Qualitative Research Research Articles

Health equity via inclusive communications: self-censorship of marginalized health needs in qualitative research

ABSTRACT Based on a multi-phase study conducted on the World Health Organization’s (WHO) age-friendly cities program, healthy-cities program, and global sustainable-cities initiatives, this paper assesses how older adults – particularly those living with chronic health conditions and disabilities – discuss mobility challenges in qualitative research. Initial results indicate that demobilizing levels of travel cost and travel risk are implied, with older adults refraining from direct discussion. Reflective analysis is performed on marginalized older adults’ conceptual associations, ideologies, and response to social norms, to identify sources of pressure which may lead to downplaying or self-censorship on transport disadvantage. Results highlight that inequalities may arise from both the built environment and how research trainees communicate in research. Despite literature which suggests severe impacts of transport disadvantage, older adults may face difficulties in voicing their needs when research trainees adhere to the following social norms. First, physical access and feasibility may be minimized as mere matters of convenience to the able-bodied individual; second, overcoming transportation barriers may be seen as based on one’s effort – as opposed to the disabling effects of the built environment; third, health and fitness in general may be also associated with one’s effort, and increasingly also to one’s commitment to environmental-sustainability; fourth, older adults may feel pressure to align perspectives with more privileged stakeholders, or with the general public; fifth, money and income may be delegitimized as apt research topics, regardless of how inability to overcome travel costs may impact daily-wellbeing. Implications for educating future gerontology-research trainees conclude the study.

Commentary: Expanding the vision of Registered Reports for qualitative mental health research: A response and extension to 'Misaligned incentives in mental health research - the case for Registered Reports', Baldwin (2023).

There is a growing exploration of how Registered Reports can benefit individual researchers and wider research fields as part of a wider shift towards open research principles and practices. In 'Misaligned incentives in mental health research - the case for Registered Reports', Baldwin examines this in the context of mental health research, arguing that Registered Reports (RRs)can be a valuable solution to misaligned incentive structures in the field. However, this original piece was generally inclined towards how such incentives and the use of RRs can play out in the context of quantitative research. Such reflection is valuable, but to examine the case for RRs in mental health research as a field, we must also explore such practices within the context of qualitative research. In this commentary, we therefore expand and reframe this discussion to make the case for RRs in qualitative mental health research. We explore the place for qualitative research in the mental health research field and examine possibilities for how RRs fit within principles and practices in such methods. We discuss the various benefits and challenges of RRs in qualitative research, reflecting on our experiences as authors and reviewers of qualitative RRs and exploring how research infrastructure can facilitate engagement with this publishing approach.

Empowering public relations for sustainability: examining the landscape in Turkey

PurposeThis paper examines the engagement of public relations (PR) in advancing sustainability within Turkey, exploring both current contributions and future potential. It analyzes how PR professionals and scholars conceptualize sustainability, revealing divergent perspectives within the industry. The study delves into the perceived roles and responsibilities of PR professionals in driving sustainable initiatives, highlighting the key challenges hindering their impact. Ultimately, the research identifies essential knowledge and skills needed to empower Turkish PR to effectively contribute to a more sustainable future.Design/methodology/approachThis study employs a qualitative research approach using semi-structured in-depth interviews with two distinct groups: experienced PR professionals holding director positions in agencies and corporate communication departments, and PR professors with at least five years of teaching experience in Turkey.FindingsThe findings reveal a dynamic, yet complex, landscape of sustainability within the Turkish PR industry. While PR professionals are actively integrating sustainability into strategic initiatives and emphasizing measurable impact, they face barriers to full integration, and their conceptualization of sustainability often differs from that of PR scholars. The findings point to a critical need for targeted education and professional development to better equip Turkish PR practitioners to drive sustainable development.Originality/valueMethodologically, the incorporation of representative groups, consisting of senior communication professionals and professors, offers valuable insights that can inform improvements in PR practices, enhance PR education, and advance the understanding of sustainability within the field of communication within the specific context of Turkey.

