The health care environment is communications and information intensive. Nurses especially have communications as part of their routine activities, yet little is known about specific nursing communications needs and technologies that might address these needs. This project analyzed the specific communications needs of nurses at Massachusetts General Hospital (MGH) in Boston, MA, through focus group meetings, nursing staff interviews, and direct observation of unit communications. Based on these data, an ideal requirements list for a nursing communication system was created. Data were also gathered and analyzed from units piloting cell phones as nursing communications tools. On non-cell phone units we found that the bulk of communication activity is from the front desk operations associate to the nurse through a sub-optimal overhead paging system that is often unclear or inaudible. The pilot of cellular phones has demonstrated improvements in nursing communications at MGH and there are indications that other emerging technologies will be better able to address the ideal communication needs of nurses.
[1]
Enrico W. Coiera,et al.
Viewpoint: When Conversation Is Better Than Computation
,
2000,
J. Am. Medical Informatics Assoc..
[2]
Y. Donchin,et al.
A look into the nature and causes of human errors in the intensive care unit
,
2022
.
[3]
Enrico W. Coiera,et al.
Communication behaviours in a hospital setting: an observational study
,
1998,
BMJ.
[4]
Peter D. Stetson,et al.
Perceived Information Needs and Communication Difficulties of Inpatient Physicians and Nurses
,
2002,
J. Am. Medical Informatics Assoc..
[5]
D M Rind,et al.
Online Medical Records: A Decade of Experience
,
1999,
Methods of Information in Medicine.
[6]
Enrico W. Coiera,et al.
Viewpoint: Improving Clinical Communication: A View from Psychology
,
2000,
J. Am. Medical Informatics Assoc..