Digital competences of nursing staff for patient care information transmission: a semiological work analysis

care. Identifying digital competences grounded in real-work practice is essential for developing effective professional nursing
profiles. This study adopts a situated approach to competence, employing a semiological work analysis based on the
course-of-action theoretical framework. The aim was to identify digital competences in real nursing situations related to
the transmission of patient care information. Twenty-four nurses were observed and recorded during full shifts (approximately
24 h each) across six hospital wards, capturing authentic practices. The study identified 27 situated digital competences
associated with patient care information transmission. These competences are grouped into four main categories of
activity and are aligned with core digital competency domains defined in an international digital competence framework
for nursing. The findings help bridge the gap between local practices and global standards and provide valuable insights
for developing nursing curricula and training programs.