Impact of Information and Communication Technologies on Nursing Care: Results of an Overview of Systematic Reviews
Open accessAbstract
BACKGROUND: Information and communication technologies (ICTs) are becoming an impetus for quality health care delivery by nurses. The use of ICTs by nurses can impact their practice, modifying the ways in which they plan, provide, document, and review clinical care. OBJECTIVE: An overview of systematic reviews was conducted to develop a broad picture of the dimensions and indicators of nursing care that have the potential to be influenced by the use of ICTs. METHODS: Quantitative, mixed-method, and qualitative reviews that aimed to evaluate the influence of four eHealth domains (eg, management, computerized decision support systems [CDSSs], communication, and information systems) on nursing care were included. We used the nursing care performance framework (NCPF) as an extraction grid and analytical tool. This model illustrates how the interplay between nursing resources and the nursing services can produce changes in patient conditions. The primary outcomes included nurses' practice environment, nursing processes, professional satisfaction, and nursing-sensitive outcomes. The secondary outcomes included satisfaction or dissatisfaction with ICTs according to nurses' and patients' perspectives. Reviews published in English, French, or Spanish from January 1, 1995 to January 15, 2015, were considered. RESULTS: A total of 5515 titles or abstracts were assessed for eligibility and full-text papers of 72 articles were retrieved for detailed evaluation. It was found that 22 reviews published between 2002 and 2015 met the eligibility criteria. Many nursing care themes (ie, indicators) were influenced by the use of ICTs, including time management; time spent on patient care; documentation time; information quality and access; quality of documentation; knowledge updating and utilization; nurse autonomy; intra and interprofessional collaboration; nurses' competencies and skills; nurse-patient relationship; assessment, care planning, and evaluation; teaching of patients and families; communication and care coordination; perspectives of the quality of care provided; nurses and patients satisfaction or dissatisfaction with ICTs; patient comfort and quality of life related to care; empowerment; and functional status. CONCLUSIONS: The findings led to the identification of 19 indicators related to nursing care that are impacted by the use of ICTs. To the best of our knowledge, this was the first attempt to apply NCPF in the ICTs' context. This broad representation could be kept in mind when it will be the time to plan and to implement emerging ICTs in health care settings. TRIAL REGISTRATION: PROSPERO International Prospective Register of Systematic Reviews: CRD42014014762; http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42014014762 (Archived by WebCite at http://www.webcitation.org/6pIhMLBZh).
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It was not feasible to align the included interventions within a specific framework based on intended purpose and eHealth classification.
“Since all the interventions incorporated management and/or communication systems as integral components of virtual care, it was not feasible to align within a specific framework based on intended purpose and eHealth classification [50].”
From Effect of virtual care in type 2 diabetes management – a systematic umbrella review of systematic reviews and meta-analysis (2025) · cites this paper as [50]
In Results > Description of the Reviews (page unavailable), the paper says eHealth services may belong to more than one domain, supporting the difficulty of assigning a single classification. It nevertheless classifies the reviewed interventions by eHealth domain; its stated difficulty with a framework concerns categorizing findings about nursing-care impacts, not an inability to align interventions by intended purpose and eHealth classification. (LLM, conf=0.82)
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“In the case of remote patient monitoring (telemonitoring), nurses must be able to process a large quantity of data from the system (eg, vital signs, symptoms) and then use clinical decision skills to respond properly to each patient’s condition [10].”
Imaginative construction of care: the nursing professional experience in a remote care service.
Romero, Y. M. P., Angelo, M., & Gonzalez, L. A. M. (2012) · Revista Latino-Americana de Enfermagem · doi:10.1590/s0104-11692012000400009 · Cited by 16 · cited 1×
“In order to discern cues within the interactions via technological modalities, specific communication skills remain essential, that is, active listening, facilitating conversation, questioning, redirecting, and verifying [11-13].”
de Lima, I. C. V., Galvão, M., Alexandre, H. D. O., Lima, F. E. T., & de Araújo, T. L. (2016) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2016.04.013 · Cited by 15 · cited 1× · see citing works
“Despite this, there are several systematic reviews on the effects of ICTs on patients’outcomes [68-71].”
Technological Advances in Nursing Care Delivery.
Sullivan, D. (2015) · The Nursing Clinics of North America · doi:10.1016/j.cnur.2015.07.005 · Cited by 10 · cited 1× · see citing works
“Some ICTs, such as EHRs and computerized nursing care plans, facilitate access to patient information and help to document and plan nursing care [7].”
