Compassionate Nursing Care and the Use of Digital Health Technologies: A Scoping Review

2021 ◽  
pp. 104161
Author(s):  
Shamsa Ali ◽  
Dr. Manal Kleib ◽  
Dr. Pauline Paul ◽  
Dr. Olga Petrovskaya ◽  
Megan Kennedy
Keyword(s):  
Nursing Care ◽  
Scoping Review ◽  
Digital Health ◽  
Health Technologies

scholarly journals Elements of Trust in Digital Health Systems: Scoping Review (Preprint)

2018 ◽  
Author(s):  
Afua Adjekum ◽  
Alessandro Blasimme ◽  
Effy Vayena
Keyword(s):  
Health Care ◽  
Health Systems ◽  
Scoping Review ◽  
Service Provider ◽  
Digital Health ◽  
Digital Technologies ◽  
Data Access ◽  
Building Blocks ◽  
Sociodemographic Factors ◽  
Health Technologies

BACKGROUND Information and communication technologies have long become prominent components of health systems. Rapid advances in digital technologies and data science over the last few years are predicted to have a vast impact on health care services, configuring a paradigm shift into what is now commonly referred to as digital health. Forecasted to curb rising health costs as well as to improve health system efficiency and safety, digital health success heavily relies on trust from professional end users, administrators, and patients. Yet, what counts as the building blocks of trust in digital health systems has so far remained underexplored. OBJECTIVE The objective of this study was to analyze what relevant stakeholders consider as enablers and impediments of trust in digital health. METHODS We performed a scoping review to map out trust in digital health. To identify relevant digital health studies, we searched 5 electronic databases. Using keywords and Medical Subject Headings, we targeted all relevant studies and set no boundaries for publication year to allow a broad range of studies to be identified. The studies were screened by 2 reviewers after which a predefined data extraction strategy was employed and relevant themes documented. RESULTS Overall, 278 qualitative, quantitative, mixed-methods, and intervention studies in English, published between 1998 and 2017 and conducted in 40 countries were included in this review. Patients and health care professionals were the two most prominent stakeholders of trust in digital health; a third—health administrators—was substantially less prominent. Our analysis identified cross-cutting personal, institutional, and technological elements of trust that broadly cluster into 16 enablers (altruism, fair data access, ease of use, self-efficacy, sociodemographic factors, recommendation by other users, usefulness, customizable design features, interoperability, privacy, initial face-to-face contact, guidelines for standardized use, stakeholder engagement, improved communication, decreased workloads, and service provider reputation) and 10 impediments (excessive costs, limited accessibility, sociodemographic factors, fear of data exploitation, insufficient training, defective technology, poor information quality, inadequate publicity, time-consuming, and service provider reputation) to trust in digital health. CONCLUSIONS Trust in digital health technologies and services depends on the interplay of a complex set of enablers and impediments. This study is a contribution to ongoing efforts to understand what determines trust in digital health according to different stakeholders. Therefore, it offers valuable points of reference for the implementation of innovative digital health services. Building on insights from this study, actionable metrics can be developed to assess the trustworthiness of digital technologies in health care.

scholarly journals Mapping the role of digital health technologies in the case detection, management, and treatment outcomes of neglected tropical diseases: a scoping review

2021 ◽  
Vol 49 (1) ◽  
Author(s):  
Binyam Tilahun ◽  
Kassahun Dessie Gashu ◽  
Zeleke Abebaw Mekonnen ◽  
Berhanu Fikadie Endehabtu ◽  
Dessie Abebaw Angaw
Keyword(s):  
Treatment Outcome ◽  
Treatment Outcomes ◽  
Scoping Review ◽  
Neglected Tropical Diseases ◽  
Digital Health ◽  
Tropical Diseases ◽  
Case Detection ◽  
Patient Identification ◽  
Health Technologies ◽  
The Impact

