Die digitale Zukunft der Pflege – Chancen und Risiken

Erste Erfahrungen mit Mobility am Universitätsspital Zürich
  • Pamina Göttelmann
  • Mirjam Meier
  • Andreas Maurer
  • Diana Staudacher
  • Rebecca Spirig
Chapter

Zusammenfassung

Pflegefachpersonen von Anfang an als Mitgestalterinnen der Mobility-Entwicklung einbeziehen, maximale Nutzerfreundlichkeit sicherstellen und hohen Rückhalt durch Führungspersonen gewährleisten – diese drei Faktoren haben sich bei der Mobility-Entwicklung in der Pflege am Universitätsspital Zürich bewährt. Im Zentrum standen zwei Fragen: Welche Mobility benötigt die Pflege? Welche Rahmenbedingungen sind für den Einsatz mobiler Lösungen in der Pflege erforderlich? Um Erfahrungswerte zu sammeln, erfolgten zunächst zwei Pilotprojekte mit spitaleigenen App-Entwicklungen. In der Pflege sollte Mobility dazu dienen, maximale Patientensicherheit zu gewährleisten, wenn menschliche Aufmerksamkeit und Konzentration an Grenzen stoßen: Mobility for safety! Diese Erkenntnis bildet die Grundlage einer entstehenden Mobility-Strategie mit dem Ziel, eine verantwortungsvolle Balance zwischen Patientensicherheit, Datenschutz und deutlichem Nutzen für die Pflegepraxis zu erreichen.