Gagnon, M., Breton, É., Paré, G., Courcy, F., Côté, J., Trépanier, A., & Fortin, J. (2013) · Santé Publique · doi:10.3917/spub.253.0305 · Cited by 8 · see citing works
Self-citationDezarn, T. L. (2006) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2006.01180.x · Cited by 3
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Cited by
Sorted by citations
Application Scenarios for Artificial Intelligence in Nursing Care: Rapid Review
Seibert, K., Domhoff, D., Bruch, D., Schulte-Althoff, M., Fürstenau, D., Biessmann, F., & Wolf-Ostermann, K. (2021) · Journal of Medical Internet Research · doi:10.2196/26522 · Cited by 314 · see citing works
Rouleau, G., Gagnon, M., Côté, J., Payne-Gagnon, J., Hudson, É., Dubois, C., & Bouix‐Picasso, J. (2019) · Journal of Medical Internet Research · doi:10.2196/15118 · Cited by 218 · see citing works
“The rationale for using the NCPF was based on our previous work [20].”
MethodSelf-citationVehko, T., Hyppönen, H., Puttonen, S., Kujala, S., Ketola, E., Tuukkanen, J., Aalto, A., & Heponiemi, T. (2019) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-019-0891-z · Cited by 120 · see citing works
“Documentation using EHR systems comprises an integral part of the everyday work of nurses [3, 8, 23–25] and the use of information technology influences several elements of nursing care [9].”
MethodEffectiveness of Digital Technologies to Support Nursing Care: Results of a Scoping Review
Hüter, K., Krick, T., Domhoff, D., Seibert, K., Wolf‐Ostermann, K., & Rothgang, H. (2020) · Journal of Multidisciplinary Healthcare · doi:10.2147/jmdh.s286193 · Cited by 125 · see citing works
Ko, M. J., Wagner, L. M., & Spetz, J. (2018) · Inquiry : a journal of medical care organization, provision and financing · doi:10.1177/0046958018778902 · Cited by 85 · see citing works
“We therefore draw from the model developed by Rouleau et al that outlines impacts of information and communication technology for nursing care.(13) Rouleau et al describe how use of technology can affect nurses’ scope of practice, care processes, and productivity, including workflows, documentation accuracy, and chang…”
InfluentialZanaboni, P., Ngangue, P., Mbemba, G. I. C., Schopf, T. R., Bergmo, T. S., & Gagnon, M.-P. (2018) · Journal of Medical Internet Research · doi:10.2196/10202 · Cited by 79 · see citing works
“Non-systematic reviews generally had a lower quality score on the AMSTAR scale because this tool was specifically designed to assess systematic reviews of quantitative studies, and there is no equivalent tool for other types of reviews [46].”
MethodSelf-citationThe impact of eHealth on relationships and trust in primary care: a review of reviews
Ramachandran, M., Brinton, C. G., Wiljer, D., Upshur, R. E. G., & Gray, C. S. (2023) · BMC Family Practice · doi:10.1186/s12875-023-02176-5 · Cited by 92 · see citing works
“Patient perceptions that remote patient monitoring would replace personal care was related to a negative impact on communication, interaction, and trust, whereas feeling like an “equal partner” when providers included them in discussions about their data was related to a positive impact on…”
BackgroundInfluentialRodriguez‐Arrastia, M., Martinez‐Ortigosa, A., Ruiz‐Gonzalez, C., Ropero‐Padilla, C., Roman, P., & Sanchez‐Labraca, N. (2022) · Journal of Nursing Management · doi:10.1111/jonm.13630 · Cited by 65 · see citing works
“Despite these findings lend weight to the idea that the digital age and the speed with which information is transmitted are transforming communications and clinical practices, the research on the use of conversational agents in nursing practice for patient safety is still limited (Curran et al., 2019; Rouleau et al.,…”
BackgroundJobst, S., Lindwedel, U., Marx, H., Pazouki, R., Ziegler, S., König, P., Kugler, C., & Feuchtinger, J. (2022) · BMC Nursing · doi:10.1186/s12912-022-01018-6 · Cited by 59 · see citing works
“Technology and digitalization have a major impact on health care systems and will transform the nursing profession worldwide [1].”
BackgroundDigital technologies in nursing: An umbrella review
Schlicht, L., Wendsche, J., Melzer, M., Tschetsche, L., & Rösler, U. (2024) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2024.104950 · Cited by 68 · see citing works
Farokhzadian, J., Khajouei, R., Hasman, A., & Ahmadian, L. (2020) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-020-01260-5 · Cited by 53 · see citing works
Bagot, K. L., Moloczij, N., Arthurson, L., Hair, C., Hancock, S., Bladin, C., & Cadilhac, D. A.-M. (2019) · Journal of Nursing Scholarship · doi:10.1111/jnu.12509 · Cited by 54 · see citing works
“These new healthcare delivery models require system-wide change, disrupting clinicians’ work practices, including for nursing staff (Rouleau et al., 2017; Sensmeier, 2012).”
BackgroundWalzer, S., Armbruster, C., Mahler, S., Farin‐Glattacker, E., & Kunze, C. (2025) · Journal of Medical Internet Research · doi:10.2196/64616 · Cited by 61 · see citing works
“Current research highlights several issues: a lack of objective tools to assess digital competencies [96,97], insufficient training that addresses varying competencies [98,99], and limited implementation knowledge [6,99].”
