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L’uso degli smartphone nel personale infermieristico: una revisione narrativa della letteratura

Gianluca Pucciarelli, Silvio Simeone, Giuseppe Madonna, Michele Virgolesi

Abstract

INTRODUZIONE: In campo sanitario, lo smartphone sta diventando uno strumento importante tra il personale infermieristico. Grazie agli smartphone è stato possibile implementare nuovi modelli assistenziali. Tuttavia se utilizzati in maniera non corretta potrebbero essere la causa di distrazione e dell’aumento di infezioni ospedaliere.

OBIETTIVO: Analizzare le varie app per smartphone utilizzate dal personale infermieristico e descrivere gli aspetti negativi e positivi che gli smartphone possano avere nelle attività assistenziali e nel personale infermieristico.

METODO: Sono stati consultati i seguenti database: PubMed, CINAHL, SCOPUS e Web of Knowledge, Google Schoolar. Le seguenti parole chiavi sono state utilizzate: ((nurse* NOT (student* OR physician*) AND (smartphone* OR phone* OR mobile* OR cellphone) AND (app OR use* OR benefit OR distraction OR stress OR abuse OR work-related).

RISULTATI: Un totale di 34 articoli sono stati inclusi nella revisione. Sono state descritte app per il dosaggio dei farmaci, per la rilevazione della frequenza cardiaca e per controllare a distanza pazienti affetti da diverse patologie croniche. Se da un lato gli smartphone potrebbero essere causa di distrazione, contaminazione batterica o interferenza con altri dispositivi dall’altro potrebbero migliorare il benessere, la soddisfazione al lavoro, diminuire lo stress ed aumentare la produttività.

CONCLUSIONI: La revisione della letteratura evidenzia potenziali benefici dall’uso degli smartphone, ma se usato in maniera impropria, per motivi di distrazione o interruzione, potrebbe avere conseguenze negative sulla qualità della cura e la sicurezza dei pazienti. Per questo motivo, gli infermieri dovrebbero fare attenzione quando usano il loro smartphone per attività non lavorative. Parole chiave: Infermiere, smartphone, app, paziente abstract

Smartphone use in nursing population: a narrative review

INTRODUCTION: In healthcare, smartphone is becoming an important tool among nursing population. With the smartphones, it was possible to implement new care models. However, if used incorrectly, it could be the cause of nurses’ distraction and nosocomial infection.

AIM: To analyze the various apps used by the nursing population and describe the smartphones’ positive and negative aspects on health care by review the literature.

METHOD: PubMed, CINAHL, SCOPUS e Web of Knowledge, Google Schoolar, databases were used to perform this study. The following keywords were used: ((nurse* NOT (student* OR physician*)) AND (smartphone* OR phone* OR mobile* OR cellphone) AND (app OR use* OR benefit OR distraction OR stress OR abuse OR work-related).

RESULTS: A total of 34 articles were included in the review. Medical calculation, heart measurement and chronic patient-nurse communication apps were described. While smartphones may cause distraction, nosocomial infection or interference with other medical devices, on the other hand they could improve the well-being, job satisfaction, productivity and decrease stress in nurse population.

CONCLUSIONS: There are potential benefits of the smartphone use, but the smartphone misuse could have negative consequences on the quality care and patient’ safety due to nurses’ distraction and interruptions. For this reason, nurses should be careful when they use their smartphone for no work-related activities.

Keywords: nurse, smartphone, app, patient

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Riferimenti bibliografici

Albrecht, U. V., von Jan, U., Sedlacek, L., Groos, S., Suerbaum, S., & Vonberg, R. P. (2013). Standardized, App-based disinfection of iPads in a clinical and nonclinical setting: comparative analysis. J Med Internet Res, 15(8), e176. doi: 10.2196/jmir.2643

Badawy, S. M., & Kuhns, L. M. (2016). Economic Evaluation of Text-Messaging and Smartphone-Based Interventions to Improve Medication Adherence in Adolescents with Chronic Health Conditions: A Systematic Review. JMIR Mhealth Uhealth, 4(4), e121. doi: 10.2196/mhealth.6425