Perceptions of followership among nurses: A qualitative study

BackgroundFollowership is defined as the role individuals play in supporting, contributing to, and realizing the vision and directives set by their leaders. Such a role is indispensable in healthcare, facilitating effective team dynamics and healthcare delivery. Within the nursing field, it encompasses nurses' active engagement and participation in healthcare delivery, ensuring safety, fostering teamwork, and enhancing patient outcomes. Despite its significance, the exploration of followership within the nursing context of Saudi Arabia remains limited. ObjectiveThis study aims to explore how followership is perceived and practiced by nurses in this unique cultural and professional setting, and its implications for healthcare delivery. MethodsWe conducted a qualitative inquiry involving seven registered nurses working in hospitals affiliated with the Saudi Arabian Ministry of Health. Semi-structured interviews were conducted, and a thematic analysis was utilized to extract key findings. ResultsOur thematic analysis identified four main themes and several sub-themes that encapsulate the participants' perspectives on followership. The themes include: (1) Understanding of followership, where a predominant lack of clarity about the concept was observed, often conflating it with teamwork; (2) Followers' involvement in decision-making, highlighting the limited participation of nurses in decision-making processes due to hierarchical and autocratic leadership structures; (3) Barriers to followership, which encompassed issues such as poor leadership, the undervaluation of the follower role, lack of training and development opportunities, challenges in collaboration, and language barriers; and (4) Facilitators of followership, identified as effective leadership, followership training, communication skills, positive relationships, respect, collaboration, understanding of roles, commitment, and flexibility. These findings elucidate the complex landscape of followership within the nursing profession in Saudi Arabia, revealing both the challenges and pathways to fostering effective followership in healthcare settings. Conclusion and ImplicationsThis study reveals a widespread lack of awareness about followership among nurses in Saudi Arabia, highlighting significant challenges related to hierarchy and the undervaluation of the follower role in nursing practice and education. It underscores the need for educational and training interventions that redefine and elevate the role of followership in clinical settings to enhance collaboration, assertiveness, and decision-making skills. Moreover, the study advocates for the re-evaluation of leadership practices to better acknowledge and value followership, promoting a more flattened hierarchy that encourages active participation in patient care and organizational development. Implementing these changes could improve patient outcomes and increase nurse satisfaction by effectively addressing the identified barriers related to hierarchy and leadership.

Shaping de Facto Brain Drain A qualitative Enquiry of Push and Pull Factors of Emigration among Algerian Physicians Working Abroad

Shaping de Facto Brain Drain A qualitative Enquiry of Push and Pull Factors of Emigration among Algerian Physicians Working Abroad

Challenges for video research in complex contexts: experiences from Home Economics as an exemplar of a practical school subject

ABSTRACT This paper explores the challenges of filming as a qualitative research method in practical school subjects. We exemplify with an observation study using video data collected from lessons in Home Economics, but the issues we discuss are also relevant for other subjects with practical elements, such as Arts, Crafts, Music, Physical Education, and Natural Science. Based on a reflexive thematic analysis of sixteen videotaped Home Economics lessons, we discuss how potential limitations arise due to group work, obstructive furnishings, unpredictable movement, and the use of artefacts. The paper concludes with a discussion about the need to balance intrusiveness and visibility, the struggle to capture everything, the potentially problematic emphasis on visual data, and a section with recommendations for successful use of video as a research tool.

Facilitators and Barriers for Private Health Sector Engagement for TB Care in India: A Systematic Review and Meta-Synthesis of Qualitative Research.

Private sector engagement is recognized as one of the most critical interventions to achieve the End TB goals in India. We conducted a systematic review and a meta-synthesis of qualitative studies to identify the barriers and facilitators for private sector engagement in TB care in India. A systematic search in electronic databases was done. We assessed the methodological limitations of individual studies, synthesized the evidence using thematic analysis, and assessed our confidence in each finding. Of the 19 eligible articles included for the qualitative synthesis, 31.5% (6/19) were conducted in northern states of India. Included studies had details from 31 focus group discussions and 303 in-depth interviews conducted among various stakeholders. The synthesis revealed that barriers to engaging the private sector were lack of coordination mechanisms, lack of the National TB Elimination Program (NTEP) staff capacity to deal with the private sector, lack of private practitioners' knowledge on various programmatic aspects, and perceived complexity of the data exchange mechanism. The private sector felt that NTEP was not sensitive to the patient's confidentiality and demanded too much patient data. The private sector considered nonfinancial incentives like recognition, feedback, involving them in planning, and giving them equal status in partnership as powerful enablers for their engagement in TB care. Factors related to the context in which the engagement occurs, the architecture of the engagement, and interaction among the actors contribute to barriers to engaging the private sector for TB care in India. Strengthening policies to protect patient confidentiality, using behavior change communication to NTEP program managers, providing managerial and soft-skill training to NTEP staff, promoting nonfinancial incentives to private providers, establishing a coordination mechanism between the sectors, and simplifying the data exchange mechanisms need to be done to further strengthen the private-sector engagement.

