JMIR Publications

ABSTRACT

Background:

The integration of digital health technologies (DHTs) in clinical practice is accelerating, creating a need for nursing students to develop digital competencies aligned with professional expectations. In Quebec, curricular reforms aim to enhance digital health literacy, but limited data exist on students' preparedness.

Objective:

To assess nursing students’ perceptions, self-reported competencies, and willingness to engage with DHTs across different academic years.

Methods:

A cross-sectional descriptive survey assessing self-reported digital health competencies, attitudes, perceived training coverage, and intentions was conducted using an online questionnaire administered through Qualtrics. Participants (N=136) were recruited from three cohorts: first-year (G1, n=58), second-year (G2, n=55), and third-year (G3, n=23) nursing students. Data were analyzed using descriptive statistics and ANOVA tests with post-hoc analyses performed via IBM SPSS (version 28).

Results:

Significant differences were observed among cohorts concerning digital competencies and access to digital tools. Compared to first-year students (G1), third-year students (G3) showed higher proficiency with electronic medical records (G3: M = 3.29, SD = 1.31 vs. G1: M = 2.59, SD = 1.32, p = 0.011), virtual reality (G3: M = 4.53, SD = 1.11 vs. G1: M = 2.90, SD = 1.44, p < 0.001), and clinical databases (G3: M = 4.59, SD = 1.00 vs. G1: M = 3.21, SD = 1.55, p < 0.001). Despite positive attitudes toward digital health technologies across all groups, the coverage of digital health training within curricula was consistently perceived as insufficient (mean=2.97/5). This underscored a substantial gap between institutional expectations and actual digital training across all cohorts.

Conclusions:

This study highlights critical gaps in digital health training among nursing students, emphasizing the need for targeted curricular reforms, such as the one currently underway at the University of Montreal. These efforts represent a promising opportunity to better align educational content with the evolving demands of healthcare systems. Today, preparing students in digital competencies is no longer just advantageous but may soon become essential for the next generation of nurses to navigate and lead within technology-driven care environments.