Baranchuk, A., Kang, J., Shaw, C., Campbell, D., Ribas, S., Hopman, W. M., . . . Simpson, C. S. (2009). Electromagnetic interference of communication devices on ECG machines. Clin Cardiol, 32(10), 588-592. doi: 10.1002/clc.20459

Baron, J. S., Hirani, S. P., & Newman, S. P. (2016). Investigating the behavioural effects of a mobile-phone based home telehealth intervention in people with insulin-requiring diabetes: Results of a randomized controlled trial with patient interviews. J Telemed Telecare. doi: 10.1177/1357633X16655911

Beiwinkel, T., Kindermann, S., Maier, A., Kerl, C., Moock, J., Barbian, G., & Rossler, W. (2016). Using Smartphones to Monitor Bipolar Disorder Symptoms: A Pilot Study. JMIR Ment Health, 3(1), e2. doi: 10.2196/mental.4560

Bierbrier, R., Lo, V., & Wu, R. C. (2014). Evaluation of the accuracy of smartphone medical calculation apps. J Med Internet Res, 16(2), e32. doi: 10.2196/jmir.3062

Black, E., Light, J., Paradise Black, N., & Thompson, L. (2013). Online social network use by health care providers in a high traffic patient care environment. J Med Internet Res, 15(5), e94. doi: 10.2196/jmir.2421

Boruff, J. T., & Storie, D. (2014). Mobile devices in medicine: a survey of how medical students, residents, and faculty use smartphones and other mobile devices to find information. J Med Libr Assoc, 102(1), 22-30. doi: 10.3163/1536-5050.102.1.006

Bosslet, G. T., Torke, A. M., Hickman, S. E., Terry, C. L., & Helft, P. R. (2011). The patient-doctor relationship and online social networks: results of a national survey. J Gen Intern Med, 26(10), 1168-1174. doi: 10.1007/s11606-011-1761-2

Broussard, B. S., & Broussard, A. B. (2013). Using electronic communication safely in health care settings. Nurs Womens Health, 17(1), 59-62. doi: 10.1111/1751-486X.12007

Cameron, J. I., Rappolt, S., Lewis, M., Lyons, R., Warner, G., & Silver, F. (2007). Development and implementation of the Ontario Stroke System: the use of evidence. Int J Integr Care, 7, e30.

Celik, S., Cosansu, G., Erdogan, S., Kahraman, A., Isik, S., Bayrak, G., . . . Olgun, N. (2015). Using mobile phone text messages to improve insulin injection technique and glycaemic control in patients with diabetes mellitus: a multi-centre study in Turkey. J Clin Nurs, 24(11-12), 1525-1533. doi: 10.1111/jocn.12731

Charpentier, G., Benhamou, P. Y., Dardari, D., Clergeot, A., Franc, S., Schaepelynck-Belicar, P., . . . TeleDiab Study, Group. (2011). The Diabeo software enabling individualized insulin dose adjustments combined with telemedicine support improves HbA1c in poorly controlled type 1 diabetic patients: a 6-month, randomized, open-label, parallel-group, multicenter trial (TeleDiab 1 Study). Diabetes Care, 34(3), 533-539. doi: 10.2337/dc10-1259

Choi, N. (2011). Relationship between health service use and health information technology use among older adults: analysis of the US National Health Interview Survey. J Med Internet Res, 13(2), e33. doi: 10.2196/jmir.1753

Crise, A., Kaberi, H., Ruiz, J., Zatsepin, A., Arashkevich, E., Giani, M., . . . Papathanassiou, E. (2015). A MSFD complementary approach for the assessment of pressures, knowledge and data gaps in Southern European Seas: The PERSEUS experience. Mar Pollut Bull. doi: 10.1016/j.marpolbul.2015.03.024

Dahlberg, K., Jaensson, M., Eriksson, M., & Nilsson, U. (2016). Evaluation of the Swedish Web-Version of Quality of Recovery (SwQoR): Secondary Step in the Development of a Mobile Phone App to Measure Postoperative Recovery. JMIR Res Protoc, 5(3), e192. doi: 10.2196/resprot.5881

