Nurses’ use of smartphones for work purposes in the Philippines : predictors, outcomes, and issues

Although there are studies that highlight how healthcare professionals use smartphones for work purposes, there is a scarcity of knowledge of this phenomenon among nurses – the largest group of healthcare professionals in a hospital. Existing studies are also theoretically and methodologically limit...

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Main Author: Bautista, John Robert Razote
Other Authors: Sonny Ben Rosenthal
Format: Theses and Dissertations
Language:English
Published: 2019
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Online Access:https://hdl.handle.net/10356/80898
http://hdl.handle.net/10220/48111
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Institution: Nanyang Technological University
Language: English
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institution Nanyang Technological University
building NTU Library
country Singapore
collection DR-NTU
language English
topic DRNTU::Social sciences::Communication
spellingShingle DRNTU::Social sciences::Communication
Bautista, John Robert Razote
Nurses’ use of smartphones for work purposes in the Philippines : predictors, outcomes, and issues
description Although there are studies that highlight how healthcare professionals use smartphones for work purposes, there is a scarcity of knowledge of this phenomenon among nurses – the largest group of healthcare professionals in a hospital. Existing studies are also theoretically and methodologically limited. To address these research gaps, this research aims to determine the factors and issues associated with nurses’ use of smartphones for work purposes in the Philippines based on a theoretical framework constructed using the Theory of Planned Behaviour, Organisational Support Theory, and IT Consumerisation Theory. First, an Exploratory Study based on in-depth interviews with 30 nurses in the Philippines was conducted. Results showed that nurses used their smartphones for communication, information seeking, and documentation purposes to facilitate clinical work. It also showed that several behavioural (i.e., instrumental and affective attitudes, injunctive and descriptive norms, perceived behavioural control, and intention) and organisational antecedents (i.e., perceived organisational support) could influence nurses’ use of smartphones for work purposes. Moreover, a relevant outcome of its use is enhanced quality of patient care. The study also uncovered some organisational issues that might affect how nurses used smartphones for work purposes. In general, results of the Exploratory Study were used to further develop Study I and Study II. Study I identified the predictors and outcome of nurses’ use of smartphones for work purposes. Hypothesis testing used structural equation modelling (SEM) of survey data from 517 staff nurses employed in 19 tertiary-level general hospitals in Metro Manila, Philippines. Exploratory and confirmatory factor analysis results showed that nurses’ use of smartphones for work purposes is operationally defined by its use for communication and information seeking purposes. Next, SEM results showed that injunctive norm and perceived behavioural control were positively associated with intention to use smartphones for work purposes. Moreover, intention was positively associated with nurses’ use of smartphones for work purposes. On the other hand, nurses’ use of smartphones for work purposes was positively associated with perceived quality of care. Results of the indirect effect analysis showed that perceived organisational support had an indirect effect on nurses’ intention to use smartphones for work purposes through injunctive norm and perceived behavioural control. Study II identified organisational issues that influence support to nurses’ use of smartphones for work purposes from the perspective of nurse administrators – one of the organisational agents where nurses derive organisational support. Nine focus groups were conducted with 43 nurse-administrators from nine randomly selected tertiary-level general hospitals that were part of Study I. The findings showed that the issues were divided on those that encouraged (i.e., problems with existing workplace technologies, absent or insufficient unit phones, insufficient unit phone credits, and unrealistic policies) or inhibited (i.e., smartphone use for non-work purposes and misinterpretation by patients) nurse administrators to support nurses’ use of smartphones for work purposes. Overall, the research findings were used to generate key recommendations on nurses’ use of smartphones in hospital settings. These recommendations can be used by hospitals to develop policies on nurses’ or healthcare professionals’ use of smartphones in hospitals.
