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

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