Bracing for the next wave: A critical incident study of frontline decision-making, adaptation and learning in ambulance care during COVID-19.

To explore frontline decision-making, adaptation, and learning in ambulance care during the evolving COVID-19 pandemic. Descriptive and interpretative qualitative study. Twenty-eight registered nurses from the Swedish ambulance services described 56 critical incidents during the COVID-19 pandemic through free-text questionnaires. The material was analysed using the Critical Incident Technique and Interpretive Description through the lens of potential for resilient performance. The findings were synthesized into four themes: 'Navigating uncharted waters under never-ending pressure', 'Balancing on the brink of an abyss', 'Sacrificing the few to save the many' and 'Bracing for the next wave'. Frontline decision-making during a pandemic contribute to ethical dilemmas while necessitating difficult prioritizations to adapt and respond to limited resources. Learning was manifested through effective information sharing and the identification of successful adaptations as compared to maladaptations. During pandemics or under other extreme conditions, decisions must be made promptly, even amidst emerging chaos, potentially necessitating the use of untested methods and ad-hoc solutions due to initial lack of knowledge and guidelines. Within ambulance care, dynamic leadership becomes imperative, combining autonomous frontline decision-making with support from management. Strengthening ethical competence and fostering ethical discourse may enhance confidence in decision-making, particularly under ethically challenging circumstances. Performance under extreme conditions can elevate the risk of suboptimal decision-making and adverse outcomes, with older adults being especially vulnerable. Thus, requiring targeted decision support and interventions. Enhancing patient safety in ambulance care during such conditions demands active participation and governance from management, along with decision support and guidelines. Vertical communication and collaboration between management and frontline professionals are essential to ensure that critical information, guidelines, and resources are effectively disseminated and implemented. Further research is needed into management and leadership in ambulance care, alongside the ethical challenges in frontline decision-making under extreme conditions. Findings are reported per consolidated criteria for reporting qualitative research (COREQ). No Patient or Public Contribution.

Implications of task shifting on power relations in healthcare: the case of clinical officers at public hospitals in Malawi

In Malawi, there exists a group of medical professionals known as clinical officers (COs) who assume responsibilities typically carried out by doctors due to the current scarcity of the latter....

English Language Education in North and East Syria “Rojava” Today: Challenges and Opportunities

The focus of this study is to investigate the challenges that English as Foreign Language (EFL) learners in Rojava face in learning English language and the opportunities to overcome the challenges. To this end, a qualitative inquiry was used to collect the data via a face-to-face interview with four experienced English language teachers and one language policy maker from the Ministry of Education. The study found that there are a series of factors that make learning English challenging including lack of English teachers, lack of motivation and family non-involvement in schooling, to name a few. Moreover, a number of formal and informal opportunities are being promoted to overcome these challenges. The opportunities were around preparing English language teaching staff, motivation and family support. Limitations and future research suggestions are discussed in the end of this article.

Preferences of Recent Mums in Remote and Rural Areas for Type of Intrapartum Care: A Discrete Choice Experiment.

Pregnant women living in rural areas considering their preferred place of birth may have to 'trade-off' travel time/distance and other attributes of care (e.g. the full choice of birthplace options is rarely available locally). This study assesses the preferences and trade-offs of recent mothers who live in remote and rural areas of Great Britain. An online survey, informed by qualitative research, was administered to women living in rural areas who had given birth in the preceding 3 years. The survey included a discrete choice experiment (DCE) to elicit women's preferences and trade-offs for place of birth. The DCE presented women with a series of eight choice tasks in which place of birth was defined by four attributes: (1) type of facility, (2) familiarity with staff, (3) understanding options and feel relaxed and reassured and (4) the travel time to the place of intrapartum care. DCE data were analysed using an error components logit model to identify preferences. Across 251 survey responses, holding everything else equal, respondents preferred: intrapartum care in locations with more specialist staff and equipment, locations where they understood their options and felt reassured and where travel time was minimal. Women were willing to travel (92-183 min) to a well-staffed and equipped facility if they understood their options and felt relaxed and reassured. Willingness to travel was reduced if the care received at the specialist facility was such that they did not understand their options and felt tense and powerless (41-132 min). These insights into the preferences of recent mums from remote and rural areas could inform future planning of rural intrapartum care.

