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Development and validation of an instrument to assess knowledge, attitudes, and practices on digital health among nursing officers† Cover

Development and validation of an instrument to assess knowledge, attitudes, and practices on digital health among nursing officers†

Open Access
|Sep 2024

Figures & Tables

Figure 1.

Flow diagram of the inclusion of research articles to develop the instrument.

Final version of the questions of the KAP domains_

DomainsItems
Knowledge
1. Digital technologies (use of computers, mobile phones and other electronic tools and communication technologies) are used in many fields worldwidea. The term “Digital Health” means the provision of healthcare via digital technologies.
b. Digital health has been used in all areas such as clinical, educational, managerial, administrative, training, and research.
c. Digital health limits the access to healthcare for people in rural or remote areas.
d. Digital health technologies are being used in both curative health and public health.
e. Digital health facilitates managing data services such as data collection, management, use and exchange in health systems.
2. Your hospital is going to implement an eHIS. This implementation will facilitatea. Direct access to all the information of patients through the computer.
b. Easy access to laboratory system through the computer at any time.
c. The maintenance of paper-based medical records.
d. The management of patients through decision support tools.
e. To provide all nursing care through electronic devices.
3. Telemedicinea. Telemedicine is the use of telecommunication to provide medical education and services at a distance.
b. Telemedicine needs sophisticated technologies.
c. Patient management with prescribing drugs can be done through telemedicine.
d. Follow-up of patients can be done through telemedicine.
e. In telesurgery, a surgeon performs a surgical case without his/her being present in the operating room.
4. NI is an emerging specialty globally.a. It is a combination of nursing science, computer science, information science, and cognitive science.
b. NI is applicable only in areas of clinical, education, and nursing research.
c. NI roles require all nurses to be computer literate.
d. NI is concerned with assisting and processing nursing data and information only.
e. The goal of NI is to support decision-making only in specialized roles.
5. Suppose you are assigned to do a health education session for a group of patients under the digital health facilities. Do you have knowledge and skills ona. Using basic components of the computer and its peripheral devices? (e.g., mouse, keyboard, multimedia, printer)
b. Using the Internet/search engines to gather information?
c. Developing course materials using MS Word/MS PowerPoint/MS Excel?
d. Sending a report of your teaching session via email?
e. Using digital conference facilities such as Zoom/ Google Meet/Teams to conduct online sessions?
Attitudes
Relative advantages of digital health1. Reduce clinical errors made by nurses when providing patient care.
2. Enable me to accomplish my tasks more quickly while performing duties in the workplace.
3. Makes my work easier due to the use of digital devices.
4. Improves the quality of nursing care provided by me to the patients.
5. Enables me to provide more comprehensive nursing care.
Compatibility of digital health6. Compatible with all aspects of nursing activities that I conduct in the workplace during my duty hours.
7. Fits well with the way I like to work in the workplace.
8. It is compatible with the current demand in health care.
Acceptability of digital health9. Nurses should adjust to the digital health environment (NIs).
10. I am interested in practicing digital health in my daily duties as a nurse.
11. I am interested in getting education/training on digital health.
12. I am seeking proper digital health education/ training.
13. Digital health reduces time spent with the patient.
14. A nurse should spend more time with the patients, not work with computers.
15. It negatively affects the nurse–-patient relationship in my workplace.
Complexity of digital health16. Digital health technologies require large mental effort by nurses.
17. It is difficult to adapt to digital health technologies in general.
18. Digital health creates new responsibilities for nursing staff.
19. The support from the other categories of healthcare staff to practice digital is not adequate.
20. I am not competent in using digital health.
21. I do not have facilities to adapt to/practice digital health.
22. I do not have adequate education/training to practice digital health.
Observability of digital health23. I have observed how other health professionals utilize digital health technologies.
24. I notice that digital health technologies are being used for a variety of tasks at the hospital.
25. In the hospital where I work, digital health is prominent.
Practice
1. Do you have any digital health implementations (e.g., HIMS, EHR System, Telehealth) in your hospital?a. Client identification through digital devices
2. What are the digital health activities available in your hospital? (Select all that apply to you and put an [X] mark in the brackets given).b. Client registration through digital devices
c. Trace laboratory investigations through digital devices
d. Client discharge plan through digital devices
e. Help to maintain clients’ medical records digitally (EMR/EHR/PHR)
f. Use nurses’ decision support tools (checklists, alert systems, reminders)
g. Provide nursing services through digital technologies whenever physical distance exists between client and nurses (telenursing practices)
h. Communication through digital technologies
(transmit routine news, workflow notifications, communication among staff)
i. Referral coordination via digital technologies
j. Activity planning and scheduling via digital devices (nurses notes)
k. Nursing officer’s training (IT training, eLearning)
l. Track client’s medication consumption and monitoring
3. How long (in months) you have been engaging in the above-mentioned digital health activities?a. Client identification through digital devices
b. Client registration through digital devices
c. Trace laboratory investigations through digital devices
d. Client discharge plan through digital devices
e. Help to maintain clients’ medical records digitally (EMR/EHR/PHR)
f. Use nurses’ decision support tools (checklist, alert systems, reminders)
g. Provide nursing services through digital technologies whenever physical distance exists between client and nurses (Telenursing practices)
h. Communication via digital devices (transmit routine news, workflow notifications)
i. Referral coordination via digital technologies
j. Activity planning and scheduling via digital devices (nurses notes)
k. Nursing officer’s training (IT training, eLearning)
l. Track client’s medication consumption and monitoring
4. Which of the following digital devices do you use in your digital health practice in the workplace? (Select all that apply to you and put an [X] mark in the box given)a. Desktop computer
b. Laptop/notebook computer
c. Tablet computer (e.g., iPad, Galaxy)
d. Smartphone
e. Landline phone
f. Fax machine
5. How often do you use above-mentioned digital devices in the workplace?a. Desktop computer
b. Laptop/notebook computer
c. Tablet computer (e.g., iPad, Galaxy)
d. Smartphone
e. Landline phone
f. Fax machine
6. Which of the following digital devices do you use in your activities not related to work? (Select all that apply to you and put an [X] mark in the box given)a. Desktop computer
b. Laptop/notebook computer
c. Tablet computer (e.g., iPad, Galaxy)
d. Smartphone
e. Mobile phone (normal)
f. Landline phone
g. Fax machine
h. Wearable devices
7. How often do you use the above-mentioned digital devices for activities not related to work?a. Desktop computer
b. Laptop/notebook computer
c. Tablet computer (e.g., iPad, Galaxy)
d. Smartphone
e. Mobile phone
f. Landline phone
g. Fax machine
h. Wearable devices
8. What is your main purpose in using the above-mentioned digital devices in your daily life?b. Find health information
c. Access to health care
d. For health education
e. Communication
f. Digital health games

