Abstract

BackgroundDue to the rapid digitalization of health care, leadership is becoming more complex. Leadership in digital health services is a term that has been used in the literature with various meanings. Conceptualization of leadership in digital health services is needed to deliver higher quality digital health services, update existing leadership practices, and advance research.ObjectiveThe aim of this study is to outline a concept analysis that aims to clarify and define the concept of leadership in digital health services.MethodsThe concept analysis will be performed using the Walker and Avant model, which involves eight steps: concept selection, determination of aims, identification of uses, determination of defining attributes, construction of a model case, construction of additional cases, identification of antecedents and consequences, and definition of empirical referents. A scoping literature search will be performed following the search protocol for scoping reviews by the Joanna Briggs Institute to identify all relevant literature on leadership in digital health services. Searches will be conducted in 6 scientific databases (CINAHL, MEDLINE, Scopus, ProQuest, Web of Science, and the Finnish database Medic), and unpublished studies and gray literature will be searched using Google Scholar, EBSCO Open Dissertations, and MedNar.ResultsAn initial limited search of MEDLINE was undertaken on October 19, 2020, resulting in 883 records. The results of the concept analysis will be submitted for publication by July 2021.ConclusionsA robust conceptualization of leadership in digital health services is needed to support research, leadership, and education. The concept analysis model of Walker and Avant will be used to meet this need. As leadership in digital health services appears to be an interprofessional and intersectoral collaboration, defining this concept may also facilitate collaboration between professionals and sectors. The concept analysis to be conducted will also expand our understanding of leadership in digital health services.International Registered Report Identifier (IRRID)PRR1-10.2196/25495

Highlights

  • IntroductionBackgroundSeveral health care programs and reforms introduced in recent years have highlighted the importance of digitalization and health information technology for solving problems in modern health care [1,2]

  • BackgroundSeveral health care programs and reforms introduced in recent years have highlighted the importance of digitalization and health information technology for solving problems in modern health care [1,2]

  • Health care leaders have traditionally been responsible for clinical health services and their management [10]; they are responsible for developing and managing health care organizations’ health information technologies (HITs) [11,12,13]

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Summary

Introduction

BackgroundSeveral health care programs and reforms introduced in recent years have highlighted the importance of digitalization and health information technology for solving problems in modern health care [1,2]. Nurse leaders seem to be active in planning the implementation of digital health services and bear the chief responsibility for its use [14] This may be because nurses are often more involved in the early-stage implementation of digital transformation projects, whereas physicians join during later phases [15]. It has, been suggested that more research should focus on how to develop continuously evolving health care leadership that is well placed to cope with changes such as the current rapid digital transformation [16].

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