Krick, T., Hüter, K., Seibert, K., Domhoff, D., & Wolf‐Ostermann, K. (2020) · BMC Health Services Research · doi:10.1186/s12913-020-05106-8 · Cited by 61 · see citing works
Sari, N. P. W. P., Duong, M.-P. T., Li, D., Nguyen, M.-H., & Vuong, Q. (2024) · Teaching and Learning in Nursing · doi:10.1016/j.teln.2024.04.002 · Cited by 37 · see citing works
“In the ever-evolving healthcare landscape driven by technological advancements, numerous studies aim to comprehend the factors influencing nursing students ’ adoption or acceptance of ICT (Rouleau et al., 2017).”
BackgroundAhmed, M., Guadie, H. A., Ngusie, H. S., Teferi, G. H., Gullslett, M., Hailegebreal, S., Hunde, M. K., Donacho, D. O., Tilahun, B., Siraj, S. S., et al. (2022) · JMIR Nursing · doi:10.2196/39866 · Cited by 37 · see citing works
“These ICTs enhance the digitalization of health and diversify the use of digital health around the globe; ultimately, it leads to the accessibility of high-quality, cost-effective health care service delivery through improving the communication of health professionals [7-11].”
BackgroundBecking-Verhaar, F. L., Verweij, R. P. H., de Vries, M., Vermeulen, H., van Goor, H., & Waal, G. H. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20105794 · Cited by 36 · see citing works
Zhai, Y., Yu, Z.-H., Zhang, Q., Qin, W., Yang, C., & Zhang, Y.-X. (2022) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-022-02041-y · Cited by 32 · see citing works
“…identified in terms of information quality and access, documentation burden, time spent on patient care, communication and care coordination, quality of care and ultimately, nurse and patient satisfaction [7, 8], which have implications for administration decisions on the implementation of NIS.”
BackgroundKaihlanen, A., Gluschkoff, K., Laukka, E., & Heponiemi, T. (2021) · BMC Health Services Research · doi:10.1186/s12913-021-07132-6 · Cited by 40 · see citing works
“Nurses, among other health care professionals, are required to adopt digital services and information systems as part of patient care [1, 2].”
BackgroundHarerimana, A., & Mtshali, N. (2019) · International Journal of Africa Nursing Sciences · doi:10.1016/j.ijans.2019.100163 · Cited by 32 · see citing works
“…is receiving special attention, particularly in nursing education (Hallila, Al Zubaidi, Al Ghamdi, & Alexander, 2014; Harerimana & Mtshali, 2018; Rouleau et al., 2017; Wilkinson, Roberts, & While, 2013), and the computer and internet being the entry point to ICT, are considered to be essential…”
BackgroundICT in Nursing and Patient Healthcare Management: Scoping Review and Case Studies
Jayousi, S., Barchielli, C., Alaimo, M., Caputo, S., Paffetti, M., Zoppi, P., & Mucchi, L. (2024) · Italian National Conference on Sensors · doi:10.3390/s24103129 · Cited by 31 · see citing works
“The secondary outcomes considered satisfaction or dissatisfaction with ICTs from both nurses’ and patients’ perspectives [29,117].”
BackgroundInfluentialRouleau, G., Gagnon, M., Côté, J., Payne-Gagnon, J., Hudson, É., Bouix‐Picasso, J., & Dubois, C. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-018441 · Cited by 22 · see citing works
“been done about the impacts of various types of ICTs (excluding e-learning interventions) on nursing care.(23)”
BackgroundMethodSelf-citationNurses' Experience and Perception of Technology Use in Practice
Gaughan, M. R., Kwon, M., Park, E., & Jungquist, C. R. (2022) · CIN Computers Informatics Nursing · doi:10.1097/cin.0000000000000850 · Cited by 29 · see citing works
“14 Hence, there is a need to understand nurses' experience and perception of technology in practice and to explore the perceived benefits and challenges of HIT.”
BackgroundMather, C., & Cummings, E. (2019) · BMJ Health & Care Informatics · doi:10.1136/bmjhci-2019-100062 · Cited by 29 · see citing works
Yoo, H. J., & Lee, H. (2022) · Journal of Nursing Management · doi:10.1111/jonm.13880 · Cited by 28 · see citing works
“Written 1) (Archibald & Barnard, 2018; Lee et al., 2019; Rouleau et al., 2017).”
BackgroundRodríguez-Huerta, M. D., Álvarez-Pol, M., Fernández-Catalán, M. L., Fernández-Vadillo, R., Martín-Rodríguez, M., Quicios-Dorado, B., & Díez-Fernández, A. (2019) · Intensive & Critical Care Nursing · doi:10.1016/j.iccn.2019.102755 · Cited by 27
Cyborgs, biotechnologies, and informatics in health care - new paradigms in nursing sciences.
