Study on effectiveness of communication amongst members at department of orthopedics surgery unit 3 using smartphone and mobile WhatsApp

Choudhari, Pradeep

doi:10.5455/2349-2902.isj20140504

Cited by 16 publications

(9 citation statements)

References 6 publications

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“…Its use has increasingly drawn a wider range of interest as a communication and imaging chat system between health care professionals and patients, as well as among health care professionals themselves. In several regions around the world and particularly in rural areas and low- and middle-income countries, the use of WhatsApp has been shown to facilitate communication among health care professionals in terms of faster problem identification and immediate acute management [ 4 , 11 , 25 ]. Recently, studies have reported the increased presence of WhatsApp in medicine and many other health care fields, which reflects the increased acceptance of its use.…”

Section: Discussionmentioning

confidence: 99%

“…Although scientific studies on the use of WhatsApp Messenger remain scarce in the medical literature, increasing numbers of health professionals have adopted it as a communication interface and for the exchange of images and videos [ 9 , 10 ]. Its use does not seem to reduce image quality in the conversion from analog to digital formats, thus providing the ability to identify sufficient details for an adequate diagnosis and initial treatment with better efficacy than other modalities used for the same purposes [ 11 - 13 ].…”

Section: Introductionmentioning

confidence: 99%

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WhatsApp Messenger as an Adjunctive Tool for Telemedicine: An Overview

Giordano¹,

Koch²,

et al. 2017

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BackgroundThe advent of telemedicine has allowed physicians to deliver medical treatment to patients from a distance. Mobile apps such as WhatsApp Messenger, an instant messaging service, came as a novel concept in all fields of social life, including medicine. The use of instant messaging services has been shown to improve communication within medical teams by providing means for quick teleconsultation, information sharing, and starting treatment as soon as possible.ObjectiveThe aim of this study was to perform a comprehensive systematic review of present literature on the use of the WhatsApp Messenger app as an adjunctive health care tool for medical doctors.MethodsSearches were performed in PubMed, EMBASE, and the Cochrane Library using the term “whatsapp*” in articles published before January 2016. A bibliography of all relevant original articles that used the WhatsApp Messenger app was created. The level of evidence of each study was determined according to the Oxford Levels of Evidence ranking system produced by the Oxford Centre for Evidence-Based Medicine. The impact and the indications of WhatsApp Messenger are discussed in order to understand the extent to which this app currently functions as an adjunctive tool for telemedicine.ResultsThe database search identified a total of 30 studies in which the term “whatsapp*” was used. Each article’s list of references was evaluated item-by-item. After literature reviews, letters to the editor, and low-quality studies were excluded, a total of 10 studies were found to be eligible for inclusion. Of these studies, 9 had been published in the English language and 1 had been published in Spanish. Five were published by medical doctors.ConclusionsThe pooled data presents compelling evidence that the WhatsApp Messenger app is a promising system, whether used as a communication tool between health care professionals, as a means of communication between health care professionals and the general public, or as a learning tool for providing health care information to professionals or to the general population. However, high-quality and properly evaluated research is needed, as are improvements in descriptions of the methodology and the study processes. These improvements will allow WhatsApp Messenger to be categorically defined as an effective telemedicine tool in many different fields of health care.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

WhatsApp Messenger as an Adjunctive Tool for Telemedicine: An Overview

Giordano¹,

Koch²,

et al. 2017

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show abstract

“…The App is specifically designed for the purpose of burns consultation and tailored for the expertise of the experts. Several advantages like reduced consultation time [ 46 ], decreased hierarchy [ 16 , 47 ] and making senior physicians more accessible and involved in decisions [ 16 , 47 , 48 ] have been described by using WhatsApp, along with disadvantages such as incompatibility with medical record keeping [ 49 ], problems of data security, patient consent, confidentiality and privacy [ 17 , 45 , 50 , 51 ]. The end-to-end encryption of WhatsApp since April 2016 has improved security of data during transmission [ 45 ], although issues around storage of data persist [ 9 , 52 ].…”

Section: Discussionmentioning

confidence: 99%

“…Indeed, educational benefits [ 54 , 55 ], as well as feelings of empowerment among healthcare workers [ 56 ] from using mobile apps have been demonstrated in studies from other areas. For the clinical specialist and the gatekeeper, it has been suggested that image-based communication via smartphones will streamline the remote diagnostic process by speeding up communication [ 10 , 49 , 57 ], and by improving both triage and referrals [ 9 – 12 , 57 , 58 ]. However, these technical solutions might be at the expense of the interpersonal sides of the communication and there could be some information that the App has more difficulties to provide even for the clinical specialist and the gatekeeper position.…”

Section: Discussionmentioning

confidence: 99%

Expectations of medical specialists about image-based teleconsultation – A qualitative study on acute burns in South Africa

