A cross-sectional study of discipline-based self-perceived digital literacy competencies of nursing students

AIMS

This study offers an empirical exploration of self-assessed digital competencies of students, most of whom studied in nursing courses, using a discipline-based self-assessment survey tool. A range of digital competencies were explored: information and communication technology proficiency and productivity, information literacy, digital creation, digital research, digital communication, digital learning and development, digital innovation, digital identity management and digital well-being.

DESIGN

A cross-sectional empirical study.

METHODS

Quantitative data were collected from November to December 2021 via a questionnaire survey administered to students. Quantitative results were reported through descriptive statistical analysis. Mann-Whitney (U-test) and Kruskal-Wallis non-parametric statistical tests were used to identify statistically significant differences based on age demographics and pre- or post-registration course. Thematic analysis was utilized for survey open-ended questions data.

RESULTS

Students reported low competencies in the following digital literacy dimensions, all of which were imperative for their studies and for their future professional careers: information literacy, digital research, digital innovation. Significant statistical subgroup differences were found between age demographics and pre/post-registration within most of the digital competence dimensions. The survey open-ended comments revealed that students encountered challenges around digital skills they had mostly developed via everyday life experiences and trial-and-error approaches.

CONCLUSION

Increasing awareness of existing digital gaps and offering tailored digital skills enhancement can empower students as future-proof evidence-based practitioners in an evolving digital healthcare landscape.

IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE

Highlights the importance of embedding digital literacy within nursing study programmes, as preparation for comprehensive patient healthcare.

IMPACT

Offers insights into digital competencies gaps of nursing students. Proposes targeted educational digital skills training interventions. Stresses the value of academic staff supporting nursing students to develop digital skills in important areas of professional practice.

REPORTING METHOD

JBI critical appraisal checklist. No patient or public contribution.

The Impact of Smokers' Information-Seeking Behavior on Smoking Cessation

INTRODUCTION

Smoking has a harmful effect on human body and is rated to be the primary cause of preventable premature disease and death worldwide, while it is responsible for at least 25 life-threatening diseases.

METHODS

An empirical investigation has been carried out through the development and distribution of a structured questionnaire. The sample of empirical investigation consisted of 150 smokers aged over 18 years (response rate 85.7%).

ANALYSIS

Descriptive analysis and correlation control of questionnaire variables are used to report the findings of the study.

RESULTS

Information about passive smoking, smoking consequences, and current therapies in quitting smoking were rated highest among smoke-related information needs. The main sources of information were family/relatives/friends/colleagues and Internet and less important factors were formal sources like medical staff, health professionals, and primary health care services. Ε-health literacy is correlated with higher self-efficacy, positive intention to quit smoking, and better educational level while is negatively correlated with increasing age.

CONCLUSIONS

The creation of specialized programs and upgraded information services is fundamental for successful smoking cessation. These programs and services should be addressed to all socioeconomic groups and combined with the improvement in smokers' e-health literacy will contribute to a higher self-efficacy and finally drive them to quit smoking.

Level of Awareness Regarding Cervical Cancer Among Female Syrian Refugees in Greece

Nowadays, prevention, control and treatment of cervical cancer are a worldwide public health priority. Primary objective of this study was to evaluate the level of awareness of female Syrian refugees who have recently settled in Greece regarding the warning signs and the risk factors of cervical cancer. This is a descriptive, cross-sectional study that was conducted in two facilities of the Hellenic Red Cross. The Cervical Cancer Awareness Measure questionnaire was addressed to 176 female Syrian refugees, aged between 18 and 50. Syrian women presented low awareness both for risk factors and warning signs. The most frequently identified warning signs were vaginal bleeding after menopause (44.3%), vaginal bleeding between menstruation (34.1%) and unexplained weight loss (32.4%). Regarding the risk factors' recognition rates, 74.5% considered the existence of many sexual partners as a risk factor and 61.3% the existence of a sexual partner with many previous sexual partners. Older age, a higher level of education and confidence that any potential symptom would be identified were associated with increased awareness. Our findings confirm former published reports that indicate poor awareness regarding cervical cancer among refugee populations. Full compliance with the guidelines of the World Health Organization for a national cervical cancer screening programme is highly advised in Greece and should address the needs of both native and refugee populations. This research is the first one that underlines the need for raising awareness of cervical cancer among female Syrian refugees in Greece by developing health promotion strategies adjusted to their unique cultural needs.