Perceptions of the Leadership Through Scholarship Fellowship Graduates: An Exploratory Qualitative Study of Leadership.

Despite increasing numbers of faculty identifying as underrepresented in medicine (URiM) over the last few decades, URiM representation in academic medicine leadership has changed little. The Society of Teachers of Family Medicine funded the Leadership Through Scholarship Fellowship (LTSF) to target this population and provide a framework for scholarly success. Based on responses to open-ended questions from a leadership survey, we characterize how early-career URiM family medicine faculty view leadership and assess attitudes and perceptions of leadership development. A survey, developed by survey experts from multiple institutions and consisting of multiple-choice and open-ended questions, was sent to the first two cohorts after the LTSF program. All LTSF participants identified as URiM and as early-career (5 years or less since fellowship or residency) family medicine faculty. Fellowship faculty collected anonymous survey responses through Qualtrics (Qualtrics, LLC). We conducted thematic analysis with emergent and iterative coding by two experienced qualitative researchers. All of the fellows surveyed (N=19) completed the survey. The qualitative researchers identified the following themes: leadership development (with subthemes of collaborative scholarship and request for mentoring), and barriers to leadership and scholarship (with subthemes of lack of time, lack of support, and diminished opportunities for advancement). These themes represent lessons learned from URiM faculty participating in a single faculty development fellowship. Collaborative scholarship, both as an early-career faculty need and a leadership responsibility, is a new contribution to the existing literature. While identified by URiM family medicine faculty, these themes are likely familiar to early-career faculty across all medical specialties and faculty identities. These lessons can guide senior academic leaders in preparing early-career faculty for leadership in academic medicine.

Analisis Penanganan Incoming Cargo Domestik pada PT. Angkasa Pura Logistik Cabang Bandar Udara International Jenderal Ahmad Yani Semarang

Domestic Incoming Cargo Handling is more complex than Domestic Outgoing Cargo Handling. Domestic Incoming Cargo Handling is where domestic goods are unloaded from the plane and then taken to the cargo terminal to be checked one by one by officers and after that they will be taken to the storage warehouse until the customer picks up the goods. the item. However, to pick up these goods there are conditions that must be met, such as bringing an air bill of lading (SMU), an identity card from the customer. However, in the process of handling incoming domestic cargo, there are still obstacles such as unpredictable weather factors which hinder the release of goods, missing quarantine documents and causing officers to replace new quarantine documents. Goods stray to other airports so officers have to create a new air bill of lading number or (SMU). However, in the process of handling incoming domestic cargo, there are still obstacles such as unpredictable weather factors which hinder the release of goods, missing quarantine documents and causing officers to replace new quarantine documents. Goods stray to other airports so officers have to create a new air bill of lading number or (SMU). occur during the handling process. incoming domestic cargo. This research uses qualitative research. The methods for collecting data in this research are observation, interviews, and finally documentation. The aim of the research is to find out how incoming domestic cargo is handled by operational officers and logistics staff and to find out what obstacles are faced by operational officers and logistics staff and the solutions taken by operational officers and logistics staff if problems occur during the handling process. incoming domestic cargo Based on the data obtained regarding the handling of incoming domestic cargo, the process of handling incoming domestic cargo carried out by operational officers and logistics staff is in accordance with the standard operational procedures (SOP) that apply at PT. Angkasa Pura Logistik, the obstacles faced by officers such as bad weather, lost documents, officers are looking for solutions by speeding up the process of handling goods and replacing lost documents with new ones.

The Role of Merapi FM Community Radio in Disaster Mitigation At Merapi Slope Residential Area Cluntang, Musuk, Boyolali

The purpose of this study was to determine the role of Merapi FM community radio in reducing disaster risk in the potential disaster exposure area of the Musuk Boyolali sub-district. This research method is empirical research or field research with a qualitative approach. Qualitative research is research that produces descriptive data in the form of written or spoken words from people and behaviour that can be understood. This approach is data collection in the form of oral, written, and also in the form of image documentation. Data from a qualitative descriptive approach can come from interviews, photographs, field notes, video recordings, memos and official documents. The results showed that the community plays an active role in disaster risk reduction efforts in the Cluntang area, namely through disaster response training, environmental preservation, trauma healing, and regional arts and culture. Based on the results of the research, the role of Merapi FM community radio in mitigation and disaster risk reduction in the Cluntang area is (1) Carrying out its role and function by facilitating the needs of the community to reduce the risk of the Merapi disaster, (2) Mobilising the community to be directly involved in all activities, starting from on-air and off-air activities.

