Abstract：
BACKGROUND: The current bleep communication system between nurses and interns on-call in most Irish hospitals has been linked with interruption in patient care, disruption to workflow, inefficiency, increased burden and stress to the on-call health staff. A new electronic system was introduced in a University Hospital to replace and eliminate bleep usage during on-call hours.
METHODS: An Intern on-call task electronic template was generated using Microsoft Excel Spreadsheet. This electronic system enabled users to review and respond to requests placed by nursing healthcare staff. This project initially underwent a trial process in three wards for a period of two weeks in June 2023. Interns and nurses were asked to fill a survey before and after introduction of the system. The project was implemented across all wards in August 2023 and a secondary survey was obtained. In addition, the spreadsheets were analysed retrospectively.
RESULTS: During the trial, twenty-six interns and twenty nurses were surveyed before and after implementation of the electronic system. Interns satisfaction rate was 73% and stress was reported to be reduced by 65%. Notably, 57% of interns reported a reduction in workload and the number of bleeps was reported to be as <10 by 42%. Nurses reported a decrease in the number of bleeps they needed to send overall by 65% and by 55% for repeated jobs. Workload was reported to be increased by 15% by nurses. However, exactly half of the nurses were unhappy with the new system and stress levels were unchanged.
CONCLUSIONS: This project has shown promising results, efficient and clear communication was noted with an overall positive feedback and satisfaction rate by doctors. However, as evident, from a nursing perspective further work is needed to further progress into a system that can benefit both parties involved.
METHODS: An Intern on-call task electronic template was generated using Microsoft Excel Spreadsheet. This electronic system enabled users to review and respond to requests placed by nursing healthcare staff. This project initially underwent a trial process in three wards for a period of two weeks in June 2023. Interns and nurses were asked to fill a survey before and after introduction of the system. The project was implemented across all wards in August 2023 and a secondary survey was obtained. In addition, the spreadsheets were analysed retrospectively.
RESULTS: During the trial, twenty-six interns and twenty nurses were surveyed before and after implementation of the electronic system. Interns satisfaction rate was 73% and stress was reported to be reduced by 65%. Notably, 57% of interns reported a reduction in workload and the number of bleeps was reported to be as <10 by 42%. Nurses reported a decrease in the number of bleeps they needed to send overall by 65% and by 55% for repeated jobs. Workload was reported to be increased by 15% by nurses. However, exactly half of the nurses were unhappy with the new system and stress levels were unchanged.
CONCLUSIONS: This project has shown promising results, efficient and clear communication was noted with an overall positive feedback and satisfaction rate by doctors. However, as evident, from a nursing perspective further work is needed to further progress into a system that can benefit both parties involved.
摘要：
背景：在大多数爱尔兰医院中，当前护士和实习生之间的随叫随到的交流系统与患者护理中断有关，中断工作流，效率低下,增加了待命卫生人员的负担和压力。大学医院引入了一种新的电子系统，以取代和消除在通话时间内的使用。
方法：使用MicrosoftExcel电子表格生成了一个随叫随到的实习生任务电子模板。该电子系统使用户能够查看和响应护理医护人员提出的请求。该项目最初于2023年6月在三个病房进行了为期两周的试验。在引入该系统之前和之后，要求实习生和护士填写调查表。该项目于2023年8月在所有病房实施，并进行了二次调查。此外,对电子表格进行了回顾性分析。
结果：在试验期间，在实施电子系统前后，对26名实习生和20名护士进行了调查。实习生满意率为73％，据报道压力降低了65％。值得注意的是,57％的实习生报告工作量减少，而据报道，在42％的情况下，抽音次数<10。护士报告说，他们需要发送的平均数量减少了65％，而重复工作则减少了55％。据报道，护士的工作量增加了15%。然而,只有一半的护士对新系统不满意，压力水平没有变化。
结论：该项目取得了可喜的成果，医生注意到有效和清晰的沟通，总体反馈积极，满意度高。然而,很明显,从护理的角度来看，需要进一步的工作，以进一步发展为一个可以使双方受益的系统。
方法：使用MicrosoftExcel电子表格生成了一个随叫随到的实习生任务电子模板。该电子系统使用户能够查看和响应护理医护人员提出的请求。该项目最初于2023年6月在三个病房进行了为期两周的试验。在引入该系统之前和之后，要求实习生和护士填写调查表。该项目于2023年8月在所有病房实施，并进行了二次调查。此外,对电子表格进行了回顾性分析。
结果：在试验期间，在实施电子系统前后，对26名实习生和20名护士进行了调查。实习生满意率为73％，据报道压力降低了65％。值得注意的是,57％的实习生报告工作量减少，而据报道，在42％的情况下，抽音次数<10。护士报告说，他们需要发送的平均数量减少了65％，而重复工作则减少了55％。据报道，护士的工作量增加了15%。然而,只有一半的护士对新系统不满意，压力水平没有变化。
结论：该项目取得了可喜的成果，医生注意到有效和清晰的沟通，总体反馈积极，满意度高。然而,很明显,从护理的角度来看，需要进一步的工作，以进一步发展为一个可以使双方受益的系统。
