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. 2026 Jan 5;13:1726452. doi: 10.3389/fpubh.2025.1726452

Table 2.

Results table.

Instrument Purpose Population and sample size Setting Digital health area Dimensions of digital health competencies assessed Number of items Development method Psychometric properties reported Included for analysis
Telemedicine - Awareness, Knowledge, Attitude and Skills (AKAS) Questionnaire (31) Provide an overview of physicians’ awareness, knowledge, attitude, and skill in using telehealth services in Libya Physicians (N = 673) Hospital Telemedicine Awareness; Knowledge; Attitude; Skills 47 Previously developed Internal consistency Included
EU*US eHealth Work survey (40) Investigate which competencies are at the intersection of the individual groups of health professionals Healthcare professionals (N = 718) Not specified eHealth Applications in patient care; IT background knowledge of health professionals; Education and research; management; Interpersonal and social dimensions 33* Previously developed Not reported Not included
Canadian Nurse Informatics Competency Assessment Scale (C-NICAS) (39, 43) Develop a research-based informatics assessment scale based on the CASN entry-to-practice competencies, and to apply this scale to assess self-perceived informatics competencies among RNs in Alberta Nurses (n = 2,844) Various Health informatics Foundational ICT skills; Information and knowledge management; Professional and regulatory accountability; Use of ICT in delivery of patient care 21 Developed Content validity; Structural validity; Internal consistency Included
Telehealth KSA (knowledge, skills and attitudes) (27) Describe how hospital nurses self-rate their confidence in essential telehealth KSAs, summarized as telehealth care competence Nurses (N = 1,017) Hospital Telehealth Knowledge; Skills; Attitudes 31 Developed Content validity Included
Nurses’ Information System Survey 2017 (28) Explore the associations of EHR usability factors and nurses’ informatics competence factors with self-reported time pressure and psychological distress among registered nurses Nurses (N = 3,607) Various Health informatics Classification competence; e-care competence; e-documentation competence; e-ethics competence 16 Previously developed and adapted Internal consistency Not included
Questionnaire adopted from European commission’s digital competency framework (29) Assess digital competency of healthcare providers among seven public health centers in North-West Ethiopia Healthcare professionals (N = 167) Public Health centers General Information and data literacy; Communication and collaboration; Digital content creation; Safety; Problem-solving 22 Developed Content validity; Internal consistency Not included
Nursing informatics competences questionnaire (30) Examine whether nurses who graduated after the Finnish educational initiatives have higher nursing informatics competences than nurses who graduated before the initiatives Nurses (N = 1,639) Various Health informatics Terminology-based documentation; Patient-related digital work; General IT; Electronic documentation 4 Developed Internal consistency Included
Digital Competence Test (41) Validate the digital competence test developed ad hoc and measure the digital competence level of Catalan HPs to establish their current level as the baseline for designing a strategic training plan Healthcare Professionals (N = 803) Various General Search, select and contrast information with digital tools; Organise the information and data with digital tools; Analyse, exploit and visualize data with digital tools; Interact and share information and digital content; Collaborate with others using digital technologies; Participate in the social and cultural transformation through the digital society; Create and edit digital content; Design, integrate and rework digital content with various formats; Design and manufacture objects through digital technology; Protect systems, devices and digital content; Protect personal data and privacy; Act civically in the digital environment; Understands the basics and uses digital technology; Identifies personal and professional needs and applies digital solutions Case 1: 7; Case 2: 11 Developed Content validity Included
DigiHealthCom and DigiComInf (33) Develop and psychometrically validate two self-assessed instruments measuring digital health competence and factors associating with it Healthcare Professionals (N = 643) Various General DigiHealthCom: Human-centred remote counselling competence; Digital solutions as part of work; Information and communication technology (ICT) competence; Competence in utilizing and evaluating digital solutions; Ethical competence related to digital solutions. DigiComInf: Support from management; Organisational practices as part of digital competence development; Colleagues’ adoption and influence DigiHealthCom: 42, DigiComInf: 15 Developed Content validity; Structural validity; Internal consistency Included
TeleOSCE questionnaire (42) Determine the knowledge, self-confidence, and attitudes in using telemedicine according to nurses’ perceptions in a private hospital in Indonesia Nurses (N = 52) Hospital Telemedicine Knowledge; Self-confidence; Attitude 22 Previously developed Internal consistency Included
Questionnaire to measure knowledge, attitude, and practice of health information technology (34) Determine the knowledge, attitude, and practice of health information technology among health professionals Healthcare Professionals (N = 347) Hospital Health informatics Knowledge; Attitude; Practice of health information technology 38 Developed Content validity; Structural validity; Internal consistency Not included
Nurse survey on information systems 2020 (36) Describe nurses’ perceptions of their informatics competencies regarding health information system usage Nurses (N = 610) Various Health informatics Nursing documentation; Digital environment; Ethics and data protection 16 Previously developed and adapted Content validity; Structural validity; Internal consistency Included
Digital Competence Questionnaire (DCQ) (44, 45) Identify items for an item pool of a questionnaire to measure clinical practice nurses’ digital competence and to evaluate the content validity, and evaluate the structural validity and internal consistency of the Digital Competence Questionnaire (DCQ) for Clinical Practice Nurses Nurses (N = 185) Not specified General Knowledge; Skills; Attitudes 12 Developed Content validity; Structural validity; Internal consistency Included
Paediatric students and paediatricians attitude towards digital competency (38) Investigate digital perceptions and competencies among medical students in pediatrics and pediatric healthcare workers in China Healthcare professionals and students (N = 518) Hospital, Medicine College General Digital awareness; Digital capability; Digital application; Digital content innovation; Ethic issues related with digital technology use 49 Developed Content validity; Internal consistency Included

*Only the number of items in the competence module applied in the study. † Instrument in Swedish and Finnish. ‡ Instrument not available.