Challenges of Mobile Clinical System Design: What do Nurses Think?

Mobile clinical systems hold great potential for facilitating nursing documentation and communication activities. In this paper, we explore the possibilities of evaluating a mobile clinical system prototype by nurses in the early system design stage. Nurses' concerns and perceptions regarding the mobile system were solicited using a scenario-based design approach. The results revealed tensions between managing general usability principles of ease of use and efficiency with the medical principles of dealing with medical errors, privacy and interruptions. The findings can be used to inform future nursing mobile system design and to provide evidence for supporting nurses' involvement in the early system design and evaluation process.

[1]  Mikael B. Skov,et al.  Supporting information access in a hospital ward by a context-aware mobile electronic patient record , 2006, Personal and Ubiquitous Computing.

[2]  Joshua E. Richardson,et al.  The Effects of Hands Free Communication Devices on Clinical Communication: Balancing Communication Access Needs with User Control , 2008, AMIA.

[3]  M. Carpendale,et al.  Evaluating the deployment of a mobile technology in a hospital ward , 2008, CSCW.

[4]  A. Strauss,et al.  The discovery of grounded theory: strategies for qualitative research aldine de gruyter , 1968 .

[5]  A. Localio,et al.  Role of computerized physician order entry systems in facilitating medication errors. , 2005 .

[6]  Christian Heath,et al.  Mobility in collaboration , 1998, CSCW '98.

[7]  Mary Beth Rosson,et al.  Usability Engineering: Scenario-based Development of Human-Computer Interaction , 2001 .

[8]  Jakob E. Bardram,et al.  The trouble with login: on usability and computer security in ubiquitous computing , 2005, Personal and Ubiquitous Computing.

[9]  Øystein Nytrø,et al.  Context in Care - Requirements for Mobile Context-Aware Patient Charts , 2004, MedInfo.

[10]  Jakob Nielsen,et al.  Usability engineering , 1997, The Computer Science and Engineering Handbook.

[11]  S. Lapinsky,et al.  Review Paper: Handheld Computing in Medicine , 2003, J. Am. Medical Informatics Assoc..

[12]  Y. Han,et al.  Unexpected Increased Mortality After Implementation of a Commercially Sold Computerized Physician Order Entry System , 2005, Pediatrics.

[13]  Suzanne Bakken,et al.  A Systematic Review of User Interface Issues Related to PDA-based Decision Support Systems in Health Care , 2005, AMIA.

[14]  D. Baumgart.  Personal digital assistants in health care: experienced clinicians in the palm of your hand? , 2005, The Lancet.

[15]  Vimla L. Patel,et al.  Towards a hybrid method to categorize interruptions and activities in healthcare , 2007, Int. J. Medical Informatics.

[16]  Vimla L. Patel,et al.  To err is not entirely human: Complex technology and user cognition , 2005, J. Biomed. Informatics.

[17]  Mark D. Dunlop,et al.  The Challenge of Mobile Devices for Human Computer Interaction , 2002, Personal and Ubiquitous Computing.

[18]  Kenton O'Hara,et al.  Everyday practices with mobile video telephony , 2006, CHI.

[19]  Marcela D. Rodríguez,et al.  Context-Aware Mobile Communication in Hospitals , 2003, Computer.

[20]  Ann Hendrich,et al.  A 36-hospital time and motion study: how do medical-surgical nurses spend their time? , 2008, The Permanente journal.

[21]  Jörg Roth.  Patterns of Mobile Interaction , 2002, Personal and Ubiquitous Computing.

[22]  Robyn Tamblyn,et al.  Review Paper: The Impact of Electronic Health Records on Time Efficiency of Physicians and Nurses: A Systematic Review , 2005, J. Am. Medical Informatics Assoc..

[23]  John M. Carroll,et al.  Scenario-based design: envisioning work and technology in system development: john wiley & sons , 1995 .

[24]  Gloria Mark,et al.  The cost of interrupted work: more speed and stress , 2008, CHI.