scholarly journals Estimating Patient Empowerment and Nurses’ Use of Digital Strategies: eSurvey Study

2021 ◽  
Vol 18 (18) ◽  
pp. 9844
Author(s):  
Olga Navarro Martínez ◽  
Jorge Igual García ◽  
Vicente Traver Salcedo
Keyword(s):  
Digital Literacy ◽  
Digital Health ◽  
Quality Care ◽  
Patient Empowerment ◽  
Health Centers ◽  
Digital Resources ◽  
Additional Information ◽  
Digital World ◽  
Use Of Technology ◽  
The One

Patient empowerment is seen as the capability to understand health information and make decisions based on it. It is a competence that can improve self-care, adherence and overall health. The COVID-19 pandemic has increased the need for information and has also reduced the number of visits to health centers. Nurses have had to adapt in order to continue offering quality care in different environments such as the digital world, but this entails assessing the level of their patients’ empowerment and adapting material and educational messages to new realities. The aim of this study is, on the one hand, to assess nurses’ use of digital resources to provide reinforcing information to their patients and, on the other hand, to evaluate how they assess the level of empowerment of their patients. To perform the study, 850 nurses answered 21 questions related to their own digital literacy and patients’ empowerment. The ability to make decisions is the characteristic most selected by nurses (70%) as useful in measuring patient empowerment, whereas 9.19% do not measure it in any way. Printed material is most often used by nurses to offer additional information to patients (71.93%), mobile applications are the least used option (21.58%), and elder nurses are those who most recommend digital resources. In this study, younger nurses make little or no use of technology as a resource for training and monitoring patients. In spite of some limitations concerning the study, digital health needs to be promoted as an indisputable tool in the nurse’s briefcase in the future to ensure that older patients can manage electronic resources in different fields.

scholarly journals Defining Empowerment and Supporting Engagement Using Patient Views From the Citizen Health Information Portal: Qualitative Study (Preprint)

2017 ◽  
Author(s):  
Tracie Risling ◽  
Juan Martinez ◽  
Jeremy Young ◽  
Nancy Thorp-Froslie
Keyword(s):  
Qualitative Methodology ◽  
Digital Health ◽  
Patient Empowerment ◽  
Primary Objective ◽  
Patient Portal ◽  
Interpretive Description ◽  
Patient Portals ◽  
Information Portal ◽  
Use Of Technology ◽  
Self Reported Health Status

BACKGROUND The increasing presence of technology in health care has created new opportunities for patient engagement and with this, an intensified exploration of patient empowerment within the digital health context. While the use of technology, such as patient portals, has been positively received, a clear linkage between digital health solutions, patient empowerment, and health outcomes remains elusive. OBJECTIVE The primary objective of this research was to explore the views of participants enrolled in an electronic health record portal access trial regarding the resultant influence of this technology on their feelings of patient empowerment. METHODS The exploration of patient empowerment within a digital health context was done with participants in a tethered patient portal trial using interpretive description. Interpretive description is a qualitative methodology developed to pragmatically address clinical health questions. Patient demographics, self-reported health status, and self-identified technology adaptation contributed to the assessment of empowerment in this qualitative approach. RESULTS This research produced a view of patient empowerment within the digital health context summarized in two overarching categories: (1) Being Heard and (2) Moving Forward. In each of these, two subcategories further delineate the aspects of empowerment, as viewed by these participants: Knowing More and Seeing What They See under Being Heard, and Owning Future Steps and Promoting Future Care under Moving Forward. This work also highlighted an ongoing interconnectedness between the concepts of patient empowerment, engagement, and activation and the need to further articulate the unique aspects of each of these. CONCLUSIONS The results of this study contribute needed patient voice to the ongoing evolution of the concept of patient empowerment. In order to move toward more concrete and accurate measure of patient empowerment and engagement in digital health, there must be further consideration of what patients themselves identify as essential aspects of these complex concepts. This research has revealed relational and informational elements as two key areas of focus in the ongoing evolution of patient empowerment operationalization and measure.