Monteiro, A. P. T. D. A. V. (2016) · Nursing Philosophy · doi:10.1111/nup.12088 · Cited by 27 · see citing works
Nursing Technologies Creativity as an Expression of Caring: A Grounded Theory Study
Bahari, K., Talosig, A. T., & Pizarro, J. B. (2021) · Global Qualitative Nursing Research · doi:10.1177/2333393621997397 · Cited by 26 · see citing works
“…applications is to improve health, prevent diseases, avoid risk factors, develop standard attitudes of a healthy life, and for fulfilling care and treatment methods as well as to improve nurses’ communication with other healthcare providers and documentation in healthcare (Rouleau et al., 2017).”
BackgroundYosep, I., Hikmat, R., & Mardhiyah, A. (2023) · Journal of Multidisciplinary Healthcare · doi:10.2147/jmdh.s406688 · Cited by 32 · see citing works
“Because the main factor in the use of technology is not only in the equipment, but in the ability of nurses to operate technological tools in providing nursing care.(60,63) This shows that technology-based nursing interventions still need to be adapted to the needs and readiness of resources in each health service.”
BackgroundNursing Diagnosis Accuracy in Nursing Education
Bertocchi, L., Dante, A., Cerra, C. L., Masotta, V., Marcotullio, A., Caponnetto, V., Ferraiuolo, F., Jones, D. A., Lancia, L., & Petrucci, C. (2023) · CIN Computers Informatics Nursing · doi:10.1097/cin.0000000000001066 · Cited by 36 · see citing works
Involving Health Care Professionals in the Development of Electronic Health Records: Scoping Review
Busse, T. S., Jux, C., Laser, J., Rasche, P., Vollmar, H. C., Ehlers, J. P., & Kernebeck, S. (2023) · JMIR Human Factors · doi:10.2196/45598 · Cited by 24 · see citing works
“EHRs can electronically gather and record both administrative and health-related information as well as store, transmit, and display information from various sources [7].”
BackgroundZhao, B.-Y., Chen, M., Lin, R., Yan, Y., & Li, H. (2024) · BMC Nursing · doi:10.1186/s12912-024-02275-3 · Cited by 22 · see citing works
“The impact of ICTs on the nursing practice is being recognized by nurses [4].”
BackgroundKaihlanen, A., Elovainio, M. J., Virtanen, L., Kinnunen, U., Vehko, T., Saranto, K., & Heponiemi, T. (2023) · Journal of Advanced Nursing · doi:10.1111/jan.15718 · Cited by 33 · see citing works
Hempel, S., Ganz, D. A., Saluja, S., Bolshakova, M., Kim, T., Turvey, C., Cordasco, K. M., Basu, A., Page, T., Mahmood, R., et al. (2023) · BMJ Open · doi:10.1136/bmjopen-2021-060232 · Cited by 28 · see citing works
Nurses’ Roles in mHealth App Development: Scoping Review
Bakker, C. J., Wyatt, T., Breth, M. S., Gao, G., Janeway, L. M., Lee, M., Martin, C. L., & Tiase, V. L. (2023) · JMIR Nursing · doi:10.2196/46058 · Cited by 20 · see citing works
Tang, T., Heidebrecht, C., Coburn, A., Mansfield, E. D., Roberto, E., Lucez, E., Lim, M. E., Reid, R. J., & Quan, S. D. (2019) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2019.04.010 · Cited by 23 · see citing works
Lee, J. J., Carson, M., Clarke, C. L., Yang, S. C., & Nam, S. (2019) · Nurse Education Today · doi:10.1016/j.nedt.2018.11.007 · Cited by 20 · see citing works
Ravi, S., Meyerowitz-Katz, G., Yung, C., Ayre, J., McCaffery, K., Maberly, G., & Bonner, C. (2025) · BMC Health Services Research · doi:10.1186/s12913-025-12496-0 · Cited by 19 · see citing works
“Since all the interventions incorporated management and/ or communication systems as integral components of virtual care, it was not feasible to align within a specific framework based on intended purpose and eHealth classification [50].”
Social media behaviour and patterns of use among nursing students: A systematized review.
