Background and Significance
The introduction of mobile voice communication systems to improve communication and support health services has received important attention among medical practitioners. One of the institutions that have embraced the new initiative is Mount Sinai Medical Center where team members apply text messaging technology to enhance the current voice mail answering and beeper service in the dialysis department. This expanded version will serves as a second reminder that reinforces the communication system and allow immediate contact with on-call dialysis nursing staff where needed (Cole-Lewis & Kershaw, 2010).
A comprehensive review of the literature suggests that mobile technology is a valuable tool for different health care interventions pursuing improvement in health status and health care service centers. This is because it creates efficiency in the delivery of services due to increased speed in terms of communication and feedback management. Most medical centers are embracing this technology for dialysis administration so that nurses follow patient trends. The hospital uses this technology for research and survey the effectiveness of the services rendered to the patient.
The Agency for Healthcare Research and Quality (AHRQ) exchanges a substantial body of research that shows the effectiveness of health text messaging programs to improve treatment compliance (medication adherence and appointment attendance) and health promotion. The text messaging capability is being used to improve short-term smoking cessation, weight reduction, diabetes management and clinical outcomes. The technology can also be used to improve the immunization rates as well as research on sexual health programs. Furthermore, text messaging is widely used in improving health care systems for data collection, disease surveillance and emergency medical response such as maintaining alert systems that disseminate information in emergencies and disaster management and recovery (Reddy, McDonald, Pratt, & shabot, 2005).
In the dialysis section in most hospitals, nurses use voice mail answering and beeper services to attend to patient. This creates inefficiency in the sense that messaging between nurses takes time to reach destination an action that may worsen the patient condition. Many hospital have experienced difficulties using the system hence an improvement to the current system will serve the dialysis sections in hospital better. Frequency paging systems enables physicians to respond to pages in different location in the hospital. However, beeper calls are seen to interrupt the process of service delivery and patient care. Thus, the introduction of messaging services will bring in new ways of doing things in the hospital environment and service promotion. In case a pager system is down, communication between physician, staff, and agency nurses is interrupted in a great way (U.S Department of Health and Human Services, 2014). To avert the situation there is need to improvise a messaging application that will alert staff members in hospital in case of any problem as well as for communication purposes.
Significance of the Study
The purpose of this study is to establish the effects of messaging in the beeper system in hospital in improving the communication on-call nurses and staff members. An expanded version of a nursing voice mail answering and beeper service with added text messaging capability is relevant in the area of interest of the dialysis nurse. It is addressed to improve a critical barrier to progress in the clinical practice, which is communication among on-call dialysis nurses, nephrologists and the hospital staff (Moss, Trow & clardy, 1999). If the aims of the project are achieved, the outcomes will have a significant impact in the quality of health care services provided, improving public health. The project will increase the nurse’s responsiveness to incoming calls, reducing wasting time. The successful completion of the aims will change services that drive this field, improving the workflow among health care providers.
This projects is an invention that seeks to redefine the current clinical practice paradigm by utilizing text messaging (sms Alerts) capability, in tandem with pager alerts/phone alerts. The innovation enhances on call dialysis hospital based nurse response to calls, reducing the number of missed calls in the system setup or signal loss (Progomet, Georgrgious, & Westbrook, 2009). The application calls for trained personnel’s to operate. This means that staff members will have to go through a training session to be able to apply the messaging technology effectively.
Cole-lewis, H.,& Kershaw,T.(2010). Text Messaging as a Tool for Behavior Change In Disease Prevention And Management. Epidemiologic Reviews, 32(1), 58-65.doi: 10.1093/epirev/mxq004
Moss, M., Trow,T.K.,& Clardy,N.(1999)Differences In The Response Times of Pages Originating From the ICU. Hospital Communication System, 116(4), 1019-1022
Prgomet, M., Georgiou,A., & Westbrook,J.I.(2009). Review Paper. The Impact of Mobil Handheld Technology on Hospital Physicians Work Practices and Patient Care: A Systematic Review. Journal of the American Medical Informatics Association1 (1), 794-798.doi:10.1197/jamia.m3215
Reddy,M.C.,Mcdonald,D.W.,Pratt,W.,&Shabot,M.M(2005).Technology,Work, and Information Flows: Lessons From the Implementation Of Wireless Alert Paper System. Journal of Biomedical Informatics, 38(1), 230-237 doi:10.1016/j.jb.2004.11.010
U.S Department of Health and Human Services (2004). Health Resources and Services Administration. Using Health Text Messages to Improve Consumer Health Knowledge Behavior, and outcomes: An Environmental Scan.Rockville, Maryland, 1(1), 15-22.