{"title":"Nurse Leaders Enabling Nurses to Adopt Digital Health: Results of an Integrative Literature Review","authors":"J. Burgess, M. Honey","doi":"10.36951/001c.40333","DOIUrl":null,"url":null,"abstract":"Digital health is expanding, driven by international and national strategic imperatives for improving health systems. Nurses are key stakeholders in healthcare and therefore nursing leadership plays a key role in supporting the nursing workforce to develop the skills to fully engage with digital health. This review aims to synthesise the research exploring how nurse leaders can develop digital capability in the nursing workforce using the research question: “How do nursing leaders enable hospital nurses to adopt and use digital health technology?” The literature search utilised three databases: CINAHL, MEDLINE and EMBASE, plus Google Scholar and hand searching using keywords based on four concepts: nurses, leadership, digital health and in a hospital setting. Articles needed to be in English and published from 2015 to 2022. The search netted 909 articles, which after removal of duplicates and screening, including screening for quality, resulted in eight studies. For the findings three main themes were identified: “Connecting the digital and clinical worlds”, “Facilitating digital practice development” and “Empowering nurses in the digital health world”. Nurse leaders need to create a link between clinical and digital worlds to facilitate integration of digital tools into nursing practice and this requires them to have digital competence and credibility. To facilitate digital practice, they need to drive education and practice development; have visibility in clinical practice to advocate for nurses and to hear and relay their concerns, which will facilitate solutions. Providing adequate resources is also important. Dedicated digital nurse champions can support nurse leaders in facilitating the adoption and use of digital health. In conclusion, nurse leaders can support hospital nurses to adopt and use digital health technology and this may be accomplished by using aspects of transformational leadership, though confirming this is an area for further research. TE REO MĀORI TRANSLATION Ngā Ariā Matua Kei te whakawhānui haere te hauora matihiko, he mea pana whakamua e ngā ākinga ā-ao, ā-motu hoki hei whakapiki i ngā pūnaha hauora. He kaipupuru pānga taketake ngā tapuhi i roto i te tiakinga hauora nā reira, ka riro mā te kaiārahi tapuhi e kawe ngā mahi tautoko i te rāngai tapuhi hei whakawhanake i ngā pūkenga e taea ai te mahi nui i roto i te ao hauora matihiko. Tā tēnei arotake he whai kia tuia tahitia ngā rangahau e mōhiotia ai me pēhea ngā kaihautū tapuhi e whakapakari ai i ngā āheinga matihiko o te kāhui kaimahi tapuhi, mā te whakamahi i te pātai rangahau nei: “He pēhea te whakamanawa a ngā kaihautū tapuhi i ngā tapuhi hōhipera kia hāpai, kia whakamahi hoki i ngā hangarau hauora matihiko?” I whakamahi te rapunga tuhinga i ētahi pātengi raraunga e toru: arā, CINAHL, MEDLINE me EMBASE, waihoki a Google Scholar, me ētahi rapunga ā-ringa nā te whakamahi kupu matua i runga i ētahi ariā e whā: ngā tapuhi, hautūtanga, hauora matihiko, me te ao hōhipera. Me tuhinga reo Ingarihi, ā, me tuhinga hoki i puta mai i 2015 ki 2022. E 909 ngā tuhinga i puea ake, ā, i muri i te tangohanga o ngā mea taurite me ētahi atu tātaritanga, tae atu ki te tātaritanga kounga, e waru i kitea. I kitea ētahi tāhuhu matua e toru mō ngā kitenga; te tūhono i te ao matihiko me te ao tiaki tūroro; te whakangāwari i ngā whanaketanga mahi matihiko; me te whakamanawa i ngā tapuhi i te ao matihiko hauora. Me tahuri ngā kaihautū tapuhi ki te hanga hononga i waenga i te ao tiaki tūroro me te ao matihiko, hei whakangāwari i te tuituinga o ngā taputapu matihiko ki ngā mahi tapuhi, engari me mātua matatau te kaihautū tapuhi, me tino mōhio pono hoki ki ōna āhuatanga. Hei whakangāwari i ngā mahi matihiko, me kōkiri rātou i te whanaketanga mātauranga, tikanga mahi hoki; me mātua tū hei kanohi i roto i ngā mahi tiaki tūroro hei māngai mō ngā tapuhi; me rongo, me puaki hoki e rātou ō rātou āwangawanga