A qualitative study on the use of personal digital assistants and smartphones among interns and residents of Hazrat Rasool Akram and Imam-Khomeini hospitals

Tahamtan, Iman A qualitative study on the use of personal digital assistants and smartphones among interns and residents of Hazrat Rasool Akram and Imam-Khomeini hospitals., 2011 Master of Science thesis, Tehran University of Medical Sciences. [Thesis]

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English abstract

Introduction Handheld computers such as Personal Digital Assistants (PDAs) and smartphones are playing an increasing role to improve healthcare services by making information available at the point of care. The aim of the present study was to investigate how medical interns and residents retrieve information when using handheld devices. Furthermore, This study investigates the benefits and barriers of using handheld computers in clinical activities, and factors affecting adoption handheld computers among medical interns and residents. Methodology We conducted this qualitative study, using a semi-structured interview protocol. We selected the subjects of the study, using the purposive snowball sampling method. We carried out in-depth interviews with 21 medical interns and residents from May through September 2011. NVivo Software was use to codify and analyze the data. Findings Participants usually used PDAs and smartphones for web search, personal information management and communication in daily activities. They also used handheld computers for searching medical databases and drug references, reading electronic books and web search. Participants believed that usefulness, ease of use, education, organizational factors, individual features, social influences, observability, compatibility and job characteristics were the main factors affecting the adoption of these devices in medical settings. It was found that the most important benefits of using handheld computers included easy access and instant delivery of health information, medical errors reduction, access to evidence based and up-to-date medical information, portability, improving clinical decision makings and treatment quality. Three limitation categories of usage were also identified upon data analysis: Limitations related to handheld computers, individual barriers, and external limitations. Conclusion Significant development and effective changes are taking place in the field of medicine by the emergence of handheld computers in clinical settings; but in developing countries like Iran it is in its childhood period and needs more attention. It is important to use supportive tools like mobile technologies in healthcare organizations for better patient care. Healthcare managers and policy makers can use findings of current study for a better integration of handheld computers in medical settings. They can apply encouraging factors in hospitals, medical centers and clinics to make mobile technologies as popular devices among healthcare professionals.

Persian abstract

مقدمه متخصصان علوم سلامت نیازمند به روز رسانی دانش پزشکی خود هستند؛ تا بتوانند در فعالیت های بالینی بهترین عملکرد را داشته باشند. ظهور رایانه های جیبی و تلفن های هوشمند دسترسی به اطلاعات بالینی به روز را در هر زمان و مکان امکان پذیر کرده است. دسترسی به اطلاعات در مواقع ضروری، در ارتقاء خدمات سلامت و نهایتاً تصمیم گیری های بالینی نقش بسزایی خواهد داشت. هدف مطالعه حاضر بررسی کاربردهای رایانه های جیبی و تلفن های هوشمند در حوزه پزشکی، عوامل موثر بر استفاده و عدم استفاده اینترن ها و رزیدنت ها از این ابزارها، مزایا و معایب استفاده از رایانه های جیبی و تلفن های هوشمند می باشد. روش پژوهش این مطالعه به روش پژوهش کیفی انجام شد. جمع آوری داده ها به کمک مصاحبه نیمه ساختار یافته با 11 اینترن و 10 رزیدنت از بیمارستان های حضرت رسول اکرم (ص) و امام خمینی (ره) وابسته به دانشگاه علوم پزشکی تهران، در سال 1390 انجام شد. در این پژوهش از مصاحبه نیمه ساختار یافته جهت گردآوری داده ها استفاده شد. داده ها با استفاده از روش تحلیل مقایسه ای مداوم و به کمک نرم افزار NVivo تحلیل شدند. یافته ها شرکت کنندگان در این مطالعه در امور رزومره بیشتر جهت جستجوی وب، مدیریت اطلاعات شخصی و ارتباطات از رایانه جیبی و تلفن هوشمند استفاده می کردند. مهمترین کاربردهای تخصصی این ابزارها در میان جامعه پژوهش شامل جستجو در پایگاه های اطلاعاتی پزشکی و منابع مرجع دارویی، مطالعه متون الکترونیکی و جستجوی وب بود. به اعتقاد شرکت¬کنندگان کاربردی بودن، عوامل آموزشی، عوامل سازمانی، عوامل اجتماعی و سهولت استفاده از جمله عوامل موثر بر پذیرش و استفاده از این ابزارها توسط اینترن ها و رزیدنت ها می باشد. از مهمترین دلایل عدم استفاده از رایانه های جیبی و تلفن های هوشمند عدم آموزش، عدم آشنایی با قابلیت های این فناوری و قیمت بالای این ابزارها ذکر شد. همچنین برخی از مهمترین مزایای استفاده از این ابزارها شامل دسترسی فوری و آسان به اطلاعات، ارتقاء کیفیت درمان، ذخیره سازی حجم زیاد اطلاعات و کاهش خطاهای پزشکی بود. مشکلات و موانع استفاده نیز شامل مشکلات سخت افزاری، نرم افزاری و وابستگی روانی به این ابزارها می شد. بحث و نتیجه گیری یافته های این مطالعه از آن جهت اهمیت دارد که مسئولان و تصمیم گیران می توانند نگرش و درک روشن تری نسبت به اهمیت بکارگیری این ابزارها در حوزه پزشکی پیدا کرده و جهت پیاده سازی این فناوری در مراکز درمانی ایران برنامه ریزی کنند. آنچه مسلم است؛ آموزش کاربردهای این ابزارها به متخصصان علوم سلامت، خصوصا دانشجویان پزشکی و حمایت های سازمانی نقش مهمی در پذیرش و استفاده از این ابزارها دارد. مدیران می توانند با رفع مشکلات موجود و پیش روی پزشکان ایرانی در حین استفاده از این فناوری و با مساعد ساختن زمینه برای شکوفایی عوامل موثر بر استفاده از این ابزارها، نقش مهمی در جهت بهره بردای هرچه بهتر از فناوری رایانه های جیبی یا تلفن های هوشمند در حوزه پزشکی ایفا کنند.

