The right care in the right place: a scoping review of digital health education and training for rural healthcare workers

Article

Woods, Leanna, Martin, Priya, Khor, Johnson, Guthrie, Lauren and Sullivan, Clair. 2024. "The right care in the right place: a scoping review of digital health education and training for rural healthcare workers." BMC Health Services Research. 24 (1). https://doi.org/10.1186/s12913-024-11313-4

Article Title	The right care in the right place: a scoping review of digital health education and training for rural healthcare workers
ERA Journal ID	13444
Article Category	Article
Authors	Woods, Leanna, Martin, Priya, Khor, Johnson, Guthrie, Lauren and Sullivan, Clair
Journal Title	BMC Health Services Research
Journal Citation	24 (1)
Article Number	1011
Number of Pages	12
Year	2024
Publisher	BioMed Central Ltd.
Place of Publication	United Kingdom
ISSN	1472-6963
Digital Object Identifier (DOI)	https://doi.org/10.1186/s12913-024-11313-4
Web Address (URL)	https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-024-11313-4
Abstract	Background Digital health offers unprecedented opportunities to enhance health service delivery across vast geographic regions. However, these benefits can only be realized with effective capabilities and clinical leadership of the rural healthcare workforce. Little is known about how rural healthcare workers acquire skills in digital health, how digital health education or training programs are evaluated and the barriers and enablers for high quality digital health education and training. Objective To conduct a scoping review to identify and synthesize existing evidence on digital health education and training of the rural healthcare workforce. Inclusion criteria Sources that reported digital health and education or training in the healthcare workforce in any healthcare setting outside metropolitan areas. Methods We searched for published and unpublished studies written in English in the last decade to August 2023. The databases searched were PubMed, Embase, Scopus, CINAHL and Education Resources Information Centre. We also searched the grey literature (Google, Google Scholar), conducted citation searching and stakeholder engagement. The JBI Scoping Review methodology and PRISMA guidelines for scoping reviews were used. Results Five articles met the eligibility criteria. Two case studies, one feasibility study, one micro-credential and one fellowship were described. The mode of delivery was commonly modular online learning. Only one article described an evaluation, and findings showed the train-the-trainer model was technically and pedagogically feasible and well received. A limited number of barriers and enablers for high quality education or training of the rural healthcare workforce were reported across macro (legal, regulatory, economic), meso (local health service and community) and micro (day-to-day practice) levels. Conclusions Upskilling rural healthcare workers in digital health appears rare. Current best practice points to flexible, blended training programs that are suitably embedded with interdisciplinary and collaborative rural healthcare improvement initiatives. Future work to advance the field could define rural health informatician career pathways, address concurrent rural workforce issues, and conduct training implementation evaluations.
Keywords	Clinical informatics; Health informaticians; Digital health; Health personnel; Rural population; Rural health; Education; Teaching; Low-resource settings
Contains Sensitive Content	Does not contain sensitive content
ANZSRC Field of Research 2020	420321. Rural and remote health services
Byline Affiliations	University of Queensland
	Metro North Hospital and Health Service, Queensland

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A Realist Evaluation of Theory about Triggers for Doctors Choosing a Generalist or Specialist Medical Career

O’Sullivan, Belinda, McGrail, Matthew, Gurney, Tiana and Martin, Priya. 2020. "A Realist Evaluation of Theory about Triggers for Doctors Choosing a Generalist or Specialist Medical Career." International Journal of Environmental Research and Public Health. 17 (22). https://doi.org/10.3390/ijerph17228566

Can clinical supervision bolster clinical skills and well-being through challenging times?

Martin, Priya and Snowdon, David. 2020. "Can clinical supervision bolster clinical skills and well-being through challenging times?" Journal of Advanced Nursing. 76 (11), pp. 2781-2782. https://doi.org/10.1111/jan.14483

Health professionals’ understanding of interprofessional education and collaborative practice: A Queensland Survey

Martin, P., Pighills, A. and Sinclair, L.. 2019. "Health professionals’ understanding of interprofessional education and collaborative practice: A Queensland Survey." 13th National Allied Health Conference. Brisbane, Australia 05 - 08 Aug 2019

Facilitating organisational change to enhance rural interprofessional education: A process evaluation

Martin, Priya, Moran, Monica, Graham, Nicky and Hill, Anne. 2019. "Facilitating organisational change to enhance rural interprofessional education: A process evaluation." 13th National Allied Health Conference. Brisbane, Australia 05 - 08 Aug 2019 Australia.

