Background
Communication failures among physicians and nurses are one
of the maximum commonplace causes of detrimental occasions for hospitalized
patients, in addition to a main root purpose of all sentinel activities.
Communication generation (ie, the digital scientific file, automated provider
order entry, e-mail, and pagers), which is a component of health records
technology (HIT), can also help lessen some verbal exchange screw ups but boom
others due to an insufficient understanding of ways verbal exchange technology
is used. Increasing use of fitness information and communique technology is
possibly to have an effect on communique among nurses and physicians.
Objective
The reason of this take a look at is to describe, in
element, how fitness statistics and communique technologies facilitate or avoid
conversation among nurses and physicians with the last goal of figuring out how
we will optimize the use of those technology to help powerful communication.
Effective communique is the process of developing shared understanding between
communicators via setting up, testing, and retaining relationships. Our
theoretical model, based totally in communication and sociology theories,
describes how fitness information and verbal exchange technology affect
communique thru communication practices (ie, use of wealthy media; the region
and availability of computers) and work relationships (ie, hierarchies and
group balance). Therefore we are looking for to (1) pick out the range of
health information and verbal exchange technologies utilized in a countrywide
sample of scientific-surgical acute care gadgets, (2) describe communique
practices and paintings relationships that may be prompted with the aid of
fitness information and communication technology in these identical settings,
and (three) explore how variations in fitness data and verbal exchange technologies,
verbal exchange practices, and work relationships between physicians and nurses
affect verbal exchange.
Methods
This 4-yr study makes use of a sequential mixed-techniques
design, beginning with a quantitative survey accompanied via a two-element
qualitative section. Survey effects from purpose 1 will offer a detailed
evaluation of fitness records and communique technologies in use and assist
identify websites with version in health statistics and communique technologies
for the qualitative segment of the observe. In purpose 2, we will behavior
phone interviews with clinic employees in up to 8 hospitals to collect
in-intensity facts approximately communique practices and paintings
relationships on scientific-surgical gadgets. In goal three, we are able to
accumulate data in four hospitals (decided on from cellphone interview
outcomes) thru observation, shadowing, cognizance corporations, and artifacts
to learn the way health information and communication technology, conversation
practices, and paintings relationships affect verbal exchange wellnessdreams
Results
Results from intention 1 can be published in 2016. Results
from targets 2 and three could be published in next years.
Conclusions
As most of the people of US hospitals do now not yet have
HIT fully implemented, effects from our examine will tell future development
and implementation of fitness data and communique technology to aid powerful
verbal exchange among nurses and physicians.
Theoretical Model
A theoretical framework permits researchers to empirically
check relationships among principles of interest, facilitating accumulation of
know-how and development within the subject. Our theoretical version gives a
plausible explanation for each why and the way technologies may impact
conversation. The theoretical model for this observe explains how health
statistics and conversation technology might meet the call for for greater
information thru higher alignment among technology and the message to be
conveyed. Our theoretical model, depicted in Figure 1, posits that via verbal
exchange practices and work relationships, health information and communique
technology contribute to alignment or mismatch among the technology and the
message which, in flip, can affect communication.
Communication practices and work relationships form the
context wherein communication technology is situated. Communication practices
are prompted by using the use of wealthy media and the vicinity and
availability of computers. Media richness is described as a function of a
communique medium that allows the capacity of facts being despatched thru that
medium to alternate information . Classification of media as rich or much less
wealthy is based totally on a medium’s ability for instant remarks, number of
cues and channels used, personalization, and language range . Physician and
nurse conversation practices may or might not consist of a consideration of the
richness of the media available to them. Media richness theory suggests that
people must select rich media inclusive of face-to-face conversations or
telephones to communicate approximately complicated issues with plenty of
ambiguity. Rich media lessen ambiguity by permitting communicators to conquer
distinct frames of reference and through providing the capability to process
complicated messages. Less rich media offer fewer cues, restrict feedback, and
have a tendency to be impersonal but are powerful for processing properly
understood messages and general statistics . Computer applications (eg, medical
doctor and nursing notes on electronic medical records (EMRs), automatic issuer
order entry (CPOE), electronic text) fall on the much less rich cease of the
spectrum; laptop packages are impersonal when they have little or no
possibility to customise the documentation or use an expansion of language
options
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