J Clin Nurs. 2026 Aug 9. doi: 10.1111/jocn.70499. Online ahead of print.
ABSTRACT
OBJECTIVE: To map and describe the digital health technologies and technology-supported interventions used by advanced practice nurses for cardiovascular risk management in primary health care, including the advanced nursing functions they support.
MATERIALS AND METHODS: A scoping review was conducted in accordance with the Joanna Briggs Institute methodology and reported following PRISMA-ScR. A systematic search was performed in PubMed/MEDLINE, Web of Science, Embase, Scopus, CINAHL, Cochrane Library and SciELO, as well as grey literature sources, including the CAPES Portal and Epistemonikos. International studies published between January 2005 and May 2026 were eligible, without language restrictions. Two reviewers independently selected and charted the evidence; a third reviewer resolved unresolved disagreements.
RESULTS: A total of 3919 records were identified and 12 studies met the inclusion criteria. The evidence was grouped into four categories: technology-supported structured nurse-led care programmes; clinical decision support and algorithm-based software; telehealth, telenursing and telerehabilitation; and mobile or home-based self-management technologies. The structured programmes combined nursing care pathways with organizational, educational, communication, protocol-based, algorithmic or digital resources that supported programme delivery. The studies covered primary prevention, secondary prevention, chronic disease management and cardiac rehabilitation. The technologies and interventions supported clinical decision-making, risk stratification, monitoring and follow-up, health education, self-management support and lifestyle counselling and care coordination.
CONCLUSION: Digital health technologies and technology-supported interventions can strengthen advanced cardiovascular nursing practice when embedded in clearly defined care pathways. Their principal contribution is to connect clinical decision support, longitudinal follow-up and supported self-management; their broader value depends on workflow integration, role clarity, equitable access and appropriate governance.
REGISTRATION: The protocol was registered in the Open Science Framework on May 22, 2024.
PMID:42572421 | DOI:10.1111/jocn.70499