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为护理政策提供信息:对英格兰护士进行的数字健康研究的探索。

Informing nursing policy: An exploration of digital health research by nurses in England.

作者信息

O'Connor Siobhan, Cave Louise, Philips Natasha

机构信息

Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, United Kingdom.

NHS England Transformation Directorate, NHS England, United Kingdom.

出版信息

Int J Med Inform. 2024 May;185:105381. doi: 10.1016/j.ijmedinf.2024.105381. Epub 2024 Feb 23.

Abstract

AIMS

Digital health technologies are designed, implemented, and evaluated to support clinical practice, enable patients to self-manage illness, and further public and global health. Nursing and health policies often emphasise the importance of evidence-based digital health services to deliver better care. However, the contribution nurses make to digital health research in many countries is unknown. Hence, this study aims to examine digital health research conducted by nurses in England.

DESIGN

A bibliometric analysis.

METHODS

The CINAHL, MEDLINE, and Scopus databases were searched between 2000 and 2022, and supplemented with a hand search of nurses' research profiles. Results were screened by title, abstract, and full text against eligibility criteria. Data were extracted and bibliometric analysis used to summarise the findings.

RESULTS

Mental health nurses produced the most digital health research in England, followed by nurses working in community care, with several disciplines underrepresented or missing. Web/online health services or information was the most researched technology, followed by mobile health and telehealth. Nurses based in the south-east and north-west of England produced the most digital health research, with other regions less well represented.

CONCLUSION

Nurse leaders should support nurses to conduct more digital health research by providing dedicated time, funding, and professional development opportunities, particularly in under researched clinical areas, technologies, and geographic regions to further evidence-based practice and patient care. More digital nursing data is needed to support nurse led research in areas like artificial intelligence and data science. The findings supported the national Philips Ives Review by identifying areas of digital nursing research that need more investment in England.

摘要

目的

数字健康技术的设计、实施和评估旨在支持临床实践,使患者能够自我管理疾病,并促进公众和全球健康。护理和卫生政策常常强调循证数字健康服务对提供更好护理的重要性。然而,在许多国家,护士对数字健康研究的贡献尚不清楚。因此,本研究旨在调查英格兰护士开展的数字健康研究。

设计

文献计量分析。

方法

检索2000年至2022年期间的CINAHL、MEDLINE和Scopus数据库,并辅以对护士研究概况的手工检索。根据纳入标准,通过标题、摘要和全文对结果进行筛选。提取数据并使用文献计量分析来总结研究结果。

结果

心理健康护士在英格兰开展的数字健康研究最多,其次是社区护理领域的护士,有几个学科的研究较少或缺失。网络/在线健康服务或信息是研究最多的技术,其次是移动健康和远程医疗。英格兰东南部和西北部的护士开展的数字健康研究最多,其他地区的代表性较差。

结论

护士领导者应通过提供专门的时间、资金和专业发展机会,支持护士开展更多数字健康研究,特别是在研究较少 的临床领域、技术和地理区域,以进一步推动循证实践和患者护理。需要更多的数字护理数据来支持护士主导的人工智能和数据科学等领域的研究。这些发现通过确定英格兰数字护理研究中需要更多投资的领域,支持了国家飞利浦·艾夫斯审查。

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