Transforming lives: Combating digital health inequality

IFLA Journal ◽  
2019 ◽  
Vol 45 (3) ◽  
pp. 187-198 ◽  
Author(s):  
Bob Gann
Keyword(s):  
Health Inequality ◽  
Digital Literacy ◽  
Digital Health ◽  
Patient Empowerment ◽  
Digital Inclusion ◽  
New Public Health ◽  
New Public ◽  
Health And Illness ◽  
Public Health Challenge ◽  
Digital Exclusion

For those who are connected digitally, the digital health revolution is an enormous opportunity for patient empowerment. However, half the world’s population are not online. Those who are least likely to be online are exactly those who experience the greatest burden of ill health. As information about health and illness is increasingly (and often exclusively) available in digital form, we face a new public health challenge – digital health inequality. Libraries are ideally placed to reach these population groups who may be hardest to reach. The IFLA (2017) Statement on Digital Literacy recognises that with libraries’ mission to help all their users access and apply the information they need for personal and community development, digital inclusion is an important part of the practice of librarianship. Successful interventions to improve digital inclusion involve targeting connecting, and transforming lives. This article focuses on initiatives to combat digital exclusion in England and Wales.

scholarly journals Exploring Students’ Knowledge and Practice of Digital Citizenship in Higher Education

2020 ◽  
Vol 15 (19) ◽  
pp. 122
Author(s):  
Ahlam Mohammed Al-Abdullatif ◽  
Azza Ali Gameil
Keyword(s):  
Undergraduate Students ◽  
Digital Literacy ◽  
Policy Development ◽  
Digital Health ◽  
The Internet ◽  
Sample Population ◽  
Digital Citizenship ◽  
Digital Resources ◽  
Level Of Knowledge ◽  
Knowledge And Practice

The purpose of this study is to investigate undergraduate students’ knowledge and practice of eight of the nine elements of digital citizenship: digital commerce, digital communication, digital literacy, digital etiquette, digital law, digital rights and responsibility, digital health and wellness and digital security. The sample population for this descriptive study comprised 204 undergraduate students selected by purposeful sampling. The results show that undergraduate students have an insufficient level of knowledge about good digital citizenship. A significant number of undergraduate students do observe eight digital citizenship elements through several ethical practices; however, the study revealed several concerns among participants in regards to security and safety, such as verifying the reliability and credibility of digital resources, checking the accuracy of information on the Internet, interpreting laws and penalties related to using digital resources, reporting irresponsible behaviour to the appropriate authorities and limiting the time and duration of daily digital device use. The results of this study show that an individual’s extent of experience using the Internet is not a factor that affects the level of knowledge and practice of digital citizenship among undergraduate students. Conversely, the nature of academic specialisation, particularly technology-heavy courses (e.g. Educational Technology), are among the factors that affect the knowledge and practice of good digital citizenship. This article offers several recommendations for future study, policy development and practice.

scholarly journals Digital Skills of Teachers

2021 ◽  
Vol 258 ◽  
pp. 07083
Author(s):  
Anna Serezhkina
Keyword(s):  
Professional Development ◽  
Digital Literacy ◽  
Educational Process ◽  
Digital Competence ◽  
Digital Resources ◽  
Development System ◽  
Use Of Technology ◽  
Digital Skills ◽  
Digital Competencies ◽  
Russian Universities

The aim of the work is to analyze the digital skills of teachers of Russian universities a year after the COVID-19 pandemic. The latest research on the digitalization of education, analysis of the digital competencies of teachers and tools to evaluate the digital skills of educators has been conducted. The results of a study conducted on a sample of Russian teachers are described. It has been revealed that teachers have an average level of digital literacy, and most educators are integrators and experts in the use of technology in the educational process. They are able to assess educational resources, create digital resources and share digital materials, cope with the problem of changing existing digital courses, etc. The findings are of interest both to the university’s professional development system, which develops the digital competence of its teachers, and for teachers who wish to improve their level of digital literacy through self-education.

scholarly journals The Rise of the Empowered Physician in the Digital Health Era: Viewpoint (Preprint)

2018 ◽  
Author(s):  
Bertalan Mesko ◽  
Zsuzsa Győrffy
Keyword(s):  
Digital Literacy ◽  
Digital Health ◽  
Healing Process ◽  
Patient Empowerment ◽  
Medical Professional ◽  
Physician Patient Relationship ◽  
Technological Transformation ◽  
Face To Face ◽  
Health Technologies ◽  
The Cost

UNSTRUCTURED Being a 21st-century health care provider is extremely demanding. The growing number of chronic diseases, lack of medical workforce, increasing amounts of administrative tasks, the cost of medical treatment, and rising life expectancy result in an immense challenge for medical professionals. This transformation has been triggered by the growing presence of digital health. Digital health does not only refer to technological transformation; it also fundamentally reshapes the physician-patient relationship and treatment circumstances. We argue that patient empowerment, the spread of digital health, the biopsychosocial-digital approach, and the disappearance of the ivory tower of medicine lead to a new role for physicians. Digital health allows the job of being a medical professional to become more rewarding and creative. The characteristics of a physician-as-idol could shift from self-confident to curious, from rule follower to creative, and from lone hero to team worker. Empowered physicians (e-physicians) can be described as “electronic,” where they use digital technologies in their practice with ease; “enabled,” where they are enabled by regulations and guidelines; and “empowered,” where they are empowered by technologies that support their job and their empowered patients (e-patients). They can be described as “experts” in the use of technologies in their practice or in knowing the best, most reliable, and trustworthy digital health sources and technologies. They can also be described as “engaged,” when understanding the feelings and points of view of their patients, giving relevant feedback, and involving them throughout the whole healing process. The skills and approaches that characterize this era of e-physicians, such as face-to-face communication skills, digital literacy, interdisciplinarity, knowing where to find information, translating large amounts of data into insights for patients, among others, should always have been at the core of practicing medicine. However, the economical, technological, and administrative burden of the profession has not made it possible for most physicians to enjoy the benefits of their training, individual capabilities, and creativity. By understanding how digital health technologies can support or augment their capabilities, physicians would have the chance to practice the art of medicine like never before.

