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Experience of using a personal digital assistant in nursing practice – a single case study
Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences. (eHälsoinstitutet ; eHealth Institute)ORCID iD: 0000-0002-4295-7201
Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
2011 (English)In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 19, no 7, 855-862 p.Article 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. Vol. 19, no 7, 855-862 p.
Keyword [en]
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: urn:nbn:se:lnu:diva-10968DOI: 10.1111/j.1365-2834.2011.01261.xOAI: oai:DiVA.org:lnu-10968DiVA: diva2:400814
Available from: 2011-02-28 Created: 2011-02-28 Last updated: 2017-01-19Bibliographically approved
In thesis
1. Mobil IKT inom omvårdnad: studier om sjuksköterskors och studenters användning av handdatorer
Open this publication in new window or tab >>Mobil IKT inom omvårdnad: studier om sjuksköterskors och studenters användning av handdatorer
2012 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[en]
Mobile ICT in nursing practice : studies of nurses' and nursing students' usage
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. 74 p.
Series
Linnaeus University Dissertations, 104/2012
Keyword
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:nbn:se:lnu:diva-22399 (URN)978-91-86983-88-8 (ISBN)
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

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