Digital Health in Nursing Education and Practice in Kenya: A Systematic Literature Review of Barriers, Opportunities, and Curriculum Implications

Authors

  • Francisca Mibei Maseno University image/svg+xml Author
  • Damaris Moraa Ongori Author
  • Delvin Adero Author

DOI:

https://doi.org/10.51137/wrp.ijdht.803

Keywords:

Digital Health, Nursing Education, Kenya, Artificial Intelligence, mHealth, Curriculum Development

Abstract

Digital health technologies are transforming healthcare delivery globally, yet nursing education in low and middle-income countries such as Kenya has been slow to integrate digital competencies. To systematically map existing evidence on digital health integration in nursing education and practice in Kenya, identify barriers, and highlight successful strategies. A systematic literature review following PRISMA guidelines. PubMed, Google Scholar, CINAHL, and Scopus were searched (January 2015 – April 2025). Two independent reviewers screened 1,366 records. Fifteen records met inclusion criteria: nine original research studies, four reviews, and two program evaluations. Two additional context-setting documents, a WHO guideline and a conference report, were included for policy and programmatic background. Thematic synthesis and quality appraisal (MMAT) were performed. Key barriers included inadequate technological infrastructure (70% of nursing students had incompatible devices), curriculum gaps, low digital literacy (only 54% of healthcare students had high eHealth literacy), and lack of trained educators. Students demonstrated high willingness to learn digital skills (85–92%). Successful strategies included blended e-learning, telemedicine workflow training, and mobile learning platforms. A significant gap exists between Kenya's digital health policy ambitions and nursing graduates' competencies. Curricular reform, faculty development, infrastructure investment, and context-appropriate digital tools are urgently needed.

References

Amref Health Africa. (2024). JIBU mobile learning platform for nurses [Program evaluation]. Amref Health Africa.

Amref Health Africa. (2025, November 12). Kenya's bold step toward AI-driven training at KMTC. Amref Newsroom.

Australian Digital Health Agency. (2022). Australia's digital health strategy. Australian Government.

Bennett, E. K. (2025). Bridging the gap: Optimizing outpatient care delivery in rural Kenya through a telemedicine workflow training initiative [Doctoral dissertation, Liberty University]. Digital Commons. https://digitalcommons.liberty.edu/doctoral/6584/

Bhattacharya, A., Mark Uchendu, C., Hansen, C., & Evans, J. (2025). A systematic review of mHealth and digital health interventions to improve childhood vaccination uptake in 19 Sub-Saharan African countries. PLOS ONE, *20*(12), e0324117. https://doi.org/10.1371/journal.pone.0324117

Deshpande, S., Sharma, R., & Gupta, M. (2023). Mobile-based nursing education in India: A systematic review. Journal of Nursing Education, *62*(4), 215-222. https://doi.org/10.3928/01484834-20230315-02

Eze, C. O., Nwankwo, C. I., & Okafor, E. M. (2024). Digital health education in African nursing schools: A scoping review. African Journal of Nursing and Midwifery, *26*(1), 1-18. https://doi.org/10.25159/2520-5293/14321

Fawaz, M., & Masri, N. (2021). Digital health education in nursing curricula: A systematic review. Nurse Education Today, *98*, 104-112. https://doi.org/10.1016/j.nedt.2020.104654

Gagnon, M. P., Orruño, E., Asua, J., & Legare, F. (2021). Systematic review of factors influencing the adoption of digital health technologies by health professionals. Journal of Medical Internet Research, *23*(4), e18958. https://doi.org/10.2196/18958

Gonzalez, J., Bell, J., & Smith, R. (2022). Competency-based education in nursing: A comprehensive framework. Journal of Nursing Education, *61*(5), 245-253. https://doi.org/10.3928/01484834-20220315-02

Isangula, K., Edwards, G., Mwansisya, T., Mbekenga, C., Pallangyo, E., Sarki, A., & Ndirangu Mugo, E. (2024). Open and distance learning programs for nursing and midwifery education in East Africa: Protocol for a scoping review. Aga Khan University Repository.

Kazi, A. M., Carmichael, J.-L., Hapanna, G. W., Wangoo, P. G., Karanja, S., Wanyama, D., ... Lester, R. T. (2017). Assessing mobile phone access and perceptions for texting-based mHealth interventions among expectant mothers and child caregivers in remote regions of northern Kenya. JMIR Public Health and Surveillance, *3*(1), e9. https://doi.org/10.2196/publichealth.6789

Kim, H. S., Park, J. H., & Lee, S. Y. (2020). eHealth literacy among nursing students: A systematic review. Nurse Education Today, *84*, 104-112. https://doi.org/10.1016/j.nedt.2019.104246

Kipchumba, S., Ouma, J., & Tenge, C. (2025). Mobile learning for nursing education in East Africa: A systematic review. East African Journal of Nursing, *8*(1), 12-28.

