Cuaderno de enfermería. Revista científica
Vol. 3(1), 39-44, 2025
https://doi.org/10.62574/e4fzm962
39
Technological innovations to improve the well-being of the elderly in nursing
homes. Systematic review
Innovaciones tecnológicas para mejorar el bienestar en hogares de
ancianos. Revisión sistemática
Yarintza Coromoto Hernández-Zambrano
ua.yarintzahernandez@uniandes.edu.ec
Universidad Regional Autónoma de los Andes, Tulcán, Carchi Ecuador
https://orcid.org/0000-0002-0686-3531
ABSTRACT
Objective: to analyse the contributions of technological innovations to improving well-being in nursing
homes based on a systematic review. Method: systematic review, population of 15 articles.
Conclusion: Technological innovations represent a transformative opportunity to improve the well-
being of residents in nursing homes, optimising their autonomy, quality of life and medical care.
However, their successful implementation depends on overcoming barriers such as lack of resources,
resistance to change and inequalities in access, especially in rural areas or in institutions with limited
resources. The role of nurses is essential in this process, as they are primarily responsible for
integrating these tools into daily care, educating residents and ensuring their safety and effectiveness.
Descriptors: homes for the aged; halfway houses; assisted living facilities. (DeCS).
RESUMEN
Objetivo: analizar los aportes de las innovaciones tecnológicas para mejorar el bienestar en hogares
de ancianos desde una revisión sistemática. Método: revisión sistemática, población de 15 articulos.
Conclusión: Las innovaciones tecnológicas representan una oportunidad transformadora para
mejorar el bienestar de las residentes en hogares de ancianas, optimizando su autonomía, calidad
de vida y atención médica. Sin embargo, su implementación exitosa depende de superar barreras
como la falta de recursos, la resistencia al cambio y las desigualdades en el acceso, especialmente
en áreas rurales o en instituciones con recursos limitados. El rol de las enfermeras es esencial en
este proceso, por cuanto son las principales responsables de integrar estas herramientas en el
cuidado diario, educar a las residentes y garantizar su seguridad y efectividad.
Descriptores: hogares para ancianos; casas de convalecencia; instituciones de vida asistida.
(DeCS).
Received: 19/12/2024. Reviewed: 08/01/2025. Approved: 26/01/2025. Published: 01/02/2025.
Original brief
Cuaderno de enfermería. Revista científica
Vol. 3(1), 39-44, 2025
Innovaciones tecnológicas para mejorar el bienestar en hogares de
ancianos. Revisión sistemática
Technological innovations to improve the well-being of the elderly in nursing homes.
Systematic review
Yarintza Coromoto Hernández-Zambrano
39
INTRODUCTION
The ageing of the world's population has led to a significant increase in the demand
for long-term care services, especially in nursing homes. These environments face
challenges related to the quality of care, staff overload and the specific needs of
older adults, many of whom have chronic conditions, physical disabilities or cognitive
impairment (1,2). In this context, technological innovations are being developed as
tools to address these issues, improving both the well-being of residents and the
efficiency of care services (5,9).
Assistive technologies, remote monitoring systems, virtual reality platforms and
digital tools for care management are just some examples of the technological
solutions that are being implemented in nursing homes (9,11). These innovations
have the potential to promote autonomy, improve quality of life and optimise medical
and pharmacological care (4,11). However, their adoption is not without challenges,
as it requires an adequate infrastructure, specialised training for nurses and a
cultural change within the institutions (5,6,8).
The role of nurses is fundamental in this process, as they are primarily responsible
for implementing and adapting these technologies to the daily care of the residents
(1,3,15). In this sense, nurses play a key role in educating and motivating older
women to accept and use these tools, as well as in evaluating their effectiveness
and safety (6,9). Despite the progress made, significant barriers remain, such as
unequal access to these technologies, especially in rural areas or in homes with
limited resources (10), and resistance to change on the part of staff and residents
(2,5).
The objective of the article is to analyse the contributions of technological
innovations to improve the well-being in nursing homes from a systematic review.
Cuaderno de enfermería. Revista científica
Vol. 3(1), 39-44, 2025
Innovaciones tecnológicas para mejorar el bienestar en hogares de
ancianos. Revisión sistemática
Technological innovations to improve the well-being of the elderly in nursing homes.
Systematic review
Yarintza Coromoto Hernández-Zambrano
40
METHOD
This work was carried out using a systematic review methodology, 15 scientific
articles were analysed following the guidelines established by the Preferred
Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol.
An exhaustive search was carried out in recognised scientific databases, including
PubMed, CINAHL, Scopus and Web of Science, covering publications from January
2018 to October 2023. MeSH terms and keywords related to the topic were used,
such as: ‘nursing homes’, ‘technological innovations’, ‘elderly care’, ‘assistive
technology’, ‘virtual reality’ and ‘nursing workforce’.
RESULTS
Assistive technologies contribute to promoting the autonomy and participation of
residents. In this case, André et al. (11) pointed out that these technologies can
improve independence and quality of life, especially in older women with physical or
cognitive disabilities. However, their implementation requires adequate
customisation and specific training for nurses, which can be a challenge in homes
with limited resources, as also mentioned by Koenig et al. (1) and Shin & Kim (15).