Item type: Thesis (UNSPECIFIED)
Keywords: Handheld computers, Handheld devices, PDAs, Smartphone, Medicine, health information, Adoption factors, Acceptance factors,Benefits, limitations, clinical activities
Subjects: I. Information treatment for information services > IF. Information transfer: protocols, formats, techniques.
L. Information technology and library technology > LA. Telecommunications.
L. Information technology and library technology > LD. Computers.
Depositing user: Mr Iman Tahamtan
Date deposited: 04 Aug 2013 10:24
Last modified: 02 Oct 2014 12:27
URI: http://hdl.handle.net/10760/19843

References

1. Putzer GJ, Park Y. The effects of innovation factors on smartphone adoption among nurses in community hospitals. Perspect Health Inf Manag. 2010;7.

2. Free C, Phillips G, Felix L, Galli L, Patel V, Edwards P. The effectiveness of M-health technologies for improving health and health services: a systematic review protocol. BMC Res Notes. 2010;3:250.

3. Tempelhof MW. Personal digital assistants: a review of current and potential utilization among medical residents. Teach Learn Med. 2009 Apr-Jun;21(2):100-4.

4. Stroud SD, Smith CA, Erkel EA. Personal digital assistant use by nurse practitioners: a descriptive study. J Am Acad Nurse Pract. 2009 Jan;21(1):31-8.

5. Fischer S, Stewart TE, Mehta S, Wax R, Lapinsky SE. Handheld computing in medicine. Journal of the American Medical Informatics Association. 2003;10(2):139.

6. Daniel CB. Personal digital assistants in health care: experienced clinicians in the palm of your hand? The Lancet. 2005;366(9492):1210-22.

7. Puskar KR, Aubrecht J, Beamer K, Carozza LJ. Implementing information technology in a behavioral health setting. Issues Ment Health Nurs. 2004 Jul-Aug;25(5):439-50.

8. Al-Ubaydli M. The doctor's PDA and smartphone handbook: Royal Society of Medicine Pr Ltd; 2006.

9. Leon S, Fontelo P, Green L, Ackerman M, Liu F. Evidence-based medicine among internal medicine residents in a community hospital program using smart phones. BMC Medical Informatics and Decision Making. 2007;7(1):5.