Supportive supervision: An evidence-based approach to restorative supervision.

Martin, P. and Milne, D.. 2019. "Supportive supervision: An evidence-based approach to restorative supervision." NES Conference 2019. Stirling, Australia 28 Feb 2019

Supportive clinical supervision: Supported at last

Milne, Derek and Martin, Priya. 2019. "Supportive clinical supervision: Supported at last." Journal of Advanced Nursing. 75 (2), pp. 264-265. https://doi.org/10.1111/jan.13816

Rural competencies in emerging medical practitioners: Beyond clinical skills

Martin, Priya, Sen Gupta, Tarun, Bond, Deanne, Douyere, John and Mills, Katie. 2019. "Rural competencies in emerging medical practitioners: Beyond clinical skills." Australian Journal of Rural Health. 27 (5), pp. 427-432. https://doi.org/10.1111/ajr.12531

Debriefing about the challenges of working in a remote area: A qualitative study of Australian allied health professionals’ perspectives on clinical supervision

Martin, Priya, Kumar, Saravana, Lizarondo, Lucylynn and Baldock, Katherine. 2019. "Debriefing about the challenges of working in a remote area: A qualitative study of Australian allied health professionals’ perspectives on clinical supervision." PLoS One. 14 (3). https://doi.org/10.1371/journal.pone.0213613

The holy grail of clinical supervision

Martin, Priya and Kumar, Saravana. 2019. "The holy grail of clinical supervision." Medical Education. 53 (9), pp. 850-852. https://doi.org/10.1111/medu.13927

Factors that contribute to high-quality clinical supervision of the rural allied health workforce: lessons from the coalface

Martin, Priya, Baldock, Katherine, Kumar, Saravana and Lizarondo, Lucylynn. 2019. "Factors that contribute to high-quality clinical supervision of the rural allied health workforce: lessons from the coalface." Australian Health Review. 43 (6), pp. 682-688. https://doi.org/10.1071/AH17258

Clinical supervision in the bush: is it any different?

Martin, Priya. 2018. "Clinical supervision in the bush: is it any different? " 1st Asia Pacific Conference on Integrated Care. Brisbane, Australia 06 - 08 Nov 2017 United Kingdom. Ubiquity Press, Ltd.. https://doi.org/10.5334/ijic.s1127

Clinical supervision capacity building: policy implications

Martin, P., Kumar, S., Lizarondo, L. and Baldock, K.. 2018. "Clinical supervision capacity building: policy implications." 4th International Health Care Reform Conference. Sydney, Australia Mar 2018

Enacting interprofessional leadership: Navigating explicit and implicit leadership barriers and facilitators.

Moran, M., Sy, M., Martin, P. and Lee, B.. 2018. "Enacting interprofessional leadership: Navigating explicit and implicit leadership barriers and facilitators. " All Together Better Health IX conference (ATBH IX). Auckland, New Zealand 03 - 06 Sep 2018

Interprofessional supervision: one step too far?

Martin, P. and Moran, M.. 2018. "Interprofessional supervision: one step too far? " All Together Better Health IX conference (ATBH IX). Auckland, New Zealand 03 - 06 Sep 2018

Enacting leadership to enhance interprofessional education and practice in a regional health setting

Shadrach, S., Hombsch, C., Martin, P. and Forman, D.. 2018. "Enacting leadership to enhance interprofessional education and practice in a regional health setting." ACHSM Asia-Pacific Annual Congress 2018. Darwin, Australia 19 - 21 Sep 2018

Clinical supervision in rural Australia: challenges and opportunities

Martin, Priya, Sen Gupta, Tarun and Douyere, John M. 2018. "Clinical supervision in rural Australia: challenges and opportunities." Medical Journal of Australia. 209 (9), pp. 382-383. https://doi.org/10.5694/mja18.00525

