Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Aug 12, 2024
Open Peer Review Period: Jul 22, 2024 - Sep 16, 2024
Date Accepted: May 19, 2025
(closed for review but you can still tweet)
Factors Influencing Implementation and Adoption of Digital Nursing Technologies: Systematic Umbrella Review
ABSTRACT
Background:
Digital nursing technologies (DNTs) are a promising solution to address challenges in healthcare systems, such as demographic shifts and nursing shortages. Despite their potential benefits, the integration of DNTs into care settings remains complex due to multiple factors influencing implementation and adoption.
Objective:
This review examines factors that influence the implementation and adoption of DNTs used in formal care settings, as seen by nurses.
Objective:
This review examines factors that influence the implementation and adoption of DNTs used in formal care settings, as seen by nurses.
Methods:
We used an umbrella review methodology to synthesize the evidence on DNTs and the complexities of their implementation. A systematic search of PubMed, CINAHL, Cochrane Library, and Business Source Premier from March to April 2023 identified reviews that focused on DNTs in formal care settings. Two researchers independently performed data extraction and quality assessment. Data analysis was structured by embedding the results in the NASSS framework, a model for explaining the adoption, abandonment and challenges to the scaling, diffusion and sustainability of health and care technologies.
Results:
A total of 3775 reviews were identified. 51 met the inclusion criteria and were included in this review. We identified influencing factors in six NASSS domains. Technology-related barriers included usability issues and technical challenges, impacting workflow efficiency and care quality. Perceived benefits included enhanced care quality and efficiency, although challenges in training and education were noted among adopters. Organizational factors such as a supportive environment and IT infrastructure were critical, while broader systemic issues included funding constraints and unclear reimbursement models.
Conclusions:
This review provides insights into DNTs' implementation in formal nursing care, highlighting critical factors influencing adoption and implementation success. Addressing these factors is crucial for maximizing DNTs benefits in healthcare settings, enhancing nursing practice, and ultimately improving patient outcomes.
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Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.