It’s incredibly easy to overestimate the benefits of technology in healthcare. However, the average nurse-to-patient ratio in hospitals presents a challenge that IT managers can take a proactive role in addressing by rethinking a core component of their mobile strategy.

If you’re unfamiliar with that metric, it’s commonly cited, largely because nurse-to-patient ratios are found to correlate so strongly with patient well-being. explains the relationship, and stresses the direct connection to reducing “patient falls, infections, medication errors and even death.”

IT leadership has an emerging opportunity here to directly address this issue with the implementation of unlocked smartphones for nurses at all levels. It will be critical though, to go beyond an understanding of the tech alone and delve into the challenges that nurses face, directly involving nurse leadership in any decision-making situations.

Pressures on the Nursing Profession

Healthcare organizations face multifaceted pressures in response to keeping nursing metrics at acceptable levels.

States across the nation, including California, Texas, Illinois and New York have either enacted legislation or adopted regulations requiring facilities to maintain specific staffing levels. At the same time, that pressure is compounded by an impending shortage of registered nurses (RNs) that is only expected to become more severe as baby boomers’ healthcare needs increase. To further complicate the issue, the schools that produce nurses are struggling to expand their capacities to meet demand.

These dynamics mean that not only do facilities need to optimize the effectiveness of their current nursing staff, they’re incentivized to ensure the well-being and continued productivity of their existing professionals.

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How Smartphones Can Help Nurses Today

To understand why unlocking phones matters, it’s important to first grasp how smartphones in general enhance nurse communications. Smartphones hold significant potential to improve the efficiency of nurse communications and workflows, and thereby minimize the impact of the low average nurse-to-patient ratio in hospitals.

First off, the use of smartphones by nurses is already happening. According to MobiHealthNews, a survey conducted by market intelligence firm InCrowd revealed that 95 percent of the 241 responding nurses owned a smartphone, and 88 percent were using them at work — and not just for the sake of convenience.

Nurses are using their phones in ways that directly impact care — 52 percent indicated that they use apps on their phones to access information (instead of asking colleagues), and a full 32 percent indicated that they consult their smartphones instead of a physician. It’s worth noting that nurses need different functionality from their smartphones than doctors, specifically in quickly accessing information, supporting workflows and setting timers for medication administration.

Smartphones also allow nurses to streamline communication through secure voice, text messaging, email and video conferencing options, giving them the ability to contact their team members in real time. The easily accessible nature of smartphones opens the door to immediate notification of a patient condition, meaning individual nurses can respond more quickly or redirect the emergency to the proper team members if necessary. Most importantly though, smartphones can improve patient engagement by opening the door to more fluid communications at the patient bedside. Nurses can back away from the practice of handing over a thick stack of papers and instead use their phones to supplement patient engagement right at the moment of care.

Smartphones revolutionize the way clinical staff communicate and interact, but when they’re unlocked, the very nature of how the phone fits into the hospital IT environment changes.

The Importance of Unlocked Devices

Any hospital with a mobile strategy that prioritizes efficiency, flexibility and cost maintenance should consider unlocked smartphones for their device fleet.

Unlocked devices provide critical standardization across an organization, which opens the door to more sophisticated security options that will only increase in value as cybersecurity threats continue to plague the healthcare sector. Unlocked smartphones also end carrier dependence, so they can be deployed for use on existing Wi-Fi connections, removing the expense of a carrier plan. Nurses can then be granted the ability to access a broader range of Android apps, EHR-connected solutions and even proprietary software options with unlocked phones.

How Hospitals Can Leverage Unlocked Smartphones

The first steps in positively influencing the average nurse-to-patient ratio in hospitals are understanding measurement and determining target ratios based on regulatory requirements and historic outcomes.

Once those are established, hospital leadership can begin evaluating where unlocked smartphones fit in their mobile strategy, keeping the following areas in mind:

  • Adaptation: Nurses have likely developed their own processes and workarounds using legacy devices. New smartphones will require active conversations and training to help nursing staff adapt as quickly as possible.

  • Mobile app use: Since staff will have access to an entirely new world of apps, it will be crucial to develop and communicate standards and safeguards around app access and use.

  • Individual empowerment: More sophisticated devices mean increased empowerment for professionals and a better overall work experience. The possibilities of improving nurse retention and satisfaction levels with the help of feedback and monitoring apps shouldn’t be ignored.

When launching an unlocked device program targeted toward nurse support, it’s important not only to consult leadership, but also to be mindful of security risks and their possible impact on patient care. Continual, open conversations with the nurses on the front line of patient care will be the key to any successful device program. Most importantly though, ITDMs should look at unlocked smartphones as a step toward a connected framework for the hospital of the future.

Learn more about how healthcare technology solutions can enhance efficiencies and improve the patient experience.

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Megan Williams

Megan Williams is a consultant and writer who specializes in healthcare technology. She has over a decade’s experience in hospital revenue cycle consulting and holds an MBA with a focus on international business, as well as a degree in hospital administration. She works with growing and established healthcare B2B companies in creating work that is in touch with the latest developments in healthcare, and maintains her work at

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