Instant messaging at the hospital: Supporting articulation work?

Iversen, Tobias Buschmann; Melby, Line; Toussaint, Pieter J.

doi:10.1016/j.ijmedinf.2013.05.004

Cited by 23 publications

(9 citation statements)

References 21 publications

(28 reference statements)

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“…Threat modeling techniques can also be used to guide the hospital information systems administrators in the discovery of the actions that a malicious agent might perform [100]. There will undoubtedly be an increasing threat to the security of patient data with the growing interconnectivity between organizations, the scaling of healthcare information infrastructures [101], the increasing use of mobile instant messaging [102], outsourcing, and upcoming solutions such as cloud computing [30,[103][104][105]. These new scenarios will demand the organization of standardization and that governments define health staff education and organization's security policies in addition to the appropriate legal and regulatory framework with which to confront the forthcoming security challenges [106].…”

Section: Summary Pointsmentioning

confidence: 99%

Analysis of health professional security behaviors in a real clinical setting: An empirical study

Fernández-Alemán

Sánchez-Henarejos

Toval

et al. 2015

International Journal of Medical Informatics

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Section: Summary Pointsmentioning

confidence: 99%

Analysis of health professional security behaviors in a real clinical setting: An empirical study

Fernández-Alemán

Sánchez-Henarejos

Toval

et al. 2015

International Journal of Medical Informatics

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“…Previous work has examined stationary [11] and, predominantly, MIM systems in the communication of clinical teams [12–14]. For example, Johnston et al [12] documented how British emergency teams accessed WhatsApp groups to discuss clinical and administrative information.…”

Section: Introductionmentioning

confidence: 99%

Mobile instant messaging for rural community health workers: a case from Malawi

Pimmer

Mhango

Mzumara

et al. 2017

Global Health Action

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Background: Mobile instant messaging (MIM) tools, such as WhatsApp, have transformed global communication practice. In the field of global health, MIM is an increasingly used, but little understood, phenomenon. Objectives: It remains unclear how MIM can be used by rural community health workers (CHWs) and their facilitators, and what are the associated benefits and constraints. To address this gap, WhatsApp groups were implemented and researched in a rural setting in Malawi. Methods: The multi-site case study research triangulated interviews and focus groups of CHWs and facilitators with the thematic qualitative analysis of the actual conversations on WhatsApp. A survey with open questions and the quantitative analysis of WhatsApp conversations were used as supplementary triangulation sources. Results: The use of MIM was differentiated according to instrumental (e.g. mobilising health resources) and participatory purposes (e.g. the enactment of emphatic ties). The identified benefits were centred on the enhanced ease and quality of communication of a geographically distributed health workforce, and the heightened connectedness of a professionally isolated health workforce. Alongside minor technical and connectivity issues, the main challenge for the CHWs was to negotiate divergent expectations regarding the social versus the instrumental use of the space. Conclusions: Despite some challenges and constraints, the implementation of WhatsApp was received positively by the CHWs and it was found to be a useful tool to support distributed rural health work.

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“…Analysis of a month's instant messages sent through a communication system at a Danish hospital found that instant messaging was used extensively for communication, particularly for the coordination and logistics of care of patients. 7 Two of the potential problems with these methods of communication are first, the oversimplification of messages and, secondly, the potential depersonalisation of relationships between colleagues. 8,9 While it is clear from these studies that texting is useful on many occasions, we know of no published studies that have assessed the prevalence and use of SMS texting when on call.…”

Section: Introductionmentioning

confidence: 99%

Short message service (SMS) texting as a method of communication during on call: prevalence and experience of medical staff in a large acute NHS Trust in the UK

Matharu

Hale

Ammar

et al. 2016

British Journal of Oral and Maxillofacial Surgery

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With the widespread use of smartphones, text messaging has become an accepted form of communication for both social and professional use in medicine. To our knowledge no published studies have assessed the prevalence and use of short message service (SMS) texting by doctors on call. We have used an online questionnaire to seek information from doctors in a large NHS Trust in the UK about their use of texting while on call, what they use it for, and whether they send images relevant to patients' care. We received 302 responses (43% response rate), of whom 166 (55%) used SMS while on call. There was a significant association between SMS and age group (p=0.005), with the 20-30-year-old group using it much more than the other age groups. Doctors in the surgical specialties used it significantly less than those in other speciality groups (p<0 .001). Texting while on call was deemed to be safe and reliable (p<0.001). Eighteen clinicians (11%) admitted to routinely sending images of patients by text, despite some being identifiable. Texting was mainly used to update colleagues on patients' progress and give information about times of ward rounds and meetings. With the increasing use of texting in healthcare, much of which seems to be unregulated, further work and detailed guidance is required on what information may be given to ensure confidentiality and that SMS is a safe and acceptable method of communication to use when on call.

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Instant messaging at the hospital: Supporting articulation work?

Cited by 23 publications

References 21 publications

Analysis of health professional security behaviors in a real clinical setting: An empirical study

Analysis of health professional security behaviors in a real clinical setting: An empirical study

Mobile instant messaging for rural community health workers: a case from Malawi

Short message service (SMS) texting as a method of communication during on call: prevalence and experience of medical staff in a large acute NHS Trust in the UK

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