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Connected but Distracted: Nomophobia in the Operating Room and Its Impact on Teamwork, Awareness, and Distraction
Hazel Keskin1, Özlem Soyer Er2
1General Surgery Department, Afyonkarahisar Health Sciences University Health Application and Research Center, Afyonkarahisar, Türkiye.
Purpose:
To adapt the Distraction Due to Mobile Phone Use scale for use in Turkey, and to examine the effect of nomophobia (mobile phone access deprivation anxiety) levels on teamwork, awareness, and distraction among operating room staff.
Design:
This study was both methodological and cross-sectional.
Methods:
Between December 2023 and November 2024, two studies were conducted with operating room staff: a methodological study with 85 staff, and a cross-sectional study with 167 staff. Sociodemographic and Occupational Characteristics Form, the Distraction Due to Mobile Phone Use Scale, Leiden Operating Theatre and Intensive Care Safety Scale-Teamwork and Awareness Subscale, and Nomophobia Questionnaire (NMP-Q) were used for data collection. Content validity index, confirmatory factor analysis, Cronbach's alpha and item-total score correlation were employed. Multiple linear regression analysis was applied.
Findings:
For the Distraction Due to Mobile Phone Use scale, the content validity index was 0.938 and Cronbach's alpha was 0.825. The item-total score correlation ranged from 0.218 to 0.745. The X2/df ratio was 2.526, the GFI 0.902, the CFI 0.932, the SRMR 0.080, and the RMSEA 0.078 for Distraction Due to Mobile Phone Use scale. The mean age of the operating room staff was 28.4±4.9 years, and 53.5% of these staff were nurses. Of these employees, 29.3% had mild nomophobia, 44.9% had moderate nomophobia, and 25.7% had severe nomophobia. Compared to staff with mild nomophobia, those with moderate nomophobia showed a 1.829-point increase in teamwork and awareness scores, while staff with severe nomophobia exhibited a 2.261-point increase. Having moderate nomophobia caused an increase of 1.941 in mobile phone-related distraction scores, whereas having severe nomophobia caused an increase of 4.410.
Conclusion:
The Distraction Due to Mobile Phone Use scale is a reliable and valid tool. Those with moderate or severe nomophobia experienced higher levels of "teamwork and awareness" and "distraction" than those with mild nomophobia.
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