Emotional and psychological safety in the context of digital transformation in healthcare: a mixed-method strategic foresight study.

IF 4.1 Q1 HEALTH CARE SCIENCES & SERVICES BMJ Health & Care Informatics Pub Date : 2024-09-20 DOI:10.1136/bmjhci-2024-101048
Silke Kuske, Carmen Vondeberg, Peter Minartz, Mara Vöcking, Laura Obert, Bernhard Hemming, Christian Bleck, Matti Znotka, Claudia Ose, Peter Heistermann, Jutta Schmitz-Kießler, Anne Karrenbrock, Diana Cürlis
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Abstract

Background: Perceived safety has received attention in the digital transformation of healthcare. However, the impact of perceived safety on the future of digital transformation has not been fully elucidated.

Aim: To investigate perceived safety in the context of the digital transformation of healthcare while considering relevant needs, influencing factors and impacts, including crisis events, to provide recommendations for action based on a participatory, multiperspective, strategic 5-year foresight viewpoint.

Methods: A strategic foresight study is conducted via a participatory mixed-methods design to understand the present related factors that are likely to be relevant to future developments in the digital transformation of healthcare.

Results: We observed that feeling safe plays a complex role in the digital transformation of healthcare. How perceived safety is considered has and will continue to impact the individual, organisational and system levels. Regarding a potential crisis event, controversial consequences have been observed. At its core, digital (health) literacy related to equity of access and human support is one of the crucial aspects in the context of perceived safety related to the successful implementation of digital technologies in healthcare.

Conclusions: The scenarios showed that a continuation of the current situation over the next 5 years may result in partly desirable and partly undesirable outcomes. Concrete key factors should be used in practice to support both education and healthcare quality development and research. The essence of the scenarios should serve as a starting point for research agenda setting and political decision-making in the future. However, additional research is needed to quantify the correlations among the relevant factors.

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医疗保健数字化转型背景下的情感和心理安全:一项混合方法战略展望研究。
背景:在医疗保健的数字化转型中,感知安全性受到了关注。目的:在考虑相关需求、影响因素和影响(包括危机事件)的同时,调查医疗保健数字化转型背景下的感知安全性,并基于参与式、多视角、5 年战略前瞻观点提供行动建议:方法:通过参与式混合方法设计开展战略前瞻研究,以了解可能与医疗保健数字化转型未来发展相关的当前因素:我们发现,安全感在医疗保健数字化转型中扮演着复杂的角色。如何考虑安全感已经并将继续影响个人、组织和系统层面。关于潜在的危机事件,已经观察到了有争议的后果。就其核心而言,与公平获取和人力支持有关的数字(医疗)素养是在医疗保健领域成功实施数字技术的安全感知方面的关键因素之一:假设情景表明,在未来 5 年内继续保持目前的状况可能会导致部分理想和部分不理想的结果。具体的关键因素应在实践中加以利用,以支持教育和医疗质量的发展与研究。设想方案的实质应作为未来制定研究议程和政治决策的出发点。不过,还需要开展更多的研究来量化相关因素之间的相互关系。
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来源期刊
CiteScore
6.10
自引率
4.90%
发文量
40
审稿时长
18 weeks
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