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To Text or Not to Text? That is the Question
Gregory L Alexander1,2, Riley Harrell1, Sue Shumate1
1Columbia University, New York, NY, U.S.
Summary
Secure texting platforms like Mediprocity can improve communication in nursing homes. This study analyzed messages, finding patient updates were the most frequent communication, aiding quality improvement initiatives.
Area of Science:
- Healthcare Communication
- Nursing Informatics
- Quality Improvement
Background:
- Text messaging is a prevalent communication method globally.
- Nursing homes face challenges in effective resident care communication.
- The Missouri Quality Improvement Initiative (MOQI) aimed to reduce hospitalizations.
Purpose of the Study:
- To analyze text message content used by Advanced Practice Registered Nurses (APRNs) in nursing homes.
- To evaluate the role of a secure mobile text platform in healthcare communication.
- To identify communication patterns and themes within nursing home settings.
Main Methods:
- Retrospective content analysis of 8,946 text messages.
- Data collected over six months (January 1-June 30, 2018) from 16 nursing homes.
- Messages were sent and received via the secure Mediprocity platform by 15 APRNs and a supervisor.
Main Results:
- Patient updates constituted the most common sent (n=324) and received (n=2319) messages.
- Information confirmation was the second most frequent message type (n=1312).
- Analysis focused on communication patterns to support quality improvement.
Conclusions:
- Secure mobile texting platforms facilitate efficient communication in nursing homes.
- Patient updates are a critical communication element for nursing home care.
- This communication analysis supports evidence-based practices and improved resident care coordination.
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