11/13/2022] Open
Abstract
Background Mobile phones have great potential for medical education, as they allow health care providers and students to access resources efficiently at the precise time at the point-of-care to help in informed decision making. Objective The objective of the study was to evaluate the prevalence of mobile phone usage among medical residents and to explore their attitudes, perceptions, and the challenges they experience when using mobile phones in academic and clinical practice. Methods A cross-sectional survey was conducted on all 133 residents in 17 different specialties across two large academic hospitals in Riyadh, Saudi Arabia. The Web-based validated questionnaire measured mobile phone platform preferences, and their uses in general and medical practice. The perception of confidentiality and safety impact of using mobile phones for communication and accessing patient’s data was also explored, alongside challenges of use and how residents learn to use their mobile phone. Results With a response rate of 101/133 (75.9%) and mean age of 27.8 (SD 3.0) years, we found that 100/101 (99.0%) of participants were mobile phone users with mean duration of use of 5.12 (SD 2.4) years, and a range from 1 to 12 years. There was no significant difference in use between male and female respondents. A negative linear correlation was found between age and use duration (P=.004). The most common operating system used by participants was the iOS platform (55/101, 54.5%), with English the most commonly used language to operate residents’ mobile phones (96/100, 96.0%) despite their native language being Arabic. For communication outside medical practice, chatting applications such as WhatsApp matched phone calls as most commonly used tools (each 88/101, 87.1%). These were also the primary tools for medical communication, but used at a lower rate (each 65/101, 64.4%). In medical practice, drug (83/101, 82.2%) and medical (80/101, 79.2%) references and medical calculation applications (61/101, 60.4%) were the most commonly used. Short battery life (48/92, 52%) was the most common technical difficulty, and distraction at least on a weekly basis (54/92, 58%) was the most likely side effect of using a mobile phone in medical practice. Practically, all participants agreed with the idea of integrating medical staff mobile phones with the hospital information system. Most residents described themselves as self-learners, while half learned from peers, and a quarter learned from the Internet. Only 7/101 (6.9%) had received formal training on the medical use of mobile phones. Over half of residents thought it was safe to discuss patients over their personal, nonencrypted email. Conclusions Mobile phone use among medical residents has become almost universal in academic and clinical settings. Thus, academic and health care institutions should support proper utilization of these devices in medical training and point-of-care decision making, while continuing to protect patient confidentiality.
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Affiliation(s)
- Amr Jamal
- College of Medicine, Department of Family and Community Medicine, King Saud University, Riyadh, Saudi Arabia.
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Cho S, Lee E. Distraction by smartphone use during clinical practice and opinions about smartphone restriction policies: A cross-sectional descriptive study of nursing students. NURSE EDUCATION TODAY 2016; 40:128-133. [PMID: 27125162 DOI: 10.1016/j.nedt.2016.02.021] [Citation(s) in RCA: 51] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/23/2015] [Revised: 02/13/2016] [Accepted: 02/22/2016] [Indexed: 06/05/2023]
Abstract
BACKGROUND Smartphone use in healthcare settings may distract healthcare providers and disrupt patient care. Moreover, it may lead to adverse events, thereby threatening patient safety. OBJECTIVES This study assessed nursing students' smartphone use as a source of distraction in clinical practice and identified their opinions about policies restricting smartphone use during patient care. DESIGN A cross-sectional descriptive design was used with convenience sampling. PARTICIPANTS Third-year nursing students (n=312) from two nursing schools in the Republic of Korea completed the survey in 2012. METHODS A self-report questionnaire-based on addiction theories for problem behaviors and literature on the distraction caused by cellular phone use-was used to assess smartphone use, experiences of distraction caused by smartphone use, and opinions about restriction policies on smartphone use during clinical practice. RESULTS Nearly half (46.2%) of the nursing students used smartphones at least sometimes during clinical practice and about a quarter of the respondents (24.7%) were at least sometimes distracted by smartphones during clinical practice. The majority of the respondents (83.7%) had witnessed nurses using smartphones at least sometimes during their work. A few respondents (15.7%) agreed or strongly agreed with the policy for restricting smartphone use in hospitals. Students who used smartphones more often tended to disagree with restriction policies for smartphone use in hospitals. CONCLUSION Awareness about the risks of smartphone use, especially regarding patient safety, is necessary for nursing students in school and hospital settings. Educators and faculty of nursing schools need to develop policies that encourage intelligent and safe use of smartphones during clinical practice.
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Affiliation(s)
- Sumi Cho
- College of Nursing, Research Institute of Nursing Science, Kyungpook National University 680, Gukchaebosang-ro, Jung-gu, Daegu, 700-422, Republic of Korea.
| | - Eunjoo Lee
- College of Nursing, Research Institute of Nursing Science, Kyungpook National University 680, Gukchaebosang-ro, Jung-gu, Daegu, 700-422, Republic of Korea.
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Jamwal NR, Kumar SP. Smarter palliative care for cancer: Use of smartphone applications. Indian J Palliat Care 2016; 22:108-10. [PMID: 26962291 PMCID: PMC4768442 DOI: 10.4103/0973-1075.173950] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2022] Open
Abstract
Smartphones are technologically advanced mobile phone devices which use software similar to computer-based devices as a user-friendly interface. This review article is aimed to inform the palliative care professionals, cancer patients and their caregivers about the role of smartphone applications (apps) in the delivery of palliative care services, through a brief review of existing literature on the development, feasibility, analysis, and effectiveness of such apps. There is a dearth need for sincere palliative care clinicians to work together with software professionals to develop the suitable smartphone apps in accordance with the family/caregivers’ necessities and patients’ biopsychosocial characteristics that influence the technology driven evidence informed palliative cancer care.
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Affiliation(s)
- Nisha Rani Jamwal
- Department of Physiotherapy, Fortis Superspecialty Hospital, Phase-VIII, Mohali, Punjab, India
| | - Senthil P Kumar
- Department of Physiotherapy, M.M Hospital, Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar University, Mullana-Ambala, Haryana, India
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