The healthcare sector faces the challenge of sustainably integrating digital technologies into clinical and nursing practice. Despite the increasing availability of digital assistive technologies, their potential to improve the quality of care, patient safety, and working conditions has so far been insufficiently harnessed. Among the reasons for this are a lack of organizational structures for introducing and evaluating digital innovations, insufficient digital skills, a lack of user involvement
Conditions
Interventions
Group 1: Participating institutions will receive a complex organisation-specific implementation intervention aimed at establishing Nursing Development Units for Digital Transformation (NDUdigiTrans).
Sponsors
UMH AG Versorgungsforschung | Pflege im Krankenhaus
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: This includes employees of the five participating nursing and healthcare facilities (in particular, registered nurses and, depending on the survey format, other relevant professional groups such as managers, physicians, therapists, and staff in information technology, quality management, and human resources development) who work at the participating facilities, are at least 18 years of age, and voluntarily participate in the study after providing written consent or, in the case of anonymous questionnaire surveys, implicit consent. For selected qualitative surveys, individuals in need of care and their relatives are also included, provided they are capable of giving consent and have sufficient German language skills to participate in interviews or focus groups.
Exclusion criteria
Exclusion criteria: Individuals who do not meet the inclusion criteria or who do not consent to participate in the study will be excluded. For qualitative studies involving individuals in need of care, those who, due to dementia, legal guardianship, or a lack of cognitive or language skills, are unable to provide informed consent or participate in interviews or focus groups will be excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoints are changes in the digital transformation competence of nursing staff, organizational adaptability, and the degree to which NDU work practices have become normalized in the participating institutions. These parameters will be assessed at the start of the study (baseline), after 24 months, and at the end of the study (48 months). Data will be collected using standardized questionnaire instruments (including DigiHealthCom/DigiComInf, ICT-SC25g, ORIC, and G-NoMAD), supplemented by structured documentation analyses and embedded research (participant observation and process documentation). | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoints include the digital maturity of the institutions, the quality and intensity of participation, the scope and implementation of the implementation measures (RE-AIM), the evaluation of the intervention measures, and the identification of factors facilitating and hindering implementation. These are collected on an ongoing basis or at defined data collection points using structured surveys, event-related evaluation questionnaires, scripted individual and focus group interviews, field notes, consultation transcripts, and documentation analyses. | — |
Countries
Germany
Contacts
Public ContactAnett Brommund-Schnabel
UMH AG Versorgungsforschung - Pflege im Krankenhaus
Outcome results
None listed