Abstract Background Neglected tropical diseases (NTDs) are a diverse group of communicable diseases that principally impact the world’s poorest people. The use of digital health technologies is an emerging and promising way to improve disease prevention, diagnosis, case detection, treatment delivery, and patient follow-up and facilitating health facility appointments thereby improving health outcomes. While the growing implementation of digital health technologies is evident, there is a lack of comprehensive evidence on the impact of digital health technologies in the control of NTDs. The main objective of this review was to map different pieces of evidence on the use of digital health technologies for case detection, management, and treatment outcome of the neglected tropical diseases. Methods We conducted a scoping review guided by the Joanna Briggs Institute guidelines. The studies were searched using electronic databases like MEDLINE (PubMed), Science Direct, Cochrane Library, and manual searching engines. Two authors extracted the data and compared the results. Discrepancies were resolved by discussion or the third reviewer made the decision. We produced the distribution of geographical locations, residents (setting), types of publications, and digital health technologies used on neglected tropical diseases using tables and graphs. Findings A total of 996 potentially relevant studies were generated from the initial search, and six studies were found to satisfy all the inclusion criteria and included in the final review. The review found that telehealth, eHealth, mHealth, telemedicine, and electronic health record were used digital health technologies to assess their impact on case detection, disease management, and treatment outcome of neglected tropical diseases. Mobile health was a feasible digital health technology for lymphatic filariasis patient identification and mHealth, eHealth, and electronic health records found to improve the service access, outcomes, and monitoring of visceral leishmaniasis at the community health system. Conclusion The scoping review identified that there were limited studies to see the impact of digital health technologies on case detection, management, and treatment outcomes for neglected tropical diseases. We also found that digital health technologies like ehealth, electronic medical linkage, telemed, and telehealth were practicable for patient identification, for treatment and diagnosis through contact with health professionals and teleconsultation, and support in improving health service delivery at the community-health system for managing the disease in both rural and urban settings.

scholarly journals Predicted Influences of Artificial Intelligence on the Domains of Nursing: Scoping Review (Preprint)

2020 ◽  
Author(s):  
Christine Buchanan ◽  
M Lyndsay Howitt ◽  
Rita Wilson ◽  
Richard G Booth ◽  
Tracie Risling ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Health System ◽  
Scoping Review ◽  
Predictive Analytics ◽  
Digital Health ◽  
Shared Responsibility ◽  
Compassionate Care ◽  
Health Technologies ◽  
Emerging Trends ◽  
Research Questions

BACKGROUND Artificial intelligence (AI) is set to transform the health system, yet little research to date has explored its influence on nurses—the largest group of health professionals. Furthermore, there has been little discussion on how AI will influence the experience of person-centered compassionate care for patients, families, and caregivers. OBJECTIVE This review aims to summarize the extant literature on the emerging trends in health technologies powered by AI and their implications on the following domains of nursing: administration, clinical practice, policy, and research. This review summarizes the findings from 3 research questions, examining how these emerging trends might influence the roles and functions of nurses and compassionate nursing care over the next 10 years and beyond. METHODS Using an established scoping review methodology, MEDLINE, CINAHL, EMBASE, PsycINFO, Cochrane Database of Systematic Reviews, Cochrane Central, Education Resources Information Center, Scopus, Web of Science, and ProQuest databases were searched. In addition to the electronic database searches, a targeted website search was performed to access relevant gray literature. Abstracts and full-text studies were independently screened by 2 reviewers using prespecified inclusion and exclusion criteria. Included articles focused on nursing and digital health technologies that incorporate AI. Data were charted using structured forms and narratively summarized. RESULTS A total of 131 articles were retrieved from the scoping review for the 3 research questions that were the focus of this manuscript (118 from database sources and 13 from targeted websites). Emerging AI technologies discussed in the review included predictive analytics, smart homes, virtual health care assistants, and robots. The results indicated that AI has already begun to influence nursing roles, workflows, and the nurse-patient relationship. In general, robots are not viewed as replacements for nurses. There is a consensus that health technologies powered by AI may have the potential to enhance nursing practice. Consequently, nurses must proactively define how person-centered compassionate care will be preserved in the age of AI. CONCLUSIONS Nurses have a shared responsibility to influence decisions related to the integration of AI into the health system and to ensure that this change is introduced in a way that is ethical and aligns with core nursing values such as compassionate care. Furthermore, nurses must advocate for patient and nursing involvement in all aspects of the design, implementation, and evaluation of these technologies. INTERNATIONAL REGISTERED REPORT RR2-10.2196/17490