In this sense, the role of nurses as facilitators of the use of these technologies is
fundamental to guarantee their success.
On the other hand, interventions based on virtual reality and exergames have shown
significant benefits in improving the physical, cognitive and emotional function of
residents, in view of which Peng et al. (9) concluded that these technologies are not
only effective, but also well accepted by older people, suggesting their potential to
complement traditional therapies. However, the lack of access to technological
equipment and resistance to change on the part of staff and residents can limit its
large-scale implementation, as also mentioned by Sturmberg et al. (2) and Nkodo et
al. (6). In this context, nurses have an important role in educating and motivating
residents to participate in these activities.
The organisational culture of nursing homes also has a significant influence on the
adoption of technological innovations, therefore, Deprez et al. (5) explain that
Cuaderno de enfermería. Revista científica
Vol. 3(1), 39-44, 2025
Innovaciones tecnológicas para mejorar el bienestar en hogares de
ancianos. Revisión sistemática
Technological innovations to improve the well-being of the elderly in nursing homes.
Systematic review
Yarintza Coromoto Hernández-Zambrano
41
person-centred care models, such as the Greenhouse model, can maximise the
benefits of these technologies by prioritising the individual needs of residents,
Williams & Joshi (8) emphasised that these approaches require a significant cultural
change, including continuous training of nurses and the restructuring of
organisational processes. On the other hand, the COVID-19 pandemic highlighted
the importance of supporting nursing home staff in the adoption of new technologies.
Likewise, Nkodo et al. (6) pointed out that the lack of resources and work overload
during the pandemic made the implementation of technological tools difficult, which
highlights the need for specific support strategies for nurses and other health
professionals.
In the medical field, technological innovations have also shown potential for
improving pharmacological care and the transition of care. Therefore, Tancredi et al.
(4) analysed the use of pharmacological treatments in residents with osteoporosis,
highlighting the need for technological tools to optimise the administration of
medication. Likewise, Wang et al. (12) identified that technologies can facilitate the
transition of care between nursing homes and emergency services, especially in
patients with dementia. On the other hand, Orkaby (7) explored the use of statins in
residents with and without dementia, highlighting the need to integrate scientific
evidence into clinical decision-making in nursing homes. In this context, nurses play
an essential role in the implementation of these innovations, ensuring that
interventions are safe and effective.
A major challenge is the unequal access to these technologies, especially in rural
areas or in homes with limited resources, in the face of which Sharma et al. (10)
pointed out that the closure of nursing homes in rural areas can exacerbate
disparities in access to quality care, which raises the need for public policies that
promote equity in the distribution of technological resources. Likewise, the
sustainability of these innovations depends on the ability of nursing homes to
integrate these tools into their daily operations. Therefore, Sturmberg et al. (2)
emphasised that systemic failures in geriatric care, such as a lack of trained
Cuaderno de enfermería. Revista científica
Vol. 3(1), 39-44, 2025
Innovaciones tecnológicas para mejorar el bienestar en hogares de
ancianos. Revisión sistemática
Technological innovations to improve the well-being of the elderly in nursing homes.
Systematic review
Yarintza Coromoto Hernández-Zambrano
42
personnel and work overload, can limit the effectiveness of these technologies. In
this vein, Koenig et al. (1) and Bowblis et al. (3 ) also emphasise the importance of
strengthening the nursing home workforce, especially through training and support
for nurses, to ensure successful implementation.
Consequently, technological innovations can influence long-term outcomes such as
time to nursing home admission and mortality. In this regard, Brück et al. (13)
conducted a meta-analysis that showed that technological interventions can delay
nursing home admission and improve the quality of life of residents. McWilliam et al.
(14) also highlighted that these tools can reduce unnecessary transfers between
nursing homes and hospitals, improving continuity of care. In this sense, nurses have
a crucial role in coordinating these transitions and implementing strategies to reduce
the associated risks.
CONCLUSION
Technological innovations represent a transformative opportunity to improve the
well-being of nursing home residents, optimising their autonomy, quality of life and
medical care. However, their successful implementation depends on overcoming
barriers such as lack of resources, resistance to change and inequalities in access,
especially in rural areas or in institutions with limited resources. The role of nurses
is essential in this process, as they are primarily responsible for integrating these
tools into daily care, educating residents and guaranteeing their safety and
effectiveness.
FINANCING
Non-monetary
CONFLICT OF INTEREST
There is no conflict of interest with people or institutions linked to the research.
ACKNOWLEDGEMENTS
To the UNIANDES research department.
Cuaderno de enfermería. Revista científica
Vol. 3(1), 39-44, 2025
Innovaciones tecnológicas para mejorar el bienestar en hogares de
ancianos. Revisión sistemática
Technological innovations to improve the well-being of the elderly in nursing homes.
Systematic review
Yarintza Coromoto Hernández-Zambrano
43
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Cuaderno de enfermería. Revista científica
Vol. 3(1), 39-44, 2025
Innovaciones tecnológicas para mejorar el bienestar en hogares de
ancianos. Revisión sistemática
Technological innovations to improve the well-being of the elderly in nursing homes.
Systematic review
Yarintza Coromoto Hernández-Zambrano
44
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