Dasari, K. B., White, S. M., & Pateman, J. (2011). Survey of iPhone usage among anaesthetists in England. Anaesthesia, 66(7), 630-631. doi: 10.1111/j.1365-2044.2011.06747.x

Flannigan, C., & McAloon, J. (2011). Students prescribing emergency drug infusions utilising smartphones outperform consultants using BNFCs. Resuscitation, 82(11),1424-1427. doi: 10.1016/j.resuscitation.2011. 07.014

Franko, O. I. (2011). Smartphone apps for orthopaedic surgeons. Clin Orthop Relat Res, 469(7), 2042-2048. doi: 10.1007/s11999-011-1904-0

Gill, P. S., Kamath, A., & Gill, T. S. (2012). Distraction: an assessment of smartphone usage in health care work settings. Risk Manag Health Policy, 5, 105-114. doi: 10.2147/RMHP.S34813

Go, A. S., Mozaffarian, D., Roger, V. L., Benjamin, E. J., Berry, J. D., Blaha, M. J., . . . Stroke Statistics, Subcommittee. (2014). Heart disease and stroke statistics--2014 update: a report from the American Heart Association. Circulation, 129(3), e28-e292. doi: 10.1161/01.cir.0000441139.02102.80

Gopinath, S. C., Tang, T. H., Chen, Y., Citartan, M., & Lakshmipriya, T. (2014). Bacterial detection: from microscope to smartphone. Biosens Bioelectron, 60, 332-342. doi: 10.1016/j.bios.2014.04.014

Green, B. N., Johnson, C. D., & Adams, A. (2006). Writing narrative literature reviews for peer-reviewed journals: secrets of the trade. J Chiropr Med, 5(3), 101-117. doi: 10.1016/S0899-3467(07)60142-6

Haffey, F., Brady, R. R., & Maxwell, S. (2013). A comparison of the reliability of smartphone apps for opioid conversion. Drug Saf, 36(2), 111-117. doi: 10.1007/s40264-013-0015-0

Hagberg, H., Siebert, J., Gervaix, A., Daehne, P., Lovis, C., Manzano, S., & Ehrler, F. (2016). Improving Drugs Administration Safety in Pediatric Resuscitation Using Mobile Technology. Stud Health Technol Inform, 225, 656-657.

Hans, N., & Kapadia, F. N. (2008). Effects of mobile phone use on specific intensive care unit devices. Indian J Crit Care Med, 12(4), 170-173. doi: 10.4103/0972-5229.45077

Heo, J., Chun, M., Lee, K. Y., Oh, Y. T., Noh, O. K., & Park, R. W. (2013). Effects of a smartphone application on breast self-examination: a feasibility study. Healthc Inform Res, 19(4), 250-260. doi: 10.4258/ hir.2013.19.4.250

Ho, C. L., Fu, Y. C., Lin, M. C., Chan, S. C., Hwang, B., & Jan, S. L. (2014). Smartphone applications (apps) for heart rate measurement in children: comparison with electrocardiography monitor. Pediatr Cardiol, 35(4), 726-731. doi: 10.1007/s00246-013-0844-8

Holmen, H., Torbjornsen, A., Wahl, A. K., Jenum, A. K., Smastuen, M. C., Arsand, E., & Ribu, L. (2014). A Mobile Health Intervention for Self-Management and Lifestyle Change for Persons With Type 2 Diabetes, Part 2: One-Year Results From the Norwegian Randomized Controlled Trial RENEWING HEALTH. JMIR Mhealth Uhealth, 2(4), e57. doi: 10.2196/mhealth.3882

Hughes, D.J., Rowe, M., Batey, M., & Lee, A. (2012). A tale of two sites: Twitter vs. Facebook and the personality predictors of social media usage. Computers in Human Behavior, 28(2), 561-569.