scholarly journals Nursing in the Age of Artificial Intelligence: Protocol for a Scoping Review

10.2196/17490 ◽  
2020 ◽  
Vol 9 (4) ◽  
pp. e17490 ◽  
Author(s):  
Christine Buchanan ◽  
M Lyndsay Howitt ◽  
Rita Wilson ◽  
Richard G Booth ◽  
Tracie Risling ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Education Policy ◽  
Scoping Review ◽  
Digital Health ◽  
Clinical Care ◽  
Electronic Database ◽  
Health Technologies ◽  
Care Education ◽  
Emerging Trends ◽  
Briefing Paper

Background It is predicted that digital health technologies that incorporate artificial intelligence will transform health care delivery in the next decade. Little research has explored how emerging trends in artificial intelligence–driven digital health technologies may influence the relationship between nurses and patients. Objective The purpose of this scoping review is to summarize the findings from 4 research questions regarding emerging trends in artificial intelligence–driven digital health technologies and their influence on nursing practice across the 5 domains outlined by the Canadian Nurses Association framework: administration, clinical care, education, policy, and research. Specifically, this scoping review will examine how emerging trends will transform the roles and functions of nurses over the next 10 years and beyond. Methods Using an established scoping review methodology, MEDLINE, Cumulative Index to Nursing and Allied Health Literature, Embase, PsycINFO, Cochrane Database of Systematic Reviews, Cochrane Central, Education Resources Information Centre, Scopus, Web of Science, and Proquest databases were searched. In addition to the electronic database searches, a targeted website search will be performed to access relevant grey literature. Abstracts and full-text studies will be independently screened by 2 reviewers using prespecified inclusion and exclusion criteria. Included literature will focus on nursing and digital health technologies that incorporate artificial intelligence. Data will be charted using a structured form and narratively summarized. Results Electronic database searches have retrieved 10,318 results. The scoping review and subsequent briefing paper will be completed by the fall of 2020. Conclusions A symposium will be held to share insights gained from this scoping review with key thought leaders and a cross section of stakeholders from administration, clinical care, education, policy, and research as well as patient advocates. The symposium will provide a forum to explore opportunities for action to advance the future of nursing in a technological world and, more specifically, nurses’ delivery of compassionate care in the age of artificial intelligence. Results from the symposium will be summarized in the form of a briefing paper and widely disseminated to relevant stakeholders. International Registered Report Identifier (IRRID) DERR1-10.2196/17490

scholarly journals Person-Generated Health Data in Women’s Health: Protocol for a Scoping Review (Preprint)

2020 ◽  
Author(s):  
Jalisa Lynn Karim ◽  
Aline Talhouk
Keyword(s):  
Women’S Health ◽  
Women's Health ◽  
Scoping Review ◽  
Digital Health ◽  
Health Data ◽  
Self Monitoring ◽  
Health Technologies ◽  
Scoping Reviews ◽  
Barriers To Use ◽  
Meta Analyses