10. Luanrattana R, Win K, Fulcher J, Iverson D. Mobile Technology Use in Medical Education. Journal of Medical Systems. 2010:1-10.

11. Kho A, Henderson LE, Dressler DD, Kripalani S. Use of handheld computers in medical education. A systematic review. J Gen Intern Med. 2006 May;21(5):531-7.

12. Shahid R, Vincent B. Telemedicine Using Smartphones for Oral and Maxillofacial Surgery Consultation, Communication, and Treatment Planning. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons. 2009;67(11):25059.

13. Barrons R. Evaluation of personal digital assistant software for drug interactions. Am J Health Syst Pharm. 2004 Feb 15;61(4):380-5.

14. Diero L, Rotich JK, Bii J, Mamlin BW, Einterz RM, Kalamai IZ, et al. A computer-based medical record system and personal digital assistants to assess and follow patients with respiratory tract infections visiting a rural Kenyan health centre. BMC Med Inform Decis Mak. 2006;6:21.

15. Leon S, Fontelo P, Green L, Ackerman M, Liu F. Evidence-based medicine among internal medicine residents in a community hospital program using smart phones. BMC Medical Informatics and Decision Making. 2007;7(1):5.

17. Chatterley T, Chojecki D. Personal digital assistant usage among undergraduate medical students: exploring trends, barriers, and the advent of smartphones. J Med Libr Assoc. 2010 Apr;98(2):157-60.

17. Park Y, Chen JV. Acceptance and adoption of the innovative use of smartphone. Industrial Management &# 38; Data Systems. 2007;107(9):1349-65.

18. Galt KA. The Impact of Personal Digital Assistant Devices on Medication Safety in Primary Care: DTIC Document2005.

19. Agar J. Constant touch: a global history of the mobile phone. Thriplow: Icon Books; 2004.

20. Schneidawind J. "Big Blue unveiling", USA Today, November 23, 1992, page 2.

21. Anton i Riera J, Juarez Gimenez JC, Aznar Sorribes N, Boixadera Vendrell M, Ibanez Collado C, Monterde Junyent J. [Pocket computers. Applications for personal digital assistants, PDAs]. Rev Enferm. 2008 Jan;31(1):57-65.

22. Sarasohn-Kahn J. How smartphones are changing Health Care for Consumers and Providers: California Healthcare Foundation2010.

23. James R, Scott M, Jane R. Assessing medical residents’ usage and perceived needs for personal digital assistants. International journal of medical informatics. 2004;73(1):25-34.

24. "Physician Smartphone Adoption Rate to Reach 81% in 2012,” Research study by Manhattan Research,October 5, 2009,.

25. De Groote SL, Doranski M. The use of personal digital assistants in the health sciences: results of a survey. J Med Libr Assoc. 2004 Jul;92(3):341-8.

26. SCOLLIN P, CALLAHAN J, MEHTA A, GARCIA E. The PDA as a Reference Tool: Libraries' Role in Enhancing Nursing Education. Computers Informatics Nursing. 2006;24(4):20813.

27. McDonald CJ, Weiner M, Hui SL. Deaths Due to Medical Errors Are Exaggerated in Institute of Medicine Report. JAMA: The Journal of the American Medical Association. 2000 July 5, 2000;284(1):93-5.

28. Grasso BC, Genest R, Yung K, Arnold C. Reducing Errors in Discharge Medication Lists by Using Personal Digital Assistants. Psychiatr Serv. 2002 October 1, 2002;53(10):1325-6.

30. Mejía D, Favela J, Morán A. Preserving interaction threads through the use of smartphones in hospitals. Groupware: Design, Implementation, and Use. 2009:17-31.

30. Burdette SD, Herchline TE, Oehler R. Practicing medicine in a technological age: using smartphones in clinical practice. Clinical infectious diseases. 2008;47(1):117.

31. Gaspar J, Glaeser EL. Information technology and the future of cities. National Bureau of Economic Research Cambridge, Mass., USA; 1996.

32. Moll C. Mobile web design: Lulu. com; 2008.

33. Poutiainen S. Finnish cultural discourses about mobile phone communication: University of Massachusetts Amherst; 2007.

