ArticleApplied clinical informatics2016
A Novel Survey to Examine the Relationship between Health IT Adoption and Nurse-Physician Communication.
Article in Applied clinical informatics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Effect of the Electronic Health Record on Interprofessional Practice: A Systematic Review.Applied clinical informatics · 2022Pooled it
- Early evaluation of a natural language processing tool to improve access to educational resources for surgical patients.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024Article
- Discussion-based interprofessional education: A positive step toward promoting shared understanding between surgical residents and nurses.Journal of interprofessional care · 2023Article
- The Perceived Ease of Use and Perceived Usefulness of a Web-Based Interprofessional Communication and Collaboration Platform in the Hospital Setting: Interview Study With Health Care Providers.JMIR human factors · 2023Article
- Assessment of Electronic Health Record Use Between US and Non-US Health Systems.JAMA internal medicine · 2021Article
- Understanding the means of communication between nurses and resident physicians in the modern world: A community-based university hospital survey results.Journal of community hospital internal medicine perspectives · 2020Article
- Using Qualitative Methods to Explore Communication Practices in the Context of Patient Care Rounds on General Care Units.Journal of general internal medicine · 2020Article
- Clinician Perspectives on Electronic Health Records, Communication, and Patient Safety Across Diverse Medical Oncology Practices.Journal of oncology practice · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundAs EHR adoption in US hospitals becomes ubiquitous, a wide range of IT options are theoretically available to facilitate physician-nurse communication, but we know little about the adoption rate of specific technologies or the impact of their use.
objectivesTo measure adoption of hardware, software, and telephony relevant to nurse-physician communication in US hospitals. To assess the relationship between non-IT communication practices and hardware, software, and telephony adoption. To identify hospital characteristics associated with greater adoption of hardware, software, telephony, and non-IT communication practices.
methodsWe conducted a survey of 105 hospitals in the National Nursing Practice Network. The survey captured adoption of hardware, software, and telephony to support nurse-physician communication, along with non-IT communication practices. We calculated descriptive statistics and then created four indices, one for each category, by scoring degree of adoption of technologies or practices within each category. Next, we examined correlations between the three technology indices and the non-IT communication practices index. We used multivariate OLS regression to assess whether certain types of hospitals had higher index scores.
resultsThe majority of hospitals surveyed have a range of hardware, software, and telephony tools available to support nurse-physician communication; we found substantial heterogeneity across hospitals in non-IT communication practices. More intensive non-IT communication was associated with greater adoption of software (r=0.31, p=0.01), but was not correlated with hardware or telephony. Medium-sized hospitals had lower adoption of software (r =-1.14,p=0.04) in comparison to small hospitals, while federally-owned hospitals had lower software (r=-2.57, p=0.02) and hardware adoption (r=-1.63, p=0.01).
conclusionsThe positive relationship between non-IT communication and level of software adoption suggests that there is a complementary, rather than substitutive, relationship. Our results suggest that some technologies with the potential to further enhance communication, such as CPOE and secure messaging, are not being utilized to their full potential in many hospitals.
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