Literatur

  1. Bergmo TS (2015) How to measure costs and benefits of eHealth interventions: An overview of methods and frameworks. J Med Internet Res 17(11):e254.  https://doi.org/10.2196/jmir.4521 CrossRefGoogle Scholar
  2. Charani E, Castro-Sánchez E, Moore LSP, Holmes A (2014) Do smartphone applications in healthcare require a governance and legal framework? It depends on the application! BMC Med 12(1):1–3.  https://doi.org/10.1186/1741-7015-12-29 CrossRefGoogle Scholar
  3. Divall P, Camosso-Stefinovic J, Baker R (2013) The use of personal digital assistants in clinical decision making by health care professionals: A systematic review. Health Inform J 19(1):16–28.  https://doi.org/10.1177/1460458212446761 CrossRefGoogle Scholar
  4. Estrin D, Sim I (2010) Open mHealth architecture: An engine for health care innovation. Science 330(6005):759–760CrossRefGoogle Scholar
  5. European Commission (2009) eHealth in action: Good practice in european countries. retrieved from DG information society and media, ICT for health unit. Office for Official Publications of the European Communities, LuxembourgGoogle Scholar
  6. Eysenbach G (2001) What is e-health?. J Med Internet Res 3(2):e20.  https://doi.org/10.2196/jmir.3.2.e20 CrossRefGoogle Scholar
  7. Frankel RM (2016) Computers in the examination room. JAMA Inter Med 176(1):128–129.  https://doi.org/10.1001/jamainternmed.2015.6559 CrossRefGoogle Scholar
  8. Gibson JL, Martin DK, Singer PA (2004) Setting priorities in health care organizations: criteria, processes, and parameters of success. BMC Health Serv Res 4(1):1–8.  https://doi.org/10.1186/1472-6963-4-25 CrossRefGoogle Scholar
  9. Göttelmann P (2016) Setting Investment Priorities for Mobile Solutions in Hospitals. Master Thesis, Management Center Innsbruck (MCI)Google Scholar
  10. Labrique A, Vasudevan L, Chang LW, Mehl G (2013) Hype for mHealth: More „y“ or „o“ on the horizon?. Int J Med Inform 82(5):467–469.  https://doi.org/10.1016/j.ijmedinf.2012.11.016 CrossRefGoogle Scholar
  11. Labrique AB, Vasudevan L, Kochi E, Fabricant R, Mehl G (2013) mHealth innovations as health system strengthening tools: 12 common applications and a visual framework. Glob Health Sci Pract 1(2):160–171.  https://doi.org/10.9745/ghsp-d-13-00031 CrossRefGoogle Scholar
  12. Lindquist AM, Johansson PE, Petersson GI, Saveman B-I, Nilsson GC (2008) The use of the personal digital assistant (PDA) among personnel and students in health care: A review. J Med Internet Res 10(4):e31.  https://doi.org/10.2196/jmir.1038 CrossRefGoogle Scholar
  13. Linstone HA, Turoff M (1975) The Delphi method: Techniques and applications, Vol. 29. Portland State University, New Jersey Institute of Technology. Addison-Wesley. ReadingGoogle Scholar
  14. Lu Y-C, Xiao Y, Sears A, Jacko JA (2005) A review and a framework of handheld computer adoption in healthcare. Int J Med Inform 74(5):409–422.  https://doi.org/10.1016/j.ijmedinf.2005.03.001 CrossRefGoogle Scholar
  15. Martínez-Pérez B, La Torre-Díez Id, López-Coronado M, Sainz-de-Abajo B, Robles M, García-Gómez JM (2014) Mobile clinical decision support systems and applications: a literature and commercial review. J Med Syst 38(1):4.  https://doi.org/10.1007/s10916-013-0004-y CrossRefGoogle Scholar
  16. Maurer A (2016) Mobilität@USZ, Projektabschlussbericht, unveröffentliches Dokument. Universitätsspital Zürich, ZürichGoogle Scholar
  17. McLean S, Sheikh A, Cresswell K, Nurmatov U, Mukherjee M, Hemmi A, Lovis C (2013) The impact of telehealthcare on the quality and safety of care: A Systematic Overview. PLoS ONE 8(8):e71238.  https://doi.org/10.1371/journal.pone.0071238 CrossRefGoogle Scholar
  18. Mickan S, Atherton H, Roberts NW, Heneghan C, Tilson JK (2014) Use of handheld computers in clinical practice: A systematic review. BMC Med Inform Decis Mak 14(1):56.  https://doi.org/10.1186/1472-6947-14-56 CrossRefGoogle Scholar
  19. Mickan S, Tilson JK, Atherton H, Roberts NW, Heneghan C (2013) Evidence of effectiveness of health care professionals using handheld computers: A scoping review of systematic reviews. J Med Internet Res 15(10):e212.  https://doi.org/10.2196/jmir.2530 CrossRefGoogle Scholar
  20. Moore S, Anderson J, Cox S (2012) Pros and cons of using apps in clinical practice. Nurse Manag 19(6):14–17.  https://doi.org/10.7748/nm2012.10.19.6.14.c9316 CrossRefGoogle Scholar