Kohanová, D., Sollárová, A., Čakloš, M., Zrubcová, D., & Kolarczyk, E. (2025) · Nurse Education in Practice · doi:10.1016/j.nepr.2025.104277 · Cited by 19 · see citing works
A conceptual model for quality of experience management to provide context-aware eHealth services
da Silva, M. D., Gonçalves, A., & Dantas, M. (2019) · Future generations computer systems · doi:10.1016/j.future.2019.07.033 · Cited by 18 · see citing works
Avanesova, A. A., & Shamliyan, T. (2019) · Health Policy and Technology · doi:10.1016/j.hlpt.2019.04.001 · Cited by 23 · see citing works
Walzer, S., Barthel, C., Pazouki, R., Marx, H., Ziegler, S., Koenig, P., Kugler, C., & Jobst, S. (2025) · JMIR Formative Research · doi:10.2196/66109 · Cited by 16 · see citing works
Zhang, S., Cui, W., Ding, S., Li, X., Zhang, X.-W., & Wu, Y. (2024) · PLoS ONE · doi:10.1371/journal.pone.0298793 · Cited by 16 · see citing works
Integrating social support into interventions among the elderly in nursing homes: a scoping review
Behrendt, D., Spieker, S., Sumngern, C., & Wendschuh, V. (2023) · BMJ Open · doi:10.1136/bmjopen-2023-071962 · Cited by 25 · see citing works
Bramo, S. S., Desta, A., & Syedda, M. (2022) · Digital Health · doi:10.1177/20552076221131144 · Cited by 18 · see citing works
“5 – 7 According to World Health Organization (WHO), the application of ICTs in health is not merely about technology.”
BackgroundMoreno-Fergusson, M. E., Rueda, W. J. G., Basto, G. A. O., Sandoval, I. A. L. A., & Sánchez-Herrera, B. (2021) · Journal of Nursing Scholarship · doi:10.1111/jnu.12711 · Cited by 16 · see citing works
“As a result, while the current use of technologies for nursing care has proved to lead to better results in patients (Elgin & Bergero, 2015; Rouleau et al., 2017), there is still room for improvement in the use of technology to optimize the nursing workload.”
BackgroundProvision of Digital Primary Health Care Services: Overview of Reviews
Fava, V. M. D., & Lapão, L. M. V. (2024) · Journal of Medical Internet Research · doi:10.2196/53594 · Cited by 15 · see citing works
Leonardsen, A. L., Hardeland, C., Hällgren, J., Femdal, I., Thapa, D. R., Helgesen, A. K., Bååth, C., Halvorsrud, L., Grøndahl, V. A., & Gillsjö, C. (2023) · BMC Nursing · doi:10.1186/s12912-023-01600-6 · Cited by 19 · see citing works
“The impact of digital technology is a professional issue relating to nursing care delivery, practice, education and research [4, 24].”
BackgroundBruce, C. R., Klahn, S., Randle, L., Li, X., Kelkar, S., Johnson, B., Gomez, M., Howard, M., Schwartz, R. L., & Sasangohar, F. (2024) · Journal of Medical Internet Research · doi:10.2196/54330 · Cited by 16 · see citing works
“Admission and discharge are 2 substantive and time-consuming acute care nursing tasks that involve tedious documentation in the electronic health record (EHR) and extensive interaction with patients and families to gather history and provide patient education [10,11].”
Park, M., Bui, L. K., Jeong, M., Choi, E. J., Lee, N., Kwak, M., Kim, J., Kim, J., Jung, J., Giap, T., et al. (2021) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2021.104590 · Cited by 15 · see citing works
van der Cingel, M., Bulle-Smid, L., Holterman, S., Prins, H., Keuning, W., & Hettinga, M. (2020) · Nurse Education in Practice · doi:10.1016/j.nepr.2020.102925 · Cited by 15 · see citing works
Caring for Older Persons in a Technologically Advanced Nursing Future
Pepito, J. A., Locsin, R. C., & Constantino, R. E. (2019) · Health · doi:10.4236/health.2019.115039 · Cited by 17 · see citing works
“Technological advancements have drastically changed the structure and organization of nursing [11] so much so that the modal changes in modern healthcare have transformed nursing’s delivery of care.”
BackgroundSynthesising evidence on patient portals: a protocol for an umbrella review
Petrovskaya, O., Lau, F. Y., & Antonio, M. G. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-024469 · Cited by 15 · see citing works
Taneva, D., Gyurova-Kancheva, V., Kirkova-Bogdanova, A., Paskaleva, D., & Zlatanova, Y. T. (2024) · Nursing Reports · doi:10.3390/nursrep14040262 · Cited by 14 · see citing works
Yang, M., Liu, C., Wang, T.-J. T., Lee, Y.-H., Ko, S., Chao, S.-C., & Lin, H. (2021) · CIN Computers Informatics Nursing · doi:10.1097/cin.0000000000000818 · Cited by 6 · see citing works
“The use of NIS is related to the time spent for patient care and documentation, patient satisfaction, pressure injuries, medication safety, hospital-acquired infections, falls, and length of hospital stay, and it even indirectly affects the recruitment and retention of nursing staff.(7,12)”
BackgroundKrick, T. (2021) · BMC Nursing · doi:10.1186/s12912-021-00654-8 · Cited by 18 · see citing works
“Adapted nursing care performance framework [30]”
BackgroundMethodInfluentialCreus, M. C., Delgado‐Hito, P., Casanovas‐Cuellar, C., Tàpia‐Pérez, M., & Juvé‐Udina, M. (2019) · Journal of Clinical Nursing · doi:10.1111/jocn.15059 · Cited by 22 · see citing works
Warshawski, S., Itzhaki, M., & Barnoy, S. (2018) · CIN Computers Informatics Nursing · doi:10.1097/cin.0000000000000470 · Cited by 14 · see citing works
Li, L., Ragavan, N. A., Patwary, A. K., & Baijun, W. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.893439 · Cited by 13 · see citing works
Al-Qudah, M. M., Oweidat, I. A., Omar, S. A., Shosha, G. M. A., Dalky, A. F., Al‐Mugheed, K., Abdelaliem, S. M. F., & ALBashtawy, M. (2025) · Digital Health · doi:10.1177/20552076251346015 · Cited by 11 · see citing works
“17 Nurses in Jordan primarily use Hospital Information Systems (HISs) such as Hakeem, which is a national EHR system implemented across many public healthcare facilities.”