BACKGROUND Due to their ability to collect person-generated health data, digital tools and connected health devices may hold great utility in disease prevention, chronic disease self-monitoring and self-tracking, as well as in tailoring information and educational content to fit individual needs. Facilitators and barriers to use of digital health technologies vary across demographics, including sex. The femtech market is growing rapidly and women are some of the largest adopters of digital health technologies. OBJECTIVE We provide the background and methods for conducting a scoping review on the use of person generated health data from connected devices in women’s health. The objectives of the scoping review are to identify various contexts of digital technologies in women’s health and to consolidate women’s views on the usability and acceptability of the devices. METHODS Searches were conducted in the following databases: Medline, Embase, APA PsycInfo, CINAHL Complete, and Web of Science Core Collection. We included articles from January 2015 to February 2020. Screening of articles was done independently by at least two authors in two stages. Data charting is being conducted in duplicate. Results will be reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews checklist. RESULTS Our search identified 9092 articles after deduplication. As of November 2020, the full-text screening stage is almost complete and data charting is in progress. The scoping review is expected to be completed by Winter 2021. CONCLUSIONS This scoping review will broadly map the literature regarding the contexts and acceptability of digital health tools for women. The results from this review will be useful in guiding future digital health and women’s health research.

scholarly journals Procurement of innovation terminology usage in health care: A scoping review protocol

2020 ◽  
Author(s):  
Margaret R. Andrews ◽  
Romualdo Ramos ◽  
Martina Ahlberg ◽  
Jan A. Hazelzet ◽  
Erik M. van Raaij ◽  
...  
Keyword(s):  
Health Care ◽  
Scoping Review ◽  
New Technologies ◽  
Scientific Literature ◽  
Digital Health ◽  
Supply And Demand ◽  
Grey Literature ◽  
Health Care Settings ◽  
Health Technologies ◽  
Policy Tool

AbstractBackgroundAlthough procurement of innovation is an established policy tool used to stimulate collaboration between supply- and demand-side entities during the development of new technologies, there is little scientific literature describing the process as applied in health care settings. Furthermore, what literature exists contains inconsistencies of terms, definitions, and/or concepts related to procurement of innovation. This protocol details our process for a systematic scoping review to describe the current scope of literature and to provide terminology clarification.MethodsA search strategy will be used to search PubMed, EMBASE [OVID], CINAHL [EBSCO], PsycINFO [ProQUEST], ABI/INFORM, ISI Web of Knowledge, EBSCO, JSTOR, the Cochrane Database of Systematic Reviews, and Google Scholar; grey literature, non-scientific reports, policy documents and expert recommendations will also be considered as additional sources for texts. Two researchers will screen titles and abstracts for inclusion/exclusion criteria, followed by full texts. We will extract the following data, if applicable: title, authors, date, author affiliations, country, journal/publication characteristics, setting, aims/purpose, methodology, sample characteristics, assessment/evaluation tools, outcome parameters, key findings, relevance, and terminology usage/definitions. Results will be presented narratively and visually.DiscussionThis paper describes the steps of our proposed systematic scoping review to identify and analyse scientific and non-scientific literature related to procurement of innovation and/or innovation of procurement in health care settings, with a particular focus on digital health technologies. Results are intended to demonstrate the current scope of literature, to provide clarity in language and therefore to serve as a first step for further research in this growing field.

scholarly journals Use of Synchronous Digital Health Technologies for the Care of Children With Special Health Care Needs and Their Families: Scoping Review (Preprint)

2019 ◽  
Author(s):  
Marissa Bird ◽  
Lin Li ◽  
Carley Ouellette ◽  
Kylie Hopkins ◽  
Michael H McGillion ◽  
...  
Keyword(s):  
Health Care ◽  
Scoping Review ◽  
Digital Health ◽  
Special Health Care Needs ◽  
Health Programs ◽  
Health Care Needs ◽  
Care Needs ◽  
Special Health Care ◽  
Health Technologies ◽  
Special Health