  21. National Health Service England (2015) Never Event List 2015/16, Online im Internet. https://www.england.nhs.uk/wp-content/uploads/2015/03/never-evnts-list-15-16.pdf. Zugegriffen: 04 Nov. 2016
  22. Nolan T (2011) A smarter way to practice. BMJ 342:470–471CrossRefGoogle Scholar
  23. Payne KF, Weeks L, Dunning P (2014) A mixed methods pilot study to investigate the impact of a hospital-specific iPhone application (iTreat) within a British junior doctor cohort. Health Inform J 20(1):59–73.  https://doi.org/10.1177/1460458213478812 CrossRefGoogle Scholar
  24. Payne KFB, Wharrad H, Watts K (2012) Smartphone and medical related App use among medical students and junior doctors in the United Kingdom (UK): A regional survey. BMC Med Inform Decis Mak 12(1):1–11.  https://doi.org/10.1186/1472-6947-12-121 CrossRefGoogle Scholar
  25. Prgomet M, Georgiou A, Westbrook JI (2009) The impact of mobile handheld technology on hospital physicians' work practices and patient care: A systematic review. J Am Med Inform Assoc JAMIA 16(6):792–801.  https://doi.org/10.1197/jamia.M3215 CrossRefGoogle Scholar
  26. Przybylo JA, Wang A, Loftus P, Evans KH, 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.  https://doi.org/10.1002/jhm.2228 CrossRefGoogle Scholar
  27. Ratanawongsa N, Barton JL, Lyles CR, Wu M, Yelin EH, Martinez D, Schillinger D (2016) Association between clinician computer use and communication with patients in safety-net clinics. JAMA Intern Med 176(1):125–128.  https://doi.org/10.1001/jamainternmed.2015.6186 CrossRefGoogle Scholar
  28. Royal College of Nursing RCN (2012) Nursing staff using personal mobile phones for work purposes, RCN guidance. RCN Publishing, LondonGoogle Scholar
  29. Sheikh A, McLean S, Cresswell K, Pagliari C, Pappas Y et al (2011) The impact of eHealth on the quality and safety of healthcare. An updated systematic overview & synthesis of the literature. Final report for the NHS Connecting for Health Evaluation Programme (NHS CFHEP 001), Imperial College London, The University of EdinburghGoogle Scholar
  30. Swabey P (2016) Mobilität, Leistung und Engagement. Wie CIOs durch die Gestaltung des Arbeitserlebens zur Leistung des Unternehmens beitragen können, The Economist, Intelligence Unit, Online im Internet. www.arubanetworks.com/download.php?file=/assets/_de/EIUStudy.pdf. Zugegriffen: 04 Nov. 2016
  31. The Plos Medicine Editors (2013) A Reality checkpoint for mobile health: Three challenges to overcome. PLoS Medicine 10(2):e1001395.  https://doi.org/10.1371/journal.pmed.1001395 CrossRefGoogle Scholar
  32. Tomlinson M, Rotheram-Borus MJ, Swartz L, Tsai AC (2013) Scaling up mHealth: Where is the evidence?. PLoS Medicine 10(2):e1001382.  https://doi.org/10.1371/journal.pmed.1001382 CrossRefGoogle Scholar
  33. Ventola CL (2014) Mobile devices and apps for health care professionals: Uses and benefits. P & T 39(5):356–364Google Scholar
  34. Visser BJ, Bouman J (2012) There’s a medical app for that, in: BMJ Careers, Online im Internet. http://careers.bmj.com/careers/advice/view-article.html?id=20007104 04 Nov. 2016
  35. Wu R, Morra D, Quan S, Lai S, Zanjani S, Abrams H, Rossos PG (2010) The use of smartphones for clinical communication on internal medicine wards. J Hosp Med 5(9):553–559.  https://doi.org/10.1002/jhm.775 CrossRefGoogle Scholar
  36. Yu P, Li H, Gagnon M-P (2009) Health IT acceptance factors in long-term care facilities: A cross-sectional survey. Int J Med Inform 78(4):219–229.  https://doi.org/10.1016/j.ijmedinf.2008.07.006 CrossRefGoogle Scholar

Copyright information

© Springer Fachmedien Wiesbaden GmbH 2018

Authors and Affiliations

  • Pamina Göttelmann
    • 1
  • Mirjam Meier
    • 2
  • Andreas Maurer
    • 3
  • Diana Staudacher
    • 4
  • Rebecca Spirig
    • 5
  1. 1.Direktion ICT, ProjektmanagementUniversitätsspital ZürichZürichSwitzerland
  2. 2.Direktion Pflege und MTTBUniversitätsspital ZürichZürichSwitzerland
  3. 3.Direktion ICT ProjektmanagementUniversitätsspital ZürichZürichSwitzerland
  4. 4.Direktion Pflege und MTTBDirektion Pflege und MTTBZürichSwitzerland
  5. 5.Direktion Pflege und MTTBDirektion Pflege und MTTBZürichSwitzerland

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