Technological innovations and health performance: Effects and transmission channels
Kahouli, B., Omri, A., & Afi, H. (2024) · Technological Forecasting and Social Change · doi:10.1016/j.techfore.2024.123450 · Cited by 13 · see citing works
Anderberg, P., Björling, G., Stjernberg, L., & Bohman, D. (2019) · JMIR Research Protocols · doi:10.2196/14643 · Cited by 12 · see citing works
“Digitization has developed care practices, provides opportunities for the nurse to monitor patients at home, and facilitates control of patients, medications, etc [9,26,27].”
BackgroundChoi, H., Tak, S., Song, Y. A., & Park, J. (2025) · BMC Health Services Research · doi:10.1186/s12913-025-12578-z · Cited by 11 · see citing works
Glanville, D., Hutchinson, A., & Khaw, D. (2022) · Journal of Medical Internet Research · doi:10.2196/39987 · Cited by 11 · see citing works
“However, presently, the development of HCD-based apps and their use at the point of care have outpaced their empirical testing such that their overall effect on patient outcomes remains unclear [4,6,7].”
Scrum Framework and Health Solutions: Management and Results
Torrente, G., de Souza, T. Q., Tonaki, L., Cardoso, A. P., Manickchand, L., & da Silva, G. O. (2021) · Nursing Informatics · doi:10.3233/shti210725 · Cited by 11
“It is currently used in hospitals as electronic medical records, management systems and support information systems for clinical decision-making [1-3].”
Rouleau, G., Hong, Q. N., Kaur, N., Gagnon, M., Côté, J., Bouix‐Picasso, J., & Pluye, P. (2021) · Journal of Mixed Methods Research · doi:10.1177/15586898211054243 · Cited by 12 · see citing works
“We included 22 systematic reviews that were of different types: mixed studies reviews (n = 12); quantitative reviews (n = 9); and qualitative reviews (n = 1) (Rouleau et al., 2017b).”
BackgroundMethodInfluentialSelf-citationDevelopment of a nursing website for critical care regarding healthcare-associated infections.
de Mello, E. F., Tibério, B. A., Reichembach, M. T., & Pontes, L. (2021) · Revista Brasileira de Enfermagem · doi:10.1590/0034-7167-2020-0928 · Cited by 11
Kodama, K., Konishi, S., Manabe, S., Okada, K., Yamaguchi, J., Wada, S., Sugimoto, K., Itoh, S., Takahashi, D., Kawasaki, R., et al. (2023) · JMIR Nursing · doi:10.2196/51303 · Cited by 10
“Estimations of the contribution to a reduction in documentation time by EHR or computational order vary by study [4,5].”
Improvements in the infrastructure for nursing research in universities in Kazakhstan
Järvinen, S., Heikkilä, J., Meyermanova, I., Kuanysh, Z., & Molotov-Luchanskiy, V. B. (2022) · International Nursing Review · doi:10.1111/inr.12791 · Cited by 13 · see citing works
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Performance of nurses in the bed management service of a teaching hospital.
Borges, F., Bernardino, E., Stegani, M., & Tonini, N. S. (2020) · Revista Brasileira de Enfermagem · doi:10.1590/0034-7167-2019-0349 · Cited by 10
“These indicators are important for nursing reflection, which is related to improvement of attitude and the particularities of nursing in a highly technological world(24).”