Ordinary defensive medicine: in the shadows of general practitioners’ postures toward (over-)medicalisation

This paper draws on qualitative research using focus groups involving 38 general practitioners (GPs). It explores their attitudes and feelings about (over-)medicalisation. Our main findings were that GPs had a complex representation of (over-)medicalisation, composed of many professional, social, technological, economic and relational issues. This representation led GPs to feel uncomfortable. They felt pressure from all sides, which led them to question their social roles and responsibilities. We identified four main GP-driven proposals to deal with (over-)medicalisation: (1) focusing on the communication in doctor–patient relationships; (2) grounding practices in evidence-based medicine; (3) relying on clinical skills, experience and intuition; and (4) promoting training, leadership bodies and social movements. Drawing on these proposals, we identify and discuss five paradigms that underpin GPs’ attitudes toward (over-)medicalisation: underlying social factors, preventing medicalisation, managing uncertainties, sharing medical decision-making and thinking about care as a rationale. We suggest that these paradigms constitute a defensive posture against GPs’ uncomfortable feelings. All five defensive paradigms were identified in our focus groups, echoing contemporary political debates on public health. This non-exhaustive framework forms the outline of what we call ordinary defensive medicine. GPs’ uncomfortable feelings are the origin of their defensive solutions and the manifestation of their vulnerability. This professional vulnerability can be shared with the patient’s vulnerability. In our view, this creates an opportunity to rediscover patient–doctor relationships and examine patients’ and doctors’ vulnerabilities together.“There are many cases in which—though the signs of a confusion of tongues between the patient and his doctor are painfully present—there is apparently no open controversy. Some of these cases demonstrate the working of two other, often interlinked, factors. One is the patient’s increasing anxiety and despair, resulting in more and more fervently clamouring demands for help. Often the doctor’s response is guilt feelings and despair that his most conscientious, most carefully devised examinations do not seem to throw real light on the patient’s “illness”, that his most erudite, most modern, most circumspect therapy does not bring real relief.” (Balint M. The Doctor, His Patient and the Illness. New York: International Universities; 2005. [1957].)“Theories about care put an unprecedented emphasis on vulnerability—taking up that challenge to transform what really counts in today’s hospitals implies letting colleagues inside previously closely guarded professional boundaries” (2, our translation).

Qualitative-archival research on migration is not just preservation

Qualitative-archival research is needed to support effective policies and the work of practitioners working in the field of migration. This Open Letter helps readers to understand how this happens in different contexts, as more than 150 stakeholders among researchers, policymakers, practitioners, migrant associations, governments, civil society/non-governmental organisations and migrants in seven countries around the Mediterranean contributed to discuss this topic, during the H2020 project ITHACA - Interconnected Histories and Archives for Migrant Agency. Three main key findings emerge. Qualitative-archival research is not just “preservation”: it shows the potential of providing dynamic and interlinked information, including legal frameworks, policy documents, historical context, and original narratives, capable of supporting policies in the long term. Besides this, it is a potential tool to foster the agency of migrants. Qualitative-archival research can be a powerful tool for social innovation, as conducting qualitative research, based on individual and collective narratives, is a necessary basis to non-emergency policies and to social work planning and evaluation. Research helps to explain the reasons behind the migration phenomena and to contextualise them where it is most needed, whether in political, educational, labour, health or reception settings. Space, time and people are the three main enablers. for better qualitative and archival research-policy relations: qualitative archival research offers contextual and comparative tools to investigate in-depth local features and to possibly extend them to the national and international levels.

Survivorship Experiences of Allogeneic Hematopoietic Stem Cell Transplantation Survivors: A Qualitative Systematic Review.

