Factors Influencing the Implementation and Adoption of Digital Nursing Technologies: Systematic Umbrella Review

We used an umbrella review methodology to synthesize the evidence on DNTs and the complexities of their implementation. We searched for systematic reviews that focused on DNTs in formal care settings across 4 databases (PubMed, CINAHL, Cochrane Library, and Business Source Premier) and examined reference lists of the included reviews published in English until January 2025. Two researchers independently performed data extraction and quality assessment. Data analysis was structured by embedding the results in the NASSS (nonadoption, abandonment, scale-up, spread, and sustainability) framework, a model for explaining the adoption and abandonment of health and care technologies, as well as challenges to their scaling, diffusion, and sustainability. Reporting of this study adhered to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) checklist.