BACKGROUND:
Digital health technologies transcend geographic borders, yet their implementation often creates new inequities and could exclude frontline providers from decision-making. Health informatics, including electronic health records, artificial intelligence, and telehealth, hold transformative potential for sustainable healthcare delivery globally. However, critical barriers including inadequate workforce training, cybersecurity vulnerabilities, and technology resistance impact nursing workforces differently. Achieving health without borders requires inclusive implementation strategies that center provider perspectives while ensuring equitable access to technological benefits and sustainable healthcare transformation.

METHODS:
International narrative literature review (July 2024-February 2025) examining nurse perspectives across PubMed, PsycINFO, CINAHL, and Scopus databases. Inclusion criteria prioritized diverse geographic and healthcare settings to capture varied experiences across contexts. Analysis focused on equity gaps in technology access, inclusive implementation practices, and sustainability factors influencing long-term adoption success.

RESULTS:
Findings reveal persistent digital divides wherein health informatics benefits that could enhance data accessibility, care coordination, and workflow efficiency remain inequitably distributed. Often, the nursing workforce faces compounded barriers including limited training opportunities, language barriers in technology interfaces, and exclusion from system design processes. Evidence suggests that inclusive, nurse-centered approaches promote sustainable adoption. Critical success factors include: (1) co-design processes engaging diverse provider voices, (2) culturally responsive, multilingual training programs, (3) equitable infrastructure investment across settings, and (4) participatory governance frameworks ensuring frontline provider inclusion in policy development. When implemented equitably, health informatics strengthens healthcare workforce sustainability while improving outcomes for underserved populations.

CONCLUSIONS:
Achieving health without borders through digital transformation requires dismantling systemic barriers to technology equity and inclusion. Evidence-informed strategies must prioritize diverse nurse perspectives, invest in equitable infrastructure across all settings, and establish inclusive governance mechanisms. By centering equity, inclusion, and sustainability principles, health informatics can transcend traditional healthcare boundaries, strengthen global health systems, and deliver transformative benefits to all populations regardless of geography or resource availability.