The Use of Handheld Technology in Nursing Research and Practice

Hardwick, Mary E.; Pulido, Pamela A.; Adelson, Wendy S.

doi:10.1097/01.nor.0000284655.62377.d9

Cited by 22 publications

(15 citation statements)

References 23 publications

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“…Research by Hardwick et al . (2007) suggests that handheld technology can be used by nurses to improve and streamline patient care by capturing clinical data, by organizing and reporting home health services, and by providing references for evidence-based practice [17]. Doran (2009) found that PDAs can be useful for promoting timely communication, enabling evidence-based collaborative practice, and for supporting workplace learning [15].…”

Section: Introductionmentioning

confidence: 99%

The role of organizational context and individual nurse characteristics in explaining variation in use of information technologies in evidence based practice

et al. 2012

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BackgroundThere is growing awareness of the role of information technology in evidence-based practice. The purpose of this study was to investigate the role of organizational context and nurse characteristics in explaining variation in nurses’ use of personal digital assistants (PDAs) and mobile Tablet PCs for accessing evidence-based information. The Promoting Action on Research Implementation in Health Services (PARIHS) model provided the framework for studying the impact of providing nurses with PDA-supported, evidence-based practice resources, and for studying the organizational, technological, and human resource variables that impact nurses’ use patterns.MethodsA survey design was used, involving baseline and follow-up questionnaires. The setting included 24 organizations representing three sectors: hospitals, long-term care (LTC) facilities, and community organizations (home care and public health). The sample consisted of 710 participants (response rate 58%) at Time 1, and 469 for whom both Time 1 and Time 2 follow-up data were obtained (response rate 66%). A hierarchical regression model (HLM) was used to evaluate the effect of predictors from all levels simultaneously.ResultsThe Chi square result indicated PDA users reported using their device more frequently than Tablet PC users (p = 0.001). Frequency of device use was explained by ‘breadth of device functions’ and PDA versus Tablet PC. Frequency of Best Practice Guideline use was explained by ‘willingness to implement research,’ ‘structural and electronic resources,’ ‘organizational slack time,’ ‘breadth of device functions’ (positive effects), and ‘slack staff’ (negative effect). Frequency of Nursing Plus database use was explained by ‘culture,’ ‘structural and electronic resources,’ and ‘breadth of device functions’ (positive effects), and ‘slack staff’ (negative). ‘Organizational culture’ (positive), ‘breadth of device functions’ (positive), and ‘slack staff ‘(negative) were associated with frequency of Lexi/PEPID drug dictionary use.ConclusionAccess to PDAs and Tablet PCs supported nurses’ self-reported use of information resources. Several of the organizational context variables and one individual nurse variable explained variation in the frequency of information resource use.

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Section: Introductionmentioning

confidence: 99%

The role of organizational context and individual nurse characteristics in explaining variation in use of information technologies in evidence based practice

et al. 2012

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“…The complete and accurate capture of data is important in research, and the use of handheld devices could improve this endeavor (Hardwick, Pulido, & Adelson, 2007). As has been found in other studies, PDAs are easily transported, relatively inexpensive on a limited grant budget, and easy to use (Gravlee, 2002; Trapl et al, 2005).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the use of audio‐enhanced personal digital assistants to survey Latino migrant farmworkers

Kilanowski

Trapl

2010

Research in Nursing & Health

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We describe the feasibility of audio-enhanced personal digital assistants (ADPAs) for data collection with 60 Latino migrant farmworkers. All participants chose to complete APDA surveys rather than using paper-and-pencil. No one left the study prematurely: two (3%) data cases were lost due to technical difficulties. Across all data .27% missing data were observed: nine missing responses on eight items. Participants took 19 minutes on average to complete the 58-question survey. The factor most influential for completion was education level. APDA methodology enabled both English-and Spanish-speaking Latino migrant farmworkers to become active research participants with minimal loss of data. Keywords migrant farmworker; data collection; data qualityThe Latino population in the US is the most rapidly growing ethnic minority with 28 million American residents with Mexican nativity or parents with Mexican birth (U.S. Census Bureau, 2006). An estimated 3-5 million migrant farmworkers are in the US; 90% are of Latino ethnicity, with the majority originating from Mexico (U.S. Department of Labor [USDoL], 2005). As a group, migrant farmworkers display worse health status indicators than the majority population (Kandula, Kersey, & Lurie, 2004;Rubalcave, Teruel, Thomas, & Goldman, 2008; United States Department of Health and Human Services [USDHHS], 2002a). Levels of education influence reading ability, and although the highest grade completed varies by place of birth, foreign-born migrant farmworkers on average complete the sixth grade in contrast to completion of the 11th grade by U.S.-born migrant farmworkers (USDoL). In addition, 81% of the migrant farmworkers speak predominantly Spanish (National Center for Farmworker Health, 2009 When collecting data from low-literacy or non-English speaking populations, interviewers are often needed to read or translate questions (Aday & Cornelius, 2006). Face-to-face interviews provide the researcher with opportunities to clarify study questions for participants, answer questions, and improve data quality through knowledgeable navigation of the survey (Czaja & Blair, 1996). These benefits should be weighed against the intense time and staffing resources required for face-to-face interviews, as well as the potential introduction of social desirability bias Tourangeau & Smith, 1996). Potential sources of error can also be introduced when an instrument that is designed to be self-administered is read to subjects with low levels of literacy (Al-Tayyib, Rogers, Gribble, Villarroel, & Turner, 2002;Lange, 2002).To address the high cost of face-to-face interviews, as well as the difficulties of reading and navigating paper-based questionnaires, researchers have developed audio computer-assisted self-interviewing (ACASI), which has been used successfully in various populations and shown to improve data quality and standardize survey administration through faster data entry and fewer non-responses (Ramos, Sedivi, & Sweet, 1998). The use of audio recording has been shown to reduce iss...

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“…A possibility to instantly document an assessment as well as having access to a simplified documentation system which support any local quality and safety guidelines ought to increase the frequency of documented pain assessments. Hand‐held technology can facilitate the clinical documentation of assessments, interventions and outcomes (39). Wu and Strauss (40) suggest that mobile access to electronic medical records is the only way forward for certain complex care areas such as the emergency departments.…”

Section: Discussionmentioning

confidence: 99%

Documented assessments and treatments of patients seeking emergency care because of pain

Lewén¹,

Gardulf²,

Nilsson³

2010

Scandinavian Journal of Caring Sciences

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The Use of Handheld Technology in Nursing Research and Practice

Cited by 22 publications

References 23 publications

The role of organizational context and individual nurse characteristics in explaining variation in use of information technologies in evidence based practice

The role of organizational context and individual nurse characteristics in explaining variation in use of information technologies in evidence based practice

Evaluation of the use of audio‐enhanced personal digital assistants to survey Latino migrant farmworkers

Documented assessments and treatments of patients seeking emergency care because of pain

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