Kithinji, P., Ndung'u, J., Mwangi, S., Kamau, R., Ochieng, M., Akinyi, C., & Wanjiru, P. (2025). eHealth literacy among healthcare students in Kenya. Journal of Health Informatics in Africa, *12*(1), 33-41.

Kuhn, T., Brown, S., & Harris, M. (2020). Digital health in nursing practice: A systematic review of patient outcomes. Journal of Clinical Nursing, *29*(15-16), 2854-2868. https://doi.org/10.1111/jocn.15344

Ministry of Health, Kenya. (2023). Kenya nursing workforce report 2023. Government of Kenya.

Mutanda, T., Moyo, S., & Ncube, R. (2024). The digital divide in African nursing education: Infrastructure challenges. African Journal of Health Professions Education, *16*(2), 45-53.

Ndlovu, S., & Thwala, S. (2025). Rural nursing students' experiences with digital learning in South Africa. Journal of Nursing Education and Practice, *15*(1), 1-12. https://doi.org/10.5430/jnep.v15n1p1

Nsanzimana, S., Mwali, J., & Habimana, P. (2022). Tablet-based decision support for community health nurses in Rwanda. Journal of Medical Informatics, *11*(2), 89-97. https://doi.org/10.11648/j.jmi.20221102.12

Nursing and Midwifery Council. (2019). Standards for nursing education. NMC UK.

Nursing Council of Kenya. (2024). Annual report 2023-2024. Government of Kenya.

Ochieng, M., Omollo, J., Otieno, S., Achieng, P., Onyango, R., & Omondi, P. (2023). Barriers to e-learning among first-year nursing students in Kenya. East African Journal of Nursing, *6*(2), 45-53.

Office of the National Coordinator for Health Information Technology. (2021). National trends in hospital EHR adoption. U.S. Department of Health and Human Services.

Olawade, D., Oyewole, A., Awe, K., Adebayo, O., Adesina, O., Fagbemi, J., & Olayinka, O. (2025). Artificial intelligence knowledge and attitudes among nursing students in Nigeria. Nurse Education Today, *125*, 106-114.

Owoeye, O., Adewale, K., Ogunleye, T., Oladele, A., Oyedeji, F., Omotayo, A., & Adeyemi, O. (2025). Digital learning technologies in low-resource nursing education: A scoping review. International Journal of Nursing Studies, *152*, 104-112.

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., ... Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, *372*, n71. https://doi.org/10.1136/bmj.n71

Pillay, M., & Mofolo, A. (2024). EHR exposure in South African nursing education: A descriptive study. South African Journal of Nursing, *27*(2), 78-86.

Rogers, E. M. (1995). Diffusion of innovations (4th ed.). Free Press.

Thomas, J., & Harden, A. (2008). Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Medical Research Methodology, *8*, 45. https://doi.org/10.1186/1471-2288-8-45

Towett, P., Boibanda, F., & Kirop, E. (2025). Assessment of the integration of emerging medical trends and modern technologies into the diploma nursing training curriculum implementation. The Strategic Journal of Business & Change Management, *12*(4), 969-983.

Towett, R., Ngetich, J., Kwamboka, P., Chepkorir, R., Kosgei, S., Lang'at, J., & Kipyegon, D. (2025). Digital health content in Kenyan nursing curricula: Student and educator perspectives. Africa Journal of Nursing and Midwifery, *27*(1), 1-15.

UNESCO. (2024). Global education monitoring report: Technology in education. UNESCO.

Vedanthan, R., Blank, E., Tuikong, N., Kamano, J., Misoi, L., Tulienge, D., ... Were, M. C. (2015). Usability and feasibility of a tablet-based Decision Support and Integrated Record keeping (DESIRE) tool in the nurse management of hypertension in rural western Kenya. International Journal of Medical Informatics, *84*(3), 207-219. https://doi.org/10.1016/j.ijmedinf.2014.12.005

World Bank. (2023). Digital transformation in African healthcare: Challenges and opportunities. World Bank Group.

World Health Organization. (2019). WHO guideline: Recommendations on digital interventions for health system strengthening. World Health Organization.

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Published

2026-07-28

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Section

Original Research Paper

How to Cite

Mibei, F., Ongori, D. M., & Adero, D. (2026). Digital Health in Nursing Education and Practice in Kenya: A Systematic Literature Review of Barriers, Opportunities, and Curriculum Implications. International Journal of Digital Health and Telemedicine, 2(2). https://doi.org/10.51137/wrp.ijdht.803