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Mohammadzadeh Z, Shokri M, Saeidnia HR, Kozak M, Marengo A, Lund BD, Ausloos M, Ghiasi N. Principles of digital professionalism for the metaverse in healthcare. BMC Med Inform Decis Mak 2024; 24:201. [PMID: 39039522 PMCID: PMC11265428 DOI: 10.1186/s12911-024-02607-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2023] [Accepted: 07/12/2024] [Indexed: 07/24/2024] Open
Abstract
BACKGROUND Experts are currently investigating the potential applications of the metaverse in healthcare. The metaverse, a groundbreaking concept that arose in the early 21st century through the fusion of virtual reality and augmented reality technologies, holds promise for transforming healthcare delivery. Alongside its implementation, the issue of digital professionalism in healthcare must be addressed. Digital professionalism refers to the knowledge and skills required by healthcare specialists to navigate digital technologies effectively and ethically. This study aims to identify the core principles of digital professionalism for the use of metaverse in healthcare. METHOD This study utilized a qualitative design and collected data through semi-structured online interviews with 20 medical information and health informatics specialists from various countries (USA, UK, Sweden, Netherlands, Poland, Romania, Italy, Iran). Data analysis was conducted using the open coding method, wherein concepts (codes) related to the themes of digital professionalism for the metaverse in healthcare were assigned to the data. The analysis was performed using the MAXQDA software (VER BI GmbH, Berlin, Germany). RESULTS The study revealed ten fundamental principles of digital professionalism for the metaverse in healthcare: Privacy and Security, Informed Consent, Trust and Integrity, Accessibility and Inclusion, Professional Boundaries, Evidence-Based Practice, Continuous Education and Training, Collaboration and Interoperability, Feedback and Improvement, and Regulatory Compliance. CONCLUSION As the metaverse continues to expand and integrate itself into various industries, including healthcare, it becomes vital to establish principles of digital professionalism to ensure ethical and responsible practices. Healthcare professionals can uphold these principles to maintain ethical standards, safeguard patient privacy, and deliver effective care within the metaverse.
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Affiliation(s)
- Zahra Mohammadzadeh
- Department of Health Information Management and Technology, Kashan University of Medical Sciences, Kashan, Iran
- Health Information Management Research Center, Kashan University of Medical Sciences, Kashan, Iran
| | - Mehdi Shokri
- Department of Pediatrics, School of Medicine Emam Khomeini Hospital, Ilam University of Medical Sciences, Ilam, Iran
| | - Hamid Reza Saeidnia
- Department of Knowledge and Information Science, Tarbiat Modares University, (TMU), Tehran, Iran
| | - Marcin Kozak
- University of Information Technology and Management in Rzeszow, Rzeszow, 35-225, Poland
| | - Agostino Marengo
- Department of Human Science, University of Foggia, Foggia, 71122, Italy
| | - Brady D Lund
- Department of Information Science, University of North Texas, Denton, TX, 76203, USA
| | - Marcel Ausloos
- School of Business, University of Leicester, Leicester, LE2 1RQ, UK
- Department of Statistics and Econometrics, Bucharest University of Economic Studies, Bucharest, 010552, Romania
| | - Nasrin Ghiasi
- Department of Public Health, School of Health, Ilam University of Medical Sciences, Ilam, Iran.
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Wong P, Brand G, Dix S, Choo D, Foley P, Lokmic-Tomkins Z. Pre-Registration Nursing Students' Perceptions of Digital Health Technology on the Future of Nursing: A Qualitative Exploratory Study. Nurse Educ 2024; 49:E208-E212. [PMID: 38151706 DOI: 10.1097/nne.0000000000001591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2023]
Abstract
BACKGROUND Health informatics competencies, digital health education, and nursing students' perceptions of technology are critical to ensure a future digitally capable health care workforce. PURPOSE To explore preregistration students' perceptions of digital health technology impact on their role as nurses. METHODS Using a qualitative exploratory approach, students from 2 Australian universities were purposively sampled. Data were collected through photo-elicitation from 3 focus groups and thematically analyzed. Photo-elicitation provided reference points to encourage more in-depth exploration. RESULTS Themes included fear of the unknown and who am I? Nursing in a digital world . Human interaction was fundamental to their nursing role and digital health technology could depersonalize care, creating tension around their reason for choosing a nursing career. CONCLUSIONS Educators should prepare students to redefine their nursing identity by exploring how digital health technology augments their practice and critical thinking skills, while addressing fear of a perceived threat to the future of nursing.