hei whakangāwari rongoā. He mea hira hoki te hora i ngā rauemi tōtika. Ka taea e ngā mātātoa tapuhi matihiko te tautoko i ngā kaiārahi tapuhi ki te whakangāwari i te kawenga me te whakamahinga i te hauora matihiko. Hei kupu whakamutunga, ka taea e ngā kaihautū tapuhi te tautoko i ngā tapuhi hōhipera te hāpai me te whakamahi i ngā hangarau hauora matihiko, mā te whakamahi āhuatanga mai i te hautūtanga whakaumu tikanga, engari me haere ētahi atu rangahau mō tēnei kaupapa. Ngā kupu matua: matatau; hangarau hauora matihiko; ngā tapuhi hōhipera; hautūtanga","PeriodicalId":177839,"journal":{"name":"Nursing Praxis in Aotearoa New Zealand","volume":"37 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2022-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nursing Praxis in Aotearoa New Zealand","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.36951/001c.40333","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Digital health is expanding, driven by international and national strategic imperatives for improving health systems. Nurses are key stakeholders in healthcare and therefore nursing leadership plays a key role in supporting the nursing workforce to develop the skills to fully engage with digital health. This review aims to synthesise the research exploring how nurse leaders can develop digital capability in the nursing workforce using the research question: “How do nursing leaders enable hospital nurses to adopt and use digital health technology?” The literature search utilised three databases: CINAHL, MEDLINE and EMBASE, plus Google Scholar and hand searching using keywords based on four concepts: nurses, leadership, digital health and in a hospital setting. Articles needed to be in English and published from 2015 to 2022. The search netted 909 articles, which after removal of duplicates and screening, including screening for quality, resulted in eight studies. For the findings three main themes were identified: “Connecting the digital and clinical worlds”, “Facilitating digital practice development” and “Empowering nurses in the digital health world”. Nurse leaders need to create a link between clinical and digital worlds to facilitate integration of digital tools into nursing practice and this requires them to have digital competence and credibility. To facilitate digital practice, they need to drive education and practice development; have visibility in clinical practice to advocate for nurses and to hear and relay their concerns, which will facilitate solutions. Providing adequate resources is also important. Dedicated digital nurse champions can support nurse leaders in facilitating the adoption and use of digital health. In conclusion, nurse leaders can support hospital nurses to adopt and use digital health technology and this may be accomplished by using aspects of transformational leadership, though confirming this is an area for further research. TE REO MĀORI TRANSLATION Ngā Ariā Matua Kei te whakawhānui haere te hauora matihiko, he mea pana whakamua e ngā ākinga ā-ao, ā-motu hoki hei whakapiki i ngā pūnaha hauora. He kaipupuru pānga taketake ngā tapuhi i roto i te tiakinga hauora nā reira, ka riro mā te kaiārahi tapuhi e kawe ngā mahi tautoko i te rāngai tapuhi hei whakawhanake i ngā pūkenga e taea ai te mahi nui i roto i te ao hauora matihiko. Tā tēnei arotake he whai kia tuia tahitia ngā rangahau e mōhiotia ai me pēhea ngā kaihautū tapuhi e whakapakari ai i ngā āheinga matihiko o te kāhui kaimahi tapuhi, mā te whakamahi i te pātai rangahau nei: “He pēhea te whakamanawa a ngā kaihautū tapuhi i ngā tapuhi hōhipera kia hāpai, kia whakamahi hoki i ngā hangarau hauora matihiko?” I whakamahi te rapunga tuhinga i ētahi pātengi raraunga e toru: arā, CINAHL, MEDLINE me EMBASE, waihoki a Google Scholar, me ētahi rapunga ā-ringa nā te whakamahi kupu matua i runga i ētahi ariā e whā: ngā tapuhi, hautūtanga, hauora matihiko, me te ao hōhipera. Me tuhinga reo Ingarihi, ā, me tuhinga hoki i puta mai i 2015 ki 2022. E 909 ngā tuhinga i puea ake, ā, i muri i te tangohanga o ngā mea taurite me ētahi atu tātaritanga, tae atu ki te tātaritanga