Information needs and information-seeking behaviour of maritime students: a systematic literature review using the PRISMA method

Purpose

Digital information seeking behavior incorporates the effective information seeking, retrieving and using in maritime studies. Moreover, digital information literacy skills support the employment of digital tools and information databases for decision making and for performing specific tasks online. The main aim of this paper is to explore the relevant research for the information needs and information seeking behaviour of maritime students.

Design/methodology/approach

A systematic literature review over scholarly publications in English language over the last decade was performed through PRISMA method.

Findings

The systematic literature review resulted to 22 related publications that are consistent with the criteria of the systematic literature review. These publications are analysed and discussed. The need for further research in the area of information seeking behaviour of students of maritime studies as well as of digital information literacy is exposed.

Originality/value

This work explores the behavioural patterns surrounding the central role of information for maritime students as well as for decision-making in the maritime sector. Digital information literacy competencies are discussed in order to be included in the curricula of maritime studies.

A study of university law students’ self-perceived digital competences

The concept of digital competences incorporates the effective use of constantly-changing digital tools and media for learning and performing digital tasks, digital behaviours (such as online communication, teamwork, ethical sharing of information), as well as digital mindsets that value lifelong digital learning and development. The current pandemic crisis has accelerated the need to diagnose and understand more systematically Higher Education students’ digital competences and the way in which they shape academic performance and outcomes. This empirical study explores the digital competences of students, studying in Law related courses, by means of a self-assessment survey tool, which has been previously tested with information and library science students, and was developed to study students’ technology mastery (i.e. the abilities, competences, capabilities and skills required for using digital technology, media and tools) and their digital citizenship mindsets (consisting of attitudes and behaviours necessary to develop as a critical, reflective and lifelong learners). The study found age demographic differences, which presented significant correlations pointing to the presence of diverse levels of competences in the student group. Correlation statistics of the survey data demonstrated that students’ prior everyday participation as a digital citizen was connected to a number of important academic skills, such as the ability to identify information in different contexts, students’ digital learning and development, their digital abilities to complete academic work, their information literacy skills and their skills around managing their digital wellbeing and identity. Focus groups data with academics revealed that they valued the development of students’ digital competences for the purposes of learning, while studying at university and placed less emphasis on digital citizenship skills. These academics also considered the value of digital platforms and tools (the focus on ‘ICT Proficiency’) to be more relevant for academic study than digital citizenship mindsets.

The management of public libraries during COVID-19 pandemic: a systematic literature review through PRISMA method

Purpose

The purpose of this paper is to provide an overview of the literature regarding the impact of global coronavirus pandemic (COVID-19) pandemic on PLs and their management responses during COVID-19 pandemic as well as for the post-pandemic era.

Design/methodology/approach

The systematic literature review is based on preferred reporting items for systematic reviews and meta-analyses (PRISMA) method and includes publications in the English language published at online scholarly resources during the period of COVID-19 outbreak, i.e. from January 2020 to June 2021.

Findings

The number of the eligible and relevant studies for the COVID-19 impact on PLs was 79, which were included in the literature review profiling and in the qualitative analysis.

Originality/value

The systematic review provides a useful overview of existing PL management paradigms that could be contemplated at an organizational, national or international level while developing a strategy for public libraries in the post-pandemic era.

Nursing practice environment and employee silence about patient safety: The mediating role of professional discrimination experienced by nurses

AIMS

To examine the associations between nurse work environment with nurses' silence about patient safety and the mediating effects of professional discrimination experienced by nurses.

DESIGN

Multicentre cross-sectional study.

METHODS

Between January and April 2019, 607 nurses and nursing assistants from seven hospitals in Greece assessed their clinical environment using the 'Practice Environment Scale of the Nursing Work Index Revised-PES-NWIR', and the silence about patient safety. The 'Experiences of Discrimination Index' was adapted to specifically address experienced discrimination based on the nursing profession. The PROCESS macros for SPSS were used to examine the above associations.

FINDINGS

Better nurse practice environment, with the exception of 'staffing and resource adequacy' dimension, was directly associated with less experienced professional discrimination, and directly and indirectly associated with less silence about patient safety, through the mediating role of professional discrimination experienced by nurses.