Peer supervision: International problems and prospects

Martin, Priya, Milne, Derek L. and Reiser, Robert P.. 2018. "Peer supervision: International problems and prospects." Journal of Advanced Nursing. 74 (5), pp. 998-999. https://doi.org/10.1111/jan.13413

Reciprocal leadership in clinical supervision comes of age

Martin, Priya and Milne, Derek L.. 2018. "Reciprocal leadership in clinical supervision comes of age." Journal of Advanced Nursing. 74 (9), pp. 2019-2020. https://doi.org/10.1111/jan.13548

Choice of clinical supervisor: Cunning or collusion?

Martin, Priya and Milne, Derek. 2018. "Choice of clinical supervisor: Cunning or collusion?" Journal of Advanced Nursing. 74 (6), pp. 1229-1230. https://doi.org/10.1111/jan.13471

A systematic review of the factors that influence the quality and effectiveness of telesupervision for health professionals

Martin, Priya, Lizarondo, Lucylynn and Kumar, Saravana. 2018. "A systematic review of the factors that influence the quality and effectiveness of telesupervision for health professionals." Journal of Telemedicine and Telecare. 24 (4), pp. 271-281. https://doi.org/10.1177/1357633x17698868

Good, bad or indifferent: a longitudinal multi-methods study comparing four modes of training for healthcare professionals in one Australian state

Martin, Priya, Kumar, Saravana, Abernathy, LuJuana and Browne, Matthew. 2018. "Good, bad or indifferent: a longitudinal multi-methods study comparing four modes of training for healthcare professionals in one Australian state." BMJ Open. 8 (8). https://doi.org/10.1136/bmjopen-2017-021264

Factors that contribute to high quality clinical supervision

Martin, Priya. 2017. Factors that contribute to high quality clinical supervision. Health Services Research Association of Australia & New Zealand.

Making technology work for you in clinical supervision

Martin, Priya and Kumar, Saravana. 2017. "Making technology work for you in clinical supervision." 12th National Allied Health Conference. Sydney, Australia 26 - 29 Aug 2017

Achieving effective clinical allied health supervision

Martin, P., Kumar, S. and Lizarondo, L.. 2017. "Achieving effective clinical allied health supervision." 2nd Victorian Allied Health Research Conference . Melbourne, Australia 31 - 31 Mar 2017

Responding to changing workforce needs: a study on multiple modes of training delivery

Martin, P., Abernathy, L. and Kumar, S.. 2017. "Responding to changing workforce needs: a study on multiple modes of training delivery." 12th National Allied Health Conference. Sydney, Australia 26 - 29 Aug 2017

Factors that contribute to high quality clinical supervision in allied health: a mixed methods sequential explanatory study

Martin, Priya. 2017. "Factors that contribute to high quality clinical supervision in allied health: a mixed methods sequential explanatory study." 2017 Australian & New Zealand Association for Health Professional Educators Conference (ANZAHPE 2017). Adelaide, South Australia 11 - 14 Jul 2017 Australia.

Interprofessional competencies: the poor cousin to clinical skills? [version 1]

Martin, Priya, Moran, Monica and Forman, Dawn. 2017. "Interprofessional competencies: the poor cousin to clinical skills? [version 1]." MedEdPublish. 6. https://doi.org/10.15694/mep.2017.000123

Effective use of technology in clinical supervision

Martin, Priya, Kumar, Saravana and Lizarondo, Lucylynn. 2017. "Effective use of technology in clinical supervision." Internet Interventions. 8, pp. 35-39. https://doi.org/10.1016/j.invent.2017.03.001

When I say … clinical supervision

Martin, Priya, Kumar, Saravana and Lizarondo, Lucylynn. 2017. "When I say … clinical supervision." Medical Education. 51 (9), pp. 890-891. https://doi.org/10.1111/medu.13258

Bridging the training-practice gap in interprofessional student supervision

Martin, Priya, Kumar, Saravana and Abernathy, LuJuana. 2017. "Bridging the training-practice gap in interprofessional student supervision." Perspectives on Medical Education. 6 (2), pp. 133-137. https://doi.org/10.1007/s40037-017-0330-8

Telesupervision: Overcoming barriers in technology to optimize supervision practice

Martin, P., Ducat, W. and Kumar, S.. 2016. "Telesupervision: Overcoming barriers in technology to optimize supervision practice." 2nd National Rural & Remote Telehealth Conference. Toowoomba, Australia 05 - 06 Oct 2016

What factors influence the quality and effectiveness of telesupervision? Findings from a systematic review of the literature.

