Evidence map›Paper›PMID 37819696›Full record

ArticleJMIR human factors2023

Implementing Electronic Discharge Communication Tools in Pediatric Emergency Departments: Multicountry, Cross-Sectional Readiness Survey of Nurses and Physicians.

Janet Curran, Lori Wozney, Emma Tavender, Catherine Wilson, Krista C Ritchie, Helen Wong, Allyson Gallant, Mari Somerville, Patrick M Archambault, Christine Cassidy and 3 more

Open access · goldAbstract read
In one paragraph

Article in JMIR human factors, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 4 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 2 countries.

Janet Curran *IWK Health Centre, Halifax, NS, Canada.ORCID 0000-0001-9977-0467
Lori Wozney *IWK Health Centre, Halifax, NS, Canada.ORCID 0000-0003-4280-3322
Emma Tavender *Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia.ORCID 0000-0002-7230-712X
Catherine Wilson *Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia.ORCID 0000-0001-5893-4226
Krista C Ritchie *Faculty of Education, Mount Saint Vincent University, Halifax, NS, Canada.ORCID 0000-0003-3148-1452
Helen Wong *Department of Psychiatry, Dalhousie University, Halifax, NS, Canada.ORCID 0000-0001-6827-0662
Allyson Gallant *Department of Psychiatry, Dalhousie University, Halifax, NS, Canada.ORCID 0000-0002-2933-7470
Mari Somerville *IWK Health Centre, Halifax, NS, Canada.ORCID 0000-0002-4699-7278
Patrick M Archambault *Département de médecine familiale et médecine d'urgence, Université Laval, Québec City, QC, Canada.ORCID 0000-0002-5090-6439
Christine Cassidy *Department of Psychiatry, Dalhousie University, Halifax, NS, Canada.ORCID 0000-0001-7770-5058
Mona Jabbour *Department of Pediatrics, University of Ottawa, Ottawa, ON, Canada.ORCID 0000-0002-0031-2026
Rebecca Mackay *IWK Health Centre, Halifax, NS, Canada.ORCID 0000-0002-3126-6341
Amy C Plint *Department of Pediatrics, University of Ottawa, Ottawa, ON, Canada.ORCID 0000-0003-1245-7174
Dalhousie University · CAIzaak Walton Killam Health Centre · CAUniversity of Ottawa · CAMount Saint Vincent University · CAMurdoch Children's Research Institute · AUThe University of Melbourne · AUUniversité Laval · CA

Funding

CIHR 602968
6 · The paper itself

Abstract

backgroundPediatric emergency departments (ED) in many countries are implementing electronic tools such as kiosks, mobile apps, and electronic patient portals, to improve the effectiveness of discharge communication.

objectiveThis study aimed to survey nurse and physician readiness to adopt these tools.

methodsAn electronic, cross-sectional survey was distributed to a convenience sample of currently practicing ED nurses and physicians affiliated with national pediatric research organizations in Canada, Australia, and New Zealand. Survey development was informed by the nonadoption, abandonment, scale-up, spread, sustainability framework. Measures of central tendency, and parametric and nonparametric tests were used to describe and compare nurse and physician responses.

resultsOut of the 270 participants, the majority were physicians (61%, 164/270), female (65%, 176/270), and had 5 or more years of ED experience (76%, 205/270). There were high levels of consensus related to the value proposition of electronic discharge communication tools (EDCTs) with 82% (221/270) of them agreeing that they help parents and patients with comprehension and recall. Lower levels of consensus were observed for organizational factors with only 37% (100/270) agreeing that their staff is equipped to handle challenges with communication technologies. Nurses and physicians showed significant differences on 3 out of 21 readiness factors. Compared to physicians, nurses were significantly more likely to report that EDs have a responsibility to integrate EDCTs as part of a modern system (P<.001) and that policies are in place to guide safe and secure electronic communication (P=.02). Physicians were more likely to agree that using an EDCT would change their routine tasks (P=.04). One third (33%, 89/270) of participants indicated that they use or have used EDCT.

conclusionsDespite low levels of uptake, both nurses and physicians in multiple countries view EDCTs as a valuable support to families visiting pediatric ED. Leadership for technology change, unclear impact on workflow, and disparities in digital literacy skills require focused research effort.

Indexed as

ParentsPhysiciansChildCommunicationCross-Sectional StudiesEmergency Service, HospitalFemaleHumansdischarge communicationelectronic medical recordemergency departmentimplementation sciencemedical informaticsmobile phonepediatric

Identifiers

PMID37819696
PMCPMC10600642
OpenAlexW4385142174

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.