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Affiliation(s)
- Pauline Wong
- Author Affiliations: Senior Lecturers (Dr Wong and Ms Dix), Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia; Associate Professor (Dr Brand), Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia; Lecturer/Research Fellow (Dr Choo), Faculty of Medicine, Dentistry, and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia; Lecturer (Ms Foley), Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia; and Associate Professor (Dr Lokmic-Tomkins), Department of Nursing, The University of Melbourne, Parkville, Victoria, Australia. Dr Lokmic-Tomkins is now at Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia
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Margallo D, Walker-Vischer L, Godin M. How Implementing a Digital Competency Management System Reduced Nurse Training Cost and Improved NPD Practitioner Satisfaction in a Pediatric Hospital. J Contin Educ Nurs 2024; 55:239-245. [PMID: 38329401 DOI: 10.3928/00220124-20240201-01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2024]
Abstract
BACKGROUND Traditional competency evaluations and manual tracking created a problem within one organization. Subjective competency assessments and inconsistent recordkeeping resulted in increased organizational costs. These factors increased the workload of nursing professional development (NPD) practitioners, leading to job dissatisfaction and turnover. METHOD The project lead evaluated how implementing a digital competency management system (CMS) affected nurse training costs and assessed NPD practitioners' satisfaction after the digital CMS conversion. RESULTS A cost analysis compared training costs before and after implementation of a digital CMS. A pre- and postsurvey compared NPD practitioners' satisfaction before and after digital implementation. A digital CMS provided a centralized repository and educational platform, which saved $500,000 in training costs and increased NPD practitioners' job satisfaction by decreasing workload and creating meaningful mechanisms to accurately assess staff knowledge and skills. CONCLUSION The NPD practitioners showed tangible outcome measures and return on investment by combining adult learning and technology. [J Contin Educ Nurs. 2024;55(5):239-245.].
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Golz C, Hahn S, Zwakhalen SMG. Content Validation of a Questionnaire to Measure Digital Competence of Nurses in Clinical Practice. Comput Inform Nurs 2023; 41:949-956. [PMID: 37278593 DOI: 10.1097/cin.0000000000001037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Clinical practice nurses need adequate digital competence to use technologies appropriately at work. Questionnaires measuring clinical practice nurses' digital competence lack content validity because attitude is not included as a measure of digital competence. The aim of the current study was to identify items for an item pool of a questionnaire to measure clinical practice nurses' digital competence and to evaluate the content validity. A normative Delphi study was conducted, and the content validity index on item and scale levels was calculated. In each round, 21 to 24 panelists (medical informatics specialists, nurse informatics specialists, digital managers, and researchers) were asked to rate the items on a 4-point Likert scale ranging from "not relevant" to "very relevant." Within three rounds, the panelists reached high consensus and rated 26 items of the initial 37 items as relevant. The average content validity index of 0.95 (SD, 0.07) demonstrates that the item pool showed high content validity. The final item pool included items to measure knowledge, skills, and attitude. The items included represent the international recommendations of core competences for clinical nursing. Future research should conduct psychometric testing for construct validity and internal consistency of the generated item pool.
