新冠疫情期间护理实践中数字健康的社会技术挑战：全国性研究

Sociotechnical Challenges of Digital Health in Nursing Practice During the COVID-19 Pandemic: National Study.

作者信息

Livesay Karen, Petersen Sacha, Walter Ruby, Zhao Lin, Butler-Henderson Kerryn, Abdolkhani Robab

机构信息

School of Health and Biomedical Sciences, Science, Technology, Engineering, and Mathematics College, Royal Melbourne Institute of Technology University, Melbourne, Australia.

出版信息

JMIR Nurs. 2023 Aug 16;6:e46819. doi: 10.2196/46819.

DOI:10.2196/46819

PMID:37585256

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10468699/

Abstract

BACKGROUND

The COVID-19 pandemic has accelerated the use of digital health innovations, which has greatly impacted nursing practice. However, little is known about the use of digital health services by nurses and how this has changed during the pandemic.

OBJECTIVE

This study explored the sociotechnical challenges that nurses encountered in using digital health services implemented during the pandemic and, accordingly, what digital health capabilities they expect from the emerging workforce.

METHODS

Five groups of nurses, including chief nursing information officers, nurses, clinical educators, nurse representatives at digital health vendor companies, and nurse representatives in government bodies across Australia were interviewed. They were asked about their experience of digital health during the pandemic, their sociotechnical challenges, and their expectations of the digital health capabilities of emerging nurses to overcome these challenges. Interviews were deductively analyzed based on 8 sociotechnical themes, including technical challenges, nurse-technology interaction, clinical content management, training and human resources, communication and workflow, internal policies and guidelines, external factors, and effectiveness assessment of digital health for postpandemic use.

RESULTS

Sixteen participants were interviewed. Human factors and clinical workflow challenges were highly mentioned. Nurses' lack of knowledge and involvement in digital health implementation and evaluation led to inefficient use of these technologies during the pandemic. They expected the emerging workforce to be digitally literate and actively engaged in digital health interventions beyond documentation, such as data analytics and decision-making.

CONCLUSIONS

Nurses should be involved in digital health interventions to efficiently use these technologies and provide safe and quality care. Collaborative efforts among policy makers, vendors, and clinical and academic industries can leverage digital health capabilities in the nursing workforce.

摘要

背景

新冠疫情加速了数字健康创新的应用，这对护理实践产生了重大影响。然而，对于护士使用数字健康服务的情况以及疫情期间这种情况如何变化，我们知之甚少。

目的

本研究探讨了护士在使用疫情期间实施的数字健康服务时遇到的社会技术挑战，以及他们对新兴护理人员数字健康能力的期望。

方法

对五组护士进行了访谈，包括首席护理信息官、护士、临床教育工作者、数字健康供应商公司的护士代表以及澳大利亚各地政府机构的护士代表。询问了他们在疫情期间的数字健康体验、社会技术挑战，以及他们对新兴护士数字健康能力的期望，以克服这些挑战。访谈基于8个社会技术主题进行演绎分析，包括技术挑战、护士与技术的交互、临床内容管理、培训与人力资源、沟通与工作流程、内部政策与指南、外部因素以及疫情后数字健康使用的有效性评估。