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拥抱护理学中的数字和技术解决方案:范围综述和概念框架。

Embracing digital and technological solutions in nursing: A scoping review and conceptual framework.

机构信息

Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.

Department of Public Health, Experimental and Forensic Medicine, Section of Hygiene, University of Pavia, Pavia, Italy.

出版信息

Int J Med Inform. 2023 Sep;177:105148. doi: 10.1016/j.ijmedinf.2023.105148. Epub 2023 Jul 8.

Abstract

INTRODUCTION

Digital and technological solutions (DTS) are emerging as promising avenues to improve the quality and efficiency of healthcare. This scoping review aimed to map the literature on embracing DTS in nursing, from primary to tertiary care settings.

METHODS

The Joanna Briggs Institute guidance for scoping reviews was used. The authors searched MEDLINE, Embase, CINAHL, Scopus, Web of Science, Cochrane Library, and PROSPERO databases for published articles and relevant peer-reviewed research protocols. Screening and data abstraction were conducted by two reviewers independently, with a third reviewer resolving discrepancies. Frequency and thematic analyses were conducted.

RESULTS

The study highlights the crucial role nurses play in introducing, implementing, and using DTS. The summarized literature emphasizes that cultivating positive attitudes, possessing sufficient knowledge, competencies, self-efficacy, and displaying appropriate behaviors toward such technologies are vital in ensuring their effective incorporation into nursing practice.

DISCUSSION AND CONCLUSIONS

The findings of this scoping review provide a foundation for future research on DTS adoption in nursing and support the development of evidence-based strategies to improve nursing practice through DTS implementation. Therefore, the article proposes the Digital and Technological Framework (Digitech-F) for healthcare professionals as a comprehensive conceptual framework that addresses skills, knowledge, attitude, and competence to ensure the effective adoption of DTS in nursing.

摘要

简介

数字和技术解决方案(DTS)正成为提高医疗保健质量和效率的有前途的途径。本范围综述旨在绘制从初级保健到三级保健环境中接受护理中 DTS 的文献图谱。

方法

使用乔安娜·布里格斯研究所(Joanna Briggs Institute)的范围综述指南。作者在 MEDLINE、Embase、CINAHL、Scopus、Web of Science、Cochrane Library 和 PROSPERO 数据库中搜索了已发表的文章和相关同行评审的研究方案。由两名评审员独立进行筛选和数据提取,由第三名评审员解决差异。进行了频率和主题分析。

结果

该研究强调了护士在引入、实施和使用 DTS 方面的关键作用。总结的文献强调,培养积极的态度、具备足够的知识、能力、自我效能感,并对这些技术表现出适当的行为,对于确保将其有效纳入护理实践至关重要。

讨论和结论

本范围综述的结果为未来护理中 DTS 采用的研究提供了基础,并支持通过 DTS 实施制定基于证据的策略来改善护理实践。因此,本文提出了医疗保健专业人员的数字和技术框架(Digitech-F),作为一个全面的概念框架,涵盖技能、知识、态度和能力,以确保 DTS 在护理中的有效采用。

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