Kaihlaniemi Juulia, Suonnansalo Petra, Kääriäinen Maria, Kaakinen Pirjo, Litendahl Maija, Paukkonen Leila, Laukkonen Kirsi, Oikarinen Anne
Research Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, Oulu, Finland.
The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence Group, Helsinki, Finland.
J Adv Nurs. 2024 Dec 9. doi: 10.1111/jan.16663.
To critically appraise and synthesise qualitative evidence about patients' experiences of healthcare professionals' competence in digital counselling in healthcare settings.
A qualitative systematic review.
The review followed the Joanna Briggs Institute methodology for systematic reviews of qualitative evidence. The review included studies that focused on patient experiences of healthcare professionals' competence in digital counselling and were published in English, Finnish or Swedish, with no time limits. Study selection, quality appraisal and data extraction were performed by two independent reviewers. Findings from the studies included were pooled using the meta-aggregation method.
Eight databases (Web of Science, CINAHL, Scopus, PsycArticles, Medic, Medline (Ovid), EBSCO Open Dissertations and MedNar) were systematically searched on 25 September 2023.
Sixteen studies (published between 2009 and 2023) were included in the review, from which 42 findings were extracted and organised into eight categories based on their meaning. Three synthesised findings were identified: (1) Competence to provide efficient digital counselling, (2) competence to support patient self-management during digital counselling and (3) competence in establishing a reciprocal relationship in digital counselling.
The evidence from the review can be used to support healthcare professionals' competence in digital counselling. It was found that competence in digital counselling includes the competence to provide digital counselling that is efficient and enables counselling to be implemented in health care, supports patients to self-manage and establishes a reciprocal counselling relationship in a digital environment.
Recognising healthcare professionals' competence in digital counselling can enhance their motivation and professional growth, potentially improving the quality of services and patient outcomes. These findings can inform the development of healthcare education, fostering the training of more competent healthcare professionals and digital counsellors.
The review was undertaken and reported using the PRISMA guidelines.
PROSPERO CRD42024499509. No Patient or Public Contribution.
批判性评价并综合关于患者对医疗保健环境中医疗专业人员数字咨询能力体验的定性证据。
定性系统评价。
该评价遵循乔安娜·布里格斯研究所定性证据系统评价方法。评价纳入了关注患者对医疗专业人员数字咨询能力体验且以英文、芬兰文或瑞典文发表、无时间限制的研究。由两名独立评审员进行研究选择、质量评估和数据提取。对纳入研究的结果采用元聚合方法进行汇总。
2023年9月25日对八个数据库（科学网、护理学与健康领域数据库、Scopus、心理学文摘、医学数据库、医学期刊数据库（Ovid）、EBSCO开放学位论文数据库和医学文摘数据库）进行了系统检索。
该评价纳入了16项研究（发表于2009年至2023年之间），从中提取了42项结果，并根据其含义分为八类。确定了三项综合结果：（1）提供高效数字咨询的能力，（2）在数字咨询期间支持患者自我管理的能力，以及（3）在数字咨询中建立互惠关系的能力。
该评价的证据可用于支持医疗专业人员的数字咨询能力。研究发现，数字咨询能力包括提供高效数字咨询的能力，使咨询能够在医疗保健中实施，支持患者自我管理，并在数字环境中建立互惠咨询关系。
认识到医疗专业人员的数字咨询能力可以提高他们的积极性和职业成长，有可能改善服务质量和患者结局。这些发现可为医疗教育的发展提供信息，促进培养更有能力的医疗专业人员和数字咨询师。
该评价按照PRISMA指南进行并报告。
PROSPERO CRD42024499509。无患者或公众参与。