34. Kasesniemi EL, Rautiainen P, editors. Mobile culture of children and teenagers in Finland2002: Cambridge University Press.

35. Flanders AE, Wiggins RH, Gozum ME. Handheld Computers in Radiology1. Radiographics. 2003;23(4):1035.

36. Wiggins RH, 3rd. Personal digital assistants. J Digit Imaging. 2004 Mar;17(1):5-17.

37. Payne D, Godlee F. The BMJ is on the iPad. BMJ. 2011 January 1, 2011;342.

38. Alborz B. Value-based adoption of mobile internet in Iran lulea University of Technology2010.

39. شرکت ارتباطات تامین شمس نوین [استناد در تاریخ 12/1/89]; دسترسی از طریق: http://www.ssicportal.com/web/content/359.

40. شرکت مشارکتی مخابرات سیار اصفهان 1389 [استناد در تاریخ 12/1/89]; دسترسی از طریق: http://www.mtce.ir/user/Index.jsp?SID=121&lang=Fa.

41. بررسی وضعیت اپراتور تلفن همراه کیش [استناد در تاریخ 2/12/89]; دسترسی از طریق: http://www.ict.gov.ir/newsdetail-432-fa.html.

42. شرکت ارتباطات مبین نت [استناد در تاریخ 12/11/89];دسترسی از طریق: http://www.mobinnet.ir/browse.aspx?CatID=1&ContentID=11.

43. Farahani T. Substituteability and competition between mobile and fixed service: an empirical study in iran. Tahghighat-e-eghtesadi. 2009;44(86):181-92. [Persian].

44. Hirani S, Hodgkins J, Chen SD, Lucas G. Current products and practices: personal digital assistants in orthodontics. J Orthod. 2005 Mar;32(1):61-8.

45. Banitsas KA, Georgiadis P, Tachakra S, Cavouras D. Using handheld devices for real-time wireless teleconsultation. Conf Proc IEEE Eng Med Biol Soc. 2004;4:3105-8.

46. Ciavarella GG. Attitudes of residents in training about use of PDAs: Univ. of Illinios at Chicago, HS center, SCH. of public health; 2005.

47. Cornelius FH. Handheld technology and nursing aducation: utilization of handheld technology in development of clinical decision-making in undergraduate nursing students [Ph.d]: Drexel university; 2005.

48. Bertling CJ, Simpson DE, Hayes AM, Torre D, Brown DL, Schubot DB. Personal digital assistants herald new approaches to teaching and evaluation in medical education. Wisconsin Medical Journal. 2003;102(2):46-50.

49. Lowry CM, Kostka-Rokosz MD, McCloskey WW. Evaluation of personal digital assistant drug information databases for the managed care pharmacist. J Manag Care Pharm. 2003 Sep-Oct;9(5):441-8.

50. Mendonça EA, Chen ES, Stetson PD, McKnight LK, Lei J, Cimino JJ. Approach to mobile information and communication for health care* 1. International Journal of Medical Informatics. 2004;73(7-8):631-8.

51. Chasin MS. How a palm-top computer can help you at the point of care. Fam Pract Manag. 2001;8(6):50-1.

52. Strayer SM, Semler MW, Kington ML, Tanabe KO. Patient Attitudes Toward Physician Use of Tablet Computers in the Exam Room. Fam Med. 2010;42(9):643-7.

53. Delfan B, Mosadegh A, Nasir Moghadas S. Study of medical errors status and its necessity of education from view point of Lorestan general practitioners. Yafteh. [Research]. 2008;10(1)

54. Grasso BC, Genest R, Yung K, Arnold C. Reducing errors in discharge medication lists by using personal digital assistants. Psychiatr Serv. 2002 Oct;53(10):1325-6.

55. Rezai hachehsou P., Habibi Shafi, Fozounkhah Sh. Inforamtion technology, an effective tool in reducing and preventing medical errors: suggestions for improvement.Health information management. Spring-summer 2007; 4(1 (7)):89-98. [Persian]

56. خلیقی نژاد، نیما، عطائی، منیژه، هادیزاده، فاطمه؛ ویراستاری علمی هادیزاده، فاطمه. دریچه ای به حاکمیت بالینی و تعالی خدمات بالینی. اصفهان: گروه مطالعاتی تعالی خدمات بالینی دانشگاه علوم پزشکی اصفهان; 1387.

