Developing and sustaining digital professionalism: a model for assessing readiness of healthcare environments and capability of nurses
Developing and sustaining digital professionalism: a model for assessing readiness of healthcare environments and capability of nurses
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DOI：
10.1136/bmjhci-2019-100062
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发表时间：
2019-02-01
影响因子：
4.1
通讯作者：
Cummings, Elizabeth
中科院分区：
文献类型：
--
作者：
Mather, Carey Ann;Cummings, Elizabeth
引言医疗保健领域的技术变革需要新的工作方式。澳大利亚护士对数字技术的获取和使用落后于其他职业。治理框架和专业标准指导实践范围;然而，目前的注册护士迫切需要掌握使用数字技术，并为下一代树立数字专业精神。持续的数字专业需要组织准备，以适应不断变化的技术environments.MethodsPrevious调查护士使用数字技术的性质和范围的原始研究结果进行了系统的分析。参考目前的理解能力，矩阵评估组织准备的能力，数字技术的使用nurses.ResultsThe 4 E3 P数字专业化模型阐明了必要的元素，建立组织准备和评估个人和团体的能力发展。当物理和社会环境是有利的和设备，电子访问，参与和教育的4 E元素存在，准备，熟练程度和专业行为可以培育和supported.DiscussionThe模型描述的物理和社会属性，使能力发展，持续数字化的专业精神，推进护理实践。当矩阵的元素是缺乏的，个人和团体都错过了发展和维持数字专业behavior.ConclusionIt的机会，在澳大利亚的医疗保健环境支持数字专业的发展是势在必行的。4 E3 P数字专业化模式的部署将有助于识别和补救挑战、障碍或风险，以促进物理和社会医疗环境中的可持续性。
IntroductionTechnological change in healthcare demands new ways of working. Access to, and use of, digital technology by nurses in Australia lags behind other professions. Governance frameworks and professional standards guide scopes of practice; however, there is an urgent need for current registered nurses to master using digital technology and model digital professionalism to the next generation. Sustaining digital professionalism requires organisational readiness to accommodate changing technological environments.MethodsPrevious original research findings investigating the nature and scope of digital technology use by nurses were systematically analysed. With reference to current understandings of capability, a matrix for assessing organisational readiness of capability of digital technology use by nurses was developed.ResultsThe 4E3P digital professionalism model articulates the elements necessary for establishing organisational readiness and assessing the capability development of individuals and groups. When the physical and social environment is conducive and the 4E elements of equipment, electronic access, engagement and education are present, preparedness, proficiency and professional behaviours can be nurtured and supported.DiscussionThe model describes the physical and social attributes that enable capability development for sustaining digital professionalism to advance nursing practice. When elements of the matrix are lacking, both individuals and groups miss opportunities to develop and sustain digitally professional behaviour.ConclusionIt is imperative that healthcare environments in Australia support the development of digital professionalism. Deployment of the 4E3P digital professionalism model will enable identification and remediation of challenges, barriers or risks to promote sustainability found within physical and social healthcare environments.