CONCLUSIONS

Silence about patient safety is dependent on the clinical work environment and may be a response of nurses to discrimination in the work context. Both an improvement in the nurse work environment and a decrease in professional discrimination would minimize silence about patient safety.

IMPACT

On many occasions, nurses are directly or indirectly discouraged from voicing their concerns about patient safety or are ignored when they do, leading to employee silence and decreasing the standard of care (Alingh et al., BMJ Quality & Safety, 2019, 28, 39; Pope, Journal of Change Management, 2019, 19, 45). Nurses' work-related determinants for silence are not clearly understood in the patient safety context. A favourably evaluated nurse practice environment is associated with less experienced professional discrimination and less silence about patient safety. To minimize silence about patient safety, both the nurse work environment and the experienced professional discrimination should be taken into consideration by nurse and healthcare managers.

Harmonious work passion and work-related internet information seeking among nurses: The mediating role of intrinsic motivation

AIM

The aim of this study is to investigate the relationship between nurses' harmonious work passion and work-related internet information seeking. In doing so, we examine intrinsic motivation as an underlying mechanism of this relationship.

BACKGROUND

Nurses seek and utilize information to respond effectively to their tasks and to develop their skills and competencies. Internet consists one of the easiest and richest sources of information. Both nurses and organizations need to identify potential antecedents of work-related internet information seeking.

METHODS

Data were collected from 239 nurses and nurse assistants in a Greek University hospital and were analysed using bootstrap analysis with PROCESS macro.

RESULTS

Harmonious work passion was positively related to intrinsic motivation and intrinsic motivation related positively to work-related internet information seeking. The mediating role of intrinsic motivation was also supported.

CONCLUSIONS

Nurses with harmonious work passion seek more regularly work-related information on the internet because they experience high levels of intrinsic motivation.

IMPLICATIONS FOR NURSING MANAGEMENT

Health care organizations and managers need to recruit passionate nurses and cultivate a workplace culture that will trigger higher levels of harmonious work passion. Recruitment tools and methods such as interviews, situational judgement tests or role playing could be very beneficial towards uncovering potential candidates with an elevated passion for their work.

Nurses' ehealth literacy and associations with the nursing practice environment

AIM

To report on ehealth literacy levels in nurses and to explore its associations with the nursing practice environment.

BACKGROUND

Nurses increasingly use the Internet and associated technologies to seek health-relevant information and manage their health.

INTRODUCTION

High ehealth literacy is a predictor of better health outcomes in diverse populations but its levels and work-related determinants have not been adequately explored in direct-care nurses.

METHODS

The sample for this cross-sectional study consisted of 200 staff nurses and nursing assistants in Greece. Participants reported during February-March 2019 their sociodemographic and work-related characteristics on a self-administered questionnaire which included the "electronic Health Literacy Scale"-eHEALS, and the "Practice Environment Scale of the Nursing Work Index"-PES-NWI. Crude and adjusted logistic regressions were performed.

FINDINGS

In adjusted models, participants that scored higher on the "Collegial nurse-physician relationships" and "Nurse participation in hospital affairs" dimensions of the clinical environment had higher odds of reporting better ehealth literacy. The lowest item score in eHEALS was related to not being able to make health decisions using Internet information.

DISCUSSION

Nurses' ehealth literacy was positively associated with some dimensions of the hospital practice environment. Nurses reported higher ehealth literacy scores in comparison to other studies; however, they were not confident in distinguishing reliable health information from Internet sources. This is quite alarming because it can directly impair the ability of nurses to provide relevant and up-to-date evidence-based care.

CONCLUSION

This is the first study to report internationally on the positive associations of a good working environment with nurses' ehealth literacy levels.

IMPLICATIONS FOR NURSING AND NURSING POLICY

Nursing policy should address the ehealth literary of nurses and integrate it into continuing professional education initiatives. Special focus should be put on nurses' ambiguity in distinguishing which ehealth information is reliable and can guide nursing practice. This should be combined with efforts to improve the nursing clinical environment and increase nurses' participation in hospital decisions.