2018

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BackgroundImage-based teleconsultation between medical experts and healthcare staff at remote emergency centres can improve the diagnosis of conditions which are challenging to assess. One such condition is burns. Knowledge is scarce regarding how medical experts perceive the influence of such teleconsultation on their roles and relations to colleagues at point of care.MethodsIn this qualitative study, semi-structured interviews were conducted with 15 medical experts to explore their expectations of a newly developed App for burns diagnostics and care prior to its implementation. Purposive sampling included male and female physicians at different stages of their career, employed at different referral hospitals and all potential future tele-experts in remote teleconsultation using the App. Positioning theory was used to analyse the data.ResultsThe experts are already facing changes in their diagnostic practices due to the informal use of open access applications like WhatsApp. Additional changes are expected when the new App is launched. Four positions of medical experts were identified in situations of diagnostic advice, two related to patient flow–clinical specialist and gatekeeper–and two to point of care staff–educator and mentor. The experts move flexibly between the positions during diagnostic practices with remote colleagues. A new position in relation to previous research on medical roles–the mentor–came to light in this setting. The App is expected to have an important educational impact, streamline the diagnostic process, improve both triage and referrals and be a more secure option for remote diagnosis compared to current practices. Verbal communication is however expected to remain important for certain situations, in particular those related to the mentor position.ConclusionThe quality and security of referrals are expected to be improved through the App but the medical experts see less potential for conveying moral support via the App during remote consultations. Experts’ reflections on remote consultations highlight the embedded social and cultural dimensions of implementing new technology.

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“…Some of the main advantages of using WhatsApp in healthcare are as follows: improvement of communication [22]; no requirement for a computer [23,24]; time saving [6,15]; possibility of an immediate response [20,25]; improvement of surgery performance and reduction of consultation time [25,26]; smoothing of hierarchy [8]; and the encouragement of junior doctors to seek help and improve the team perception of effectiveness [19]. On the other hand, existing risks or disadvantages have also been reported: increase in workload, disparity in the sense of urgency, worsening of professional relationships and risk of unprofessional behavior [18]; need to stay online 24 hours a day; impossibility to print a record of the chat; clinical information not being included in medical records; difficulty identifying patients in chats [16,19]; possible issues of privacy and data protection [20]; and the risk of reducing the autonomy of junior doctors [8]. Despite the many benefits, WhatsApp is used by professionals without political strategies, so it is necessary to develop guidelines for its usage by interdisciplinary groups and for communication between patients and professionals [27].…”

Section: Introductionmentioning

confidence: 99%

WhatsApp in hospital? An empirical investigation of individual and organizational determinants to use

et al. 2019

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The increasing use of messaging applications such as WhatsApp for both social and personal purposes has determined an increase in the widespread use of these technologies, even in healthcare. A growing number of healthcare professionals have adopted WhatsApp in their daily work in order to share information with peers and patients. Past research has highlighted the advantages and disadvantages of WhatsApp usage in healthcare settings; in particular two positions appear to coexist in the scientific debate: those that expose and underline all of the positive aspects of the phenomenon, and those which also highlight the negative aspects, linked in particular to the clinical risks for patients, data security and privacy protection. The main objective of this study was to assess if and how individual and organizational determinants can trigger or inhibit the use of WhatsApp in a hospital setting, and which variables managers can exploit to guide professionals’ behaviors. Data were collected through a survey administered to physicians and nurses in an Italian University Hospital in Rome; a total of 191 high-quality responses were received. The results show that WhatsApp is widely used in the Hospital, and that its use is mainly due to the perception of numerous advantages and benefits reported in clinical practice. Moreover, an interplay exists between organizational and individual factors in determining the use of WhatsApp between healthcare professionals and with patients. In particular, individual factors play a key role as determinants of the use of WhatsApp; healthcare professionals use this technology mainly based on its perceived usefulness. Instead, organizational factors play a secondary role; they do not have a direct influence on the use of WhatsApp, but always act through individual factors. This study is the first to analyses the influence of individual and organizational determinants of WhatsApp usage in the hospital setting, and provides hospital managers with important information in order to manage this phenomenon and implement adequate strategies to exploit its potential increase.

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Study on effectiveness of communication amongst members at department of orthopedics surgery unit 3 using smartphone and mobile WhatsApp

Cited by 16 publications

References 6 publications

WhatsApp Messenger as an Adjunctive Tool for Telemedicine: An Overview

WhatsApp Messenger as an Adjunctive Tool for Telemedicine: An Overview

Expectations of medical specialists about image-based teleconsultation – A qualitative study on acute burns in South Africa

WhatsApp in hospital? An empirical investigation of individual and organizational determinants to use

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