Många unga har upplevt sexuellt våld eller varit utsatta för olika risker under och efter migrationen till Sverige. Det kan exempelvis handla om barnäktenskap, att sälja sex för sin överlevnad, om människohandel, hedersrelaterat våld eller våldtäkt. I Att möta sexuell utsatthet beskriver författarna professionellas möten med nyanlända barn och unga som har erfarenhet av sexuellt våld. Hur bör professionella i Sverige bemöta och hantera de ungas berättelser? Hur ska de agera när de möter barn som är gifta? På vilket sätt kan skolan vara ett stöd? Hur bör samverkan ske mellan olika professionella grupper? Boken riktar sig till studenter inom socialt arbete, omvårdnad och folkhälsa men kan också läsas av professionella som möter unga nyanlända inom olika verksamheter.

Introduction: The rapid development of digital technologies in healthcare has been recognised to require new competencies from the healthcare professionals. Global and regional digitalisation strategies have pursued to create digital health networks and structures that promote the utilisation of various digital technologies that would allow the ethical, safe, reliable, sustainable and equitable healthcare delivery. Previous research has explored healthcare professionals’ digital health competencies for example by conducting profile analysis in a national level, yet an international outlook and assessment of the current situation on healthcare professionals’ digital competencies is still lacking. The purpose of the study is to describe the perceptions and factors that affect healthcare professionals’ digital competence internationally. The aim of the study is to recognise the issues that are associated with healthcare professionals’ digital competence to increase the adoption of digital health tools and services.Materials and Methods: The study entails the linguistic and cultural validation of two instruments and a crosssectional study which investigates healthcare professionals’ digital competence internationally. Data collection takes place in up to 21 countries from healthcare professionals (min n = 300/country), including primary and specialised healthcare organisations. The instruments used in data collection include Digital Health Competence (DigiHealthCom) instrument which entails 5 factors and 42 items to measure the professional’s perceived digital competence and Aspect Associated with Digital Health Competence (DigiComInf) instrument which entails 3 factors and 15 items to measure the perceived factors that are associated with digital competence. The factors relating to healthcare professionals’ digital competence will be explored by conducting a binary regression analysis. The attributes contributing to digital competence will be identified by conducting a K-mean cluster algorithm when identifying different competence profiles of healthcare professionals. The ethical/research permissions have been requested from each participating organisation undertaking the study according to each country's standard practices. The research follows the ethical principles as stated in Declaration of Helsinki. The societal benefit of conducting the study was acknowledged by each participating country to validate the ethical treatment of the research participants. Results: The expected findings suggest that majority of healthcare professionals evaluate their digital competence at a good level but country and digital competence area level differences persist. A variety of factors relating to the professional’s professional and personal background and organisational and educational aspects support or inhibit digital competence and digital competence development. Yet, the exact results are presented in the conference in May 2024 after data collection and analysis have been completed.  Discussion: The results from this study and the validated instruments to measure digital competence and factors associated with it can be further employed in evaluating and developing healthcare professionals’ digital competence in different healthcare contexts in a global scale. Individual and systematic digital competence evaluation and development does not only improve professionals’ readiness to adopt and use the necessary digital technologies in their work but also supports individuals and organisations’ transformation (change readiness, work engagement and well-being) in the digital shift and ensures high quality patient care. © The Author(s) 2024

Aims: To identify healthcare professionals' digital health competence profiles and explore associated factors to digital health competence in healthcare settings. Design: A cross-sectional study. Methods: Data were collected from 817 healthcare professionals from nine organizations with an electronic questionnaire by using Digital Health Competence instrument (42 items) and Aspects Associated with Digital Health instrument (15 items) between 1st March and 31st July 2022. K-means clustering was used to describe digital health competence profiles. Binary logistic regression analysis was used to explore associated factors. Results: Analysis revealed three digital health competence profiles: A – high competence (n = 336), B – intermediate competence (n = 352) and C – low competence (n = 129). Between the profiles, digital health competence showed significant differences (p <.001). Recent graduation year, working in outpatient environments and leader or specialist position were associated with higher digital health competence. Organizational practices and the influence from colleagues improved competence in human-centred remote counselling, digital solutions as part of work, competence in utilizing and evaluating digital solutions and ethical competence. Support from management improved digital solutions as part of work and ethical competence. Conclusion: Nursing and allied health professionals working in other than outpatient environments should be specifically acknowledged when digital health competence development initiatives are designed and targeted. The positive influence from colleagues could be harnessed by enhancing their involvement in digital health competence development methods such as orientation, mentoring or coaching. Additionally, managers should take a stronger role in supporting different areas of digital health competence. Impact: This was the first study that explored healthcare professionals' digital health competence profiles and associated factors. The detection of healthcare professionals' digital health competence profiles guides the development of digital health education according to different needs in healthcare environments. Reporting Method: The study has adhered to STROBE guidelines. Patient or Public Contribution: No patient or public contribution. © 2024 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.

