Cited by 444Digital literacy in educationElectronic Health Records SystemsInnovations in Medical Education

Healthcare professionals’ competence in digitalisation: A systematic review

Konttila, Jenni, Siira, Heidi, Kyngäs, Helvi, Lahtinen, Minna, Elo, Satu, Kääriäinen, Maria, Kaakinen, Pirjo, Oikarinen, Anne +6 more·2019·Journal of Clinical Nursing

Abstract

Aims and objectives: To identify key areas of competence for digitalisation in healthcare settings, describe healthcare professionals’ competencies in these areas and identify factors related to their competence. Background: Digitalisation requires changes in healthcare practices, policies and actions to revise job expectations and workflows. The aspects of patient safety and integration of digitalisation into the professional context necessitate an assessment of healthcare professionals’ competencies in digitalisation. Design: Systematic review. Methods: A systematic review was conducted following Center of Reviews and Dissemination guidelines, including application of a PRISMA statement. Four databases—CINAHL (EBSCO), MEDLINE (Ovid), Web of Science and Academic Search Premiere (EBSCO)—were searched for relevant original peer‐reviewed studies published between 2012–2017. Twelve were chosen for final analysis: five quantitative studies and seven qualitative studies, which were, respectively, subjected to narrative and thematic synthesis. Results: Key competence areas regarding digitalisation from a healthcare perspective identified encompass knowledge of digital technology and the digital skills required to provide good patient care, including associated social and communication skills, and ethical considerations of digitalisation in patient care. Healthcare professionals need the motivation and willingness to acquire experience of digitalisation in their professional context. Collegial and organisational support appear to be essential factors for building positive experiences of digitalisation for healthcare professionals. Conclusion: Healthcare organisations should both pay attention to the social environment of a workplace and create a positive atmosphere if they want to improve the response to digitalisation. The successful implementation of new technology requires organisational and collegial support. Relevance to clinical practice: Recommendations for clinical practice include the following: development of competence in digitalisation by healthcare professionals when using technological equipment to minimise errors; provision of sufficient resources, equipment and room for technology usage; and provision of regular education that considers the participants’ competencies.

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Crossref · 10.1111/jocn.14710

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Authors
Konttila, J., Siira, H., Kyngäs, H., Lahtinen, M., Elo, S., Kääriäinen, M., Kaakinen, P., Oikarinen, A., Yamakawa, M., Fukui, S., Utsumi, M., Higami, Y., Higuchi, A., & Mikkonen, K.
Affiliations
  • University of Oulu (FI)
  • Oulu University Hospital (FI)
  • The University of Osaka (JP)
  • The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence Helsinki Finland
Corresponding author
Mikkonen, Kristina
Venue
Journal of Clinical Nursing
Publisher
Wiley
Published
2018-11-22
Volume
28
Issue
5-6
Pages
745-761
ISSN
  • 0962-1067 (ISSN-L)
  • 1365-2702
OpenAlex
W2898635085
Cited by
444
References
48
Citations by year
2026: 64 · 2025: 73 · 2024: 100 · 2023: 67 · 2022: 66 · 2021: 44 · 2020: 21 · 2019: 8
FWCI
3.36
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Clinical Nursing (publishedVersion)
  • PubMed (publishedVersion)
Funders
Opetushallitus
Topics
  • Physical Sciences › Computer Science › Information Systems › Digital literacy in education
  • Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
Keywords
digital skills, patient safety, organizational support, collegial support, technology implementation
MeSH terms
Information Technology, Attitude of Health Personnel, Health Personnel, Humans, Organizational Culture, Medical Records Systems, Computerized, Efficiency, Organizational, Qualitative Research

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