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Affiliation(s)
- Christoph Golz
- Author Affiliations: Department of Health Professions, Bern University of Applied Sciences (Dr Golz, Dr Hahn), Switzerland; and Department of Health Services Research, Care and Public Health Research Institute, Maastricht University (Dr Zwakhalen), The Netherlands
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Leonardsen ACL, Hardeland C, Hallgren J, Femdal I, Thapa DR, Helgesen AK, Bååth C, Halvorsrud L, Grøndahl VA, Gillsjö C. Nursing students' attitudes towards the use of digital technology in the healthcare of older adults- a cross-sectional study in Norway and Sweden. BMC Nurs 2023; 22:428. [PMID: 37964266 PMCID: PMC10644650 DOI: 10.1186/s12912-023-01600-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Accepted: 11/08/2023] [Indexed: 11/16/2023] Open
Abstract
BACKGROUND Implementation of digital technology has been suggested as a potential solution to future healthcare challenges. Healthcare personnel's attitudes are important in the acceptance and implementation of digital technologies. AIM The aims of this study were to (1) translate and validate two different questionnaires to Norwegian and Swedish respectively, and then (2) use these to examine nursing students' attitudes towards digital technology in healthcare, as well as their attitudes towards older adults' abilities to use digital technology. DESIGN Cross-sectional. METHODS A web-based questionnaire was distributed in first year nursing students in a Norwegian and a Swedish university college, respectively. The questionnaire consisted of the short form of the 'Information Technology Attitude Scales for Health (ITASH)' and the 'Attitudes Towards Older Adults Using Digital technology (ATOAUT-11)' questionnaire. The questionnaires were translated and validated in both countries. Frequencies, Student's t-test, and one-way ANOVA were used to analyze the data. RESULTS In total 236 students responded to the questionnaire in the period September 2022 to April 2023. Students mainly reported positive attitudes towards digital technology use in general. They most agreed with the items 'Using digital technology devices makes my communication with other health professionals faster', 'The sort of information I can get from the digital technology devices helps me give better care to patient', and 'Digital technology skills are becoming more and more necessary for healthcare professionals'. However, they reported more negative attitudes towards older adults using digital technology. They most agreed with the items 'One needs a lot of patience to explain to an older adult how to use digital technologies', 'It's hard to explain to older adults how to use digital technology', 'Using digital technology is harder for most older adults', and 'Most older adults fear using digital technology because they fear of being scammed or cheated'. CONCLUSION The ITASH and the ATOAUT-11 is appropriate for use in a Norwegian and Swedish setting. Even if nursing students are positive to digital technology in healthcare in general, they are sceptical to older adults using digital technology. This may impact on their attitudes to using digital technology in the healthcare of older adults. These aspects need emphasis when revising nursing education curricula focusing on developing technological competencies in nursing, and gaining knowledge regarding older adults' use of digital technology.
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Affiliation(s)
- Ann-Chatrin Linqvist Leonardsen
- Faculty of Health, Welfare and Organization, Ostfold University College, Ostfold University College, Postal box (PB) 700, Halden, NO-1757, Norway.
- Department of Anesthesia, Ostfold Hospital Trust, Postal box code 300, Grålum, 1714, Norway.
| | - Camilla Hardeland
- Faculty of Health, Welfare and Organization, Ostfold University College, Ostfold University College, Postal box (PB) 700, Halden, NO-1757, Norway
| | - Jenny Hallgren
- School of Health Sciences, University of Skövde, Postal box code 408, Skövde, 541 28, Sweden
| | - Ingrid Femdal
- Faculty of Health, Welfare and Organization, Ostfold University College, Ostfold University College, Postal box (PB) 700, Halden, NO-1757, Norway
| | - Dip Raj Thapa
- School of Health Sciences, University of Skövde, Postal box code 408, Skövde, 541 28, Sweden
| | - Ann Karin Helgesen
- Faculty of Health, Welfare and Organization, Ostfold University College, Ostfold University College, Postal box (PB) 700, Halden, NO-1757, Norway
| | - Carina Bååth
- Faculty of Health, Welfare and Organization, Ostfold University College, Ostfold University College, Postal box (PB) 700, Halden, NO-1757, Norway
- Faculty of Health, Science, and Technology, Department of Health Sciences, Karlstad University, Karlstad, SE-651 88, Sweden
| | - Liv Halvorsrud
- Faculty of Health, Welfare and Organization, Ostfold University College, Ostfold University College, Postal box (PB) 700, Halden, NO-1757, Norway
- Faculty of Health Sciences, Department of Nursing and Health Promotion, Oslo Metropolitan University, Pilestredet 32, Oslo, 0166, Norway
| | - Vigdis Abrahamsen Grøndahl
- Faculty of Health, Welfare and Organization, Ostfold University College, Ostfold University College, Postal box (PB) 700, Halden, NO-1757, Norway
| | - Catharina Gillsjö
- School of Health Sciences, University of Skövde, Postal box code 408, Skövde, 541 28, Sweden
- College of Nursing, University of Rhode Island, Kingston, RI, USA
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Caples M, McCarthy V, Wills T, Goodwin J, McCloskey S, Burton A, Forde M, Erlandsson T, Ryan E, Noonan B. Exploring the Use of an Electronic Competency Assessment Document Using iPad Minis to Assess Clinical Practice Competency in a Preregistration Nursing Program: A Cross-sectional Feasibility Study. Comput Inform Nurs 2023; 41:449-456. [PMID: 36455166 DOI: 10.1097/cin.0000000000000963] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Abstract
The aim of this study was to explore the feasibility of using iPad minis as a method of completing competency assessment in clinical practice. Digital technology helps to revolutionize all aspects of our lives. The use of digital technologies in clinical practice can facilitate a move toward a more flexible learning environment and enable students to adapt in a rapidly changing, interconnected world. The introduction of electronic clinical booklets in practice placements could facilitate the sharing of clinical information through connected healthcare systems, thus improving the student experience. A cross-sectional design was used in this study. A sample of BSc nursing students (n = 53) and clinically based healthcare professionals (n = 27) (preceptors and clinical placement coordinators) participated in this study. Data were collected using a modified version of Garrett and colleagues' instrument, the System Usability Scale, a demographics questionnaire, and three open-ended questions. There was a significant difference between the students and preceptors/clinical placement coordinators across all items with higher proportions of students (ranging from 66% to 75.5%), indicating that they agreed or strongly agreed with the reliability, ease of use, and effectiveness of the device in assessing their clinical competency (ranging from 11.1% to 40.7%). In addition, the iPad minis were found to be smaller, lighter, and easier to carry than paper-based booklets and encouraged students to access timely online learning resources during placement to help augment their learning. The use of iPad mini to complete the electronic competency assessment document as a replacement for a paper-based system to assess clinical practice is feasible. The introduction of electronic assessment documents should incorporate a robust training plan and standard operating procedures.