BackgroundEducare App: Mobile application for clinical duties of nursing students and nurse educators
Positos, J. D., Abellanosa, A. L. A., Galgo, C. A. L., Tecson, C. M. B., Ridad, G. S., & Tabigue, M. M. (2020) · Enfermería Clínica · doi:10.1016/j.enfcli.2019.11.016 · Cited by 14 · see citing works
“Smartphone apps may be a means for nursing students to use resources for patient safety and evidencebased care, and for nursing educators to share learning resources to the students.(3) This application, which is referred to as ‘‘Educare’’, can provide tools for nurse educators to send learning materials to students a…”
BackgroundSturt, J., Huxley, C., Ajana, B., Gainty, C., Gibbons, C., Graham, T., Khadjesari, Z., Lucivero, F., Rogers, R., Smol, A., et al. (2020) · Digital Health · doi:10.1177/2055207620942359 · Cited by 10 · see citing works
“Indeed some systematic reviews have highlighted how patients feel ’empowered’ as a result of digital communication systems.(42) However, other discussions have criticised this view, since digital consultations and remote healthcare demand patients to participate and take responsibility for their health, in ways in whi…”
BackgroundOthman, M. O., & Menon, K. V. (2019) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2019.03.019 · Cited by 8 · see citing works
Falco, C. D., Noto, G., Marisca, C., & Barresi, G. (2024) · The TQM Journal · doi:10.1108/tqm-12-2023-0425 · Cited by 9 · see citing works
Marshall, K., Beaden, P., Durrani, H., Tang, K., Mogilevskii, R., & Bhutta, Z. A. (2023) · International Journal of Qualitative Studies on Health and Well-Being · doi:10.1080/17482631.2022.2156099 · Cited by 9 · see citing works
“…State, 2011) and development of new health information or communication technology systems to improve data collection and monitoring (Doshi et al., 2021; Engelgau et al., 2016; Ganju et al., 2020; Global Systems for Mobile Communications, 2019; Rouleau et al., 2017; Shuvo et al., 2015; WHO, 2008).”
BackgroundSingh-Weldon, J., Tsianakas, V., Murrells, T., & Grealish, A. (2022) · International Journal of Mental Health Nursing · doi:10.1111/inm.13041 · Cited by 9 · see citing works
“Studies (Jorm et al. 2010; Mlambo et al. 2021; Rouleau et al. 2017) have reported the efficacy of e-learning packages in mental health training as comparable to face to face training.”
BackgroundRazavi, S., Farrokhnia, N., & Davoody, N. (2022) · PLoS ONE · doi:10.1371/journal.pone.0264876 · Cited by 11 · see citing works
Tecnologia de informação e comunicação no ensino de enfermagem
Alves, A. G., César, F. C. R., Martins, C. A., Ribeiro, L. C. M., Oliveira, L. M. D. A. C., Barbosa, M. A., & Moraes, K. L. (2020) · Acta Paulista de Enfermagem · doi:10.37689/acta-ape/2020ao01385 · Cited by 9 · see citing works
Chérrez-Ojeda, I., Félix, M., Mata, V. L., Vanegas, E., Simancas‐Racines, D., Aguilar, M., Gavilanes, A. W. D., Chedraui, P. A., & Vera, C. (2020) · The Open Nursing Journal · doi:10.2174/1874434602014010008 · Cited by 18 · see citing works
The use of videoconferencing in nursing for people in their homes
Nordtug, B., Rygg, L., & Brataas, H. (2018) · Nursing Reports · doi:10.4081/nursrep.2018.6761 · Cited by 9 · see citing works
Kilańska, D., Ogonowska, A., Librowska, B., Kusiak, M., Marczak, M., & Kozłowski, R. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19148805 · Cited by 8 · see citing works
“What is important is the enhancement of the decision-making process in clinical practice [11,12,17].”
BackgroundKernebeck, S., Busse, T. S., Jux, C., Meyer, D., Dreier, L. A., Zenz, D., Zernikow, B., & Ehlers, J. P. (2021) · Children · doi:10.3390/children8080695 · Cited by 9 · see citing works
“With EMRs, administrative and health-related information can be captured, stored, transmitted, and displayed from different sources [15].”
BackgroundNursing leadership in response to the COVID-19 crisis in an Irish independent mental health service
Kirwan, S., Cunningham, P., Donohue, G., Keogh, B., & Creedon, J. (2021) · British Journal of Mental Health Nursing · doi:10.12968/bjmh.2020.0044 · Cited by 7 · see citing works
Transforming Patient Hospital Experience Through Smart Technologies
Ali, H., Cole, A., & Panos, G. (2020) · Interacción · doi:10.1007/978-3-030-49757-6_14 · Cited by 8
Can Nursing Drive Technological Advances in Healthcare in the Asia-Pacific?
Pepito, J., & Locsin, R. (2018) · Asian/Pacific Island Nursing Journal · doi:10.31372/20180304.1022 · Cited by 8 · see citing works
“Technology in nursing improves documentation in healthcare (Rouleau et al., 2017).”
BackgroundTraces of spiritual care in nursing records: A qualitative study of cancer care.
