AI Article Synopsis
- - The study aimed to understand how pediatric cardiovascular ICU providers perceive clinical text messaging's impact on their thinking and workflow, along with quantifying the volume of texts received.
- - A survey of 33 providers revealed that 78% felt that text messaging frequently disrupts critical thinking, with greater disruption noted during night shifts; the study also documented over 31,000 text messages received during the observation period.
- - Findings indicate that providers face a significant amount of text communication, particularly at night, leading to potential cognitive overload, suggesting a need to improve text messaging practices to ease this burden.
Article Abstract
Objectives: To characterize frontline provider perception of clinical text messaging and quantify clinical texting data in a pediatric cardiovascular ICU (CICU).
Methods: This is a mixed-methods, retrospective single center study. A survey of frontline CICU providers (pediatric fellows, nurse practitioners, and physician assistants) was conducted to assess attitudes characterizing text messaging on cognitive burden. Text messaging data were abstracted and quantified between January 29, 2020, and April 18, 2020, and the patterns of text messages were analyzed per shift and by provider.
Results: The survey was completed by 33 of 39 providers (85%). Out of responders, 78% indicated that clinical text messaging frequently or very frequently disrupts critical thinking and workflow. They also felt that the burden of messages was worse during the night shift. Through abstraction, 31 926 text messages were identified. A median of 15 (interquartile range: 12-19) messages per hour were received. A median of 5 messages were received per hour per provider during the day shift and 6 during the night shift. From the entire study period, there were total 2 hours of high-frequency texting (≥15 texts per hour) during the day shift and 68 hours during the night shift.
Conclusion: In our study, providers in the CICU received a large number of texts with a disproportionate burden during the night shift. Text messages are a potential source of cognitive overload for providers. Optimization of text messaging may be needed to mitigate cognitive burden for frontline providers.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1542/hpeds.2021-005869 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Real-Time Changes in the Comfort of a Toric, Monthly, Soft Contact Lens Over a Long Day of Wear.
Clin Optom (Auckl)
December 2024
Eminent Ophthalmic Services, LLC, Milledgeville, GA, USA.
Purpose: The purpose of this work was to determine the comfort performance of a toric, monthly, silicon hydrogel CL (lehfilcon A; TOTAL30 for Astigmatism) over a long day of wear.
Methods: This was a 1-month, 3-visit, prospective, single-arm study. Adult, 18- to 45-year-old CL wearers with good vision who were minimally symptomatic (CLDEQ-8 scores ≤12) were enrolled.
The Systematic Development of a Mobile Phone Delivered Text-messaging Tobacco Cessation Intervention in India.
Nicotine Tob Res
December 2024
Addictions and related-Research Group, Sangath, Porvorim, Goa, India.
Introduction: Tobacco consumption is a leading cause of mortality globally. Eighty percent of these deaths occur in low- and middle-income countries (LMICs). Despite this, there is a large treatment gap due to both demand and supply-side barriers.
View Article and Find Full Text PDFEconomic evaluation of short message service intervention for HIV prevention among men who have sex with men in China: a modelling study.
BMC Public Health
December 2024
Department of Infectious Diseases, Affiliated Hospital of Nantong University, Medical School of Nantong University, Nantong, JS, China.
Background: Men who have sex with men (MSM) globally face a high risk of HIV infection. Previous studies indicate that customized short message service (SMS) interventions could reduce high-risk behaviors that associated with HIV transmission. This study aims to evaluate the health and economic impacts of such interventions among MSM in China.
View Article and Find Full Text PDFDulce Digital-Me: results of a randomized comparative trial of static versus adaptive digital interventions for Latine adults with diabetes.
Ann Behav Med
December 2024
Department of Psychology, San Diego State University, San Diego, CA, 92182, United States.
Objective: To compare the effectiveness of a static, text-based diabetes education and support intervention (Dulce Digital, DD) versus a dynamic approach with personalized feedback and goal setting (Dulce Digital-Me, DD-Me) in improving diabetes outcomes.
Design And Methods: Comparative effectiveness trial in 310 Latine adults with poorly managed type 2 diabetes in a Federally Qualified Health Center in Southern California, randomized to DD, DD-Me-Auto (algorithm-driven text-based personalized feedback), or DD-Me-Tel (coach delivered personalized feedback). Changes in HbA1c (primary outcome), low-density lipoprotein-cholesterol, systolic blood pressure, and patient-reported outcomes were examined across 6 and 12 months, with the primary comparison being DD versus DD-Me (combined automated and telephonic).
Using an SMS to improve bowel cancer screening: the acceptability and feasibility of a multifaceted intervention.
Fam Pract
December 2024
Department of General Practice and Primary Care, Level 3, Medical Building, University of Melbourne, Victoria 3010, Australia.
Background: The Australian National Bowel Cancer Screening Program sends an immunochemical faecal occult blood test to Australians aged 50-74 years to screen for bowel cancer, but uptake is low (40.9%). The SMARTscreen trial demonstrated that sending a short messaging services (SMS) prompt from the participant's general practitioner (GP) increased the proportion of kit returns by 16.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!