57. Bates DW, Cullen DJ, Laird N, et al: Incidence of adverse drug events and potential adverse drug events. ADE Prevention Study Group. JAMA. 1995;274:29-34.

58. Leape LL, Bates DW, Cullen DJ, et al: Systems analysis of adverse drug events. ADE Prevention Study Group. JAMA. 1995; 274:35-43.

59. Bates DW, Leape LL, Petrycki S: Incidence and preventability of adverse events in hospitalized adults Journal of General Internal Medicine. 1993;8:289–294.

60. Bates DW, Spell N, Cullen DJ, et al: The costs of adverse drug events in hospitalized patients. JAMA. 1997; 277: 307–311.

61. Moghadasi H.A.D., Sheykh Taheri A., Hashemi Nasim. Reducing medication errors: Role of computerized physician order entry system. Journal of health administration. Spring 2007; 10(27):57-67. [Persian]

62. Dabagh Ali, Esmail Akbari M., Fathi M. Medical errors in the health system. Journal of army university of medical sciences of the I.R. Iran (JAUMS). Fall 2006; 4(3 (SERIAL NUMBER 15)):957-966. [Persian]

63. Rosenbloom M. Medical error reduction and PDAs. Int Pediatr. 2002;18(2):69-77.

64. Greenfield S. Medication error reduction and the use of PDA technology. The Journal of nursing education. 2007;46(3):127.

65. Rothschild JM, Lee TH, Bae T, Bates DW. Clinician use of a palmtop drug reference guide. Journal of the American Medical Informatics Association. 2002;9(3):223.

66. Bates DW, Leape LL, Cullen DJ, Laird N, Petersen LA, Teich JM, et al. Effect of Computerized Physician Order Entry and a Team Intervention on Prevention of Serious Medication Errors. JAMA: The Journal of the American Medical Association. 1998 October 21, 1998;280(15):1311-6.

67. Rupp MT, DeYoung M, Schondelmeyer SW. Prescribing problems and pharmacist interventions in community practice. Med Care. 1992 Oct;30(10):926-40.

68. Cabral JD. Poor physician penmanship. JAMA. 1997 Oct 1;278(13):1116-7.

69. Kiel J, Goldblum O. Using personal digital assitants to enhance outcomes. Journal of healthcare information management. 2011;15(3).

70. A Short History of the Smartphone. 2009 [cited 2010 December 8]; Available from: http://www.articlesbase.com/cell-phones-articles/a-short-history-of-the-smartphone-847439.html.

71. Garvin R, Otto F, McRae D. Using handheld computers to document family practice resident procedure experience. FAMILY MEDICINE-KANSAS CITY-. 2000;32(2):115-8.

72. O’Donnell HC, Kaushal R, Barrón Y, Callahan MA, Adelman RD, Siegler EL. Physicians’ Attitudes Towards Copy and Pasting in Electronic Note Writing. Journal of general internal medicine. 2009;24(1):63-8.

73. Brody JA, Camamo JM, Maloney ME. Implementing a personal digital assistant to document clinical interventions by pharmacy residents. American journal of health-system pharmacy. 2001;58(16):1520.

74. Serdar MA, Turan M, Cihan M. Rapid access to information resources in clinical biochemistry: medical applications of Personal Digital Assistants (PDA). Clin Exp Med. 2008 Jun;8(2):117-22.

75. Dee CR, Teolis M, Todd AD. Physicians' use of the personal digital assistant (PDA) in clinical decision making. Journal of the Medical Library Association. 2005;93(4):480.

76. León SA, Fontelo P, Green L, Ackerman M, Liu F. Evidence-based medicine among internal medicine residents in a community hospital program using smart phones. BMC medical informatics and decision making. 2007;7(1):5.

77. Khan ANGA, Frank J, Geria R, Davidson S. Utilization of personal digital assistants (PDAS) by pediatric and emergency medicine residents. Journal of Emergency Medicine. 2007;32(4):423-8.