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Affiliation(s)
- Maria Caples
- Author Affiliations: School of Nursing and Midwifery, University College Cork (Drs Caples, McCarthy, Wills, Goodwin, Burton, and Noonan and Mr McCloskey); Bons Secours Hospital (Dr Forde); and Marymount University Hospital and Hospice (Mr Erlandsson and Mr Ryan), Cork, Ireland
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Kukafka R, Hutchinson A, Khaw D. Handheld Computer Devices to Support Clinical Decision-making in Acute Nursing Practice: Systematic Scoping Review. J Med Internet Res 2023; 25:e39987. [PMID: 36780222 PMCID: PMC9972202 DOI: 10.2196/39987] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Revised: 08/11/2022] [Accepted: 09/28/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Nursing care is increasingly supported by computerized information systems and decision support aids. Since the advent of handheld computer devices (HCDs), there has been limited exploration of their use in nursing practice. OBJECTIVE The study aimed to understand the professional and clinical impacts of the use of mobile health apps in nursing to assist clinical decision-making in acute care settings. The study also aimed to explore the scope of published research and identify key nomenclature with respect to research in this emerging field within nursing practice. METHODS This scoping review involved a tripartite search of electronic databases (CINAHL, Embase, MEDLINE, and Google Scholar) using preliminary, broad, and comprehensive search terms. The included studies were hand searched for additional citations. Two researchers independently screened the studies for inclusion and appraised quality using structured critical appraisal tools. RESULTS Of the 2309 unique studies screened, 28 (1.21%) were included in the final analyses: randomized controlled trials (n=3, 11%) and quasi-experimental (n=9, 32%), observational (n=10, 36%), mixed methods (n=2, 7%), qualitative descriptive (n=2, 7%), and diagnostic accuracy (n=2, 7%) studies. Studies investigated the impact of HCDs on nursing decisions (n=12, 43%); the effectiveness, safety, and quality of care (n=9, 32%); and HCD usability, uptake, and acceptance (n=14, 50%) and were judged to contain moderate-to-high risk of bias. The terminology used to describe HCDs was heterogenous across studies, comprising 24 unique descriptors and 17 individual concepts that reflected 3 discrete technology platforms ("PDA technology," "Smartphone/tablet technology," and "Health care-specific technology"). Study findings varied, as did the range of decision-making modalities targeted by HCD interventions. Interventions varied according to the level of clinician versus algorithmic judgment: unstructured clinical judgment, structured clinical judgment, and computerized algorithmic judgment. CONCLUSIONS The extant literature is varied but suggests that HCDs can be used effectively to support aspects of acute nursing care. However, there is a dearth of high-level evidence regarding this phenomenon and studies exploring the degree to which HCD implementation may affect acute nursing care delivery workflow. Additional targeted research using rigorous experimental designs is needed in this emerging field to determine the true potential of HCDs in optimizing acute nursing care.