BACKGROUND Use of synchronous digital health technologies for care delivery to children with special health care needs (having a chronic physical, behavioral, developmental, or emotional condition in combination with high resource use) and their families at home has shown promise for improving outcomes and increasing access to care for this medically fragile and resource-intensive population. However, a comprehensive description of the various models of synchronous home digital health interventions does not exist, nor has the impact of such interventions been summarized to date. OBJECTIVE We aim to describe the various models of synchronous home digital health that have been used in pediatric populations with special health care needs, their outcomes, and implementation barriers. METHODS A systematic scoping review of the literature was conducted, guided by the Arksey and O’Malley Scoping Review Framework. MEDLINE, CINAHL, and EMBASE databases were searched from inception to June 2018, and the reference lists of the included systematic reviews and high-impact journals were hand-searched. RESULTS A total of 38 articles were included in this review. Interventional articles are described as feasibility studies, studies that aim to provide direct care to children with special health care needs, and studies that aim to support family members to deliver care to children with special health care needs. End-user involvement in the design and implementation of studies is evaluated using a human-centered design framework, and factors affecting the implementation of digital health programs are discussed in relation to technological, human, and systems factors. CONCLUSIONS The use of digital health to care for children with special health care needs presents an opportunity to leverage the capacity of technology to connect patients and their families to much-needed care from expert health care providers while avoiding the expenses and potential harms of the hospital-based care system. Strategies to scale and spread pilot studies, such as involving end users in the co-design techniques, are needed to optimize digital health programs for children with special health care needs.

scholarly journals Defining compassion in the digital health age: protocol for a scoping review

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e026338 ◽  
Author(s):  
David Wiljer ◽  
Rebecca Charow ◽  
Helen Costin ◽  
Lydia Sequeira ◽  
Melanie Anderson ◽  
...  
Keyword(s):  
Leadership Development ◽  
Scoping Review ◽  
Professional Education ◽  
Digital Health ◽  
Clinical Care ◽  
Compassionate Care ◽  
Screening Process ◽  
Quality Healthcare ◽  
Health Technologies ◽  
Full Text Review

IntroductionThe notion of compassion and compassionate care is playing an increasingly important role in health professional education and in the delivery of high-quality healthcare. Digital contexts, however, are not considered in the conceptualisation of compassionate care, nor is there guidance on how compassionate care is to be exercised while using digital health technologies. The widespread diffusion of digital health technologies provides new contexts for compassionate care, with both opportunities for new forms and instantiations of compassion as well as new challenges. How compassion is both understood and enacted within this evolving, digital realm has not been synthesised.Methods and analysisThis scoping review protocol follows Arksey and O’Malley’s methodology to examine dimensions of compassionate professional practice when digital technologies are integrated into clinical care. Relevant peer-reviewed literature will be identified using a search strategy developed by medical librarians, which applies to six databases of medical, computer and information systems disciplines. Eligibility of articles will be determined using the two-stage screening process consisting of (1) title and abstract scan, and (2) full-text review. Screening, abstracting and charting will be conducted by two independent reviewers, with a third reviewer available for resolution when consensus is not achieved. In order to look at the range of current research in this area, extracted data will be thematically analysed and validated by content experts. Descriptive statistics will be calculated where necessary.Ethics and disseminationResearch ethics approval and consent to participate is not required for this scoping review. The results of the review will inform resource development and strategy for Associated Medical Services (AMS) Healthcare, a Canadian charitable organisation at the forefront of advancing research and leadership development in health and humanities, as part of the AMS Phoenix Project: A Call to Caring, particularly for digital professionalism frameworks so that they are inclusive of a compassion competency.

scholarly journals Use of Synchronous Digital Health Technologies for the Care of Children With Special Health Care Needs and Their Families: Scoping Review

10.2196/15106 ◽  
2019 ◽  
Vol 2 (2) ◽  
pp. e15106 ◽  
Author(s):  
Marissa Bird ◽  
Lin Li ◽  
Carley Ouellette ◽  
Kylie Hopkins ◽  
Michael H McGillion ◽  
...  
Keyword(s):  
Health Care ◽  
Scoping Review ◽  
Digital Health ◽  
Special Health Care Needs ◽  
Health Programs ◽  
Health Care Needs ◽  
Care Needs ◽  
Special Health Care ◽  
Health Technologies ◽  
Special Health

