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Factors Influencing the Implementation and Adoption of Digital Nursing Technologies : Systematic Umbrella Review
Get PDFBackground: Digital nursing technologies (DNTs) are a promising solution to address challenges in health care systems, such as demographic shifts, nursing shortages, or difficulties in retaining nurses. Despite their potential benefits, the integration of DNTs into care settings remains complex due to multiple factors influencing their implementation and adoption.
Objective: We aimed to examine factors that influence the implementation and adoption of DNTs used in nursing care settings from the perspective of nurses.
Methods: 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.
Results: A total of 4803 reviews were identified, of which 65 (1.36%) met the inclusion criteria. We identified 52 influencing factors across 6 NASSS domains, with particular emphasis on adopter-related barriers and facilitators. Key barriers included insufficient training, increased workload, and low technological confidence, which impacted efficiency and the quality of care. In addition, concerns regarding professional role, autonomy, and privacy influenced nurses’ acceptance of DNTs. Facilitators included leadership support, a positive corporate culture, and targeted training initiatives.
Conclusions: We synthesized key facilitators and barriers to implementation and adoption of DNTs in nursing care. Leadership support, adequate training, and alignment with care needs drive successful implementation, while resource constraints and workflow disruptions pose challenges. Addressing both technological requirements and nursing needs is critical. Future research should focus on long-term studies and practical tools to support stakeholders in effectively integrating DNTs into nursing practice
Deep learning applications for diabetic retinopathy and retinopathy of prematurity diseases diagnosis : a systematic review
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Impact of labeling, price and communication frame on the purchase intention of vegan food: A conjoint analysis of three product categories
No full textDie vorliegende Bachelorarbeit untersucht den Einfluss von Labeling, Preis und Kommunikationsframe auf die Kaufabsicht veganer Lebensmittel. Trotz der wachsenden Bedeutung veganer Ernährung und des steigenden Angebots veganer Produkte, bleibt der Absatz verglichen mit tierischen Pendants begrenzt. Ziel der Arbeit ist es, praxisorientierte Erkenntnisse für die Produkt- und Kommunikationsgestaltung veganer Ersatzprodukte zu gewinnen, um deren Akzeptanz und Marktpenetration zu fördern. Mittels einer Choice-Based Conjoint-Analyse wurden Konsumentenpräferenzen für drei Produktkategorien (Burgerpatties, Hafermilch und Käsescheiben) analysiert. Untersucht wurden die Attribute Kommunikationsframe (Umwelt, Gesundheit, Geschmack), Labeling (vegan, pflanzlich, plant-based) und Preis. Die Ergebnisse zeigen, dass der Preis und der Kommunikationsframe die Kaufentscheidung am stärksten beeinflussen, während das Labeling eine untergeordnete Rolle spielt. Geschmacks- und Gesundheitsclaims werden positiv bewertet, während Umweltclaims tendenziell abgelehnt werden. Zudem konnten Unterschiede in den Prioritäten und Präferenzen verschiedener Konsumentengruppen festgestellt werden.This bachelor’s thesis investigates how labeling, price and communication frames influence consumers’ purchase intentions for vegan foods. Although the attention for veganism has grown and the range of vegan products has increased, the demand for such products is comparatively low. The study aims to generate practical insights for product design and communication strategies to enhance the acceptance and market penetration of vegan substitutes. Using a choice-based conjoint analysis, consumer preferences were analysed across three product categories (burger patties, oat milk, and sliced cheese). The attributes examined included communication frames (environment, health, taste), labeling (vegan, plant-based, pflanzlich) and price. The results indicate that price and communication frame have the strongest impact on purchase decisions, whereas labeling plays a comparatively minor role. Taste- and health-related claims are evaluated positively, while environmental claims are, on average, rejected. Different preferences emerge across consumer segments, indicating that tailoring messages to distinct groups can improve effectiveness