kounga, e waru i kitea. I kitea ētahi tāhuhu matua e toru mō ngā kitenga; te tūhono i te ao matihiko me te ao tiaki tūroro; te whakangāwari i ngā whanaketanga mahi matihiko; me te whakamanawa i ngā tapuhi i te ao matihiko hauora. Me tahuri ngā kaihautū tapuhi ki te hanga hononga i waenga i te ao tiaki tūroro me te ao matihiko, hei whakangāwari i te tuituinga o ngā taputapu matihiko ki ngā mahi tapuhi, engari me mātua matatau te kaihautū tapuhi, me tino mōhio pono hoki ki ōna āhuatanga. Hei whakangāwari i ngā mahi matihiko, me kōkiri rātou i te whanaketanga mātauranga, tikanga mahi hoki; me mātua tū hei kanohi i roto i ngā mahi tiaki tūroro hei māngai mō ngā tapuhi; me rongo, me puaki hoki e rātou ō rātou āwangawanga hei whakangāwari rongoā. He mea hira hoki te hora i ngā rauemi tōtika. Ka taea e ngā mātātoa tapuhi matihiko te tautoko i ngā kaiārahi tapuhi ki te whakangāwari i te kawenga me te whakamahinga i te hauora matihiko. Hei kupu whakamutunga, ka taea e ngā kaihautū tapuhi te tautoko i ngā tapuhi hōhipera te hāpai me te whakamahi i ngā hangarau hauora matihiko, mā te whakamahi āhuatanga mai i te hautūtanga whakaumu tikanga, engari me haere ētahi atu rangahau mō tēnei kaupapa. Ngā kupu matua: matatau; hangarau hauora matihiko; ngā tapuhi hōhipera; hautūtanga
在改善卫生系统的国际和国家战略需要的推动下,数字卫生正在扩大。护士是医疗保健的关键利益相关者,因此护理领导在支持护理人员发展技能以充分参与数字健康方面发挥着关键作用。本综述旨在通过研究问题“护理领导如何使医院护士采用和使用数字健康技术?”来综合探索护士领导如何在护理队伍中发展数字能力的研究。文献检索使用了三个数据库:CINAHL、MEDLINE和EMBASE,加上Google Scholar和基于护士、领导力、数字健康和医院环境四个概念的关键词手工检索。文章需为英文,出版时间为2015年至2022年。检索共收录了909篇文章,在删除重复和筛选(包括质量筛选)后,得到了8篇研究。调查结果确定了三个主要主题:“连接数字和临床世界”、“促进数字实践发展”和“在数字卫生世界中赋予护士权力”。护士领导需要在临床和数字世界之间建立联系,以促进将数字工具整合到护理实践中,这要求他们具有数字能力和可信度。为了促进数字化实践,他们需要推动教育和实践的发展;在临床实践中有可见度,倡导护士,听取和传达他们的担忧,这将有助于解决方案。提供充足的资源也很重要。专门的数字护士倡导者可以支持护士领导促进数字卫生的采用和使用。总之,护士领导可以支持医院护士采用和使用数字健康技术,这可以通过使用变革型领导的各个方面来实现,尽管确认这是一个需要进一步研究的领域。the REO MĀORI TRANSLATION Ngā aria ā Matua Kei the whakawhānui haere the hauora matihiko, the mea pana whakamua e Ngā ākinga ā-ao, ā-motu hoki hei whakapiki i Ngā pūnaha hauora。他kaipupuru pānga taketake ngā tapuhi i roto i the tiakinga hauora nā reira, ka riro mā the kaiārahi tapuhi e kawe ngā mahi tautoko i the rāngai tapuhi hei whakawhanake i ngā pūkenga e tatea i mahi nui roto i the ao hauora matihiko。Tāēnei arotake他whai起亚tuia tahitia ngārangahau e mōhiotia ai我pē头脑ngākaihautūtapuhi e whakapakari ai我ngāāheinga matihiko kāo te回族kaimahi tapuhi, māte whakamahi我te pātai rangahau nei:“他他叫pēte whakamanawa ngākaihautūtapuhi我ngātapuhi hōhipera起亚hāpai,起亚whakamahi hoki我ngāhangarau hauora matihiko ?”我whakamahi the rapunga tuhinga I ētahi pātengi raraunga e toru: arna, CINAHL, MEDLINE me EMBASE, waihoki a Google Scholar, me ētahi rapunga ā-ringa nā te whakamahi kupu matua I runga I ētahi ariae whaka: ngu tapuhi, hautūtanga, hauora matihiko, me the ao hōhipera。我想要的是,我想要的是,我想要的是,我想要的是,我想要的是,2015年我想要的是2022年。E 909 ngā tuhinga i puea ake, i muri i tangohanga o ngā mea tauri ētahi atu tātaritanga, a ā tuu ki the tātaritanga kounga, E waru i kitea。I kitea ētahi tāhuhu matua e toru mue ngaki kitenga;这个tūhono我的名字是我的名字是我的名字是tūroro;the whakangāwari I ngā whanaketanga mahi matihiko;我是whakamanawa,我是ngutuhi,我是ao matihiko hauora。Me tahuri ngi kaihauti tapuhi ki hanga hononga i waenga i the ao tiaki tūroro Me Me the ao atiuhi ki nga mahi tapuhi, engari Me mātua matatau the kaihauti tapuhi, Me tino mōhio pono hoki ki ōna āhuatanga。Hei whakangāwari i ngā mahi matihiko, me kōkiri rātou i the whanaketanga mātauranga, tikanga mahi hoki;我mātua tkii kanohi I roto I ngi mahi tiaki tūroro hei māngai mkii ngi tapuhi;我的龙戈,我的puaki hoki e rātou ' rātou āwangawanga hei whakangāwari龙戈。他的意思是hira hoki the hora i ngā rauemi tōtika。Ka taea e ngā mātātoa tapuhi matihiko tautoko i ngā kaiārahi tapuhi ki the whakangāwari i kawenga i whakamahinga i hauora matihiko。Hei kupu whakamutunga, ka taea e ngi kaihautau tapuhi tautoko i ngi tapuhi hōhipera the hāpai me the whakamahi i ngi hangarau hauora matihiko, mha ā te whakamahi āhuatanga mai i the hautūtanga whakaumu tikanga, engari me haere ētahi atu rangahau mhi tēnei kaupapa。恩库普语:马塔托;Hangarau hauora matihiko;Ngā tapuhi hōhipera;上流社会的ū坦噶