author2 Sonny Ben Rosenthal
author_facet Sonny Ben Rosenthal
Bautista, John Robert Razote
format Theses and Dissertations
author Bautista, John Robert Razote
author_sort Bautista, John Robert Razote
title Nurses’ use of smartphones for work purposes in the Philippines : predictors, outcomes, and issues
title_short Nurses’ use of smartphones for work purposes in the Philippines : predictors, outcomes, and issues
title_full Nurses’ use of smartphones for work purposes in the Philippines : predictors, outcomes, and issues
title_fullStr Nurses’ use of smartphones for work purposes in the Philippines : predictors, outcomes, and issues
title_full_unstemmed Nurses’ use of smartphones for work purposes in the Philippines : predictors, outcomes, and issues
title_sort nurses’ use of smartphones for work purposes in the philippines : predictors, outcomes, and issues
publishDate 2019
url https://hdl.handle.net/10356/80898
http://hdl.handle.net/10220/48111
_version_ 1681058936700010496
spelling sg-ntu-dr.10356-808982020-07-01T01:55:03Z Nurses’ use of smartphones for work purposes in the Philippines : predictors, outcomes, and issues Bautista, John Robert Razote Sonny Ben Rosenthal Theng Yin Leng Wee Kim Wee School of Communication and Information DRNTU::Social sciences::Communication Although there are studies that highlight how healthcare professionals use smartphones for work purposes, there is a scarcity of knowledge of this phenomenon among nurses – the largest group of healthcare professionals in a hospital. Existing studies are also theoretically and methodologically limited. To address these research gaps, this research aims to determine the factors and issues associated with nurses’ use of smartphones for work purposes in the Philippines based on a theoretical framework constructed using the Theory of Planned Behaviour, Organisational Support Theory, and IT Consumerisation Theory. First, an Exploratory Study based on in-depth interviews with 30 nurses in the Philippines was conducted. Results showed that nurses used their smartphones for communication, information seeking, and documentation purposes to facilitate clinical work. It also showed that several behavioural (i.e., instrumental and affective attitudes, injunctive and descriptive norms, perceived behavioural control, and intention) and organisational antecedents (i.e., perceived organisational support) could influence nurses’ use of smartphones for work purposes. Moreover, a relevant outcome of its use is enhanced quality of patient care. The study also uncovered some organisational issues that might affect how nurses used smartphones for work purposes. In general, results of the Exploratory Study were used to further develop Study I and Study II. Study I identified the predictors and outcome of nurses’ use of smartphones for work purposes. Hypothesis testing used structural equation modelling (SEM) of survey data from 517 staff nurses employed in 19 tertiary-level general hospitals in Metro Manila, Philippines. Exploratory and confirmatory factor analysis results showed that nurses’ use of smartphones for work purposes is operationally defined by its use for communication and information seeking purposes. Next, SEM results showed that injunctive norm and perceived behavioural control were positively associated with intention to use smartphones for work purposes. Moreover, intention was positively associated with nurses’ use of smartphones for work purposes. On the other hand, nurses’ use of smartphones for work purposes was positively associated with perceived quality of care. Results of the indirect effect analysis showed that perceived organisational support had an indirect effect on nurses’ intention to use smartphones for work purposes through injunctive norm and perceived behavioural control. Study II identified organisational issues that influence support to nurses’ use of smartphones for work purposes from the perspective of nurse administrators – one of the organisational agents where nurses derive organisational support. Nine focus groups were conducted with 43 nurse-administrators from nine randomly selected tertiary-level general hospitals that were part of Study I. The findings showed that the issues were divided on those that encouraged (i.e., problems with existing workplace technologies, absent or insufficient unit phones, insufficient unit phone credits, and unrealistic policies) or inhibited (i.e., smartphone use for non-work purposes and misinterpretation by patients) nurse administrators to support nurses’ use of smartphones for work purposes. Overall, the research findings were used to generate key recommendations on nurses’ use of smartphones in hospital settings. These recommendations can be used by hospitals to develop policies on nurses’ or healthcare professionals’ use of smartphones in hospitals. Doctor of Philosophy 2019-05-08T01:16:41Z 2019-12-06T14:16:56Z 2019-05-08T01:16:41Z 2019-12-06T14:16:56Z 2019 Thesis Bautista, J. R. R. (2019). Nurses’ use of smartphones for work purposes in the Philippines : predictors, outcomes, and issues. Doctoral thesis, Nanyang Technological University, Singapore. https://hdl.handle.net/10356/80898 http://hdl.handle.net/10220/48111 10.32657/10220/48111 en 239 p. application/pdf