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首页> 外文期刊>JMIR Medical Informatics >Experiences of Indian Health Workers Using WhatsApp for Improving Aseptic Practices With Newborns: Exploratory Qualitative Study
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Experiences of Indian Health Workers Using WhatsApp for Improving Aseptic Practices With Newborns: Exploratory Qualitative Study

机译：印度卫生工作者使用WhatsApp改善新生儿无菌操作的经验：定性探索性研究

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Background Quality improvement (QI) involves the following 4 steps: (1) forming a team to work on a specific aim, (2) analyzing the reasons for current underperformance, (3) developing changes that could improve care and testing these changes using plan-do-study-act cycles (PDSA), and (4) implementing successful interventions to sustain improvements. Teamwork and group discussion are key for effective QI, but convening in-person meetings with all staff can be challenging due to workload and shift changes. Mobile technologies can support communication within a team when face-to-face meetings are not possible. WhatsApp, a mobile messaging platform, was implemented as a communication tool by a neonatal intensive care unit (NICU) team in an Indian tertiary hospital seeking to reduce nosocomial infections in newborns. Objective This exploratory qualitative study aimed to examine experiences with WhatsApp as a communication tool among improvement team members and an external coach to improve adherence to aseptic protocols. Methods Ten QI team members and the external coach were interviewed on communication processes and approaches and thematically analyzed. The WhatsApp transcript for the implementation period was also included in the analysis. Results WhatsApp was effective for disseminating information, including guidance on QI and clinical practice, and data on performance indicators. It was not effective as a platform for group discussion to generate change ideas or analyze the performance indicator data. The decision of who to include in the WhatsApp group and how members engaged in the group may have reinforced existing hierarchies. Using WhatsApp created a work environment in which members were accessible all the time, breaking down barriers between personal and professional time. The continual influx of messages was distracting to some respondents, and how respondents managed these messages (eg, using the silent function) may have influenced their perceptions of WhatsApp. The coach used WhatsApp to share information, schedule site visits, and prompt action on behalf of the team. Conclusions WhatsApp is a productive communication tool that can be used by teams and coaches to disseminate information and prompt action to improve the quality of care, but cannot replace in-person meetings.
机译：背景质量改善（QI）包括以下四个步骤：（1）组建团队以实现特定目标;（2）分析当前绩效不佳的原因;（3）制定可以改善护理水平的变更并使用计划测试这些变更-研究行动周期（PDSA），以及（4）实施成功的干预措施以维持改善。团队合作和小组讨论是有效的QI的关键，但是由于工作量和班次变化，与所有员工召开面对面会议可能具有挑战性。当无法举行面对面会议时，移动技术可以支持团队内部的交流。印度一家三级医院的新生儿重症监护病房（NICU）团队将移动消息平台WhatsApp用作通信工具，以减少新生儿的医院感染。目的这项探索性定性研究旨在研究使用WhatsApp作为改善团队成员和外部教练之间的交流工具的经验，以改善对无菌规程的依从性。方法对10名QI团队成员和外部教练进行沟通过程和方法的访谈，并进行主题分析。分析期间还包括实施期间的WhatsApp成绩单。结果WhatsApp可有效传播信息，包括有关QI和临床实践的指南以及性能指标数据。它不能有效地作为小组讨论的平台来产生变更意见或分析绩效指标数据。谁加入WhatsApp组的决定以及成员如何参与该组的决定可能加强了现有层次结构。使用WhatsApp可以创建一个工作环境，使成员可以随时访问，从而消除了个人和专业时间之间的障碍。消息的不断涌入分散了一些受访者的注意力，而受访者如何管理这些消息（例如，使用静音功能）可能会影响他们对WhatsApp的看法。教练使用WhatsApp代表团队共享信息，安排现场访问并及时采取行动。结论WhatsApp是一种高效的沟通工具，团队和教练可以使用它来传播信息并迅速采取行动以提高护理质量，但不能代替面对面的会议。

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