School of Health and Social Care, AP University of Applied Sciences, Noorderplaats 2, 2000 Antwerp, Belgium; Centre for Research and Innovation in Care, University of Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium.
Centre for Research and Innovation in Care, University of Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium; Research Group Healthy Region, HZ University of Applied Sciences, Edisonweg 4, 4382 NW Vlissingen, The Netherlands.
Nurse Educ Pract. 2023 Feb;67:103563. doi: 10.1016/j.nepr.2023.103563. Epub 2023 Jan 31.
To establish items of the digital adaptability competency for healthcare professionals.
While the application and deployment of eHealth has continued at a rapid pace, healthcare professionals are expected to keep up and join the digital evolution. The implementation of eHealth requires a change in the healthcare professionals' competencies of which the ability to adapt to technological change is fundamental. There's more needed than just ICT skills, overall competencies to be digitally adaptable between patientcare and the use of eHealth are needed. Today, a distinct and relevant list of items for healthcare professionals related to the competency of digital adaptability is missing.
An exploratory modified e-Delphi study.
This study was conducted in Flanders, Belgium. An expert group (n = 12) consisting of 2 policymakers of the Belgian federal government, 3 eHealth managers of large organizations in the Belgian healthcare sector, 1 nurse, 1 midwife, 2 health service users and 3 researchers specialized in eHealth research. Through a literature review an initial list of items was developed, consisting of 67 statements. A two-round Delphi survey was performed where experts could rate the relevance of each item. The third round comprised an online meeting, where the expert group discussed the remaining items until agreement was reached to retain, modify, or eliminate the item.
In round 1, eleven items were included to the final document. In round 2, ten items were included. In round 3, the panel unanimously agreed to add six items, one item was modified into two separate items. In total, 29 items were included in the final document.
The rather abstract concept of digital adaptability is now transformed into a more pragmatic concept of 29 items, reflecting the practical competencies of healthcare professionals necessary to be digital adaptable.
为医疗保健专业人员建立数字适应能力的项目。
尽管电子健康的应用和部署一直在快速发展，但医疗保健专业人员需要跟上并加入数字革命。电子健康的实施需要改变医疗保健专业人员的能力，其中适应技术变革的能力是基础。除了信息通信技术技能外，还需要整体的数字适应能力的综合能力，以在患者护理和使用电子健康之间进行转换。目前，缺少与数字适应能力相关的医疗保健专业人员具体且相关的项目列表。
探索性的电子德尔菲研究的改良。
本研究在比利时佛兰德进行。专家小组（n=12）由 2 名比利时联邦政府的政策制定者、3 名大型组织的电子健康管理人员、1 名护士、1 名助产士、2 名卫生服务用户和 3 名专门研究电子健康研究的研究人员组成。通过文献回顾，开发了一个包含 67 个陈述的初始项目列表。进行了两轮德尔菲调查，专家可以对每个项目的相关性进行评分。第三轮包括一次在线会议，专家小组讨论了其余项目，直到达成保留、修改或删除项目的共识。
在第一轮中，有十一项被纳入最终文件。在第二轮中，有十项被纳入。在第三轮中，专家组一致同意增加六项，一项被修改为两项。总共 29 个项目被纳入最终文件。
数字适应能力的这个相当抽象的概念现在被转化为更实用的 29 个项目的概念，反映了医疗保健专业人员在数字适应能力方面所需的实际能力。
