Digital Health Competencies Among Health Care Professionals: Systematic Review

BackgroundDigitalization is not fully implemented in clinical practice, and several factors have been identified as possible barriers, including the competencies of health care professionals. However, no summary of the available evidence has been provided to date to depict di...

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Main Authors: Jessica Longhini, Giacomo Rossettini, Alvisa Palese
Format: Article
Language:English
Published: JMIR Publications 2022-08-01
Series:Journal of Medical Internet Research
Online Access:https://www.jmir.org/2022/8/e36414
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author Jessica Longhini
Giacomo Rossettini
Alvisa Palese
author_facet Jessica Longhini
Giacomo Rossettini
Alvisa Palese
author_sort Jessica Longhini
collection DOAJ
description BackgroundDigitalization is not fully implemented in clinical practice, and several factors have been identified as possible barriers, including the competencies of health care professionals. However, no summary of the available evidence has been provided to date to depict digital health competencies that have been investigated among health care professionals, the tools used in assessing such competencies, and the effective interventions to improve them. ObjectiveThis review aims to summarize digital health competencies investigated to date and the tools used to assess them among health care professionals. MethodsA systematic review based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) checklist was performed. The MEDLINE, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, and Scopus databases were accessed up to September 4, 2021. Studies assessing digital health competencies with quantitative designs, targeting health care professionals, and written in English were included. The methodological quality of included studies was evaluated using the Joanna Briggs Institute tools. ResultsA total of 26 studies, published from 1999 to 2021, met the inclusion criteria, and the majority were cross sectional in design, while only 2 were experimental study designs. Most studies were assessed with moderate to low methodological quality; 4 categories and 9 subcategories of investigated digital health competencies have been identified. The most investigated category was “Self-rated competencies,” followed by “Psychological and emotional aspects toward digital technologies,” “Use of digital technologies,” and “Knowledge about digital technologies.” In 35% (9/26) of the studies, a previously validated tool was used to measure the competencies assessed, while others developed ad hoc questionnaires. ConclusionsMainly descriptive studies with issues regarding methodology quality have been produced to date investigating 4 main categories of digital health competencies mostly with nonvalidated tools. Competencies investigated might be considered while designing curricula for undergraduate, postgraduate, and continuing education processes, whereas the methodological lacks detected might be addressed with future research. There is a need to expand research on psychological and emotional elements and the ability to use digital technology to self-learn and teach others. Trial RegistrationPROSPERO International Prospective Register of Systematic Reviews CRD42021282775; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=282775
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spelling doaj.art-13aa72b040e8445c9c3addcc0f710f252023-08-28T22:54:29ZengJMIR PublicationsJournal of Medical Internet Research1438-88712022-08-01248e3641410.2196/36414Digital Health Competencies Among Health Care Professionals: Systematic ReviewJessica Longhinihttps://orcid.org/0000-0002-4198-075XGiacomo Rossettinihttps://orcid.org/0000-0002-1623-7681Alvisa Palesehttps://orcid.org/0000-0002-3508-844X BackgroundDigitalization is not fully implemented in clinical practice, and several factors have been identified as possible barriers, including the competencies of health care professionals. However, no summary of the available evidence has been provided to date to depict digital health competencies that have been investigated among health care professionals, the tools used in assessing such competencies, and the effective interventions to improve them. ObjectiveThis review aims to summarize digital health competencies investigated to date and the tools used to assess them among health care professionals. MethodsA systematic review based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) checklist was performed. The MEDLINE, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, and Scopus databases were accessed up to September 4, 2021. Studies assessing digital health competencies with quantitative designs, targeting health care professionals, and written in English were included. The methodological quality of included studies was evaluated using the Joanna Briggs Institute tools. ResultsA total of 26 studies, published from 1999 to 2021, met the inclusion criteria, and the majority were cross sectional in design, while only 2 were experimental study designs. Most studies were assessed with moderate to low methodological quality; 4 categories and 9 subcategories of investigated digital health competencies have been identified. The most investigated category was “Self-rated competencies,” followed by “Psychological and emotional aspects toward digital technologies,” “Use of digital technologies,” and “Knowledge about digital technologies.” In 35% (9/26) of the studies, a previously validated tool was used to measure the competencies assessed, while others developed ad hoc questionnaires. ConclusionsMainly descriptive studies with issues regarding methodology quality have been produced to date investigating 4 main categories of digital health competencies mostly with nonvalidated tools. Competencies investigated might be considered while designing curricula for undergraduate, postgraduate, and continuing education processes, whereas the methodological lacks detected might be addressed with future research. There is a need to expand research on psychological and emotional elements and the ability to use digital technology to self-learn and teach others. Trial RegistrationPROSPERO International Prospective Register of Systematic Reviews CRD42021282775; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=282775https://www.jmir.org/2022/8/e36414
spellingShingle Jessica Longhini
Giacomo Rossettini
Alvisa Palese
Digital Health Competencies Among Health Care Professionals: Systematic Review
Journal of Medical Internet Research
title Digital Health Competencies Among Health Care Professionals: Systematic Review
title_full Digital Health Competencies Among Health Care Professionals: Systematic Review
title_fullStr Digital Health Competencies Among Health Care Professionals: Systematic Review
title_full_unstemmed Digital Health Competencies Among Health Care Professionals: Systematic Review
title_short Digital Health Competencies Among Health Care Professionals: Systematic Review
title_sort digital health competencies among health care professionals systematic review
url https://www.jmir.org/2022/8/e36414
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