Background Use of synchronous digital health technologies for care delivery to children with special health care needs (having a chronic physical, behavioral, developmental, or emotional condition in combination with high resource use) and their families at home has shown promise for improving outcomes and increasing access to care for this medically fragile and resource-intensive population. However, a comprehensive description of the various models of synchronous home digital health interventions does not exist, nor has the impact of such interventions been summarized to date. Objective We aim to describe the various models of synchronous home digital health that have been used in pediatric populations with special health care needs, their outcomes, and implementation barriers. Methods A systematic scoping review of the literature was conducted, guided by the Arksey and O’Malley Scoping Review Framework. MEDLINE, CINAHL, and EMBASE databases were searched from inception to June 2018, and the reference lists of the included systematic reviews and high-impact journals were hand-searched. Results A total of 38 articles were included in this review. Interventional articles are described as feasibility studies, studies that aim to provide direct care to children with special health care needs, and studies that aim to support family members to deliver care to children with special health care needs. End-user involvement in the design and implementation of studies is evaluated using a human-centered design framework, and factors affecting the implementation of digital health programs are discussed in relation to technological, human, and systems factors. Conclusions The use of digital health to care for children with special health care needs presents an opportunity to leverage the capacity of technology to connect patients and their families to much-needed care from expert health care providers while avoiding the expenses and potential harms of the hospital-based care system. Strategies to scale and spread pilot studies, such as involving end users in the co-design techniques, are needed to optimize digital health programs for children with special health care needs.

scholarly journals Nursing Education in the Age of Artificial Intelligence: A Scoping Review (Preprint)

2020 ◽  
Author(s):  
Christine Buchanan ◽  
M. Lyndsay Howitt ◽  
Rita Wilson ◽  
Richard G Booth ◽  
Tracie Risling ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Nursing Education ◽  
Nursing Students ◽  
Scoping Review ◽  
Digital Health ◽  
Clinical Care ◽  
Grey Literature ◽  
Health Technologies ◽  
Cochrane Database ◽  
Educational Requirements

BACKGROUND It is predicted that artificial intelligence will transform nursing across various domains of nursing practice: administration, clinical care, education, policy, and research. However, little synthesis has been completed exploring how artificial intelligence technologies will influence nursing education specifically. OBJECTIVE A scoping review was conducted to explore how artificial intelligence-driven digital health technologies are expected to influence nursing education over the next ten years and beyond. METHODS This scoping review followed the previously published protocol from April 2020. Using an established scoping review methodology, MEDLINE, Cumulative Index to Nursing and Allied Health Literature, Embase, PsycINFO, Cochrane Database of Systematic Reviews, Cochrane Central, Education Resources Information Centre, Scopus, Web of Science, and Proquest databases were searched. In addition to the use of these electronic databases, a targeted website search was performed to access relevant grey literature. Abstracts and full-text studies were independently screened by two reviewers using pre-specified inclusion and exclusion criteria. Included literature focused on nursing and digital health technologies that incorporate artificial intelligence. Data was charted using a piloted structured form and narratively summarized into categories. RESULTS A total of 27 articles were identified (20 expository papers, six studies with quantitative or prototyping methods, and one qualitative study). The population included nurses and nursing students at the undergraduate/entry levels, graduate, and doctoral levels. A variety of artificial intelligence technologies were discussed, including virtual nursing applications and robots. Key categories derived from the literature included: (1) educational requirements for nurses at the entry level, graduate and doctoral levels, (2) educational requirements for nurses in clinical practice, and (3) changes to the delivery of nursing education. CONCLUSIONS Nurses need to be better equipped to evaluate and integrate artificial intelligence in practice settings, and imminent changes are needed within nursing education programs to prepare nurses to use these technologies. Additionally, nurse educators need to understand how to use artificial intelligence in their teaching practices at the undergraduate and post-graduate levels. INTERNATIONAL REGISTERED REPORT RR2-10.2196/17490

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