Ten statements to support nurse leaders implement e-health tools for nursing work in hospitals: A modified Delphi study.

Australia decision-making delphi technique leadership nursing informatics patient safety workflow

Journal

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

Informations de publication

Date de publication:
May 2021
Historique:
revised: 21 01 2021
received: 14 12 2020
accepted: 27 01 2021
pubmed: 9 2 2021
medline: 29 7 2021
entrez: 8 2 2021
Statut: ppublish

Résumé

To use expert consensus to develop guidance for nurse leaders implementing e-health tools to support nursing work in hospitals. Nurse leaders are increasingly required to make decisions about the selection, development, implementation and optimisation of e-health tools for nursing work in hospitals. Guidance in this rapidly evolving and complex space is limited. A two-phase modified Delphi study. Phase one involved in-depth interviews with five nursing informatics experts. Analysis used the qualitative framework method, informed by the Theoretical Domains Framework (TDF), to develop statements for an anonymous online Delphi scoring survey. This was distributed using snowball sampling methods to Australian nurse informatics leaders and experts. Final analysis involved synthesis of qualitative and quantitative data. The study adheres to the COnsolidated criteria for REporting Qualitative research (COREQ) checklist. Ten guidance statements to support nurse leaders to implement e-health tools in hospitals were developed from the synthesis of qualitative interview data and 29 experts' responses to the 55-item Delphi response survey. Implementation of e-health tools for nursing work is complex in health settings and requires careful examination of multiple factors and interactions between clinicians, tools, service users and the health organisation. This research proposes ten statements to support nurse leaders with decisions about implementing e-health tools to support nursing work in hospitals. The ten statements developed by this research provide a resource to assist policy and practice decisions about e-tools to ensure they are suited to supporting nursing work. Nurse leaders can use the ten statements for guidance in the selection, development, implementation and optimisation of e-health tools to ensure suitability and adaptation for nursing work in hospitals.

Sections du résumé

AIM OBJECTIVE
To use expert consensus to develop guidance for nurse leaders implementing e-health tools to support nursing work in hospitals.
BACKGROUND BACKGROUND
Nurse leaders are increasingly required to make decisions about the selection, development, implementation and optimisation of e-health tools for nursing work in hospitals. Guidance in this rapidly evolving and complex space is limited.
DESIGN METHODS
A two-phase modified Delphi study.
METHODS METHODS
Phase one involved in-depth interviews with five nursing informatics experts. Analysis used the qualitative framework method, informed by the Theoretical Domains Framework (TDF), to develop statements for an anonymous online Delphi scoring survey. This was distributed using snowball sampling methods to Australian nurse informatics leaders and experts. Final analysis involved synthesis of qualitative and quantitative data. The study adheres to the COnsolidated criteria for REporting Qualitative research (COREQ) checklist.
RESULTS RESULTS
Ten guidance statements to support nurse leaders to implement e-health tools in hospitals were developed from the synthesis of qualitative interview data and 29 experts' responses to the 55-item Delphi response survey.
CONCLUSION CONCLUSIONS
Implementation of e-health tools for nursing work is complex in health settings and requires careful examination of multiple factors and interactions between clinicians, tools, service users and the health organisation. This research proposes ten statements to support nurse leaders with decisions about implementing e-health tools to support nursing work in hospitals.
RELEVANCE TO CLINICAL PRACTICE CONCLUSIONS
The ten statements developed by this research provide a resource to assist policy and practice decisions about e-tools to ensure they are suited to supporting nursing work. Nurse leaders can use the ten statements for guidance in the selection, development, implementation and optimisation of e-health tools to ensure suitability and adaptation for nursing work in hospitals.

Identifiants

pubmed: 33555638
doi: 10.1111/jocn.15695
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1442-1454

Informations de copyright

© 2021 John Wiley & Sons Ltd.

Références

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Auteurs

Kasia Bail (K)

Discipline of Nursing, University of Canberra, Canberra, ACT, Australia.

Eamon Merrick (E)

School of Clinical Science, Auckland University of Technology, Auckland, New Zealand.

Amanda Fox (A)

School of Nursing, Queensland University of Technology, Brisbane, Qld, Australia.

Jo Gibson (J)

Faculty of Health, School of Nursing, Midwifery & Public Health, University of Canberra, Canberra, ACT, Australia.

Alicia Hind (A)

University of Canberra, Canberra, ACT, Australia.

Cameron Moss (C)

University of Canberra, Canberra, ACT, Australia.

Karen Strickland (K)

School of Nursing, Midwifery and Public Health, University of Canberra, Canberra, ACT, Australia.

Bernice Redley (B)

School of Nursing and Midwifery, Deakin University, Burwood, Vic., Australia.

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