{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T16:39:32Z","timestamp":1790613572261,"version":"4.1.0"},"reference-count":50,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sage Open Nursing"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Digital health technologies are increasingly embedded in Neonatal Intensive Care Units (NICUs), yet the role of nurse-led governance in shaping safe, sustainable implementation for high-risk neonates remains underexplored. This review synthesized evidence on nursing leadership and digital health integration in NICUs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Following PRISMA 2020, six databases were searched (January 2013\u2013January 2025), supplemented by grey literature, reference-list screening, and forward citation tracking. The protocol was prospectively registered with PROSPERO. Eligible empirical studies (n = 18) addressed formal nurse-led governance, operational governance enactment by nurses, or leadership-relevant determinants. Risk of bias was appraised with design-specific tools (Cochrane RoB 2, ROBINS-I, JBI, MMAT); synthesis combined structured narrative and reflexive thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Findings are presented as associations, not causal effects. Favorable signals included a 60% reduction in high-stage device-related pressure injuries in one quality-improvement initiative; 30-day readmission rates of 13.8% among enrolled versus 30.9% among non-enrolled caregivers in a nurse-led post-discharge telehealth intervention; and an approximately 12-day shorter length of stay favoring the intervention in one randomized trial of nurse-led developmental care. Using conservative, author-reported coding, organizational\/leadership support (17\/18; 94%) and structured training (8\/18; 44%) were most frequently documented; funding\/IT (22%) and clinical champions (17%) less so. Nurse-led governance could not be statistically separated from co-occurring implementation activities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Across a predominantly observational, low-to-moderate-certainty evidence base, nurse-led governance was consistently associated with stronger implementation processes and selected family- and clinical-level signals when embedded in coordinated training, workflow redesign, and audit-and-feedback. Findings are hypothesis-generating. Comparative-effectiveness and economic evaluations decomposing leadership from co-occurring implementation components are needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23779608261468455","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T09:42:11Z","timestamp":1783676531000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Nursing Leadership for Digital NICU Transformation: A Systematic Review of Strategies, Digital Health Integration, and Outcomes in High-Risk Neonates"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9616-8590","authenticated-orcid":false,"given":"Osama Mohamed Elsayed","family":"Ramadan","sequence":"first","affiliation":[{"name":"Cairo University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,10]]},"reference":[{"key":"e_1_3_6_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/sjopt.sjopt_93_22"},{"key":"e_1_3_6_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-025-03038-4"},{"key":"e_1_3_6_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-025-03044-6"},{"key":"e_1_3_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaapos.2021.08.307"},{"key":"e_1_3_6_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-025-03318-z"},{"key":"e_1_3_6_7_1","doi-asserted-by":"publisher","DOI":"10.11124\/JBIES-23-00034"},{"key":"e_1_3_6_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12232337"},{"key":"e_1_3_6_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/children11070793"},{"key":"e_1_3_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2023.105148"},{"key":"e_1_3_6_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/children12040498"},{"key":"e_1_3_6_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-025-03896-y"},{"key":"e_1_3_6_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13052-025-01997-7"},{"key":"e_1_3_6_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12519-025-00927-1"},{"key":"e_1_3_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cppeds.2021.100952"},{"key":"e_1_3_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2024.102425"},{"key":"e_1_3_6_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/08995605.2020.1794478"},{"key":"e_1_3_6_18_1","doi-asserted-by":"publisher","DOI":"10.1159\/000504853"},{"key":"e_1_3_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2024.10.029"},{"key":"e_1_3_6_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-025-04406-2"},{"key":"e_1_3_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semperi.2021.151428"},{"key":"e_1_3_6_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-022-00939-6"},{"key":"e_1_3_6_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jnn.2020.01.012"},{"key":"e_1_3_6_24_1","doi-asserted-by":"publisher","DOI":"10.1155\/2024\/8435248"},{"key":"e_1_3_6_25_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17082865"},{"key":"e_1_3_6_26_1","doi-asserted-by":"publisher","DOI":"10.1159\/000530496"},{"key":"e_1_3_6_27_1","doi-asserted-by":"publisher","DOI":"10.1136\/leader-2022-000664"},{"key":"e_1_3_6_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/20552076251336283"},{"key":"e_1_3_6_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315617444"},{"key":"e_1_3_6_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2023.113869"},{"key":"e_1_3_6_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-025-07910-8"},{"key":"e_1_3_6_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/pq9.0000000000000554"},{"key":"e_1_3_6_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2024.04.050"},{"key":"e_1_3_6_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.70170"},{"key":"e_1_3_6_35_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-024-02571-y"},{"key":"e_1_3_6_36_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-025-08236-1"},{"key":"e_1_3_6_37_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-025-03839-7"},{"key":"e_1_3_6_38_1","doi-asserted-by":"publisher","DOI":"10.1590\/1518-8345.0898.2714"},{"key":"e_1_3_6_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2022.09.003"},{"issue":"2","key":"e_1_3_6_40_1","first-page":"304","article-title":"Addressing the unique needs of an electronic health record in a neonatal intensive care unit","volume":"46","author":"Shade C.","year":"2017","unstructured":"Shade C., Kelly K., Hofmann K. 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