The impact of health information needs' satisfaction of hypertensive patients on their clinical outcomes

Purpose

The ultimate aim of this study is to investigate how health information needs’ satisfaction actually makes a difference to the patients' management of a chronic clinical condition. The literature falls short of providing evidence on the interaction between patients' health information seeking behaviour and the successful management of a clinical condition. On the other hand, patient education and good information seeking practices are deemed necessary for hypertension management daily decisions.

Design/methodology/approach

A specially designed questionnaire study was developed: The survey design was informed by the information seeking behaviour model of Wilson for studying hypertension patients' information needs, information resources and obstacles patients face while seeking hypertension-related information. Moreover, clinical information was collected in order to make associations and inference on the impact of information seeking on patients' clinical outcomes.

Findings

The study included 111 patients submitted to the outpatient hypertension clinic of a university hospital in Athens for a 24-h ambulatory blood pressure measurement (ABPM). The analysis showed that those reporting higher satisfaction level of their information needs achieved lower values in ABPM (ABPM<130/80mmHg, p = 0.049). Stepwise the logistic regression analysis revealed three independent factors to predict the possibility of being optimally treated (ABPM<130/80mmHg). Dipping status (OR: 14.052, 95% CI: 4.229–46.688, p = 0.0001) patients with high satisfaction level of their disease (OR: 13.450, 95% CI: 1.364–132.627, p = 0.026) and interpersonal relationships were used as the main source of information (OR: 1.762, 95% CI: 1.024–3.031, p = 0.41).

Originality/value

Hypertensive patients with high satisfaction level of information achieve better disease control. Among different sources of information, interpersonal relationships emerge as the most appropriate factor for patients' disease control.

A study of higher education students' self-perceived digital competences for learning and everyday life online participation

Purpose

An increasing amount of research and debate has emerged over the last few years, emphasising the need for developing digitally competent, literate, able, skilled, capable people within a constantly changing technological and online environment. Existing definitions and perspectives in this area go beyond the use of technological tools or media for the creation of a digital literacy mindset, which develops throughout one's life. However, Higher Education strategies have not yet caught up with this agenda.

Design/methodology/approach

A student survey with Library and Information Science students from three higher education institutions in Scotland, Ireland and Greece was conducted as a basis of empirical data to support the theoretical propositions of the study. The survey centred on the technical and higher-level digital competences of students and drawing from students' self-perceived digital competences for learning and for the everyday life digital context, addressing e-leisure, e-learning, e-democracy, e-government and e-health activities. The survey critically enabled students to assess digital competences from their perspectives as digital participants.

Findings

Students' self-assessment of digital competences were lacking in a number of areas, which involved the development of information literacy, digital creation, digital research and digital identity management. In addition, students' digital competences were found to be linked to previous experiences within the everyday life digital environment. The higher the self-perceived digital competence levels of students were on the basis of dealing with everyday life digital tasks, the more likely they were to also develop high self-perceived digital competence in other digital areas related to their education.

Originality/value

Higher education has not fully embraced digital competences as a core, fundamental literacy which addresses both technology mastery and a digital citizenship mindset. As emerging models begin to challenge traditional teaching and learning paradigms, with global connectivity and personalised approaches, existing digital divides may be further accelerated. This requires revisiting digital competences with emphasis on the diversity of the contexts where it develops and of the learners involved, in the overall continuum of learning for life.

Studying musical creativity for managing music library services

Purpose

The purpose of this paper is to study and quantify musicians' creativity in order to tune music library services and pinpoint potential musical creative activities.

Design/methodology/approach/methodology/approach

Webster's conceptual framework for the creative thinking process in music is informing our survey while the analysis adopts a multiple criteria method for quantifying musical creativity. strengths, weaknesses, opportunities, and threats (SWOT) analysis is also adopted developing strategic decisions based on musicians' creativity behaviours.

Findings

Mental representations of the music heard (listening) is the most important dimension for creative thinking in music while dimensions such as recorded improvisations (improvisation), written analysis (analysis) and composed music scores (composition) follow. SWOT analysis provides further indications for music library services development based on musicians' creativity behaviours.

Originality/value

This study proposes a novel research vein based on multicriteria analysis within the contexts of musical creativity for managing music library services.

