Insights from the rapid implementation of digital technologies in nursing practice during COVID-19 - a survey.

Zerina Lokmic-Tomkins, Yi-Fung Lin, Eddie Robinson, Jen Bichel-Findlay, Muhammad Faisal, Dawn Dowding
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Abstract

Aim: To explore nurses' adoption of digital technologies during the COVID-19 pandemic and their perceived impact on nursing practice in Australia, focusing on technology-supported workforce preparedness for future public health emergencies.

Design: A cross-sectional survey design.

Methods: Nurses who worked in clinical settings during the COVID-19 lockdown period were eligible to participate in this study. Participants (N = 94) completed a 41-item online survey of forced-choice responses, free-text open-ended questions, and a system usability rating. Data were analysed using descriptive statistics and content analysis.

Results: Ninety-four respondents representing various fields of nursing reported on 102 distinct digital technologies. These technologies were categorized into online communication (n = 42; 41.2%), patient monitoring/data sharing (n = 20; 19.6%), virtual appointments (n = 16; 15.7%), electronic medical records (n = 15; 14.7%), mobile applications (n = 5; 4.9%), information systems (n = 3; 2.9%), and e-prescribing (n = 1; 0.9%). System usability varied across different types of technology. Barriers to successful technology use included inadequate infrastructure, low staff and patient digital literacy, lack of organizational support and training, particularly when redeployed, and clinician attitudes.

Conclusion: Although study participants demonstrated high agility and adaptability when digital technologies were rapidly implemented, the data suggests a need for greater organizational support and proactive preparation for similar public health emergencies. One of the most critical lessons learned from the COVID-19 pandemic is that even though digital technologies may need to be rapidly deployed to effectively support healthcare delivery during public health emergencies, this deployment needs to be thoughtful. As climate change increases the frequency and severity of such crises, investing in the digital preparedness of the nursing workforce emerges as a strategic imperative and as an essential component to fostering workforce resilience and long-term sustainability.

2019冠状病毒病期间数字技术在护理实践中的快速应用——一项调查。
目的:探讨2019冠状病毒病大流行期间护士对数字技术的采用及其对澳大利亚护理实践的影响,重点关注技术支持的劳动力为未来突发公共卫生事件做好准备。设计:横断面调查设计。方法:在COVID-19封锁期间在临床环境中工作的护士有资格参加本研究。参与者(N = 94)完成了一项41项的在线调查,包括强制选择回答、自由文本开放式问题和系统可用性评级。数据分析采用描述性统计和内容分析。结果:代表不同护理领域的94名受访者报告了102种不同的数字技术。这些技术被分类为在线通信(n = 42;41.2%)、患者监测/数据共享(n = 20;19.6%),虚拟预约(n = 16;15.7%),电子病历(n = 15;14.7%),移动应用程序(n = 5;4.9%),信息系统(n = 3;2.9%),电子处方(n = 1;0.9%)。系统可用性因不同类型的技术而异。成功使用技术的障碍包括基础设施不足,工作人员和患者数字素养低,缺乏组织支持和培训,特别是在重新部署时,以及临床医生的态度。结论:尽管研究参与者在快速实施数字技术时表现出高度的敏捷性和适应性,但数据表明,需要更多的组织支持,并为类似的突发公共卫生事件做好积极准备。从2019冠状病毒病大流行中吸取的最重要教训之一是,尽管可能需要快速部署数字技术以有效支持突发公共卫生事件期间的医疗服务提供,但这种部署需要经过深思熟虑。随着气候变化增加此类危机发生的频率和严重程度,投资于护理人员的数字化准备已成为一项战略要务,也是培养护理人员复原力和长期可持续性的重要组成部分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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