Jaensson, M., Dahlberg, K., Eriksson, M., Gronlund, A., & Nilsson, U. (2015). The Development of the Recovery Assessments by Phone Points (RAPP): A Mobile Phone App for Postoperative Recovery Monitoring and Assessment. JMIR Mhealth Uhealth, 3(3), e86. doi: 10.2196/mhealth.4649

Jenkins, C., Burkett, N. S., Ovbiagele, B., Mueller, M., Patel, S., Brunner-Jackson, B., . . . Treiber, F. (2016). Stroke patients and their attitudes toward mHealth monitoring to support blood pressure control and medication adherence. Mhealth, 2. doi: 10.21037/mhealth .2016.05.04

Joseph, B., Pandit, V., Khreiss, M., Aziz, H., Kulvatunyou, N., Tang, A., . . . Rhee, P. (2013). Improving communication in level 1 trauma centers: replacing pagers with smartphones. Telemed J E Health, 19(3), 150-154. doi: 10.1089/tmj.2012.0114

Jothiraj, H., Howland-Harris, J., Evley, R., & Moppett, I. K. (2013). Distractions and the anaesthetist: a qualitative study of context and direction of distraction. Br J Anaesth, 111(3), 477-482. doi: 10.1093/bja/aet108

Katz, James Everett. (2008). Handbook of mobile communication studies. Cambridge, Mass.: MIT Press.

Kernohan, K. D., McBride, A., Xi, Y., Martin, N., Schwartzentruber, J., Dyment, D. A., . . . Chitayat, D. (2016). Loss of the arginine methyltranserase PRMT7 causes syndromic intellectual disability with microcephaly and brachydactyly. Clin Genet. doi: 10.1111/cge.12884

Kim, H. J., Dh, & Kim, J. S. (2015). The relationship between smartphone use and subjective musculoskeletal symptoms and university students. J Phys Ther Sci, 27(3), 575-579. doi: 10.1589/jpts.27.575

Kim, M. S., Park, J. H., & Park, K. Y. (2012). [Development and effectiveness of a drug dosage calculation training program using cognitive loading theory based on smartphone application]. J Korean Acad Nurs, 42(5), 689-698. doi: 10.4040/jkan.2012.42.5.689

Kjelle, E., & Lysdahl, K. B. (2017). Mobile radiography services in nursing homes: a systematic review of residents' and societal outcomes. BMC Health Serv Res, 17(1), 231. doi: 10.1186/s12913-017-2173-8

Kummervold, P. E., & Wynn, R. (2012). Health information accessed on the internet: the development in 5 European countries. Int J Telemed Appl, 2012, 297416. doi: 10.1155/2012/297416

Lim, S., & Shim, H. (2016). Who Multitasks on Smartphones? Smartphone Multitaskers' Motivations and Personality Traits. Cyberpsychol Behav Soc Netw, 19(3), 223-227. doi: 10.1089/cyber.2015.0225

Lin, K. Y., & Lu, H.P. . (2011). Why people use social networking sites: An empirical study integrating network externalities and motivation theory. Computers in Human Behavior, 27(3), 1152-1161.

McBride, D. L. (2015a). Distraction of clinicians by smartphones in hospitals: a concept analysis. J Adv Nurs. doi: 10.1111/jan.12674

McBride, D. L. (2015b). Distraction of clinicians by smartphones in hospitals: a concept analysis. J Adv Nurs, 71(9), 2020-2030. doi: 10.1111/jan.12674

McBride, D. L., LeVasseur, S. A., & Li, D. (2015). Non-work-related use of personal mobile phones by hospital registered nurses. JMIR Mhealth Uhealth, 3(1), e3. doi: 10.2196/mhealth.4001

McBride, D., LeVasseur, S. A., & Li, D. (2015). Nursing Performance and Mobile Phone Use: Are Nurses Aware of Their Performance Decrements? JMIR Hum Factors, 2(1), e6. doi: 10.2196/humanfactors.4070

Meadow, J. F., Altrichter, A. E., & Green, J. L. (2014). Mobile phones carry the personal microbiome of their owners. PeerJ, 2, e447. doi: 10.7717/peerj.447

Morioka, I., Tabuchi, Y., Takahashi, Y., Oda, Y., Nakai, M., Yanase, A., & Watazu, C. (2011). [Bacterial contamination of mobile phones shared in hospital wards and the consciousness and behavior of nurses about biological cleanliness]. Nihon Eiseigaku Zasshi, 66(1), 115-121.