The number of allogeneic hematopoietic stem cell transplantation (allo-HSCT) survivors is increasing globally. Although qualitative studies in this population are reported, clear understanding of how allo-HSCT survivors experience survivorship is lacking. This study aimed to identify, appraise, and synthesize evidence from qualitative research on survivorship experience among allo-HSCT survivors. A qualitative systematic review was conducted. A literature search of 9 databases and OpenGrey, Google Scholar, and Google was performed from inception to February 2023. Two reviewers independently screened and assessed the eligibility of each study. Descriptive information was extracted from the studies by one reviewer and checked by another. Findings were extracted and analyzed using thematic synthesis. Seventeen articles were included. Four themes and 12 subthemes regarding allo-HSCT survivors' experiences emerged: (1) recovery as being a longer process than they thought (influenced by long-term physical symptoms, disturbed by survivorship uncertainty); (2) experiencing a restricted survivorship life (shrunken social world, forced dietary limitations, centered around hospitals); (3) suffering from stigma and discrimination (perceived as a burden, seen differently by others, difficulties establishing and maintaining romantic relationships and marriage, limited opportunities in work); and (4) realizing something positive obtained during survivorship (enriched survivorship self-management skills, enhanced personal growth, developed positive relationships). The findings reveal the challenges, needs, and growth that allo-HSCT survivors experienced during survivorship. Some understudied areas were identified, which warrant further exploration. Targeted survivor-centered care should be provided to allo-HSCT survivors, and interventions to resolve issues experienced during survivorship should be developed.

Implementing NIST Framework and the People, Process, Technology approach in Indonesian Financial Services

A financial services company in Indonesia was implementing digital transformation with various strategies. Regulators such as the Financial Services Authority have stipulated that financial services companies must ensure effective data security and smooth internal operations to counter evolving cybersecurity threats. The Gap Analysis results show that the Roadmap and Solution development will be focused starting from the Identify dimension of the NIST Framework, specifically in the asset management category. This research also uses a post-positivist paradigm with a mixed methods approach, which combines qualitative and quantitative research methods. This research will adopt two Digital Maturity Models. by considering the complementary elements of the two models, to create a Framework that is more holistic and in accordance with the specific needs of the organization. The benefit of this research is the development of a framework based on the NIST Cybersecurity Framework and Profile for Ransomware Risk Management, which will be integrated with the PPT Framework (People, Process & Technology) which is expected to improve cybersecurity maturity, especially in dealing with ransomware risks.

Exploring the dynamics and trends of carbon emission spatiotemporal patterns in the Chengdu–Chongqing Economic Zone, China, from 2000 to 2020

Analysis of the spatial–temporal pattern and trend of carbon emissions provides an important scientific basis for the development of a low-carbon economy. Based on the corrected NPP-VIIRS and DMSP/OLS nighttime light data, a carbon emission model for the Chengdu–Chongqing Economic Zone (CCEZ) in China is constructed. Furthermore, the article establishes an integrated qualitative and quantitative research system. The qualitative results show that at the city and county scales, the high carbon emission areas and counties are mainly distributed in Chengdu and Chongqing, while the low carbon emission areas are concentrated in the marginal cities of the CCEZ and the counties with low levels of industrialization around the Sichuan Basin. The high-carbon emission zone tended to expand to the north, and the low-carbon emission zone tended to expand to the south. At the grid scale, the carbon emissions of the CCEZ fluctuated and increased from 2000 to 2020, forming a trend connected with those of the central city, with high carbon emissions at the core and radiating outward expansion. Quantitative analysis revealed that carbon emissions at the county and grid scales exhibited a significant positive global spatial correlation, and the overall correlation degree exhibited an increasing trend.

Digital textbooks for undergraduate nursing education: a scoping review protocol.

Digital textbooks (DTs), in which students read dozens of paragraph clips and systematise their level of knowledge through new questions, can be an alternative for digital natives to consider. Developing DTs is required when teaching digital natives at undergraduate nursing schools. A scoping review is required to understand the current status of DTs in nursing education. The preliminary search has been conducted to check whether the results produced by PubMed (NCBI) were published in English within 10 years and related to DTs. This study includes research targeting undergraduate nursing students. Literature will be further searched using Embase (Elsevier), Cochrane Library and Cumulative Index to Nursing and Allied Health (CINAHL) databases. This scoping review will also consider quantitative, qualitative, and mixed research methods, texts and opinion documents; review studies; and pilot tests. The chosen studies will first be extracted based on the scoping review data extraction section of Joanna Briggs Institute to identify their general characteristics. DTs will be analysed based on the e-textbook framework: information goods, technology and stakeholders. The Institutional Review Board of Nambu University, South Korea, approved this study for review exemption (approval number: 1041478-2022-HR-009). The results of this study will be disseminated through research results to nursing education institutions and hospitals. OPEN SCIENCE FRAMEWORK: https://doi.org/10.17605/OSF.IO/QS6WH.