Evidence map›Paper›PMID 39340689›Full record

ArticleJournal of advanced nursing2025

Registered Nurses' Digital Client Work and Associating Factors: A Cross-Sectional Study.

Emma Kainiemi, Anu-Marja Kaihlanen, Lotta Virtanen, Tuulikki Vehko, Tarja Heponiemi

Abstract read
In one paragraph

Article in Journal of advanced nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Emma KainiemiFinnish Institute for Health and Welfare, Helsinki, Finland.ORCID https://orcid.org/0000-0003-3808-8514
Anu-Marja KaihlanenFinnish Institute for Health and Welfare, Helsinki, Finland.ORCID https://orcid.org/0000-0002-4033-3673
Lotta VirtanenFinnish Institute for Health and Welfare, Helsinki, Finland.
Tuulikki VehkoFinnish Institute for Health and Welfare, Helsinki, Finland.
Tarja HeponiemiFinnish Institute for Health and Welfare, Helsinki, Finland.

Funding

Sosiaali-ja Terveysministeriö 414919001Strategic Research Council 352501
6 · The paper itself

Abstract

aimsTo describe the frequency of digital client work among Finnish registered nurses, including video consultations, secured messaging and digital promotion of care without direct contact with the client. In addition, the study examines the association between various factors related to nurses' characteristics and work environment with digital client work and its frequency.

designA cross-sectional survey study.

methodsA total of 2970 nurses responded to a nationwide survey in spring 2023. Descriptive statistics were used to characterise the frequency of different types of digital client work. Binary logistic regression analyses were used to examine the associations.

resultsOne-third of the respondents reported digital client work during the last 6 months. The majority had worked digitally with their clients daily or weekly. Secured messaging was the most frequently used type of digital client work, whereas video consultations were less frequent. Nurses working in acute care, home-based care or other environments worked more frequently digitally with their clients than those working in inpatient care. Nurses with higher digital dedication and collegial support had greater odds of digital client work than those with lower dedication. Among those who reported frequent digital client work, lower skills in information security were observed.

conclusionsGiven the significant variation in the frequency of digital client work among nurses across different environments, assessing broader digitalisation adoption opportunities is essential. Organisations must ensure that nurses have sufficient skills for secure handling of client data, and efforts should be made in creating motivational and supportive work environments to facilitate digital client work. IMPLICATIONS: By understanding the factors influencing nurses' digital client work, organisations can create stronger structures to support their work. Enhancing digital service availability across different healthcare settings would offer clients more care options, thereby potentially improving their access to healthcare. IMPACT: This research addresses a knowledge gap regarding the current extent of nurses' digital client work in various healthcare environments and explores potential influencing factors. As governments aim to significantly expand the provision of digital healthcare services, understanding the variation in nurses' digital client work is crucial. This information can guide targeted interventions, such as continuous education, and organisational and collegial support, facilitating dedication to use digital technologies and ensuring secure and impactful advancements in digital healthcare. Our research will benefit healthcare organisations, decision-makers, nursing professionals and educational institutions. REPORTING

methodOur study adheres to the relevant EQUATOR guidelines and follows the STROBE checklist for cross-sectional studies. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.

Indexed as

Nurse-Patient RelationsTelemedicineAdultCross-Sectional StudiesFemaleFinlandHumansMaleMiddle AgedSurveys and Questionnairesdigital client workdigital servicesregistered nursessecured messagingtelehealthvideo consultations

Identifiers

PMID39340689
PMCPMC12159359

What OpenQuestion holds

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.