78. Wiggins Iii RH. Personal digital assistants. Journal of Digital Imaging. 2004;17(1):5-17.

79. Boonn WW, Flanders AE. Survey of Personal Digital Assistant Use in Radiology1. RadioGraphics. 2005;25(2):537.

80. Yaghmai V, Salehi SA, Kuppuswami S, Berlin JW. Rapid wireless transmission of head CT images to a personal digital assistant for remote consultation1. Academic radiology. 2004;11(11):1291-3.

81. Baumgart DC. Personal digital assistants in health care: experienced clinicians in the palm of your hand? The Lancet. 2005;366(9492):1210-22.

82. Eapen BR. DermaMan: Scoring dermatology in your palm. Indian Journal of Dermatology, Venereology, and Leprology. 2008;74(4):424.

83. A Clinician’s Guide to Electronic Prescribing American Medical Association; 2008 [cited 2011 4/4]; Available from: http://www.ama-assn.org/ama1/pub/upload/mm/472/electronic-e-prescribing.pdf.

84. Yendluri S. Mobile prescription: University of Nevada, Reno; 2008.

85. Aziz SR, Ziccardi VB. Telemedicine using smartphones for oral and maxillofacial surgery consultation, communication, and treatment planning. J Oral Maxillofac Surg. 2009 Nov;67(11):2505-9.

86. Anantraman V, Mikkelsen T, Khilnani R, Kumar VS, Pentland A, Ohno-Machado L, editors. Open source handheld-based EMR for paramedics working in rural areas2002: American Medical Informatics Association.

87. Gamble K. Beyond phones. With the proper infrastructure, smartphones can help improve clinician satisfaction and increase EMR use. Healthcare informatics: the business magazine for information and communication systems. 2009;26(8):23.

88. PubMed Mobile. 2011 [cited 2011 16/4]; Available from: http://www.ncbi.nlm.nih.gov/pubmed/.

89. Google Mobile.Visit this URL in your phone’s browser: m.google.com. 2011 [cited 2011 16/4]; Available from: http://www.google.com/mobile/.

90. About NEJMiPhone Application. 2011 [cited 2011 16/4]; Available from: http://www.nejm.org/page/about-nejm/mobile-applications.

91. Kotsinonos J. 10 of the Top Health Apps for Consumers & Professionals in 2010. 2010 [cited 2011 16/4]; Available from: http://www.forums.pharma-mkting.com/showthread.php?t=34458.

92. Personal Selections for iPad - FREE TRIAL. Elsevier; 2011 [cited 2011 17/7]; Available from: http://webshop.elsevier.com/subscriptions/psservices?icn=testing&ln=ipad.

93. Tamjid S, Rezai Sharifabadi S. Study of Effective Usage of Information Technology by Residents in Iran University of Medical Sciences. Journal of Health Administration. 2010;13(40).

94. Kousari M, Javadi Yeganeh MR,Tahere K. The uses of mobile phone among the iranian users: applying the uses and gratification theory. Culture and communication studies. 2007;2(7):205-26.[Persian]

95. Manteghi M. Studying the use of mobile phone by female and male students. INFORMATION AND COMMUNICATION TECHNOLOGY IN EDUCATIONAL SCIENCES. 2011;1(2):95-128.[Persian].

96. Papzan A, Soleymani A. Comparing cell phone-based and traditional lecture-based teaching methods' effects on agricultural students' learning. INFORMATION AND COMMUNICATION TECHNOLOGY IN EDUCATIONAL SCIENCES FALL. 2010;1(1):55-65.[Persian].

97. Omidi Najafabadi M, Enshiyeh R. Challenges and opportunities in application of mobile phone in agricultural education: a case study in phoomanat region. Journal of agricultural extension and education research. Fall. 2009;2(3):95-105.[Persian].

98. Mortazavi SMJ, Atefi M, Kholghi F. The Pattern of Mobile Phone Use and Prevalence of Self-Reported Symptoms in Elementary and Junior High School Students in Shiraz, Iran. Iranian journal of medical sciences (IJMS). 2011;36(2):96-103.