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Affiliation(s)
| | - Anastasia Hutchinson
- Centre for Quality and Patient Safety Research - Epworth HealthCare Partnership, Institute of Health Transformation, Deakin University, Burwood, Australia
| | - Damien Khaw
- Centre for Quality and Patient Safety Research - Epworth HealthCare Partnership, Institute of Health Transformation, Deakin University, Burwood, Australia
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Organizational readiness to adopt artificial intelligence in the exhibition sector in Western Europe. INTERNATIONAL JOURNAL OF INFORMATION MANAGEMENT 2022. [DOI: 10.1016/j.ijinfomgt.2022.102497] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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Grøndahl VA, Helgesen AK, Holm E, Magnussen J, Leonardsen AC. Remote monitoring of cancer patients during the Covid-19 pandemic - an interview study of nurses' and physicians' experiences. BMC Nurs 2022; 21:169. [PMID: 35765023 PMCID: PMC9238262 DOI: 10.1186/s12912-022-00953-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2022] [Accepted: 06/13/2022] [Indexed: 12/05/2022] Open
Abstract
Background Due to the Covid-19 pandemic, remote monitoring of patients outside hospitals rapidly increased. Previous studies show that healthcare professionals’ competence in digitalization needs to be improved. Little is known about how Covid-19 has affected the use of remote monitoring of cancer patients. The purpose of the study was therefore to explore healthcare personnels’ experiences with remote monitoring of cancer patients during the Covid-19 pandemic. Methods The study had an explorative and descriptive design using semi-structured individual interviews for data collection. Data was analyzed by content analysis. Results A total of ten healthcare personnel working in the cancer department and out-patient cancer clinic in the hospital participated; four physicians and six registered nurses. Two categories and four subcategories were identified: 1) «Maintaining personalized healthcare services» comprising the subcategories a) «Adjusting services to patients’ health condition» and b) «Ensuring continuity»; and 2) «A supplement, but not a replacement» comprising the subcategories a) «Impact on interpersonal relations» and b) «The importance of clinical assessment». Conclusions This study indicates that remote monitoring through telephone was preferred by both healthcare personnel and patients. The nurses and physicians experienced a more frequent contact with their patients, but emphasized the importance of physical meetings for building relationship, and for thorough clinical examination. Our findings indicate a need to facilitate a work environment where healthcare personnel can be fast learners in using digital tools to provide best possible healthcare quality. Moreover, it is imperative to develop a workplace suitable for the use of digital technology for remote monitoring, and to provide digital tools that is easy to use for both healthcare personnel and patients.
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Affiliation(s)
- Vigdis Abrahamsen Grøndahl
- Faculty of Health, Welfare and Organisation, Østfold University College, PB 700, NO-1757, Halden, Norway.
| | - Ann Karin Helgesen
- Faculty of Health, Welfare and Organisation, Østfold University College, PB 700, NO-1757, Halden, Norway
| | - Elisabet Holm
- Østfold Hospital Trust, Postboks 300, NO-1714, Grålum, Norway
| | | | - Ann-Chatrin Leonardsen
- Faculty of Health, Welfare and Organisation, Østfold University College, PB 700, NO-1757, Halden, Norway.,Østfold Hospital Trust, Postboks 300, NO-1714, Grålum, Norway
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Mather C, Almond H. Using COMPASS ( Context Optimisation Model for Person-Centred Analysis and Systematic Solutions) Theory to Augment Implementation of Digital Health Solutions. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19127111. [PMID: 35742360 PMCID: PMC9222784 DOI: 10.3390/ijerph19127111] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/29/2022] [Revised: 06/06/2022] [Accepted: 06/08/2022] [Indexed: 11/16/2022]
Abstract
Digital health research is an emerging discipline that requires easy-to-understand theoretical frameworks and implementation models for digital health providers in health and social care settings. The COVID-19 pandemic has heightened the demand for digital health discipline-specific instruction on how to manage evidence-based digital health transformation. Access to the use of these models guarantees that digital health providers can investigate phenomena using safe and suitable approaches and methods to conduct research and identify answers to challenges and problems that arise in health and social care settings. The COMPASS theory is designed to aid transformation of health and social care environments. A navigational rose of primary quadrants is divided by four main compass points, with person-centred care being central to the philosophy. Two axes produce Cartesian planes that intersect to form a box plot, which can be used to discover human and physical resource weightings to augment digital health research design and implementation. A third continuum highlights stakeholders’ capabilities, which are critical for any multidisciplinary study. The COMPASS mnemonic guides end users through the process of design, development, implementation, evaluation, and communication of digital health transformations. The theory’s foundations are presented and explained in context of the ‘new normal’ of health and social care delivery.
