Table 2.
Nurses‘ and Providers‘ perceptions on communication pre-post the secured messaging intervention
| Statement Measure | Pre-Intervention Statement | Pre-Interven-tion Response, Median (IQR) | Post-Intervention Statement | Post-Intervention Response, Median (IQR) | P-value |
|---|---|---|---|---|---|
| NURSES (n=136) | NURSES (n=127) | ||||
| Efficient | Physicians do not respond to one-way texts in a timely manner. | 3 (3–4) | Physicians do not respond to Cureatr in a timely manner. | 2 (2–2) | <0.0001 |
| Efficient | I do spend a lot of time away from the bedside trying to contact physicians. | 4 (3–4) | I do spend a lot of time away from the bedside trying to contact physicians. | 3 (2–4) | <0.0001 |
| Efficient | There are delays in relaying information to physicians regarding patient care. | 4 (4–4) | There are delays in relaying information to physicians regarding patient care. | 2 (2–4) | <0.0001 |
| Workflow | The current communication method, receiving phone calls, is disruptive to my workflow. | 4 (4–4) | Receiving Cureatr texts is disruptive to my workflow. | 2 (1–2) | <0.0001 |
| Satisfaction | I feel comfortable triaging patient information appropriately over oneway texts versus phone calls. | 3 (2–4) | I feel comfortable triaging patient information appropriately over Cureatr texts versus phone calls. | 4 (4–5) | <0.0001 |
| Satisfaction | I feel that the use of smart phones will allow me to take better care of my patients. | 4 (4–5) | I feel that the use of smart phones will allow me to take better care of my patients. | 4 (4–5) | 0.0009* |
| Satisfaction | I would like to be able to receive texts directly from physicians. | 4 (4–5) | I like being able to receive Cureatr texts directly from other providers (physicians, nurses, CRC, social workers or pharmacists). | 5 (4–5) | 0.0008 |
| Satisfaction | I am an effective patient advocate with the use of my current communication device. | 4 (3–4) | I am an effective patient advocate with the use of Cureatr. | 4 (4–5) | <0.0001 |
| PHYSICIANS (n=93) | PHYSICIANS (n=83) | ||||
| Efficient | I often spend time waiting for nurses to answer my phone calls. | 4 (4–5) | I often spend time waiting for nurses to answer my Cureatr texts. | 2 (2–3) | <0.0001 |
| Efficient | There are delays in relaying information to nurses regarding patient care. | 4 (4–5) | There are delays in relaying information to nurses regarding patient care. | 3 (2–4) | <0.0001 |
| Workflow | I receive complete information from nurses about my patients over one-way texts. | 2 (2–3) | I receive complete information from nurses about my patients over Cureatr texts. | 4 (4–5) | <0.0001 |
| Workflow | Overall being phoned is disruptive to patient care activities. | 4 (3–5) | Receiving Cureatr texts is disruptive to my workflow. | 2 (1–2) | <0.0001 |
| Satisfaction | Patient information is triaged appropriately over one-way texts, phone calls and pages. | 3 (2–4) | Patient information is triaged appropriately over Cureatr texts and phone calls. | 4 (4–5) | <0.0001 |
| Satisfaction | I feel that the use of smart phones will allow me to take better care of my patients. | 4 (4–5) | I feel that the use of smart phones allows me to take better care of my patients. | 5 (4–5) | 0.0433 |
Due to anonymity of survey respondents, it is unclear which respondents overlapped in the pre- and post-intervention periods. Groups were compared using the Mann-Whitney U test. IQR denote interquartile range.
*This comparison favors the post-intervention response (more providers answered positively toward the post-intervention statement).