Martin, P., Kumar, S. and Lizarondo, L.. 2016. "What factors influence the quality and effectiveness of telesupervision? Findings from a systematic review of the literature." 2nd National Rural & Remote Telehealth Conference. Toowoomba, Australia 05 - 06 Oct 2016

Only a click away: A workshop on best practice in telesupervision

Martin, P.. 2016. "Only a click away: A workshop on best practice in telesupervision." 2nd National Rural & Remote Telehealth Conference. Toowoomba, Australia 05 - 06 Oct 2016

Interprofessional Scenario-Based Learning for New Graduates in a Regional Setting: A Pilot Study

Martin, Priya, Newby, Matthew, Moran, Monica, Browne, Matthew and Kumar, Saravana. 2016. "Interprofessional Scenario-Based Learning for New Graduates in a Regional Setting: A Pilot Study." Internet Journal of Allied Health Sciences and Practice. 14 (3). https://doi.org/10.46743/1540-580X/2016.1572

Impact and feasibility of the Allied Health Professional Enhancement Program placements - experiences from rural and remote Queensland

Martin, Priya, Kumar, Saravana, Stone, Melinda, Abernathy, LuJuana, Burge, Vanessa and Lizarondo, Lucylynn. 2016. "Impact and feasibility of the Allied Health Professional Enhancement Program placements - experiences from rural and remote Queensland." Advances in Medical Education and Practice. 7, pp. 41-48. https://doi.org/10.2147/amep.S92879

Factors influencing the perceived quality of clinical supervision of occupational therapists in a large Australian state

Martin, Priya, Kumar, Saravana, Lizarondo, Lucylynn and Tyack, Zephanie. 2016. "Factors influencing the perceived quality of clinical supervision of occupational therapists in a large Australian state." Australian Occupational Therapy Journal. 63 (5), pp. 338-346. https://doi.org/10.1111/1440-1630.12314

Oceans apart, yet connected: Findings from a qualitative study on professional supervision in rural and remote allied health services

Ducat, Wendy, Martin, Priya, Kumar, Saravana, Burge, Vanessa and Abernathy, LuJuana. 2016. "Oceans apart, yet connected: Findings from a qualitative study on professional supervision in rural and remote allied health services." Australian Journal of Rural Health. 24 (1), pp. 29-35. https://doi.org/10.1111/ajr.12192

Enablers of and barriers to high quality clinical supervision among occupational therapists across Queensland in Australia: findings from a qualitative study

Martin, Priya, Kumar, Saravana, Lizarondo, Lucylynn and VanErp, Ans. 2015. "Enablers of and barriers to high quality clinical supervision among occupational therapists across Queensland in Australia: findings from a qualitative study." BMC Health Services Research. 15 (1). https://doi.org/10.1186/s12913-015-1085-8

Viewing the interprofessional clinical education world through the occupational therapy lens: rewards and challenges

Martin, P.. 2014. "Viewing the interprofessional clinical education world through the occupational therapy lens: rewards and challenges." 16th International World Federation Occupational Therapy Congress. Yokohama, Japan 18 - 20 Jun 2014

The Y model of effective supervision in rural and remote allied health services

Ducat, W., Martin, P., Kumar, S., Burge, V. and Abernathy, L.. 2014. "The Y model of effective supervision in rural and remote allied health services." SIMposium, Queensland Regional Training Network. Brisbane, Australia Oct 2014

Quality and effectiveness of clinical supervision of occupational therapists in a large Australian state – a sequential, mixed methods study

Martin, P., Copley, J., Khan, A. and Tyack, Z.. 2014. "Quality and effectiveness of clinical supervision of occupational therapists in a large Australian state – a sequential, mixed methods study." 16th International World Federation Occupational Therapy Congress. Yokohama, Japan 18 - 20 Jun 2014

An innovative case-based interprofessional learning program: Was it worth the effort?

