Mather, C and Cummings, E and Gale, F, Nurses as stakeholders in the adoption of mobile technology in Australian health care environments: interview study, JMIR Nursing, 2, (1) Article e14279. ISSN 2562-7600 (2019) [Refereed Article]
© Carey Mather, Elizabeth Cummings, Fred Gale. Originally published in JMIR Nursing Informatics https://nursing.jmir.org), 01.08.2019. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.
Objective: This study explored the nature and scope of usability of mobile technology at point of care, in order to understand how current governance structures impacted on access and use of digital technology from an organizational perspective.
Methods: Individual semistructured interviews were conducted with 6 representatives from professional nursing organizations. A total of 10 interview questions focused on factors that impacted the use of mobile technology for learning at point of care. Seven national organizations and 52 members from the Coalition of National Nursing and Midwifery Organisations were invited to participate. Interviews were recorded and transcribed verbatim. Data analysis was systematic and organized, consisting of trial coding; member checking was undertaken to ensure rigor. A codebook was developed to provide a framework for analysis to identify the themes latent in the transcribed data. Nurses as stakeholders emerged as a key theme.
Results: Out of 6 participants, 4 female (67%) and 2 male (33%) senior members of the nursing profession were interviewed. Each interview lasted between 17 and 54 minutes, which reflected the knowledge of participants regarding the topic of interest and their availability. Two subthemes, coded as ways of thinking and ways of acting, emerged from the open codes. Participants provided examples of the factors that impacted the capacity of nurses to adopt digital technology from an emic perspective. There were contributing factors that related to actions, including work-arounds, attentiveness, and experiences. Nurses also indicated that there were attitudes and influences that impacted thinking regarding access and use of mobile technology at point of care.
Conclusions: Nurses are inadequately prepared for the digital future that has now arrived in health care environments. Nurses do not perceive that they are leaders in decision making regarding digital technology adoption, nor are they able to facilitate digital literacy or model digital professionalism.
|Item Type:||Refereed Article|
|Keywords:||digital, health policy, digital professionalism, nursing education|
|Research Division:||Health Sciences|
|Research Field:||Nursing not elsewhere classified|
|Objective Group:||Evaluation of health and support services|
|Objective Field:||Health policy evaluation|
|UTAS Author:||Mather, C (Dr Carey Mather)|
|UTAS Author:||Cummings, E (Associate Professor Liz Cummings)|
|UTAS Author:||Gale, F (Professor Fred Gale)|
|Downloads:||5 View Download Statistics|
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