scholarly journals Changing the state of literacy in the Digital Age in India

10.29007/qbpr ◽  
2020 ◽  
Author(s):  
Aanandita Gahlot ◽  
Shubhankar Gahlot
Keyword(s):  
Digital Technology ◽  
Digital Literacy ◽  
Rural Population ◽  
Prime Minister ◽  
Digital Age ◽  
Poverty Line ◽  
Technology In Education ◽  
Indian Government ◽  
Digital World ◽  
Use Of Technology

India as an emerging economy deals with troubles in literacy due to factors like shortage of quality academic institutions and unsuitable curriculum. Digital Technology is accredited as something which can bridge the gap between quality institutions and individuals and make learning more engaging.Indian Government has made use of technology in the best possible way and launched Pradhan Mantri Gramin Digital Saksharta Abhiyan (PMGDISHA)‡ under its Digital India initiative. It has been initiated to make at least one individual from each household digitally literate so that they develop the skills which will be needed to link with the rapidly growing digital world. This scheme aims to target the rural population including the disparaged sections of society like minorities, Below Poverty Line (BPL), women and differently-abled people.The use of technology in education has transmuted the whole system of education. This paper is aimed at exploring the changing state of literacy in India after introducing PMGDISHA.* Prime Minister Rural Digital Literacy Mission

scholarly journals The role of collaborative, multistakeholder partnerships in reshaping the health management of patients with noncommunicable diseases during and after the COVID-19 pandemic

2021 ◽  
Author(s):  
Alessandro Monaco ◽  
Amaia Casteig Blanco ◽  
Mark Cobain ◽  
Elisio Costa ◽  
Nick Guldemond ◽  
...  
Keyword(s):  
Health Management ◽  
Digital Health ◽  
Patient Empowerment ◽  
Advisory Board ◽  
Noncommunicable Diseases ◽  
Informal Carer ◽  
Economic Support ◽  
Health And Social Care ◽  
Care Models ◽  
Multistakeholder Partnerships

Abstract Background Policies to combat the COVID-19 pandemic have disrupted the screening, diagnosis, treatment, and monitoring of noncommunicable (NCD) patients while affecting NCD prevention and risk factor control. Aims To discuss how the first wave of the COVID-19 pandemic affected the health management of NCD patients, identify which aspects should be carried forward into future NCD management, and propose collaborative efforts among public–private institutions to effectively shape NCD care models. Methods The NCD Partnership, a collaboration between Upjohn and the European Innovation Partnership on Active and Healthy Ageing, held a virtual Advisory Board in July 2020 with multiple stakeholders; healthcare professionals (HCPs), policymakers, researchers, patient and informal carer advocacy groups, patient empowerment organizations, and industry experts. Results The Advisory Board identified barriers to NCD care during the COVID-19 pandemic in four areas: lack of NCD management guidelines; disruption to integrated care and shift from hospital-based NCD care to more community and primary level care; infodemics and a lack of reliable health information for patients and HCPs on how to manage NCDs; lack of availability, training, standardization, and regulation of digital health tools. Conclusions Multistakeholder partnerships can promote swift changes to NCD prevention and patient care. Intra- and inter-communication between all stakeholders should be facilitated involving all players in the development of clinical guidelines and digital health tools, health and social care restructuring, and patient support in the short-, medium- and long-term future. A comprehensive response to NCDs should be delivered to improve patient outcomes by providing strategic, scientific, and economic support.

