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Issues affecting nurses' capability to use digital technology at work: An integrative review

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  • Janie Brown
  • Nicole Pope
  • Anna Maria Bosco
  • Jaci Mason
  • Alani Morgan

Abstract

Background Digital capability, that is the ability to live, work, participate and thrive in a digital world, is imperative for nurses because increasingly nurses' work and patient outcomes are influenced by technology. Aim To evaluate and synthesise the evidence regarding the development of digital capability in nurses and the strategies that support effective integration of digital skills into the workplace. Design Whittemore and Knafl's methodology, following the preferred reporting items for systematic reviews (PRISMA) guidelines. Data sources CINAHL, Embase, PsychINFO, Medline (Ovid) and PubMed databases were searched for articles published in English from 2008–2019. Search terms included; digital capabil*, digital literacy, informatics, nursing informatics, health informatics, nurs*, knowledge, knowledge integration, competency, continuing education, nursing skills, workplace and work environment. Review methods A total of 35 studies were retrieved for quality assessment by two reviewers using standardised critical appraisal instruments from the Joanna Briggs Institute (JBI‐MAStARI and JBI‐QARI). Minimum essential criteria and scores were agreed prior to appraisal. Results The 17 studies included comprised quantitative (n = 7), qualitative (n = 8) and mixed methods (n = 2). Integration of digital capability in nurses' workplaces is dependent on user proficiency and competence (theme 1). Nurses use technology to access data at the point of care, specifically accessing evidence to guide care (theme 2a) as well as accessing the medical records (theme 2b). Nurses have several concerns related to the use of technology at point of care (theme 3), some of which can be resolved through investment for implementation (theme 4). Conclusions There are key attributes of digitally proficient nurses. Nurses with these attributes are more inclined to use digital technology in their work. Involvement of the nurses as end users in the development of digital systems to ensure they are fit for purpose, alongside investment in professional development opportunities for nurses to develop digital capability, should be prioritised.

Suggested Citation

  • Janie Brown & Nicole Pope & Anna Maria Bosco & Jaci Mason & Alani Morgan, 2020. "Issues affecting nurses' capability to use digital technology at work: An integrative review," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(15-16), pages 2801-2819, August.
    • Handle: RePEc:wly:jocnur:v:29:y:2020:i:15-16:p:2801-2819
    DOI: 10.1111/jocn.15321
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    References listed on IDEAS

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    1. N/A, 2011. "Medical Decision Making," Medical Decision Making, , vol. 31(3), pages 376-377, May.
    2. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    3. Bridie Kent & Bernice Redley & Nilmini Wickramasinghe & Lemai Nguyen & Nyree J. Taylor & Hoda Moghimi & Mari Botti, 2015. "Exploring nurses’ reactions to a novel technology to support acute health care delivery," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(15-16), pages 2340-2351, August.
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