Sebastian Hofstetter, Max Zilezinski, Dominik Behr, Bernhard Kraft, Christian Buhtz, Denny Paulicke, Anja Wolf, Christina Klus, Dietrich Stoevesandt, Karsten Schwarz, Patrick Jahn
{"title":"将数字辅助技术融入护理流程:混合方法研究。","authors":"Sebastian Hofstetter, Max Zilezinski, Dominik Behr, Bernhard Kraft, Christian Buhtz, Denny Paulicke, Anja Wolf, Christina Klus, Dietrich Stoevesandt, Karsten Schwarz, Patrick Jahn","doi":"10.2196/54083","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Current challenges in patient care have increased research on technology use in nursing and health care. Digital assistive technologies (DATs) are one option that can be incorporated into care processes. However, how the application of DATs should be introduced to nurses and care professionals must be clarified. No structured and effective education concepts for the patient-oriented integration of DATs in the nursing sector are currently available.</p><p><strong>Objective: </strong>This study aims to examine how a structured and guided integration and education concept, herein termed the sensitization, evaluative introduction, qualification, and implementation (SEQI) education concept, can support the integration of DATs into nursing practices.</p><p><strong>Methods: </strong>This study used an explanatory, sequential study design with a mixed methods approach. The SEQI intervention was run in 26 long-term care facilities oriented toward older adults in Germany after a 5-day training course in each. The participating care professionals were asked to test 1 of 6 DATs in real-world practice over 3 days. Surveys (n=112) were then administered that recorded the intention to use DATs at 3 measurement points, and guided qualitative interviews with care professionals (n=12) were conducted to evaluate the learning concepts and effects of the intervention.</p><p><strong>Results: </strong>As this was a pilot study, no sample size calculation was carried out, and P values were not reported. The participating care professionals were generally willing to integrate DATs-as an additional resource-into nursing processes even before the 4-stage SEQI intervention was presented. However, the intervention provided additional background knowledge and sensitized care professionals to the digital transformation, enabling them to evaluate how DATs fit in the health care sector, what qualifies these technologies for correct application, and what promotes their use. The care professionals expressed specific ideas and requirements for both technology-related education concepts and nursing DATs.</p><p><strong>Conclusions: </strong>Actively matching technical support, physical limitations, and patients' needs is crucial when selecting DATs and integrating them into nursing processes. To this end, using a structured process such as SEQI that strengthens care professionals' ability to integrate DATs can help improve the benefits of such technology in the health care setting. Practical, application-oriented learning can promote the long-term implementation of DATs.</p>","PeriodicalId":36236,"journal":{"name":"JMIR Medical Education","volume":null,"pages":null},"PeriodicalIF":3.2000,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11499723/pdf/","citationCount":"0","resultStr":"{\"title\":\"Integrating Digital Assistive Technologies Into Care Processes: Mixed Methods Study.\",\"authors\":\"Sebastian Hofstetter, Max Zilezinski, Dominik Behr, Bernhard Kraft, Christian Buhtz, Denny Paulicke, Anja Wolf, Christina Klus, Dietrich Stoevesandt, Karsten Schwarz, Patrick Jahn\",\"doi\":\"10.2196/54083\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Current challenges in patient care have increased research on technology use in nursing and health care. Digital assistive technologies (DATs) are one option that can be incorporated into care processes. However, how the application of DATs should be introduced to nurses and care professionals must be clarified. No structured and effective education concepts for the patient-oriented integration of DATs in the nursing sector are currently available.</p><p><strong>Objective: </strong>This study aims to examine how a structured and guided integration and education concept, herein termed the sensitization, evaluative introduction, qualification, and implementation (SEQI) education concept, can support the integration of DATs into nursing practices.</p><p><strong>Methods: </strong>This study used an explanatory, sequential study design with a mixed methods approach. The SEQI intervention was run in 26 long-term care facilities oriented toward older adults in Germany after a 5-day training course in each. The participating care professionals were asked to test 1 of 6 DATs in real-world practice over 3 days. Surveys (n=112) were then administered that recorded the intention to use DATs at 3 measurement points, and guided qualitative interviews with care professionals (n=12) were conducted to evaluate the learning concepts and effects of the intervention.