Evidence map›Paper›PMID 41576320›Full record

ReviewJMIR nursing2026

Developing a Best Practice Guideline for Clinical Practice in a Digital Health Environment: Systematic Reviews Based on the Grading of Recommendations, Assessment, Development, and Evaluation Approach.

Lauren Bailey, Lyndsay Howitt, Nafsin Nizum, Christine Buchanan, Maureen Charlebois, Jennifer Yoon, RNAO Expert Panel

Abstract readReview
In one paragraph

Review in JMIR nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Lauren BaileyInternational Affairs and Best Practice Guidelines Centre, Registered Nurses' Association of Ontario, 4211 Yonge Street #500, Toronto, ON, M4G 2C5, Canada, 1 416-599-1925.ORCID 0009-0003-3088-9453
Lyndsay HowittInternational Affairs and Best Practice Guidelines Centre, Registered Nurses' Association of Ontario, 4211 Yonge Street #500, Toronto, ON, M4G 2C5, Canada, 1 416-599-1925.ORCID 0000-0002-6424-2290
Nafsin NizumInternational Affairs and Best Practice Guidelines Centre, Registered Nurses' Association of Ontario, 4211 Yonge Street #500, Toronto, ON, M4G 2C5, Canada, 1 416-599-1925.ORCID 0000-0002-3923-0044
Christine BuchananInternational Affairs and Best Practice Guidelines Centre, Registered Nurses' Association of Ontario, 4211 Yonge Street #500, Toronto, ON, M4G 2C5, Canada, 1 416-599-1925.ORCID 0000-0001-5053-0737
Maureen CharleboisBayshore HealthCare, Toronto, ON, Canada.ORCID 0009-0007-4997-9829
Jennifer YoonHumber River Health, Toronto, ON, Canada.ORCID 0000-0003-3283-7289
RNAO Expert PanelSee Acknowledgement.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Digital health refers to the field of knowledge and practice associated with the development and use of digital technologies to improve clinical practice and health outcomes. Knowledge of digital health technology is becoming essential for all nurses and health providers. Objective: This study aims to present the results of the systematic reviews that were used to inform the recommendations in a best practice guideline (BPG) following the GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) approach. Reviews focused on digital health education for nurses and health providers, peer champion models, and the use of predictive analytics in digital health environments. Methods: The BPG team, in collaboration with a panel of 17 experts, conducted 5 systematic reviews to address 5 recommendation questions. Systematic searches looked for relevant studies published in English from January 2017 to July 2022 from 10 databases. The GRADE approach was used to synthesize and evaluate the quality of evidence, ensuring the guideline aligned with international reporting standards. Results: A total of 18 articles across 4 systematic reviews met the inclusion criteria. From these reviews, 4 corresponding recommendations were drafted for nurses and health providers. The strength of the recommendations was determined through discussion and consensus by the expert panel using the GRADE approach. Among all, 1 systematic review resulted in no recommendation due to insufficient evidence. Conclusions: The BPG on digital health provides 4 evidence-based recommendations for nurses and health providers on how to incorporate digital health technologies into clinical practice. This BPG is intended to be used across all health care settings.

Indexed as

Digital TechnologyPractice Guidelines as TopicTelemedicineDigital HealthHumansSystematic Reviews as Topicclinical guidelinesdigital healthelectronic healthhealth informaticsnursing

Identifiers

PMID41576320
PMCPMC12829893

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.