A cross-sectional survey interconnecting health information seeking behavior with clinical data of type 2 diabetes mellitus patients

Purpose

The purpose of this paper is the investigation of type 2 diabetes patients' information seeking behavior in terms of their information needs, sources and barriers faced by patients when seeking information. The information seeking behavior is associated with clinical patient data.

Design/methodology/approach

The relevant literature is reviewed, and the results of a cross-sectional survey informed by Wilson's macro-model of information seeking behavior are reported. The survey includes 106 outpatients from the diabetes clinic of a Greek major university hospital and includes information seeking behaviors and patient's clinical evidence.

Findings

The most important health information needs are related to the complications, symptoms and causes of diabetes, to the proper diet for diabetics and the measures adopted to avoid foot complications. Furthermore, the most important information resources were physicians, ophthalmologists, books, broadcast media and family members. Obstacles encountered during information seeking include the complicated nature of health information, which involves scientific terms as well as psychological issues. The diabetes stage is correlated with information needs for diabetes medication, while the years from the first diagnosis are negatively correlated with the use of informal sources.

Research limitations/implications

The information needs and sources of diabetic patients, as well as the main obstacles to this pursuit, could potentially have important implications in designing a future information campaign and information services for diabetes patients.

Originality/value

The Wilson's macro-model of information seeking has been applied to the diabetic patients' information seeking behavior; while information needs, information sources and information obstacles are correlated with clinical evidence from patients’ hospital records.

Learning analytics: Survey data for measuring the impact of study satisfaction on students' academic self-efficacy and performance

This paper presents learning analytics data for measuring the impact of study satisfaction on students' academic self-efficacy and performance. For this purpose, a specially designed questionnaire was developed and distributed across 124 undergraduate students. Preliminary analysis using descriptive statistics for items and confirmatory factor analysis is provided. The analysis provides evidence for the relation between students' satisfaction, self-efficacy, and academic performance, and evaluates the role of academic information resources in fulfilling students' information needs. These data are of importance for researchers and practitioners involved with budgetary decisions in academic collections as well as the influence of research specific (rather than training specific) information resources in student satisfaction.

Data on patient's satisfaction from an emergency department: Developing strategies with the Multicriteria Satisfaction Analysis

This article presents data that examine the patient׳s satisfaction from the services of an Emergency Department in Greece during the economic crisis. 490 questionnaires have been collected for the assessment of patient satisfaction by taking into account criteria like cleanliness, waiting room, access to the hospital, courtesy, friendliness and professional attitude of the emergency department staff, service processes and waiting times. In order to examine the satisfaction levels of the patients and moreover to design possible strategic actions we use the MUSA method.

Linking exploration to academic performance

Purpose

Substantial empirical research has addressed the antecedents of students’ academic performance. Building on these insights, the purpose of this paper is to extend the related literature by investigating the impact of students’ exploration on their academic performance. Furthermore, to provide a better understanding of this relationship the authors incorporate two sequential mediators, namely, information seeking and academic self-efficacy.

Design/methodology/approach

Quantitative approach using self-report questionnaires. This study was conducted in the Hellenic Open University through a specially designed questionnaire. The authors collected data from 248 students attending a postgraduate course in Healthcare Management.

Findings

The results showed that information seeking and in turn academic self-efficacy mediate the positive association between exploration and academic performance. Both theoretical and practical implications are also discussed.

Originality/value

Students’ exploration plays an important role in enhancing both their information seeking and self-efficacy which in turn affects their academic performance.

Linking physicians’ medical practice information needs, resources and barriers to job satisfaction

Purpose

Medical doctors seek information in order to satisfy their demanding everyday work practices and professional development endeavours. Information seeking is a continuous goal-related process that has impact on how they perceive and experience their job. The purpose of this paper is to explore the association of doctors’ awareness of medical practice information needs (MPIN), their frequency of using online information resources and the barriers they encountered during information seeking with their overall job satisfaction. More specifically, the research examined the mediating role of these information seeking related variables (information needs, online scholarly resources and information barriers) on doctors’ overall job satisfaction.

Design/methodology/approach

The study employed a questionnaire survey of 138 medical doctors working within the context of a University Hospital in Greece. The survey took place between February and March 2014. To test the hypotheses the authors conducted regression analysis, hierarchical moderated analysis and bootstrapping using SPSS macro developed by Preacher and colleagues.