Implementation of the Vinehealth application, a digital health tool, into the care of patients living with brain cancer.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e13582-e13582
Author(s):  
Andrew Gvozdanovic ◽  
Riccardo Mangiapelo ◽  
Rayna Patel ◽  
Georgina Kirby ◽  
Neil Kitchen ◽  
...  
Keyword(s):  
Real World ◽  
Brain Cancer ◽  
Care Delivery ◽  
Digital Health ◽  
Patient Empowerment ◽  
Initial Step ◽  
Mixed Methodology ◽  
Structured Interviews ◽  
Strong Basis ◽  
Eortc Qlq

e13582 Background: Cancers of the brain lead to significant neurocognitive, physical and psychological morbidities. Digital technologies provide a novel platform to capture and evaluate these needs. Mobile health (mHealth) applications typically focus on one aspect of care rather than addressing the multimodal needs of the demographic of these patients. The Vinehealth application aims to address this by tracking symptoms, delivering machine learning-based personalised educational content, and facilitating reminders for medications and appointments. Where mHealth interventions traditionally lack the evidence-based approach of pharmaceuticals, this study acts as an initial step in the rigorous assessment of a new digital health tool. Methods: A mixed methodology approach was applied to evaluate the Vinehealth application as a care delivery adjunct. Patients with brain cancer were recruited from the day of their procedure ± 7 days. Over a 12-week period, we collected real-world and ePRO data via the application. We assessed qualitative feedback from mixed-methodology surveys and semi-structured interviews at onboarding and after two weeks of application use. Results: Six participants enrolled of whom four downloaded the application; four completed all interviews. One patient set up their device incorrectly and so couldn't receive the questionnaires; excluding this patient, the EQ-5D-5L and EORTC QLQ-BN20 completion rates were 100% and 83% respectively. Average scores (±SD) at onboarding and offboarding were EQ-5D-5L: 2.07±1.28 and 1.73±1.22, and QLQ-BN20: 13.33 and 22.5. In total: 212 symptoms, 174 activity, and 47 medication data points were captured, and 113 educational articles were read. Participants were generally optimistic about application use. All users stated they would recommend Vinehealth and expressed subjective improvements in care. Accessibility issues in the ePRO delivery system which impacted completion rate were identified and have subsequently been fully addressed. Conclusions: This feasibility study showed acceptable patient use, led to a subjective improvement in care, and demonstrated effective collection of real-world and validated ePRO data. This provides a strong basis to further explore the integration of the Vinehealth application into brain cancer care. This study will inform the design of a larger, more comprehensive trial continuing to evaluate improvements in care delivery through data collection, educational support and patient empowerment.

Friend or Foe? Regional Newspapers and the Power of Facebook

2015 ◽  
Vol 156 (1) ◽  
pp. 19-28 ◽  
Author(s):  
Kristy Hess ◽  
Kathryn Bowd
Keyword(s):  
Digital World ◽  
Comparison Approach ◽  
The Social ◽  
Regional Newspapers ◽  
Case Comparison ◽  
Online Spaces ◽  
Private And Public ◽  
Access Information ◽  
The One ◽  
Digital Landscape

This article examines how some regional newspapers in Australia are engaging with the social media juggernaut Facebook, and looks at the effects of this on their relationships with audiences in a digital world. We highlight how terms such as friend' and ‘community’ mask complex power struggles taking place across these two media platforms. On the one hand, Facebook can facilitate public conversation and widen the options for journalists to access information; on the other, it has become a competitor as news outlets struggle to find a business model for online spaces. We suggest that newspapers and journalists are facing challenges in navigating the complexities of a platform that crosses public/private domains at a time when the nature of ‘private’ and ‘public’ is being contested. The article adopts a ‘pooled case comparison’ approach, drawing on data from two separate Australian studies that examine regional newspapers in a digital landscape. The research draws on interviews with journalists and editors in Australia across three states, and on focus groups and interviews with newspaper readers in Victoria.

scholarly journals How Will the Use of Technology in Translation and Testing Affect Language Learning?

2014 ◽  
Vol 8 (1) ◽  
pp. 22 ◽  
Author(s):  
David Michael Bourne
Keyword(s):  
Language Learning ◽  
Language Proficiency ◽  
Educational Institutions ◽  
Human Element ◽  
Use Of Technology ◽  
The One ◽  
Impact Of Technology ◽  
Age Range ◽  
The Impact

Technology has an ever increasing impact on how we work and live. Article adressed the issue of the impact of technology in two key areas of language learning. On the one side learners increasingly used technology to translate. Given this trend, was there any real need to learn a language. On the other side, educational institutions increasingly used technology to rate language proficiency. Given this trend, would the work of the teacher become less and less important. The survey was conducted by using quantitative method. The respondents’ age range was 18-25. There were 53 respondents, 35% were male and 65% were female. The instrument was a questionaire having 9 questions describing the students’ reliance on computer in translation. It can be concluded that learners of English indicate that they accept and welcome the role of technology in language learning, but there is a doubt that the role and participation of humans in the learning process will be completely replaced. The human element remains an important ingredient. (EE)

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