Robles-Aguilar Paloma, Ruiz-Fernández María Dolores, Bermudo-Fuenmayor Sara
Osuna Health Management Area, Andalusian Health Service, Seville, Osuna, Spain.
Department of Nursing, Physiotherapy and Medicine, University of Almería, Almería, Spain.
Int Nurs Rev. 2025 Sep;72(3):e70069. doi: 10.1111/inr.70069.
To analyze primary care nurses' experiences of integrating and using digital health in their daily practice.
The integration of digital health in primary care, accelerated by the COVID-19 pandemic, has transformed nursing practices with a view to provide better support and services to patients.
The World Health Organization defines "digital health" as the use of electronic technologies to improve health. Its 2020-2025 strategy seeks to integrate these technologies into health systems to facilitate communication between professionals, patients, and authorities. Tools such as telehealth, electronic records, artificial intelligence, and big data are transforming the role of nurses, who must become familiar with them for their performance.
Qualitative studies on digital health in primary care nursing were reviewed following the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) guidelines and using the Joanna Briggs Institute for Qualitative Research (JBI-QARI) criteria.
Eleven articles were analyzed using thematic coding according to Thomas and Harden's approach, identifying three main themes: adaptation to digital health, nurses' perspective on digital health, and nurse-patient digital interaction.
The integration of digital health has required nurses to adapt quickly. They have expressed both benefits and challenges, highlighting the importance of adequate training, personalization in the use of digital tools, information security, and optimization of technological infrastructure.
CONCLUSION AND IMPLICATIONS FOR NURSING AND/OR HEALTH POLICY: It is essential to assess the current competencies of nurses in digital health in order to meet their needs. Health systems should incorporate new technologies into clinical practice guidelines and health programs to improve and update the continuity and quality of care in primary care. Health policies should support the continuing education of nurses and the effective integration of technology.
分析基层医疗护士在日常实践中整合和使用数字健康的经验。
在新冠疫情加速推动下，数字健康融入基层医疗，改变了护理实践，旨在为患者提供更好的支持和服务。
世界卫生组织将“数字健康”定义为利用电子技术改善健康状况。其2020 - 2025年战略旨在将这些技术融入卫生系统，以促进专业人员、患者和当局之间的沟通。远程医疗、电子记录、人工智能和大数据等工具正在改变护士的角色，护士必须熟悉这些工具才能履行职责。
按照《提高定性研究综合报告透明度》（ENTREQ）指南并使用乔安娜·布里格斯定性研究学会（JBI - QARI）标准，对基层医疗护理中数字健康的定性研究进行综述。
根据托马斯和哈登的方法，采用主题编码对11篇文章进行分析，确定了三个主要主题：适应数字健康、护士对数字健康的看法以及护患数字互动。
数字健康的整合要求护士迅速适应。他们既表达了益处也提到了挑战，强调了充分培训、数字工具使用的个性化、信息安全以及技术基础设施优化的重要性。
结论及对护理和/或卫生政策的启示：评估护士当前在数字健康方面的能力以满足其需求至关重要。卫生系统应将新技术纳入临床实践指南和卫生项目，以改善和更新基层医疗护理的连续性和质量。卫生政策应支持护士的继续教育以及技术的有效整合。
