Electronic nursing documentation for patient safety, quality of nursing care, and documentation: A systematic review

被引:0
作者
Wahyuni, Erna Dwi [1 ]
Nursalam, Nursalam [1 ]
Dewi, Yulis Setiya [1 ]
Arifin, Hidayat [1 ]
Benjamin, Lizy Sonia [2 ]
机构
[1] Univ Airlangga, Dept Nursing, Surabaya, Indonesia
[2] King Khalid Univ, Dept Med Surg Nursing, Abha, Saudi Arabia
关键词
Documentation; Electronic health documentation; Nursing; Patient safety; Quality of healthcare; IMPLEMENTATION; RECORDS;
D O I
10.47391/JPMA.9996
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: To evaluate the impact of electronic nursing documentation on patient safety, quality of nursing care and Method: The systematic review was conducted in December 2022, and comprised a comprehensive search on Scopus, Scholar databases for English-language human studies published between 2018 and 2022. The key words used in the search included "Nursing", "care", "documentation", "record", "electronic", "process" and "health services". The risk of bias was assessed using Strengthening the Reporting of Observational Studies in Epidemiology tool. Results: Of the 469 items initially identified, 15(3.2%) were analysed in detail, indicating a positive influence of electronic nursing documentation on patient safety, care quality, and documentation. However, shortcomings were observed in the development of electronic nursing documentation for optimal effectiveness. Conclusion: Electronic nursing documentation significantly enhanced patient safety, care quality and documentation. To facilitate its integration into clinical settings, a standardised and logically structured electronic nursing documentation system is essential.
引用
收藏
页码:1669 / 1677
页数:9
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共 40 条
  • [1] Use of Electronic and Paper-based Standardized Nursing Care Plans to Improve Nurses' Documentation Quality in a Nigerian Teaching Hospital
    Adereti, Chinma Stella
    Olaogun, Adenike Ayobola
    [J]. INTERNATIONAL JOURNAL OF NURSING KNOWLEDGE, 2019, 30 (04) : 219 - 227
  • [2] Factors Associated with the Timeliness of Electronic Nursing Documentation
    Ahn, Meejung
    Choi, Mona
    Kim, YoungAh
    [J]. HEALTHCARE INFORMATICS RESEARCH, 2016, 22 (04) : 270 - 276
  • [3] Quality of nursing documentation: Paper-based health records versus electronic-based health records
    Akhu-Zaheya, Laila
    Al-Maaitah, Rowaida
    Hani, Salam Bany
    [J]. JOURNAL OF CLINICAL NURSING, 2018, 27 (3-4) : e578 - e589
  • [4] Nursing care management based on the Omaha system for inpatients diagnosed with COVID-19: An electronic health record study
    Ardic, Aysun
    Turan, Ebru
    [J]. JOURNAL OF ADVANCED NURSING, 2021, 77 (06) : 2709 - 2717
  • [5] Electronic Health Record Use in Swiss Nursing Homes and Its Association With Implicit Rationing of Nursing Care Documentation: Multicenter Cross-sectional Survey Study
    Ausserhofer, Dietmar
    Favez, Lauriane
    Simon, Michael
    Zuniga, Franziska
    [J]. JMIR MEDICAL INFORMATICS, 2021, 9 (03)
  • [6] The role of electronic medical records in improving the quality of health care services: Comparative study
    Ayaad, Omar
    Alloubani, Aladeen
    Abu ALhajaa, Eyad
    Farhan, Mohammad
    Abuseif, Sami
    Al Hroub, Ahmad
    Akhu-Zaheya, Laila
    [J]. INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS, 2019, 127 : 63 - 67
  • [7] Documenting patient risk and nursing interventions: record audit
    Bail, Kasia
    Merrick, Eamon
    Bridge, Chrysta
    Redley, Bernice
    [J]. AUSTRALIAN JOURNAL OF ADVANCED NURSING, 2020, 38 (01) : 36 - 44
  • [8] A longitudinal time and motion study quantifying how implementation of an electronic medical record influences hospital nurses' care delivery
    Bingham, Gordon
    Tong, Erica
    Poole, Susan
    Ross, Paul
    Dooley, Michael
    [J]. INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS, 2021, 153
  • [9] Secondary EMR data for quality improvement and research: A comparison of manual and electronic data collection from an integrated critical care electronic medical record system
    Brundin-Mather, Rebecca
    Soo, Andrea
    Zuege, Danny J.
    Niven, Daniel J.
    Fiest, Kirsten
    Doig, Christopher J.
    Zygun, David
    Boyd, Jamie M.
    Leigh, Jeanna Parsons
    Bagshaw, Sean M.
    Stelfox, Henry T.
    [J]. JOURNAL OF CRITICAL CARE, 2018, 47 : 295 - 301
  • [10] Patient participation in electronic nursing documentation: An interview study among home-care patients
    De Groot, Kim
    Douma, Judith
    Paans, Wolter
    Francke, Anneke L.
    [J]. HEALTH EXPECTATIONS, 2022, 25 (04) : 1508 - 1516