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Accepted for/Published in: JMIR Nursing

Date Submitted: Mar 25, 2025
Date Accepted: Dec 16, 2025

The final, peer-reviewed published version of this preprint can be found here:

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

Bailey L, Howitt L, Nizum N, Buchanan C, Charlebois M, Yoon J, RNAO Expert Panel

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

JMIR Nursing 2026;9:e74942

DOI: 10.2196/74942

PMID: 41576320

PMCID: 12829893

Developing a Best Practice Guideline for Clinical Practice in a Digital Health Environment: Systematic Reviews Based on the GRADE Approach

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

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:

The aim of this paper is to present the results of the systematic reviews that were used to inform the recommendations in a best practice guideline (BPG) following the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach. Reviews focused on digital health education for nurses and health providers, peer champion models, and use of predictive analytics in digital health environments.

Methods:

The BPG team in collaboration with a panel of 17 experts conducted five systematic reviews to address five 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:

Eighteen articles across four systematic reviews met the inclusion criteria. From these reviews, four 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. One systematic review resulted in no recommendation due to insufficient evidence.

Conclusions:

The BPG on digital health provides four 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.


 Citation

Please cite as:

Bailey L, Howitt L, Nizum N, Buchanan C, Charlebois M, Yoon J, RNAO Expert Panel

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

JMIR Nursing 2026;9:e74942

DOI: 10.2196/74942

PMID: 41576320

PMCID: 12829893

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