## 2 Review of Literature  
### Socio-Technical Approach  
[PERSON] et al. demonstrated that socio-technical designs tailored to caregivers' needs reduce errors and increase the quality of care [12]. Similarly, [PERSON] emphasized the critical role of co-design in health information technology implementation, involving both caregivers and residents to ensure that such technology meets diverse needs [13]. Additionally, [PERSON] et al. discussed how real-time data visualization tools improve decision making for nurse aides while reducing stress and using health information technologies innovations [14]. Key strategies for integrating socio-technical frameworks in nurse aide research include the following:  
1. Workforce support: According to [PERSON] and [PERSON], training and communication programs tailored to end users promote the effective adoption and integration of health information technologies, reducing resistance and increasing productivity [15]. [PERSON] noted that advances in health platforms also enable the aggregation and sharing of fitness and medical data from multiple sources with health professionals [16]. In terms of advances in storage and processing, cloud computing platforms largely reduce the fixed costs of building health analytics and big data processing solutions [17]. The literature shows mixed but generally positive effects for digital health, for example, reducing hospitalization and the use of emergency services [18], improving patient-physician communication and patient satisfaction [19], and promoting efficiency while reducing costs [20].
2. Co-Design and user engagement: A digital application of co-design in health information technologies has two generic capabilities, to codify knowledge and to create networks, which are in focus in this paper. This is a type of knowledge repository that includes organizational knowledge and can be used for network performance [14]. Involving nurse aides, residents, and families in the design and implementation process, as explored by [PERSON], ensures that health information technology solutions are responsive to the needs of all stakeholders. This is an egalitarian and utilitarian approach, in which the contributions of all stakeholders are valued equally, allowing people to see the benefits of the approach before they start working on and thinking about each project [21; 22; 23].
3. Fostering reciprocal behavior: Fostering reciprocal behavior across disciplines can play a key role in preparatory activities for the implementation of health information technologies in healthcare [14]. Collaboration not only facilitates adoption, but also improves the integration and practical use of health information technology innovations [24]. Combining different fields of knowledge requires a mix of qualitative and quantitative factors to evaluate processes, design solutions, typologies, technologies, etc.  
In summary, there are broad emerging solutions that health information technologies are becoming increasingly capable of implementing in improving patient outcomes, safety, and efficiency. A high level of technological readiness among nurses is required. The socio-technical approach emphasizes the interplay between human, organizational, and technical components in system implementation [9]. In LTC settings, effective platform integration must consider workflow adaptations, caregiver collaboration, and ethical concerns related to data security and patient confidentiality.  
This study focuses on this NAP indicator within the socio-technical approach, which combines both social and technological elements [25]. The aim is to raise awareness and support the development and implementation of these complex solutions by helping researchers and decision makers to better understand them.