Steps involved in the study_

StepNature of activityMethodsNumber of domainsNumber of itemsAddition or subtraction
1Development of constructLiterature review Synthesize literature review-60-
2Item generationDevelop items0455Subtraction of 05 overlapping items
3Establishment of face validity and content validityExpert review process0451

Subtraction of 05 items

Addition of 01 item

4Assessment of reliabilityTest–Retest reliability0351-
5Assessment of stabilityInternal consistency0351-

Scoring method_

ItemsScoring
Relevancy1 = Not relevant
2 = Item needs some revision
3 = Relevant but need minor revision
4 = Very relevant
Clarity1 = Not clear
2 = Item needs some revision
3 = Clear but need minor revision
4 = Very clear
Simplicity1 = Not simple
2 = Item needs some revision
3 = Simple but need minor revision
4 = very simple
Ambiguity1 = Doubtful
2 = Item needs some revision
3 = No doubt but need minor revision
4 = Meaning is clear
DOI: https://doi.org/10.2478/fon-2024-0030 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
Language: English
Page range: 275 - 284
Submitted on: Jan 15, 2024
|
Accepted on: Mar 28, 2024
|
Published on: Sep 16, 2024
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2024 Maheshika Madhuwanthi, Sunethra Jayathilake, Neranga Liyanaarachchige, Rohana Marasinghe, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution 4.0 License.