hh.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Healthcare professionals' digital health competence and its core factors; development and psychometric testing of two instruments
University Of Oulu, Oulu, Finland.
University Of Oulu, Oulu, Finland; Wellbeing Services County of North Ostrobothnia, Oulu, Finland.
Halmstad University, School of Health and Welfare.ORCID iD: 0000-0002-2511-1183
University Of Oulu, Oulu, Finland; Northumbria University, Newcastle, UK.ORCID iD: 0000-0002-3813-1490
Show others and affiliations
2023 (English)In: International Journal of Medical Informatics, ISSN 1386-5056, E-ISSN 1872-8243, Vol. 171, article id 104995Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
Shannon: Elsevier, 2023. Vol. 171, article id 104995
Keywords [en]
Digital health, Healthcare, Instrument development, Nursing informatics, Professional competence, Psychometric testing, Telemedicine
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-49966DOI: 10.1016/j.ijmedinf.2023.104995ISI: 000923910700001PubMedID: 36689840Scopus ID: 2-s2.0-85147389803OAI: oai:DiVA.org:hh-49966DiVA, id: diva2:1738494
Available from: 2023-02-22 Created: 2023-02-22 Last updated: 2023-08-21Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMedScopus

Authority records

Andersson, Janicke

Search in DiVA

By author/editor
Andersson, JanickeTomietto, M.Mikkonen, K.
By organisation
School of Health and Welfare
In the same journal
International Journal of Medical Informatics
Nursing

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 74 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf