Research AppraisalSystematic Review

The potential of digital health technologies in saving nursing resources: A scoping review

International journal of nursing studiesStiel, Helena Ellen Maria, Virtanen, Lotta, Bakker, Mark Matthijs et al.1 May 2026DOI

Clinical Snapshot

60CEBM
Evidence: ModerateSystematic Review

PICO Framework

P — PopulationNursing professionals and healthcare settings implementing digital health technologies
I — InterventionDigital health technologies (communication tools, automation systems, monitoring devices, information platforms)
C — ComparatorStandard nursing practice or pre-implementation baseline
O — OutcomesNursing resource savings (temporal, workforce, workload), quality of care, patient safety, cost efficiency

Bottom Line

This scoping review of 115 studies suggests digital health technologies offer promise for addressing nursing resource shortages, but effectiveness varies significantly by technology type. Monitoring technologies showed the most consistent benefits for saving nursing resources, while communication and information technologies produced mixed results. The review highlights a critical gap in standardised outcome measures, making it difficult to compare effectiveness across studies or guide implementation decisions. While the findings are encouraging, the lack of quality assessment and high heterogeneity in study designs and outcomes limit confidence in specific recommendations. Healthcare leaders should approach digital health implementation cautiously, prioritising monitoring technologies while ensuring robust evaluation frameworks are in place. The evidence is insufficient to support wholesale adoption without careful consideration of local context and systematic evaluation of outcomes.

Evidence: Moderate

Key Findings

  • P Value: Not applicable for scoping review

  • Effect Size: Not quantified - narrative synthesis only

  • Primary Outcome: Digital health technologies showed potential for saving nursing resources across four categories

  • Nnt Or Sensitivity: Monitoring technologies most consistently effective, communication and information technologies showed mixed effects

  • Confidence Interval: Not applicable for scoping review

Clinical Application

Implementation feasibility varies by technology type and healthcare context, requiring individualised assessment Relevant to Australian nursing workforce challenges and digital health initiatives, aligns with national digital health strategy and nursing shortage concerns Nursing professionals across various healthcare settings implementing digital health solutions

Abstract

BACKGROUND: The global nursing shortage crisis presents a significant challenge to healthcare systems. Digital health technologies, such as communication tools, automation systems, monitoring devices, and information platforms have been proposed as one solution to alleviate the issue by optimizing nursing resources. However, a comprehensive overview of the use and potential of these technologies in optimizing nurses' work and resources is still lacking. OBJECTIVES: The aim of this review is to provide an overview of (a) the digital health technologies used in nursing that may have potential to save nursing resources, (b) which indicators are used to measure the effectiveness of these technologies, and (c) which technologies are found to be effective in terms of saving nursing resources. METHODS: We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews in accordance with the Joanna Briggs Institute (JBI) Manual for Evidence Synthesis. The databases PubMed, CINAHL, and Web of Science were searched. Studies were included if they were peer-reviewed, quantitative, addressed nursing professionals, and considered digital health technologies that specifically aimed to save nursing resources. Relevant data were extracted and synthesized narratively, using an emerging framework. RESULTS: A total of 115 studies were included in this review. Digital health technologies fell into four categories: communication, automation, monitoring, and information technologies. All showed potential for saving resources, with monitoring technologies most often reported as having high potential. Indicators used to measure effectiveness focused on temporal, workforce, and workload resources, and related outcomes including quality of care, patient safety, and cost efficiency. Workforce resources were the most frequently optimized, followed by improvements in patient safety and quality of care. While positive effects were predominant, some studies reported adverse and insignificant effects, indicating variability in effectiveness. CONCLUSIONS: Digital health technologies offer promising opportunities to alleviate nursing resource shortages, but their potential seem to vary by type. Monitoring technologies showed the most consistent benefits, while communication and information technologies had mixed effects and automation technologies require further research to clarify their potential. Given the wide range of indicators used to measure potential resource savings, defining common, standardized indicators is essential for systematically assessing the impact of digital health technologies on nursing work and resources. This would enable comparability across studies, strengthen evidence-based decision-making and guide implementation strategies.

References

  1. 1.Stiel, H. E. M., Virtanen, L., Bakker, M. M., Heponiemi, T., Kainiemi, E., & Kaihlanen, A. M. (2026). The potential of digital health technologies in saving nursing resources: A scoping review. International Journal of Nursing Studies, 105366. https://doi.org/10.1016/j.ijnurstu.2026.105366
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