Newby, M., Martin, P., Moran, M., Browne, M. and Kumar, S.. 2014. "An innovative case-based interprofessional learning program: Was it worth the effort?" 2014 Australian & New Zealand Association for Health Professional Educators Conference (ANZAHPE 2014). Gold Coast, Australia 07 - 10 Jul 2014 Australia.

Riding past the waves to discover new frontiers: An innovative interprofessional program in a regional health service

Newby, M. and Martin, P.. 2014. "Riding past the waves to discover new frontiers: An innovative interprofessional program in a regional health service." Services for Australian Rural and Remote Allied Health National Conference 2014. Kingscliffe, Australia 17 - 20 Sep 2014

Oceans apart yet connected: Findings from a qualitative study on professional supervision in rural and remote allied health services

Ducat, W., Martin, P., Kumar, S., Richardson, V. and Abernathy, L.. 2014. "Oceans apart yet connected: Findings from a qualitative study on professional supervision in rural and remote allied health services." Services for Australian Rural and Remote Allied Health National Conference 2014. Kingscliffe, Australia 17 - 20 Sep 2014 Australia.

Best Practice in Clinical Supervision including telesupervision.

Martin, P.. 2014. "Best Practice in Clinical Supervision including telesupervision." SIMposium, Queensland Regional Training Network. Brisbane, Australia Oct 2014

Twelve tips for effective clinical supervision based on a narrative literature review and expert opinion

Martin, Priya, Copley, Jodie and Tyack, Zephanie. 2014. "Twelve tips for effective clinical supervision based on a narrative literature review and expert opinion." Medical Teacher. 36 (3), pp. 201-207. https://doi.org/10.3109/0142159x.2013.852166

Clinical supervision for rural Queensland occupational therapists—is the future looking bright?

Martin, Priya and Tyack, Zephanie. 2013. "Clinical supervision for rural Queensland occupational therapists—is the future looking bright?" 12th National Rural Health Conference. Adelaide, Australia 07 - 10 Apr 2013

Promoting positive occupational therapy student placement experiences in rural Queensland

Martin, Priya and Furness, Linda. 2013. "Promoting positive occupational therapy student placement experiences in rural Queensland." Occupational Therapy Australia 25th National Conference and Exhibition. Adelaide, Australia 24 - 26 Jul 2013 Australia. John Wiley & Sons.

Effectiveness of clinical supervision of occupational therapists in Queensland

Martin, Priya, Tyack, Zephanie and Copley, Jodie. 2013. "Effectiveness of clinical supervision of occupational therapists in Queensland." National OT Conference. Australia. John Wiley & Sons.

Allied health new graduate interprofessional learning program: Fostering team collaboration and assessment of outcomes

Martin, P.. 2013. "Allied health new graduate interprofessional learning program: Fostering team collaboration and assessment of outcomes." Central Queensland University Interprofessional Symposium. Rockhampton, Australia Nov 2013

A step closer – the student buddy system implemented in Central Queensland

Martin, P. and Tyack, Z.. 2012. "A step closer – the student buddy system implemented in Central Queensland." Services for Australian Rural and Remote Allied Health National Conference 2012. Launceston, Australia 20 - 23 Sep 2012

Differences in Clinical Supervision practices between regional/rural and metropolitan occupational therapists in Queensland

Martin, P. and Tyack, Z.. 2012. "Differences in Clinical Supervision practices between regional/rural and metropolitan occupational therapists in Queensland." Services for Australian Rural and Remote Allied Health National Conference 2012. Launceston, Australia 20 - 23 Sep 2012 Australia.

Long-term follow-up of persons with spinal cord injury integrated in the community

Martin, Priya, Cherian, Binu, John, Judy, Tharion, George and Bhattacharjee, Suranjan. 2010. "Long-term follow-up of persons with spinal cord injury integrated in the community." International Journal of Therapy and Rehabilitation. 17 (2), pp. 76-83. https://doi.org/10.12968/ijtr.2010.17.2.46333