Leadership in Digital Health Services: Protocol for a Concept Analysis

Laukka, Elina; Pölkki, Tarja; Heponiemi, Tarja; Kaihlanen, Anu‐Marja; Kanste, Outi

doi:10.2196/25495

Cited by 14 publications

(10 citation statements)

References 49 publications

(30 reference statements)

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“…The multitude of concepts demonstrates the complexity of remote leadership in the context of health care. The diversity of concepts applied in analyses of health-care leadership in digital contexts and needs for more rigorous definition and standardisation of terms have been previously recognised (Laukka et al , 2021). Also, the concept analysis of the remote leadership in health care would be needed.…”

Section: Discussionmentioning

confidence: 99%

Remote leadership in health care: a scoping review

Kiljunen

Laukka

Koskela

et al. 2021

LHS

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Purpose The degree of remote working has increased in the health-care sector, but remote leadership in health-care contexts has not been systematically studied. Thus, the purpose of this review was to map existing literature and research themes of remote leadership in health care and identify potential research gaps to guide future studies. Design/methodology/approach A scoping review with narrative synthesis was conducted, covering all published literature addressing remote, virtual, online or distance leadership practices. The ABI/INFORM Collection, CINALH, PsycArticles, Scopus and Web of Science, MedNar, Open Grey and PQDT Open databases were searched electronically, and Finnish Journal of eHealth and eWelfare was searched manually. Findings In total 15 articles were included in the review. Most literature concerning remote leadership in health care has been published during the past three decades. The main themes discerned in this research stream are related to interactions, work environments, leadership in practice, use of technology and needs for more study of remote leadership and guidance for remote leaders. Research limitations/implications Research on remote leadership in health care is limited, patchy and associated concepts vary substantially. More comprehensive research on the phenomenon is needed, with more systematic attention to, and coverage of, relevant populations, concepts, contexts and the identified themes. Originality/value To the best of the authors’ knowledge, this appears to be the first review to map research on remote leadership in health care and identify research gaps, which is important as its prevalence has rapidly increased.

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Section: Discussionmentioning

confidence: 99%

Remote leadership in health care: a scoping review

Kiljunen

Laukka

Koskela

et al. 2021

LHS

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“…The detailed protocol for this concept analysis has been published (Laukka et al, 2021 ). We used the concept analysis model by Walker and Avant ( 2019 ), a frequently used tool in health care settings (Nuopponen, 2010 ).…”

Section: Methodsmentioning

confidence: 99%

“…An information specialist helped develop the initial and final search strategies. An initial limited search of MEDLINE (Ovid) was undertaken on 19 October 2020 as part of a concept analysis protocol (Laukka et al, 2021 ). On 31 November 2020, four databases (MEDLINE (Ovid), Scopus, CINAHL (EBSCO) and ProQuest (ABI/INFORM)) were searched using indexing and keywords with a limit of 10 years (Appendix S1 ).…”

Section: Methodsmentioning

confidence: 99%

Leadership in the context of digital health services: A concept analysis

Laukka

Pölkki

Kanste

2022

J Nursing Management

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Aim: To define and clarify the concept of leadership in the context of digital health services using Walker's and Avant's concept analysis model.Background: Conceptualizing leadership in the context of digital health services is needed to deliver higher quality services and advance research.Method: Searches were conducted of MEDLINE (Ovid), Scopus, CINAHL (EBSCO) and ProQuest (ABI/INFORM). Empirical articles were included if they reported attributes, antecedents or consequences of leadership in the study context. A total of 4037 references were identified; 23 were included.Results: Leadership attributes concerned leaders' behaviour, roles and qualities.Antecedents concerned informatics skills and competence, information and tools, understanding care systems and their complexity and education. Consequences related to organization, professionals and patient and care. Conclusion:Based on our results, the term 'e-leadership' should be more widely utilized in nursing practice and research.Implications for nursing management: Nurse leaders need to be strong leaders; they need to be visionary and use strategic thinking to develop existing and new digital solutions. By becoming e-leaders, nurse leaders may increase the successful development and implementation of eHealth and benefit clinicians and patients.

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“…Physicians with administrative roles may use digital technologies and also collaborate in diverse ways. Leadership in digital health services is thought to require interprofessional and intersectoral collaboration [ 85 ]. It is also suggested that leaders in health care may generally view the effects of digitalization differently and more positively than professionals (Kaihlanen, unpublished data, June 2022).…”

Section: Discussionmentioning

confidence: 99%

The Interplay of Work, Digital Health Usage, and the Perceived Effects of Digitalization on Physicians’ Work: Network Analysis Approach

Saukkonen¹,

Elovainio²,

Virtanen³

et al. 2022

J Med Internet Res

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Background In health care, the benefits of digitalization need to outweigh the risks, but there is limited knowledge about the factors affecting this balance in the work environment of physicians. To achieve the benefits of digitalization, a more comprehensive understanding of this complex phenomenon related to the digitalization of physicians’ work is needed. Objective The aim of this study was to examine physicians’ perceptions of the effects of health care digitalization on their work and to analyze how these perceptions are associated with multiple factors related to work and digital health usage. Methods A representative sample of 4630 (response rate 24.46%) Finnish physicians (2960/4617, 64.11% women) was used. Statements measuring the perceived effects of digitalization on work included the patients’ active role, preventive work, interprofessional cooperation, decision support, access to patient information, and faster consultations. Network analysis of the perceived effects of digitalization and factors related to work and digital health usage was conducted using mixed graphical modeling. Adjusted and standardized regression coefficients are denoted by b. Centrality statistics were examined to evaluate the relative influence of each variable in terms of node strength. Results Nearly half of physicians considered that digitalization has promoted an active role for patients in their own care (2104/4537, 46.37%) and easier access to patient information (1986/4551, 43.64%), but only 1 in 10 (445/4529, 9.82%) felt that the impact has been positive on consultation times with patients. Almost half of the respondents estimated that digitalization has neither increased nor decreased the possibilities for preventive work (2036/4506, 45.18%) and supportiveness of clinical decision support systems (1941/4458, 43.54%). When all variables were integrated into the network, the most influential variables were purpose of using health information systems, employment sector, and specialization status. However, the grade given to the electronic health record (EHR) system that was primarily used had the strongest direct links to faster consultations (b=0.32) and facilitated access to patient information (b=0.28). At least 6 months of use of the main EHR was associated with facilitated access to patient information (b=0.18). Conclusions The results highlight the complex interdependence of multiple factors associated with the perceived effects of digitalization on physicians’ work. It seems that a high-quality EHR system is critical for promoting smooth clinical practice. In addition, work-related factors may influence other factors that affect digital health success. These factors should be considered when developing and implementing new digital health technologies or services for physicians’ work. The adoption of digital health is not just a technological project but a project that changes existing work practices.

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Leadership in Digital Health Services: Protocol for a Concept Analysis

Cited by 14 publications

References 49 publications

Remote leadership in health care: a scoping review

Remote leadership in health care: a scoping review

Leadership in the context of digital health services: A concept analysis

The Interplay of Work, Digital Health Usage, and the Perceived Effects of Digitalization on Physicians’ Work: Network Analysis Approach

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