Exploring mobile working in healthcare: Clinical perspectives on transitioning to a mobile first culture of work
Exploring mobile working in healthcare: Clinical perspectives on transitioning to a mobile first culture of work
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DOI：
10.1016/j.ijmedinf.2019.03.003
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发表时间：
2019-05-01
影响因子：
4.9
通讯作者：
Darzi, Ara
中科院分区：
文献类型：
--
作者：
Shah, Nisha;Martin, Guy;Darzi, Ara
目的：本研究调查了医疗保健专业人员（HCP）作为移动的技术的最终用户的观点，以告知二级保健中成功迈向移动的第一工作文化的要求。许多HCP已经使用移动的设备，以支持他们的日常实践，因此过渡到一个组织领导的移动的工作方式是必要的和及时的。材料和方法：深入的焦点小组和访谈在英国学术医院进行HCP（护士，医生，专职医疗人员）。访谈引起了HCP的意见，在他们的临床工作中使用移动的技术，并讨论了他们以前的技术部署的经验。确定了三个主题：整合医院护理中的移动的工作;解决移动的工作的数据治理和责任;以及应对变化的步伐。能否接受移动的工作取决于它是否在增强而不是阻碍临床实践的同时保持最终用户的信心;衡量行政负担对工作量的影响、专业责任的变化以及保护患者数据是需要考虑的严重问题;变化的速度需要为所有利益相关者服务。采用移动的技术的好处是众所周知的，但是，专业最终用户确定的技术和政策相关因素需要答案，以便成功地将移动的工作纳入当前的实践。采用移动的优先工作方法是及时且可以实现的，但只能在最终用户积极参与和强有力的组织领导的基础上实现。
Objectives: This study investigated the views of healthcare professionals (HCPs) as end-users of mobile technologies to inform the requirements for a successful move towards a mobile first culture of work within secondary care. Many HCPs already used mobile devices to support their day-to-day practice and so transitioning to an organisational led mobile way of working is both needed and timely.Materials and methods: In-depth focus groups and interviews at a UK academic hospital were conducted with HCPs (nurses, doctors, and allied health professionals). The interviews elicited views from HCPs about the use of mobile technologies in their clinical work and discussed their experiences of previous technology deployments.Results: Thirty-four HCPs participated. Three themes were identified: integrating mobile working in hospital care; addressing data governance and accountability for mobile working; and handling the pace of change. The acceptance of mobile working is determined by whether it enhances, rather than hinders clinical practice whilst holding end-user's confidence; measuring the impact of the administrative burden on workload, changes to professional accountability and safeguarding patient data are serious issues that need consideration; and the pace of change needs to work for all stakeholders.Discussion and conclusions: The benefits of adopting mobile technologies are well recognised, however, technical and policy related factors identified by professional end-users require answers in order to successfully integrate mobile working into current practice. Adopting a mobile first approach to work is timely and achievable, but can only be delivered on a foundation of positive end-user engagement and strong organisational leadership.