When the COVID-19 pandemic began to spread around the world, Swedish municipalities were unprepared. Different guidelines on how to act in relation to the disease varied and protective equipment was lacking. This study aims to describe the experiences of health and social care providers of working at municipality level during the COVID-19 pandemic. A total of 12 assistant nurses, 13 registered nurses, and three physicians were interviewed, individually or in groups, between fall 2020 and spring 2021. The interviews were semi-structured and were analyzed using thematic analysis, utilizing a design following the COREQ-checklist. Three main themes were identified as follows: ‘Initial chaotic situation and uncertainty regarding how to deal with the pandemic’; ‘Continuous changes in organization and work routines’, and ‘Management of the pandemic has become the new normal’. Though health and social care workers eventually managed to embed dealing with COVID-19 as a routine feature of their daily work, municipalities must prepare for future crises. © The Author(s) 2022

BACKGROUND: Healthcare professionals' digital health competence is an important phenomenon to study as healthcare practices are changing globally. Recent research aimed to define this complex phenomenon and identify the current state of healthcare professionals' competence in digitalisation but did not include an overarching outlook when measuring digital health competence of healthcare professionals. OBJECTIVES: The purpose of this study was to develop and psychometrically validate two self-assessed instruments measuring digital health competence and factors associating with it. METHODS: The study followed three phases of instrument development and validation: 1) conceptualisation and item pool generation; 2) content validity testing and pilot study; and 3) construct validity and reliability testing. The conceptual background of the instruments was based on individual interviews conducted with healthcare professionals (n = 20) and previous systematic reviews. A total of 17 experts assessed the instrument's content validity. Face validity was evaluated by a group of healthcare professionals (n = 20). Data collection from 817 professionals took place in spring-summer 2022 in nine organisations. Construct validity was confirmed with exploratory factor analysis. Cronbach's alpha was used to assess the internal consistency of the instruments. RESULTS: The instrument development and validation process resulted in two instruments: DigiHealthCom and DigiComInf. DigiHealthCom included 42 items in 5 factors related to digital health competence, and DigiComInf included 15 items in 3 factors related to educational and organisational factors associated with digital health competence. The DigiHealthCom instrument explained 68.9 % of the total variance and the factors' Cronbach alpha values varied between 0.91 and 0.97. The DigiComInf instrument explained 59.6 % of the total variance and the factors' Cronbach alpha values varied between 0.76 and 0.88. CONCLUSIONS: The two instruments gave valid and reliable results in psychometric testing. The instruments could be used to evaluate healthcare professionals' digital health competence and associated factors. Copyright © 2023 The Author(s). Published by Elsevier B.V. All rights reserved.

Health care professionals need continuous education to maintain the competencies required to provide high-quality care; in today’s world, this means an understanding of digital health services. Insight into health care professionals’ experiences of which aspects influence their digital health competence development is therefore highly relevant.

The objective of the study was to examine which aspects influence the digital health competence development of health care professionals (nursing workforce and allied health professionals).

In-depth, semi-structured interviews were conducted with 20 health care professionals (Finland n=15, Sweden n=5) from various health care settings between May 2019 and July 2020. Interviews were audio-recorded, translated verbatim and analysed with inductive content analysis.

Health care professionals perceive that digital health competence development is influenced by aspects related to digital health adoption, co-workers and the work community, their manager, and opportunities for continuous education and orientation.

The participants agreed that digital health competence is an important part of a health care professional’s overall clinical competence. Continuous education geared towards digital health competence should be systematically designed, and potentially integrate the resources available on social media platforms. Additionally, managers and supervisors should take a stronger stance towards learning about digital health services so they can serve as role models to their employees and genuinely promote digital health competence development.

Objective

The objective of this paper is to describe the initial phase of a long-term collaboration initiative between a municipality and the medical faculty at a university in Sweden. The overall ambition of the collaboration is to strengthen the quality of care for older people. The concrete goal is to equip academically trained registered health care professionals (HCP) with tools for transferring evidence-based knowledge into practice. As municipal healthcare for older people is mainly carried out by staff lacking academic education, reg. HCP are key actors to bring in and consolidate an evidence-based approach in this setting. Developmental evaluation (DE) has been used to evaluate four separate activities in the initial phase. The activities where sequenced in a cumulative design to provide knowledge for further development of adequate tools.

Results

The cumulative design originally planned did not fit the internal logic of the municipality. Therefore, workflow and pace adjustments were made to proceed towards the joint ambition; the creation of fruitful conditions for the uptake of evidence-based knowledge. Long-term collaboration between academia and organizations outside academia demands a sensitive and flexible research approach, recognizing that collaboration implies mutuality and restricts the sovereignty of academia in designing research. © 2022, The Author(s).

Aims and objectives: This study aims to provide insight into healthcare professionals' lived experiences of digital health competence with the objective of improving the knowledge of how digital health competence is perceived by healthcare professionals.

Background: Healthcare professionals need to adjust to the digital era to provide quality and ethical care. Previous research has rarely adopted a healthcare professional's standpoint to describe their perceptions of digital health competence, even though their perspective in how new care practices are designed and implemented is vital.

Design: A qualitative descriptive study.

Methods: Healthcare professionals (nurses and allied health professionals) from versatile healthcare settings were recruited for individual semi-structured interviews in Sweden (n= 5) and Finland (n= 15) (spring 2019-summer 2020). Purposive and convenience sampling was used. Participants' backgrounds were in the public and private sectors. The interviews were transcribed for inductive content analysis. The SRQR guideline guided the study process.

Results: Healthcare professionals' perceptions of digital health competence are connected to competence to provide patient-centric care through digital channels, using technology and digital health systems, interacting with the patient through digital means, evaluating what digital health is and combining digital and traditional methods. Professionals' perceptions of their own digital health competence were divided, with the participants either reporting sufficient competence or perceiving a lack of skills in some specific areas.

Conclusions: Healthcare professionals' perceptions of digital health competence focus on the ability to provide patient-centric care by evaluating the need and possibilities for using digital health services jointly with more traditional methods. This study provides a sound basis for digital health research, but future studies should focus on elucidating factors which affect digital health competence and competence development.

Relevance to clinical practice: The results of this study can guide healthcare practices and digital health implementation, as well as function as a basis for instrument or theory development. Health care and nursing leaders should enable the resources to hybrid practices in patient-centric care provision. © 2022 The Authors. Nursing Open published by John Wiley & Sons Ltd.