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Digital skills of health care professionals in cancer care: A systematic…
Digital skills of health care professionals in cancer care: A systematic review
METHODS
Qualitative and quantitative research
Adherence to PRISMA guidelines and registration with PROSPERO
Information sources
systematic literature search and additional screening of references
Eligibility criteria for included studies
Data Analysis
Data collection process
data items collected, data extraction process
purpose, qualitative and quantitative data, content analysis steps
Search strategy
Selection process
Interview and survey
Paticipant
trainees and fellows in radiology/radiation oncology
surgical learners
psychosocial cancer care providers
medical oncology providers
radiation oncology nurses
nurses
LITERATAL REVIEW
Digital Skills
Basic digital literacy
Ethical considerations in digital healthcare
Data handling and communication skills
Challenges
Establishing trust in digital interactions
Maintaining patient confidentiality
Assessing patient digital capabilities
Recommendations
Enhance digital opportunities in cancer care
Provide digital education and support to patients and HCPs
Bridge the gap in digital skills through training and collaboration
PURPOSES
Identify existing evidence of digital skills among HCPs in cancer care
Identify needs for future education and research in digital skills for HCPs in cancer care
Guiding research questions
How should the digital skills of HCPs be developed in cancer care?
What are the digital skills of HCPs in cancer care?
RESULTS
Study characteristics : digital skills and challenges faced
Communication skills and challenges in telehealth visits for medical oncology providers
Improvement of computer proficiency and IT skills among nurses
Challenges experienced by nurses in telehealth settings (e.g., operating digital platforms, privacy concerns)
Patient and caregiver experiences and challenges in telehealth appointments
Training needs and recommendations for enhancing digital skills among HCPs
HCPs' perceptions and experiences with mHealth and AI in cancer care
Quality appraisal results
Qualitative Studies (13 studies)
Strengths
Clear statement of research aims in most studies
Adequate qualitative study design
Clearly defined findings
Adequately rigorous data collection and analysis in nine studies
Appropriate study design to achieve research aims in nine studies
Weaknesses
Inadequate recruitment strategy in only three studies
Limited transferability of study results to different settings in only three studies.
Cohort Studies (11 studies)
Strengths
Good internal validity across all studies
Clear statement of research objectives in most studies.
Weaknesses
Only four studies recruited the study population according to research aims
Majority used convenience sampling strategy
None of the studies measured exposure prior to outcome or considered potential confounding variables due to cross-sectional design
Lack of long enough follow-up
Insufficient external validity to implement results in different settings
Digital skills of health care professionals in cancer care
Ethical Practice Skills
Existing Skills: Protecting patient passwords, engaging in confidential conversations, and respecting patients' consent during digital interactions
Development Areas: Enhancing awareness of digital health resources, ensuring appropriate setting for digital appointments, and complying with legal and ethical guidelines
Required Skills: Protecting patients' privacy, ensuring confidentiality, and obtaining patients' consent for digital interactions.
Creating a Human-Oriented Relationship
Required Skills: Adapting a person-centered approach, building rapport, delivering difficult news, and providing e-counselling
Development Areas: Developing skills for establishing emotional connections, managing patient reactions, and adapting bedside manner during digital interactions
Existing Skills: Making introductions, communicating in a caring way, and expressing empathy
Information Technology Skills
Development Areas: Learning basic operational skills for digital equipment, improving skills for assessing and developing computer skills, and adapting to new technologies
Existing Skills: Work-based computer skills, searching information from databases, and assessing information sources
Required Skills: Using digital technologies, preparing digital appointments, assessing digital health information, and accessing digital resources
Digital Education and Support
Required Skills: Providing information, ensuring understanding, providing support, and implementing digital health policies/guidelines
Existing Skills: Communicating effectively with patients, assessing patient-reported health information, and managing appointment times
Development Areas: Tailoring information for patients' characteristics, improving communication skills, and using online tools for enhanced support and group interactions
CONCLUSION
Strengths and Limitations
Strengths
Good Scientific Practices
Good Scientific Practices
Limitations
Conceptual Discrepancy (Skills vs Competence)
Methodological Quality of Studies
Focus on Description vs Assessment
Implications
Policy Implications
Implementation of Guidelines
Research Implications
Assessment Tools Development
Practice Implications
Enhancing Digital Skills
Ethical Considerations