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Affiliation(s)
- Carey Mather
- School of Nursing, University of Tasmania, Newnham 7248, Australia
- Correspondence: ; Tel.: +61-3-6324-3149
| | - Helen Almond
- Australian Institute of Health Service Management, University of Tasmania, Hobart 7005, Australia;
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Pathak KP, Sanyam SD, Gaire T, Basnet PB, Sah SK, Basnet BB, Pathak S, Ingman S, Hoffman JJ. Perception and Challenges of Preventive Measures of COVID-19 Among Nepalese Frontline Health Professionals: An Unexplored Realism. Front Public Health 2022; 9:747070. [PMID: 35127610 PMCID: PMC8812484 DOI: 10.3389/fpubh.2021.747070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2021] [Accepted: 11/29/2021] [Indexed: 11/13/2022] Open
Abstract
Background A new coronavirus causes COVID-19, a developing respiratory illness. Unfortunately, there is little information assessing healthcare workers' understanding of technology and preventative strategies during the Nepalese epidemic. Researchers from other subspecialties uncovered some mythical thoughts. As a result, we decided to put it to the test with healthcare personnel on the front lines. The research also looked at the problems experienced by frontline health care personnel (HCP) because of the COVID-19 strategic shift in work policy. Methods Nepalese healthcare workers participated in web-based cross-sectional research. A pre-tested, structured questionnaire utilizing a Google form was used to get self-informed, digitally typed consent, and examine critical perspectives and problems with current technology and COVID-19 prevention efforts. Results In total, 243 participants with mean age of 29.66 ± 7.61 years agreed to participate and were doctors (n = 27), health assistants (n = 2), medical intern doctors (n = 1), paramedical (n = 139), pharmacy (n = 1), and paramedical interns (n = 73) in this study. The calculated mean percentage score of knowledge on instruments and tools was 73.64 (SD ± 10.43) %, and perception on COVID-19 transmission and control was 70.06 (SD ± 18.30) %. At various levels, frontline health workers faced significant challenges, including the adoption of digital health technology. Conclusion Frontline HCPs are anticipated to have updated knowledge from what the study has outlined. It is recommended to follow national guidelines. Policies should be put in place so that every frontline worker can demonstrate high standards in prevention, control, and equipment use that do not create misinformation among HCPs. Throughout, support for digital health materials and disease control methods for HCPs is essential.
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Affiliation(s)
- Krishna Prasad Pathak
- Department of Social Sciences, Nepal Open University, Lalitpur, Nepal
- Center for the Study of Aging, Department of Preventive Medicine, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Sandip Das Sanyam
- Sagarmatha Choudhary Eye Hospital, Lahan, Nepal
- *Correspondence: Sandip Das Sanyam
| | - Tara Gaire
- Innovative College of Health Science, Kathmandu, Nepal
| | | | | | | | - Sujana Pathak
- National Academy of Medical Sciences (NAMS) Ophthalmic, Bir Hospital, Kathmandu, Nepal
| | - Stan Ingman
- University of North Texas, Denton, TX, United States
| | - Jeremy J. Hoffman
- International Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, United Kingdom
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Impact of Nursing Professionalism on Perception of Patient Privacy Protection in Nursing Students: Mediating Effect of Nursing Informatics Competency. Healthcare (Basel) 2021; 9:healthcare9101364. [PMID: 34683044 PMCID: PMC8544444 DOI: 10.3390/healthcare9101364] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2021] [Revised: 10/05/2021] [Accepted: 10/08/2021] [Indexed: 11/29/2022] Open
Abstract
In recent times, as the healthcare system becomes more informational, the importance of patient privacy protection increases, making it necessary to identify factors that affect the perception of patient privacy protection. This study aimed to evaluate the relationship between nursing professionalism and the perception of patient privacy protection and the mediating role of nursing informatics competency. The study recruited 242 nursing students who had experienced dealing with patient information during clinical practice. The mediating model using the Hayes’ PROCESS macro (Model 4) was employed to test the study hypothesis. Nursing professionalism was found to be positively and significantly associated with the perception of patient privacy protection (β = 0.09, p = 0.021) with the mediation of nursing informatics (β = 0.18, p < 0.001). Our findings showed that nursing professionalism and nursing informatics competency determined the perception of patient privacy protection. The mediating role of nursing informatics competency implies that curricula designed to enhance nursing informatics competency of nursing students may increase their perception of patient privacy protection.
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