AimThis 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.DesignLiterature review.Data SourcesPubMed and CINAHL databases were searched in April 2023.MethodsWe screened 874 studies in English and German, of which 15 were included in our final synthesis reflecting the scientific discourse from 1992 until 2023.ResultsOur 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.ConclusionOur 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 ProfessionNurses' 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.ImpactThe 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 MethodWe adhere to the JBI Manual for Evidence Synthesis where applicable. EQUATOR reporting guidelines were not applicable for this type of review.Patient or Public ContributionNo patient or public contribution.

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数字技术的使用对护士职业认同和权力关系的影响：文献综述

目的本研究旨在回顾数字技术在临床护理中的使用如何影响护士的职业认同以及临床环境中的权力关系。设计文献综述。数据来源于 2023 年 4 月检索 PubMed 和 CINAHL 数据库。方法我们筛选了 874 项英语和德语研究，其中 15 个包含在我们的最终综合报告中，反映了 1992 年至 2023 年的科学论述。结果我们的审查揭示了数字技术对护士职业身份和权力关系的相关影响。很少有研究涉及与身份相关的结果，例如道德能动性或护士的自主权。大多数研究描述了技术对职业认同的负面影响，例如，在护士和患者之间制造障碍，导致同理心互动减少。关于权力关系，技术熟练的护士可以在依赖技术的同时对同事和患者产生权力。对这些影响的调查代表性不足。结论我们的评论提出了对技术与护士职业身份和普遍权力关系之间关系的见解。对于未来的研究，需要对数字技术对护理专业身份形成的影响进行专门和批判性的调查。对专业的影响护士的专业身份可能会因临床护理中使用的数字技术而改变。意识到数字化工作环境潜在影响的护士可以反思技术与护理职业的关系。影响数字技术的使用可能会导致护士的道德主体和塑造以患者为中心的护理的能力下降。数字技术似乎成为护士对患者和同事行使权力的重要措施，同时也是一种控制机制。我们的工作鼓励护士积极塑造数字护理。报告方法我们遵守适用的 JBI 证据合成手册。 EQUATOR 报告指南不适用于此类审查。患者或公众贡献没有患者或公众贡献。