AG Versorgungsforschung Pflege im Krankenhaus, Departement of Internal Medicine, University Medicine Halle (Saale), Halle (Saale), Germany.
Dorothea-Erxleben-Lernzentrum, Faculty of Medicine, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany.
JMIR Med Educ. 2024 Oct 9;10:e54083. doi: 10.2196/54083.
Current challenges in patient care have increased research on technology use in nursing and health care. Digital assistive technologies (DATs) are one option that can be incorporated into care processes. However, how the application of DATs should be introduced to nurses and care professionals must be clarified. No structured and effective education concepts for the patient-oriented integration of DATs in the nursing sector are currently available.
This study aims to examine how a structured and guided integration and education concept, herein termed the sensitization, evaluative introduction, qualification, and implementation (SEQI) education concept, can support the integration of DATs into nursing practices.
This study used an explanatory, sequential study design with a mixed methods approach. The SEQI intervention was run in 26 long-term care facilities oriented toward older adults in Germany after a 5-day training course in each. The participating care professionals were asked to test 1 of 6 DATs in real-world practice over 3 days. Surveys (n=112) were then administered that recorded the intention to use DATs at 3 measurement points, and guided qualitative interviews with care professionals (n=12) were conducted to evaluate the learning concepts and effects of the intervention.
As this was a pilot study, no sample size calculation was carried out, and P values were not reported. The participating care professionals were generally willing to integrate DATs-as an additional resource-into nursing processes even before the 4-stage SEQI intervention was presented. However, the intervention provided additional background knowledge and sensitized care professionals to the digital transformation, enabling them to evaluate how DATs fit in the health care sector, what qualifies these technologies for correct application, and what promotes their use. The care professionals expressed specific ideas and requirements for both technology-related education concepts and nursing DATs.
Actively matching technical support, physical limitations, and patients' needs is crucial when selecting DATs and integrating them into nursing processes. To this end, using a structured process such as SEQI that strengthens care professionals' ability to integrate DATs can help improve the benefits of such technology in the health care setting. Practical, application-oriented learning can promote the long-term implementation of DATs.
当前患者护理方面的挑战增加了护理和医疗保健领域对技术使用的研究。数字辅助技术 (DAT) 是一种可以纳入护理流程的选择。然而，必须阐明如何将 DAT 应用于护士和护理专业人员。目前，针对面向患者的护理部门 DAT 整合，没有结构化和有效的教育概念。
本研究旨在探讨一种结构化和引导性的整合和教育概念（即敏感化、评估性引入、资格认证和实施（SEQI）教育概念）如何支持 DAT 整合到护理实践中。
本研究采用解释性、顺序研究设计和混合方法。在德国，26 家面向老年人的长期护理机构在为期 5 天的培训课程后实施了 SEQI 干预。要求参与的护理专业人员在真实环境中试用 6 种 DAT 中的 1 种，为期 3 天。然后进行了 3 个测量点的 DAT 使用意向调查（n=112），并对 12 名护理专业人员进行了有指导的定性访谈，以评估学习概念和干预效果。
由于这是一项试点研究，因此没有进行样本量计算，也没有报告 P 值。参与的护理专业人员普遍愿意将 DAT 作为额外资源整合到护理流程中，甚至在呈现 4 阶段 SEQI 干预之前就有这种意愿。然而，该干预提供了更多的背景知识，并使护理专业人员对数字化转型有了敏感性，使他们能够评估 DAT 如何适应医疗保健行业，这些技术适合正确应用的条件，以及促进其使用的因素。护理专业人员对技术相关教育概念和护理 DAT 都提出了具体的想法和要求。
在选择 DAT 并将其整合到护理流程中时，积极匹配技术支持、身体限制和患者需求至关重要。为此，使用结构化的过程，如 SEQI，可以增强护理专业人员整合 DAT 的能力，从而有助于提高这种技术在医疗保健环境中的效益。实用、面向应用的学习可以促进 DAT 的长期实施。