99. Lu YC, Lee JJK, Xiao Y, Sears A, Jacko JA, Charters K, editors. Why Don’t Physicians Use Their Personal Digital Assistants?2003: American Medical Informatics Association.

100. Barrett JR, Strayer SM, Schubart JR. Assessing medical residents' usage and perceived needs for personal digital assistants. International Journal of Medical Informatics. 2004;73(1):2534.

101. McAlearney AS, Schweikhart SB, Medow MA. Doctors' experience with handheld computers in clinical practice: qualitative study. BMJ. 2004;328(7449):1162.

102. Carroll AE, Christakis DA. Pediatricians' use of and attitudes about personal digital assistants. Pediatrics. 2004 Feb;113(2):238-42.

103. Dee C, Teolis M, Todd A. Physicians' use of the personal digital assistant (PDA) in clinical decision making. J Med Libr Assoc. 2005 Oct;93(4):480-6.

104. Rosencrance J, Schott M, BT. L. Using PDAs during the internal medicine clerkship. W V Med J 2004;100(6):236-7.

105. Galt KA, Rule AM, Taylor W, Siracuse M, Bramble JD, Rich EC, et al. The Impact of Personal Digital Assistant Devices on Medication Safety in Primary. 2005 Feb.

106. Daher R, Awada H. [The usefulness of personal digital assistants (Palm and Pocket PC) in the medical field]. J Med Liban. 2007 Jan-Mar;55(1):19-28.

107. Dallenbach MF, Bovier PA, Desmeules J. Detecting drug interactions using personal digital assistants in an out-patient clinic. QJM. 2007 Nov;100(11):691-7.

108. Axelson C, Wårdh I, Strender L-E, Nilsson G. Using medical knowledge sources on handheld computers – A qualitative study among junior doctors. Medical teacher. 2007;29(6):6118.

109. Phua J, Lim TK. How residents and interns utilise and perceive the personal digital assistant and UpToDate. BMC Med Educ. 2008;8:39.

110. Shahid RA, Vincent BZ. Telemedicine Using Smartphones for Oral and Maxillofacial Surgery Consultation, Communication, and Treatment Planning. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons. 2009;67(11):2505-9.

111. Stroud S, Smith C, Erkel E. Personal digital assistant use by nurse practitioners: a descriptive study. J Am Acad Nurse Pract. 2009 21(1):31-8.

112. Vishwanath A, Brodsky L, Shaha S. Physician adoption of personal digital assistants (PDA): testing its determinants within a structural equation model. J Health Commun. 2009 Jan-Feb;14(1):77-95.

113. Chen J, Park Y, Putzer GJ. An Examination of the Components that Increase Acceptance of Smartphones among Healthcare Professionals. electronic Journal of Health Informatics. 2011;5(2):e16.

114. Pickard AJ. Research Methods in Information London: Facet Publishing; 2007.

115. Strauss AL, Corbin JM. Basics of qualitative research: Techniques and procedures for developing grounded theory: Sage Publications, Inc; 1998.

114. Beaudoin JE. An Investigation of Image Users across Professions:

A Framework of Their Image Needs, Retrieval and Use: Drexel University; 2009.

117. Lincoln Y, and Guba, E. . Naturalistic Inquiry: Newbury Park, CA: Sage Publications; 1985.

118. ادیب حاج باقری، محسن، پرویزی، سرور، صلصالی، مهوش. روش های تحقیق کیفی. تهران: نشر و تحقیقات بشری; 1389.

119. Marshall MN. Sampling for qualitative research. Family Practice. 1996;13(6):522.

120. Beaudoin JE. An investigation of image users across professions: a framework of their image needs, retrieval and use: Drexel University; 2009.

121. Patton M. Qualitative research and evaluation methods Thousand Oaks, CA: Sage; 2002.

122. Spradley J. The etnographic interview: Harcourt Brace Jovanovich College Publishers;1979.

123. hajbagheri a, parvizi s, salsali m. Qualitative Research Methods. Tehran: Boshra Publishing; 1389 [Persian].

124. Carroll AE, Christakis DA. Pediatricians’ use of and attitudes about personal digital assistants. Pediatrics. 2004;113(2):238.

