Healthcare professionals' competence in digitalisation: A systematic review.


Journal

Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302

Informations de publication

Date de publication:
Mar 2019
Historique:
received: 18 05 2018
revised: 27 08 2018
accepted: 18 10 2018
pubmed: 31 10 2018
medline: 14 3 2019
entrez: 31 10 2018
Statut: ppublish

Résumé

To identify key areas of competence for digitalisation in healthcare settings, describe healthcare professionals' competencies in these areas and identify factors related to their competence. Digitalisation requires changes in healthcare practices, policies and actions to revise job expectations and workflows. The aspects of patient safety and integration of digitalisation into the professional context necessitate an assessment of healthcare professionals' competencies in digitalisation. Systematic review. A systematic review was conducted following Center of Reviews and Dissemination guidelines, including application of a PRISMA statement. Four databases-CINAHL (EBSCO), MEDLINE (Ovid), Web of Science and Academic Search Premiere (EBSCO)-were searched for relevant original peer-reviewed studies published between 2012-2017. Twelve were chosen for final analysis: five quantitative studies and seven qualitative studies, which were, respectively, subjected to narrative and thematic synthesis. Key competence areas regarding digitalisation from a healthcare perspective identified encompass knowledge of digital technology and the digital skills required to provide good patient care, including associated social and communication skills, and ethical considerations of digitalisation in patient care. Healthcare professionals need the motivation and willingness to acquire experience of digitalisation in their professional context. Collegial and organisational support appear to be essential factors for building positive experiences of digitalisation for healthcare professionals. Healthcare organisations should both pay attention to the social environment of a workplace and create a positive atmosphere if they want to improve the response to digitalisation. The successful implementation of new technology requires organisational and collegial support. Recommendations for clinical practice include the following: development of competence in digitalisation by healthcare professionals when using technological equipment to minimise errors; provision of sufficient resources, equipment and room for technology usage; and provision of regular education that considers the participants' competencies.

Sections du résumé

AIMS AND OBJECTIVES OBJECTIVE
To identify key areas of competence for digitalisation in healthcare settings, describe healthcare professionals' competencies in these areas and identify factors related to their competence.
BACKGROUND BACKGROUND
Digitalisation requires changes in healthcare practices, policies and actions to revise job expectations and workflows. The aspects of patient safety and integration of digitalisation into the professional context necessitate an assessment of healthcare professionals' competencies in digitalisation.
DESIGN METHODS
Systematic review.
METHODS METHODS
A systematic review was conducted following Center of Reviews and Dissemination guidelines, including application of a PRISMA statement. Four databases-CINAHL (EBSCO), MEDLINE (Ovid), Web of Science and Academic Search Premiere (EBSCO)-were searched for relevant original peer-reviewed studies published between 2012-2017. Twelve were chosen for final analysis: five quantitative studies and seven qualitative studies, which were, respectively, subjected to narrative and thematic synthesis.
RESULTS RESULTS
Key competence areas regarding digitalisation from a healthcare perspective identified encompass knowledge of digital technology and the digital skills required to provide good patient care, including associated social and communication skills, and ethical considerations of digitalisation in patient care. Healthcare professionals need the motivation and willingness to acquire experience of digitalisation in their professional context. Collegial and organisational support appear to be essential factors for building positive experiences of digitalisation for healthcare professionals.
CONCLUSION CONCLUSIONS
Healthcare organisations should both pay attention to the social environment of a workplace and create a positive atmosphere if they want to improve the response to digitalisation. The successful implementation of new technology requires organisational and collegial support.
RELEVANCE TO CLINICAL PRACTICE CONCLUSIONS
Recommendations for clinical practice include the following: development of competence in digitalisation by healthcare professionals when using technological equipment to minimise errors; provision of sufficient resources, equipment and room for technology usage; and provision of regular education that considers the participants' competencies.

Identifiants

pubmed: 30376199
doi: 10.1111/jocn.14710
doi:

Types de publication

Journal Article Systematic Review

Langues

eng

Pagination

745-761

Subventions

Organisme : Finnish National Agency for Education

Informations de copyright

© 2018 John Wiley & Sons Ltd.

Auteurs

Jenni Konttila (J)

Research unit of Nursing Science and Health Management, University of Oulu, Finland.

Heidi Siira (H)

Research unit of Nursing Science and Health Management, University of Oulu, Finland.

Helvi Kyngäs (H)

Research unit of Nursing Science and Health Management, University of Oulu, Finland.
Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.

Minna Lahtinen (M)

Research unit of Nursing Science and Health Management, University of Oulu, Finland.

Satu Elo (S)

Research unit of Nursing Science and Health Management, University of Oulu, Finland.
Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.

Maria Kääriäinen (M)

Research unit of Nursing Science and Health Management, University of Oulu, Finland.
Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.
The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence, Helsinki, Finland.

Pirjo Kaakinen (P)

Research unit of Nursing Science and Health Management, University of Oulu, Finland.

Anne Oikarinen (A)

Research unit of Nursing Science and Health Management, University of Oulu, Finland.

Miyae Yamakawa (M)

Department of Evidence-Based Clinical Nursing, Division of Health Sciences, Graduate School of Medicine, Osaka University, Osaka, Japan.

Sakiko Fukui (S)

The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence, Helsinki, Finland.

Momoe Utsumi (M)

Department of Health Promotion Science, Division of Health Sciences, Graduate School of Medicine, Osaka University, Osaka, Japan.

Yoko Higami (Y)

Department of Health Promotion Science, Division of Health Sciences, Graduate School of Medicine, Osaka University, Osaka, Japan.

Akari Higuchi (A)

Department of Health Promotion Science, Division of Health Sciences, Graduate School of Medicine, Osaka University, Osaka, Japan.

Kristina Mikkonen (K)

Research unit of Nursing Science and Health Management, University of Oulu, Finland.

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