Conduits to care: call lights and patients&amp;rsquo; perceptions of communication

Montie, Mary; Shuman, Clayton J.; Galinato, Jose; Patak, Lance; Anderson, Charles M.; Titler, Marita G.

doi:10.2147/jmdh.s144152

Cited by 8 publications

(9 citation statements)

References 12 publications

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“…Call bell systems are important for patient‐provider communication, and prompt responses to call bell requests have been shown to increase patient satisfaction and decrease incidence of pressure injuries and falls (Deitrick et al, ; Digby et al, ; Montie et al, ; Roszell et al, ; Tzeng & Yin, ). However, they can also be disruptive to the care process (Tzeng, ).…”

Section: Discussionmentioning

confidence: 99%

“…Due to symptoms like dizziness and weakness, hospitalized patients frequently require assistance with basic activities of daily living in the hospital, such as getting to a chair or walking to the bathroom (Grill, Huber, Gloor‐Juzi, & Stucki, ; Jette, Brown, Collette, Friant, & Graves, ). The call bell system is a particularly important tool for communication of immediate needs to nurses (Lasiter, ; Montie et al, ). In fact, most requests associated with call bell usage include feeding, toileting and personal assistance such as changing clothes (Deitrick, Bokovoy, & Panik, ; Digby, Bloomer, & Howard, ; Roszell, Jones, & Lynn, ; Tzeng, ).…”

Section: Introductionmentioning

confidence: 99%

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Association between ambulatory status and call bell use in hospitalized patients—A retrospective cohort study

et al. 2019

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Aim: Characterize the relationship between patient ambulatory status and in-hospital call bell use.Background: Although call bells are frequently used by patients to request help, the relationship between physical functioning and call bell use has not been evaluated. Methods:Retrospective cohort study of 944 neuroscience patients hospitalized in a large academic urban medical centre between April 1, 2014 and August 1, 2014. We conducted multiple linear regression analyses with number of daily call bells from each patient as the primary outcome and patients' average ambulation status as the primary exposure variable. Results:The mean number of daily call bell requests for all patients was 6.9 (6.1), for ambulatory patients 5.6 (4.8), and for non-ambulatory patients, it was 7.7 (6.6).Compared with non-ambulatory patients, ambulatory patients had a mean reduction in call bell use by 1.7 (95% CI 2.5 to −0.93, p < .001) calls per day. In a post hoc analysis, patients who could walk >250 feet had 5 fewer daily call bells than patients who were able to perform in-bed mobility.Conclusion: Ambulatory patients use their call bells less frequently than non-ambulatory patients.Implications for Nursing Management: Frequent use of call bells by non-ambulatory patients can place additional demands on nursing staff; patient mobility status should be considered in nurse workload/patient assignment. | 55CAPO-LUGO et AL.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Association between ambulatory status and call bell use in hospitalized patients—A retrospective cohort study

et al. 2019

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“…In this context, international studies already focused on the relationship between call lights systems and fall prevalence (Tzeng et al, 2012), the quality of nursing care (Kalisch et al, 2012), as well as the patients' subjective perception of pain or communication (Montie et al, 2017). Needs that result in the activation of a call light were also investigated.…”

Section: Introductionmentioning

confidence: 99%

Optimisation of an Electronic Call Light System in an Austrian Hospital. Phase I: Current State Analysis

Klösch,

Reiter

et al. 2023

Journal of Health Management

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Electronic call light systems provide important information and coordination instruments for patient care in the clinical setting. Subjective impressions and impacts on communication and work processes of nursing staff can contribute to a sustainable optimisation of concepts. Studies have not yet been conducted on this topic in Austria. The main objective was to assess subjective attitudes and perceptions as well as emotional reactions of nurses towards an existing call light system. Connections with skill and grade mix should be demonstrated in order to comprehensively record the effects on nursing communication, work processes and financial impact in everyday ward life. For this study a mixed-methods approach was used. The present study was conducted in an Austrian hospital. Nurses for interviews were recruited by using information leaflets. The ward for the open unstructured participant observation was chosen by the nursing director. Inclusion criteria for the interviews refer to the willingness of nurses to participate in the study on a voluntary basis and a good knowledge of German or English. A total of seven short interviews with nurses and 129 observational units were conducted. None of the nurses dropped out. Ward- and staff-related key figures/characteristics were provided by the nursing management. Emotional reactions of nurses and time measurements (distance covered, duration of activity after activation of a call light) were recorded during observations. Subjective impressions were obtained by using structured short interviews. The study took place between June and August 2020. Data analysis of the interviews was carried out by using MAXQDA®. Results of the observations were transferred to excel spreadsheets and analysed in accordance with legal requirements in Austria. Structural, technical, and financial backlogs can be identified from the results. The existing call light system concept has proven to have a negative impact on the quality of care, job satisfaction of nursing staff, and hospital financing. In future, further studies are needed to provide a more detailed analysis of the individual findings. This also implies integrating nursing managers and patients as target groups.

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“…It should be noted that several references include the term “call light” in their works, and that it is synonymous with the term “call button”. The use of call buttons is considered to be one of the few means through which patients can exercise control over their care [ 13 ], as an important way to initiate patient–nurse communication [ 14 ], in terms of care and its delivery [ 15 ]. More importantly, responding to call buttons promptly can have implications for patient experience and safety.…”

Section: Introductionmentioning

confidence: 99%

Impact of Inpatient Unit Design Features on Overall Patient Experience and Perceived Room-Level Call Button Response

Cai

Fullam

MacAllister³

et al. 2021

IJERPH

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This study explores the relationship between inpatient unit design and patient experience and how spatial features and visibility impact patients’ perception of staff responsiveness. The first part of this study is a retrospective pre–post and cross-sectional study evaluating the impacts of unit design on patient experience at the unit level. This study compares patient experiences based on Press Ganey and HCAHPS surveys in two orthopedic units (existing unit in Atrium building and new unit in Tower) with differing design features at Rush University Medical Center. The chi-square test results show that when moving from the old orthopedic unit to the new unit, almost all patient survey items related to patient experience showed statistically significant improvements. The second part of this study is a room level on the new unit. The ANOVA and Pearson correlation tests revealed that the visibility measure of metric step depth had significant impacts on patients’ perception of staff’s “promptness in responding to call button” and “help with toileting”. This study confirms that inpatient unit design plays a direct role in improvement for patient experience and should be considered as an important area of focus for future development.

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Conduits to care: call lights and patients’ perceptions of communication

Cited by 8 publications

References 12 publications

Association between ambulatory status and call bell use in hospitalized patients—A retrospective cohort study

Association between ambulatory status and call bell use in hospitalized patients—A retrospective cohort study

Optimisation of an Electronic Call Light System in an Austrian Hospital. Phase I: Current State Analysis

Impact of Inpatient Unit Design Features on Overall Patient Experience and Perceived Room-Level Call Button Response

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