Exploring Cultural and Technological Gaps: A Qualitative Study of Spanish and Colombian Nursing Students’ Views on Digital Health Leadership

Abstract

Introduction: Nurse-led digital transformation requires cultural competence. Because caregivers’ cultural beliefs shape digital practices, understanding these perspectives during university training is vital. This study analyzes the beliefs of nursing students in Spain and Colombia regarding health technology implementation to identify gaps influencing future digital leadership. Methodology: This qualitative descriptive study included 208 students. Data collection involved playful, reflective workshops using interactive tools. Thematic analysis was used to analyze the data guided by a transcultural nursing framework. Results: Four main themes emerged: digital empowerment as culture care accommodation in patient data management; nurses as agents balancing technology and humanistic care; improved communication and collaboration via digital tools; and multifaceted barriers, including cultural, educational, and systemic challenges to technology integration. Discussion: The findings emphasize the need for culturally competent digital leadership in nursing education. Bridging these specific cultural and technological gaps is essential to foster equitable, culturally congruent care in digital environments.