125. McLeod TG, Ebbert JO, Lymp JF. Survey assessment of personal digital assistant use among trainees and attending physicians. J Am Med Inform Assoc. 2003 Nov-Dec;10(6):605-7.

126. Sedghi S, Sanderson M, Clough P. Medical image resources used by health care professionals. ASLIB Proceedings.accepted for publication.

127. Jamali HR, Asadi S. Google and the scholar: the role of Google in scientists' information-seeking behaviour. Online Information Review. 2010;34(2):282-94.

128. Zhang H, Cocosila M, Archer N. Factors of adoption of mobile information technology by homecare nurses: a technology acceptance model 2 approach. Comput Inform Nurs. 2010 Jan-Feb;28(1):49-56.

129. Park Y, Chen JV. Acceptance and adoption of the innovative use of smartphone. Industrial Management & Data Systems. 2007;107(9):1349-65.

130. Kargin B, Basoglu N, Daim T. Factors affecting the adoption of mobile services. International Journal of Services Sciences. 2009;2(1):29-52.

131. Biljon Jv, Kotz P, #233. Modelling the factors that influence mobile phone adoption. Proceedings of the 2007 annual research conference of the South African institute of computer scientists and information technologists on IT research in developing countries; Port Elizabeth, South Africa. 1292509: ACM; 2007. p. 152-61.

132. Luarn P, Lin HH. Toward an understanding of the behavioral intention to use mobile banking. Computers in Human Behavior. 2005;21(6):873-91.

133. Dasgupta A, Sansgiry SS, Sherer JT, Wallace D, Sikri S. Pharmacists’ utilization and interest in usage of personal digital assistants in their professional responsibilities. Health Information & Libraries Journal. 2010;27(1):37-45.

134. Hung SY, Ku CY, Chang CM. Critical factors of WAP services adoption: an empirical study. Electronic Commerce Research and Applications. 2003;2(1):42-60.

135. Ling R. The diffusion of mobile telephony among Norwegian teens: A report from after the revolution. Annals of Telecommunications. 2002;57(3):210-24.

136. Kleijnen M, Wetzels M, De Ruyter K. Consumer acceptance of wireless finance. Journal of Financial Services Marketing. 2004;8(3):206-17.

137. Leea WJ, Kimb TU, Chungc JY. User acceptance of the mobile Internet. Athens, Greece: M-Business: Citeseer; 2002.

138. Carlsson C, Carlsson J, Hyvonen K, Puhakainen J, Walden P, editors. Adoption of mobile devices/services—searching for answers with the UTAUT2006: IEEE.

139. Leung L, Wei R. More than just talk on the move: Uses and gratifications of the cellular phone. Journalism and Mass Communication Quarterly. 2000;77(2):308-20.

140. Kleinrock L. Nomadicity: anytime, anywhere in a disconnected world. Mobile networks and applications. 1996;1(4):351-7.

141. Pedersen PE. Adoption of mobile Internet services: An exploratory study of mobile commerce early adopters. Journal of organizational computing and electronic commerce. 2005;15(3):203-22.

142. Hyvönen K, Repo P. Diffusion of Mobile Services in Finland. Proceedings of the 3rd International Business Information Management Conference (IBIMA); Cozumel, Mexico2004.

143. Altmann TK, Brady D. PDAs bring information competence to the point-of-care. Int J Nurs Educ Scholarsh. 2005;2:Article 10.

144. Zaroukian M, Sousa A, editors. Handheld computing in resident education: benefits, barriers, and considerations2002.

145. Hauser SE, Demner-Fushman D, Jacobs JL, Humphrey SM, Ford G, Thoma GR. Using wireless handheld computers to seek information at the point of care: an evaluation by clinicians. Journal of the American Medical Informatics Association. 2007;14(6):807.

146. Rothschild JM, Fang E, Liu V, Litvak I, Yoon C, Bates DW. Use and perceived benefits of handheld computer-based clinical references. Journal Of The American Medical Informatics Association: JAMIA. 2006;13(6):619-26.

147. Morris CG, Church L, Vincent C, Rao A. PDA usage and training: targeting curriculum for residents and faculty. FAMILY MEDICINE-KANSAS CITY-. 2007;39(6):419.


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