Morris-Docker, S. B., Tod, A., Harrison, J. M., Wolstenholme, D., & Black, R. (2004). Nurses' use of the Internet in clinical ward settings. J Adv Nurs, 48(2), 157-166. doi: 10.1111/j.1365-2648.2004.03183.x

O'Connor, C., Friedrich, J. O., Scales, D. C., & Adhikari, N. K. (2009). The use of wireless e-mail to improve healthcare team communication. J Am Med Inform Assoc, 16(5), 705-713. doi: 10.1197/jamia.M2299

Pillet, S., Berthelot, P., Gagneux-Brunon, A., Mory, O., Gay, C., Viallon, A., . . . Botelho-Nevers, E. (2016). Contamination of healthcare workers' mobile phones by epidemic viruses. Clin Microbiol Infect, 22(5), 456 e451-456. doi: 10.1016/j.cmi.2015.12.008

Przybylo, J. A., Wang, A., Loftus, P., Evans, K. H., Chu, I., & Shieh, L. (2014). Smarter hospital communication: secure smartphone text messaging improves provider satisfaction and perception of efficacy, workflow. J Hosp Med, 9(9), 573-578. doi: 10.1002/jhm.2228

Quan, S., Wu, R., Morra, D., Wong, B. M., Mraz, R., Hamill, M., . . . Rossos, P. G. (2008). Demonstrating the BlackBerry as a clinical communication tool: a pilot study conducted through the Centre for Innovation in Complex Care. Healthc Q, 11(4), 94-98.

Reinecke, L. (2009). Games at work: the recreational use of computer games during working hours. Cyberpsychol Behav, 12(4), 461-465. doi: 10.1089/cpb.2009.0010

Revelas, A. (2012). Healthcare - associated infections: A public health problem. Niger Med J, 53(2), 59-64. doi: 10.4103/0300-1652.103543

Sawares, A. S., Shen, N., Xue, Y., Abi-Jaoude, A., & Wiljer, D. (2017). The Impact of Mobile Apps on Alcohol Use Disorder: A Systematic Review Protocol. JMIR Res Protoc, 6(4), e49. doi: 10.2196/resprot.6975

Schachner, M. B., Sommer, J. A., Gonzalez, Z. A., Luna, D. R., & Benitez, S. E. (2016). Evaluating the Feasibility of Using Mobile Devices for Nurse Documentation. Stud Health Technol Inform, 225, 495-499.

Schmucker, M., Heid, J., & Haag, M. (2014). Development of an accommodative smartphone app for medical guidelines in pediatric emergencies. Stud Health Technol Inform, 198, 87-92.

Sergeeva, A., Aij, K., van den Hooff, B., & Huysman, M. (2015). Mobile devices in the operating room: Intended and unintended consequences for nurses' work. Health Informatics J. doi: 10.1177/1460458215598637

Shivapathasundram, G., Heckelmann, M., & Sheridan, M. (2012). Using smart phone video to supplement communication of radiology imaging in a neurosurgical unit: technical note. Neurol Res, 34(3), 318-320. doi: 10.1179/1743132812Y.0000000006

Smetaniuk, P. (2014). A preliminary investigation into the prevalence and prediction of problematic cell phone use. J Behav Addict, 3(1), 41-53. doi: 10.1556/JBA.3.2014.004

Soto, R. G., Chu, L. F., Goldman, J. M., Rampil, I. J., & Ruskin, K. J. (2006). Communication in critical care environments: mobile telephones improve patient care. Anesth Analg, 102(2), 535-541. doi: 10.1213/01.ane.0000194506.79408.79