</p><p><strong>Results: </strong>As this was a pilot study, no sample size calculation was carried out, and P values were not reported. The participating care professionals were generally willing to integrate DATs-as an additional resource-into nursing processes even before the 4-stage SEQI intervention was presented. However, the intervention provided additional background knowledge and sensitized care professionals to the digital transformation, enabling them to evaluate how DATs fit in the health care sector, what qualifies these technologies for correct application, and what promotes their use. The care professionals expressed specific ideas and requirements for both technology-related education concepts and nursing DATs.</p><p><strong>Conclusions: </strong>Actively matching technical support, physical limitations, and patients' needs is crucial when selecting DATs and integrating them into nursing processes. To this end, using a structured process such as SEQI that strengthens care professionals' ability to integrate DATs can help improve the benefits of such technology in the health care setting. Practical, application-oriented learning can promote the long-term implementation of DATs.</p>\",\"PeriodicalId\":36236,\"journal\":{\"name\":\"JMIR Medical Education\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2024-10-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11499723/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"JMIR Medical Education\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2196/54083\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"EDUCATION, SCIENTIFIC DISCIPLINES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"JMIR Medical Education","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2196/54083","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"EDUCATION, SCIENTIFIC DISCIPLINES","Score":null,"Total":0}
引用次数: 0
摘要
背景:当前病人护理面临的挑战增加了护理和医疗保健技术应用方面的研究。数字辅助技术(DAT)是一种可纳入护理流程的选择。然而,必须明确如何向护士和护理专业人员介绍如何应用 DAT。目前,护理行业还没有以患者为导向整合 DATs 的结构化有效教育理念:本研究旨在探讨一种结构化和指导性的整合与教育理念(在此称为 "宣传、评估性介绍、鉴定和实施"(SEQI)教育理念)如何支持将 DATs 整合到护理实践中:本研究采用了解释性、顺序研究设计和混合方法。在德国的 26 家面向老年人的长期护理机构中,每家机构在接受了为期 5 天的培训后,都开展了 SEQI 干预活动。参加培训的护理专业人员被要求在 3 天的实际操作中测试 6 个 DAT 中的 1 个。然后进行了调查(112 人),记录了在 3 个测量点使用 DAT 的意向,并对护理专业人员(12 人)进行了定性访谈,以评估学习理念和干预效果:由于这是一项试点研究,因此没有计算样本量,也没有报告 P 值。参与研究的护理专业人员普遍愿意将 DATs 作为一种额外资源纳入护理流程,甚至在 4 阶段 SEQI 干预介绍之前就已如此。然而,干预措施提供了更多的背景知识,使护理专业人员对数字化转型更加敏感,使他们能够评估 DAT 在医疗保健领域的适应性、正确应用这些技术的条件以及促进其使用的因素。护理专业人员对与技术相关的教育理念和护理 DAT 表达了具体的想法和要求:结论:在选择 DAT 并将其融入护理流程时,积极匹配技术支持、身体限制和患者需求至关重要。为此,使用 SEQI 等结构化流程来加强护理专业人员整合 DAT 的能力,有助于提高此类技术在医疗环境中的效益。以实际应用为导向的学习可以促进 DAT 的长期实施。
Integrating Digital Assistive Technologies Into Care Processes: Mixed Methods Study.
Background: Current challenges in patient care have increased research on technology use in nursing and health care. Digital assistive technologies (DATs) are one option that can be incorporated into care processes. However, how the application of DATs should be introduced to nurses and care professionals must be clarified. No structured and effective education concepts for the patient-oriented integration of DATs in the nursing sector are currently available.
Objective: This study aims to examine how a structured and guided integration and education concept, herein termed the sensitization, evaluative introduction, qualification, and implementation (SEQI) education concept, can support the integration of DATs into nursing practices.
Methods: This study used an explanatory, sequential study design with a mixed methods approach. The SEQI intervention was run in 26 long-term care facilities oriented toward older adults in Germany after a 5-day training course in each. The participating care professionals were asked to test 1 of 6 DATs in real-world practice over 3 days. Surveys (n=112) were then administered that recorded the intention to use DATs at 3 measurement points, and guided qualitative interviews with care professionals (n=12) were conducted to evaluate the learning concepts and effects of the intervention.
Results: As this was a pilot study, no sample size calculation was carried out, and P values were not reported. The participating care professionals were generally willing to integrate DATs-as an additional resource-into nursing processes even before the 4-stage SEQI intervention was presented. However, the intervention provided additional background knowledge and sensitized care professionals to the digital transformation, enabling them to evaluate how DATs fit in the health care sector, what qualifies these technologies for correct application, and what promotes their use. The care professionals expressed specific ideas and requirements for both technology-related education concepts and nursing DATs.
Conclusions: Actively matching technical support, physical limitations, and patients' needs is crucial when selecting DATs and integrating them into nursing processes. To this end, using a structured process such as SEQI that strengthens care professionals' ability to integrate DATs can help improve the benefits of such technology in the health care setting. Practical, application-oriented learning can promote the long-term implementation of DATs.