Change of Attitude? Incorporation of Mobile Applications in Clinical Nursing Practice



Lori Giles-Smith*, University of Manitoba, Winnipeg, Canada
Christine Shaw-Daigle*, University of Manitoba, Winnipeg, Canada
Andrea Spencer, Grace Hospital, Winnipeg, Canada
Ceceile Porter, Saint Boniface Hospital, Winnipeg, Canada
Michelle Lobchuk, University of Manitoba, Winnipeg, Canada


Track: Research
Presentation Topic: Mobile & Tablet Health Applications
Presentation Type: Poster presentation
Submission Type: Single Presentation

Last modified: 2014-05-28
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Abstract


Background:
Wireless device technology has enormous potential to enhance patient-centred care. Mobile applications allow nurses to access pertinent, best practice, and evidence informed resources at point of care. This eliminates the time required to visit the library, log onto a computer workstation, or search a textbook. The result is more time for direct patient care.

Despite the potential benefits to patient care, the extent to which nurses use mobile devices and apps in hospitals in Winnipeg, Manitoba, Canada is unknown. Many nurses in these hospitals own personal wireless communication devices. However, it is suspected they are not using them to their full capacity to access apps for clinical nursing care. This may be due to attitudes of appropriateness that stem from a lack of knowledge or awareness about the potential for mobile devices and clinical apps to enhance patient-centred care.

Objectives:
This study focuses on nurses in medical and surgical units of two hospitals within the Winnipeg Regional Health Authority. The Grace Hospital is a community hospital and St. Boniface Hospital is the second largest hospital in the province of Manitoba. The first objective is to describe the current attitudes and use of mobile devices and apps by nurses involved in direct patient care. The second objective is to test the impact of a series of educational sessions on usage, attitudes and behavior related to app use among these nurses.

Methods:
Phase I of the study consists of a descriptive, cross-sectional survey of in-patient medical and surgical nurses at the Grace Hospital and randomly selected in-patient medical and surgical units at St. Boniface Hospital. Phase II will involve a one-group pre/post-test design to examine the impact of education sessions on nurse attitudes, usage and behaviours. An audio taped exit interview will capture nurses’ in-depth perspectives about the education sessions and actual mobile use in clinical practice. Descriptive statistics will be used to describe the sample’s characteristics and to determine the representativeness of the study’s sample. A rigorous analysis of each of the research questions will be performed.

Results:
Data collection and analysis are set to end late summer 2014. Results will be presented at the Medicine 2.0’14 Summit & World Congress.

Conclusions:
This project has the potential to strengthen policy at the Grace Hospital and St. Boniface Hospital regarding the use of mobile devices and apps at the bedside. Results will inform further investigation into mobile app use, attitudes and educational interventions in the greater Winnipeg Regional Health Authority. We propose the barriers and opportunities for increasing app use in these two settings will represent issues faced by other acute care centres attempting to embrace mobile devices at the bedside.




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