Digital technologies in nursing: An umbrella review

IF 7.5 1区医学 Q1 NURSING

International Journal of Nursing Studies Pub Date : 2024-11-04 DOI:10.1016/j.ijnurstu.2024.104950

Larissa Schlicht , Johannes Wendsche , Marlen Melzer , Letizia Tschetsche , Ulrike Rösler

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引用次数: 0

Abstract

Background

Digital technologies promise to reduce nurses' workload and increase quality of care. However, considering the plethora of single and review studies published to date, maintaining a comprehensive overview of digital technologies' impact on nursing and effectively utilizing available evidence is challenging.

Objective

This review aims (i) to map published reviews on digital nursing technologies, based on their aims and the specific technologies investigated, to synthesize evidence on how these technologies' uses is associated with (ii) nurses' work-related and organizational factors, professional behavior, and health and work safety and (iii) ethically relevant outcomes for people in need of care.

Design

Preregistered overview of reviews (PROSPERO-ID: CRD42023389751).

Setting(s)

We searched for systematic reviews in eight databases, five key journals, and reference lists of included reviews published in English until May 21, 2024.

Methods

We used the AMSTAR 2 checklist to assess the methodological quality of included reviews reporting associations with nursing outcomes. The extracted data were analyzed by their frequency and narratively synthesized.

Results

We identified 213 reviews on digital technologies' uses in the nursing sector. Most of these focused on information and communication technologies. The most frequently reported research objectives encompass technology usage and/or general experiences with it and technology-related consequences for care recipients. Regarding work-related and organizational factors, beneficial impacts were found for the execution of nursing tasks, information management and job control. Depending on the technology type, reviews reported mixed effects for documentation activities, communication/collaboration and mainly negative effects on nurses' workload. Concerning occupational safety and health-related and further nurse outcomes, reviews reported mostly positive effects on nurses' job satisfaction and professional competence. Adverse effects related to mental and physical strain, such as increased frustration, fatigue, and burnout. Regarding ethically relevant outcomes, robotic and telecare technologies had the most reported findings. Most evidence concerned effects on the principles of beneficence/non-maleficence and respect for autonomy.

Conclusions

Digital nursing technologies' legitimacy hinges on their impact on patient outcomes and nurses' work, safety, and health. This review identifies a diverse array of these technologies, with both positive and negative effects. However, due to narrative limitations, meta-analysis was impractical. Future research should quantitatively assess the effects of various digital nursing technologies on work, safety, health, and ethical outcomes.

Tweetable abstract: Research on digital tech in nursing lacks focus on key work factors, occupational health and ethical outcomes. #NursingTech #ResearchGaps

查看原文本刊更多论文

护理领域的数字技术：综述

背景数字技术有望减轻护士的工作量并提高护理质量。然而，考虑到迄今为止已发表的大量单篇研究和综述研究，要全面了解数字技术对护理工作的影响并有效利用现有证据具有挑战性。本综述旨在（i）根据已发表的数字护理技术综述的目的和调查的具体技术，综合这些技术的使用如何与（ii）护士的工作相关因素和组织因素、职业行为、健康和工作安全以及（iii）需要护理者的伦理相关结果相关的证据。设计注册综述（PROSPERO-ID：CRD42023389751）.设置我们检索了八个数据库、五种主要期刊中的系统性综述，以及截至 2024 年 5 月 21 日以英文发表的纳入综述的参考文献列表.方法我们使用 AMSTAR 2 检查表评估了报告与护理结果相关性的纳入综述的方法学质量。结果我们发现了 213 篇关于数字技术在护理领域应用的综述。其中大部分集中于信息和通信技术。最常报道的研究目标包括技术的使用和/或一般经验，以及与技术相关的对护理对象的影响。在与工作和组织相关的因素方面，研究发现技术对护理任务的执行、信息管理和工作控制产生了有利影响。根据技术类型的不同，评论报告对记录活动、沟通/协作的影响不一，对护士工作量的影响主要是负面的。关于与职业安全和健康有关的结果以及对护士的进一步影响，研究报告指出，技术对护士的工作满意度和专业能力产生了积极影响。不利影响与精神和身体压力有关，如增加挫折感、疲劳和职业倦怠。在伦理相关结果方面，机器人和远程护理技术的研究结果最多。结论数字护理技术的合法性取决于其对患者治疗效果以及护士工作、安全和健康的影响。本综述确定了这些技术的多样性，其中既有积极影响，也有消极影响。然而，由于叙述上的限制，进行荟萃分析是不切实际的。未来的研究应定量评估各种数字护理技术对工作、安全、健康和伦理结果的影响。Tweetable 摘要：护理领域的数字技术研究缺乏对关键工作因素、职业健康和伦理结果的关注。#护理技术 #研究差距

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来源期刊

International Journal of Nursing Studies 医学-护理

CiteScore

15.00

自引率

2.50%

发文量

181

审稿时长

21 days

期刊介绍： The International Journal of Nursing Studies (IJNS) is a highly respected journal that has been publishing original peer-reviewed articles since 1963. It provides a forum for original research and scholarship about health care delivery, organisation, management, workforce, policy, and research methods relevant to nursing, midwifery, and other health related professions. The journal aims to support evidence informed policy and practice by publishing research, systematic and other scholarly reviews, critical discussion, and commentary of the highest standard. The IJNS is indexed in major databases including PubMed, Medline, Thomson Reuters - Science Citation Index, Scopus, Thomson Reuters - Social Science Citation Index, CINAHL, and the BNI (British Nursing Index).