Hynnekleiv, I. I., Giske, T., & Heggdal, K. (2024) · Scandinavian Journal of Caring Sciences · doi:10.1111/scs.13294 · Cited by 7 · see citing works
Hemşirelikte Teknolojinin Gelişimi ve Mesleğin Geleceğine Etkileri
Çobanoğlu, A., & Oğuzhan, H. (2023) · Hemşirelik Bilimi Dergisi · doi:10.54189/hbd.1036888 · Cited by 17 · see citing works
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Development and validation of the information security attitude questionnaire (ISA‐Q) for nurses
Kang, J., & Seomun, G. (2022) · Nursing Open · doi:10.1002/nop2.1353 · Cited by 7 · see citing works
“The provision of nursing services has undergone several changes with the development of information and communication technologies (Oh, 2015; Rouleau et al., 2017).”
BackgroundDigital Nursing Technology to Achieve Job Satisfaction: A Systematic Review
Setyowati, S., Arruum, D., Handiyani, H., & Koestoer, R. A. (2022) · Open Access Macedonian Journal of Medical Sciences · doi:10.3889/oamjms.2022.8289 · Cited by 7 · see citing works
“Previous studies showed that nurses perceive ICTs positively because of improvements in accuracy, patient safety, and ease of access [5].”
BackgroundGonçalves, H. I. T., Ferreira, M., Campos, M. J., & Fernandes, C. (2024) · Computers, Informatics, Nursing · doi:10.1097/cin.0000000000001181 · Cited by 6
Leveraging technology to improve wound care delivery and care transitions
Kirkland-Kyhn, H., Howell, M., Senestraro, J., & Walsh, S. (2021) · Nursing management · doi:10.1097/01.numa.0000795592.38063.7c · Cited by 5
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“Experts in the field of rehabilitation must innovate safe, efficient, and effective interventions using telecommunication technology systematically [44].”
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Aplicación multimedia para el estudio de la medicina natural y tradicional integrada a la pediatría
Robaina-Castillo, J. I., Hernández-García, F., Pérez-Calleja, N. C., González-Díaz, E. D. C., & Angulo-Peraza, B. M. (2020) · doi:10.1016/j.edumed.2018.01.005 · Cited by 5
Clinical Nurses' Point-of-Technology Use and Digital Health Competency: Scoping Review.
Park, J., & Nahm, E. (2026) · Computers, Informatics, Nursing · doi:10.1097/cin.0000000000001465 · Cited by 4 · see citing works
Using secondary prevention strategies in patients after PCI: a narrative review
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Barriers to Adoption of Electronic Health Record Systems from the Perspective of Nurses
Arıkan, F., Kara, H., Erdoğan, E., & Ülker, F. (2021) · Computers, Informatics, Nursing · doi:10.1097/cin.0000000000000848 · Cited by 4 · see citing works
“The widespread employment of EHR in health services such as patient admission, patient care, and transfer necessitates readiness to change and willingness to adapt to this technological innovation.(17,20) Nurses reluctant to engage with the EHR system cannot have access to the records entered by other healthcare profe…”
Backgroundde Viñaspre, R. R., Garrido, A. E., & Álvarez, M. (2021) · JBI evidence implementation · doi:10.1097/xeb.0000000000000288 · Cited by 4
- Authors
- Rouleau, G., Gagnon, M.-P., Côté, J., Payne-Gagnon, J., Hudson, E., & Dubois, C.-A.
- Affiliations
- Centre Hospitalier de l’Université de Montréal (CA)
- Centre hospitalier universitaire de Québec (CA)
- Université de Montréal (CA)
- Corresponding author
- Gagnon, Marie-Pierre
- ORCID
- Venue
- Journal of Medical Internet Research
- Publisher
- JMIR Publications Inc.
- Published
- 2017-04-25
- Volume
- 19
- Issue
- 4
- Pages
- e122
- ISSN
- 1438-8871 (ISSN-L)
- PMC
- PMC5424122
- OpenAlex
- W2608106098
- Cited by
- 244
- References
- 79
- Citations by year
- 2026: 19 · 2025: 32 · 2024: 31 · 2023: 33 · 2022: 36 · 2021: 33 · 2020: 22 · 2019: 23 · 2018: 12 · 2017: 1 · 2015: 1
- FWCI
- 3.08
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Journal of Medical Internet Research (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Max-Planck-Gesellschaft
- Canadian Institutes of Health Research
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Nursing › Issues, ethics and legal aspects › Nursing Diagnosis and Documentation
- Health Sciences › Nursing › Research and Theory › Nursing education and management
- Keywords
- information and communication technologies, nursing care, e-health, computerized decision support systems, nursing-sensitive outcomes, nursing work environment, nursing documentation, nursing autonomy, interprofessional collaboration, nurse-patient relationship, patient satisfaction, nursing competencies, care coordination, nursing education, nursing process, nursing-sensitive indicators, quality of care, nursing-sensitive quality indicators
- MeSH terms
- Humans, Nursing, Patient Care Planning, Quality of Health Care, Quality of Life, Review Literature as Topic, Telemedicine, Decision Support Systems, Clinical
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