Findings

The statistical analysis found that higher awareness of MPIN had an indirect effect on doctors’ overall job satisfaction when they used online information scholar resources. In addition, this indirect effect was contingent on information-related barriers.

Originality/value

This study provides evidence for supporting the pivotal role of doctors’ information seeking preferences in fostering job satisfaction. This is an understudied research area that deserves a unique focus particularly with the constantly expanding medical information space that has impact on doctors’ medical practices and professional activities.

The Impact of Information on Doctors' Attitudes Toward Generic Drugs

The objective of this study is to assess the impact of information on doctors' attitudes and perceptions toward generics. A cross-sectional survey based on a specially designed 21-item questionnaire was conducted. The survey involved doctors of different specialties working in a public hospital in Greece. The analysis includes descriptive and inferential statistics, reliability and validity tests, as well as structural equation modeling to evaluate the causal model. Statistical analysis was accomplished by using SPSS 20 and Amos 20. A total of 134 questionnaires out of 162 were received, providing a response rate of 82.71%. A number of significant associations were found between information and perceptions about generic medicines with demographic characteristics. It seems that the provision of quality information on generic drugs influences doctors' attitudes and prescription practices toward generic drugs. This is not a static process but a rather dynamic issue involving information provision policies for strengthening the proper doctors' attitudes toward generic drugs.

Information seeking behavior of patients with diabetes mellitus: a cross-sectional study in an outpatient clinic of a university-affiliated hospital in Athens, Greece

BACKGROUND

The purpose of this study is to examine the information behavior of diabetic patients, a relatively unexplored field of diabetes care, including their needs for information, resources used, obstacles encountered and degree of satisfaction for diabetes-related information acquisition.

METHODS

203 patients (males: 110, type 2:172) followed-up in the outpatient Diabetes Clinics of a University-affiliated hospital in Greece were assessed, using a validated questionnaire.

RESULTS

Patients identified diet (61.4%) and diabetic complications (41.9%) as "the most important" for their information needs and the treating physician (94.6%) for information resources. Internet importance and frequency of use ranked low. Main obstacles to information seeking were "lack of time" and "cost". Most patients (71.4%) stated they were "quite" or "very satisfied" with the current possibilities of information seeking.

CONCLUSIONS

Diabetic patients' stated information needs and information sources, as well as main obstacles to obtaining information could potentially have important implications in designing a future information campaign.

A survey on information seeking behaviour of nurses at a private hospital in Greece

The paper deals with the investigation of the information seeking behavior of nursing staff of a private hospital in Greece. It is assumed that the information seeking behaviour has an effect on the nursing care and practices. A survey was conducted through a specially designed questionnaire distributed within 2013 to registered nurses of a major private Hospital in Athens. Nonparametric descriptive statistics have been carried out through SPSS version 20. The information needs of nurses are related to their work role and include information for nursing interventions and hospital infections control. The online scientific content is considered as the main source of information, while lack of time is considered as the main obstacle when seeking information. Regarding the effects of information, nurses believe that information quality and availability influences nursing care as well as nursing practices. Development of appropriate information services and information literacy skills for nurses is required.

Conflict management and job satisfaction in paediatric hospitals in Greece

AIM

To assess the major causes of conflict and to identify choices of strategy in handling conflicts.

BACKGROUND

Conflict is inherent to hospitals as in all complex organizations, and health personnel deal with internal and external conflicts daily.

METHODS

The sample consisted of 286 participants. A five-part questionnaire, specific for conflicts in hospitals, was administered to health personnel.

RESULTS

Of the participants 37% were physicians and 63% were nurses and nursing assistants. As far as choice of strategy in conflict management is concerned, avoidance was found to be the most frequent mode chosen while accommodation was the least frequent mode. Organizational problems were the main issue creating conflicts since 52% of nurses and 45% of physicians agreed that receiving direction from more than one manager may lead to conflicts (P=0.02). Educational differences and communication gaps were reported as another cause of conflicts, with nurses supporting this statement more than the other groups (P=0.006).

CONCLUSION

To become effective in conflict management nurses and physicians must understand causes and strategies in handling conflicts.

IMPLICATIONS FOR NURSING MANAGEMENT

Major changes are needed regarding human resource management, work incentives and dynamics of teamwork in order to improve working conditions in Greek public hospitals.