Sposaro, F., Danielson, J., & Tyson, G. (2010). iWander: An Android application for dementia patients. Conf Proc IEEE Eng Med Biol Soc, 2010, 3875-3878. doi: 10.1109/IEMBS.2010.5627669

Sydnor, E. R., & Perl, T. M. (2011). Hospital epidemiology and infection control in acute-care settings. Clin Microbiol Rev, 24(1), 141-173. doi: 10.1128/CMR.00027-10

Torous, J., Staples, P., Fenstermacher, E., Dean, J., & Keshavan, M. (2016). Barriers, Benefits, and Beliefs of Brain Training Smartphone Apps: An Internet Survey of Younger US Consumers. Front Hum Neurosci, 10, 180. doi: 10.3389/fnhum.2016.00180

Tran, K., Morra, D., Lo, V., Quan, S., & Wu, R. (2014). The use of smartphones on General Internal Medicine wards: a mixed methods study. Appl Clin Inform, 5(3), 814-823. doi: 10.4338/ACI-2014-02-RA-0011

Ustun, C., & Cihangiroglu, M. (2012). Health care workers' mobile phones: a potential cause of microbial cross-contamination between hospitals and community. J Occup Environ Hyg, 9(9), 538-542. doi: 10.1080/15459624.2012.697419

van Lieshout, E. J., van der Veer, S. N., Hensbroek, R., Korevaar, J. C., Vroom, M. B., & Schultz, M. J. (2007). Interference by new-generation mobile phones on critical care medical equipment. Crit Care, 11(5), R98. doi: 10.1186/cc6115

Varnfield, M., Karunanithi, M., Lee, C. K., Honeyman, E., Arnold, D., Ding, H., . . . Walters, D. L. (2014). Smartphone-based home care model improved use of cardiac rehabilitation in postmyocardial infarction patients: results from a randomised controlled trial. Heart, 100(22), 1770-1779. doi: 10.1136/heartjnl-2014-305783

Ventola, C. L. (2014). Mobile devices and apps for health care professionals: uses and benefits. P T, 39(5), 356-364.

Vodermaier, A., & Millman, R. D. (2011). Accuracy of the Hospital Anxiety and Depression Scale as a screening tool in cancer patients: a systematic review and meta-analysis. Support Care Cancer, 19(12), 1899-1908. doi: 10.1007/s00520-011-1251-4

Wackel, P., Beerman, L., West, L., & Arora, G. (2014). Tachycardia detection using smartphone applications in pediatric patients. J Pediatr, 164(5), 1133-1135. doi: 10.1016/j.jpeds.2014.01.047

Wani, S. A., Rabah, S. M., Alfadil, S., Dewanjee, N., & Najmi, Y. (2013). Efficacy of communication amongst staff members at plastic and reconstructive surgery section using smartphone and mobile WhatsApp. Indian J Plast Surg, 46(3), 502-505. doi: 10.4103/0970-0358.121990

Westbrook, J. I., Woods, A., Rob, M. I., Dunsmuir, W. T., & Day, R. O. (2010). Association of interruptions with an increased risk and severity of medication administration errors. Arch Intern Med, 170(8), 683-690. doi: 10.1001/archinternmed.2010.65

Wong, B. M., Quan, S., Shadowitz, S., & Etchells, E. (2009). Implementation and evaluation of an alpha-numeric paging system on a resident inpatient teaching service. J Hosp Med, 4(8), E34-40. doi: 10.1002/jhm.488

Wu, R., Lo, V., Morra, D., Appel, E., Arany, T., Curiale, B., Quan, S. (2015). A smartphone-enabled communication system to improve hospital communication: usage and perceptions of medical trainees and nurses on general internal medicine wards. J Hosp Med, 10(2), 83-89. doi: 10.1002/jhm.2278

Wu, R., Rossos, P., Quan, S., Reeves, S., Lo, V., Wong, B., . . . Morra, D. (2011). An evaluation of the use of smartphones to communicate between clinicians: a mixed-methods study. J Med Internet Res, 13(3), e59. doi: 10.2196/jmir.1655

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