The impact of digital technology use on nurses' professional identity and relations of power: a literature review.

Autor: Knop M; Faculty for Applied Healthcare Sciences, Deggendorf Institute of Technology, Deggendorf, Germany., Mueller M; VDI/VDE Innovation + Technik GmbH, Berlin, Germany., Kaiser S; Research Center, Mauthausen Memorial, Vienna, Austria., Rester C; Faculty for Applied Healthcare Sciences, Deggendorf Institute of Technology, Deggendorf, Germany.
Jazyk: angličtina
Zdroj: Journal of advanced nursing [J Adv Nurs] 2024 Nov; Vol. 80 (11), pp. 4346-4360. Date of Electronic Publication: 2024 Apr 01.
DOI: 10.1111/jan.16178
Abstrakt: Aim: This study seeks to review how the use of digital technologies in clinical nursing affects nurses' professional identity and the relations of power within clinical environments.
Design: Literature review.
Data Sources: PubMed and CINAHL databases were searched in April 2023.
Methods: We screened 874 studies in English and German, of which 15 were included in our final synthesis reflecting the scientific discourse from 1992 until 2023.
Results: Our review revealed relevant effects of digital technologies on nurses' professional identity and power relations. Few studies cover outcomes relating to identity, such as moral agency or nurses' autonomy. Most studies describe negative impacts of technology on professional identity, for example, creating a barrier between nurses and patients leading to decreased empathetic interaction. Regarding power relations, technologically skilled nurses can yield power over colleagues and patients, while depending on technology. The investigation of these effects is underrepresented.
Conclusion: Our review presents insights into the relation between technology and nurses' professional identity and prevalent power relations. For future studies, dedicated and critical investigations of digital technologies' impact on the formation of professional identity in nursing are required.
Implications for the Profession: Nurses' professional identity may be altered by digital technologies used in clinical care. Nurses, who are aware of the potential effects of digitized work environments, can reflect on the relationship of technology and the nursing profession.
Impact: The use of digital technology might lead to a decrease in nurses' moral agency and competence to shape patient-centred care. Digital technologies seem to become an essential measure for nurses to wield power over patients and colleagues, whilst being a control mechanism. Our work encourages nurses to actively shape digital care.
Reporting Method: We adhere to the JBI Manual for Evidence Synthesis where applicable. EQUATOR reporting guidelines were not applicable for this type of review.
Patient or Public Contribution: No patient or public contribution.
(© 2024 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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