共 40 条
Electronic nursing documentation for patient safety, quality of nursing care, and documentation: A systematic review
被引:0
作者:

Wahyuni, Erna Dwi
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h-index: 0
机构:
Univ Airlangga, Dept Nursing, Surabaya, Indonesia Univ Airlangga, Dept Nursing, Surabaya, Indonesia

Nursalam, Nursalam
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h-index: 0
机构:
Univ Airlangga, Dept Nursing, Surabaya, Indonesia Univ Airlangga, Dept Nursing, Surabaya, Indonesia

Dewi, Yulis Setiya
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h-index: 0
机构:
Univ Airlangga, Dept Nursing, Surabaya, Indonesia Univ Airlangga, Dept Nursing, Surabaya, Indonesia

Arifin, Hidayat
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h-index: 0
机构:
Univ Airlangga, Dept Nursing, Surabaya, Indonesia Univ Airlangga, Dept Nursing, Surabaya, Indonesia

论文数: 引用数:
h-index:
机构:
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.
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页码:1669 / 1677
页数:9
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- [1] Use of Electronic and Paper-based Standardized Nursing Care Plans to Improve Nurses' Documentation Quality in a Nigerian Teaching Hospital[J]. INTERNATIONAL JOURNAL OF NURSING KNOWLEDGE, 2019, 30 (04) : 219 - 227Adereti, Chinma Stella论文数: 0 引用数: 0 h-index: 0机构: Obafemi Awolowo Univ, Dept Nursing Sci, Ife, Nigeria Obafemi Awolowo Univ, Dept Nursing Sci, Ife, NigeriaOlaogun, Adenike Ayobola论文数: 0 引用数: 0 h-index: 0机构: Obafemi Awolowo Univ, Dept Nursing Sci, Ife, Nigeria Obafemi Awolowo Univ, Dept Nursing Sci, Ife, Nigeria
- [2] Factors Associated with the Timeliness of Electronic Nursing Documentation[J]. HEALTHCARE INFORMATICS RESEARCH, 2016, 22 (04) : 270 - 276Ahn, Meejung论文数: 0 引用数: 0 h-index: 0机构: Yonsei Univ Hlth Syst, Dept Nursing, Seoul, South Korea Yonsei Univ Hlth Syst, Dept Nursing, Seoul, South KoreaChoi, Mona论文数: 0 引用数: 0 h-index: 0机构: Yonsei Univ, Mo Im Kim Nursing Res Inst, Coll Nursing, 50 Yonsei Ro, Seoul 03722, South Korea Yonsei Univ Hlth Syst, Dept Nursing, Seoul, South KoreaKim, YoungAh论文数: 0 引用数: 0 h-index: 0机构: Yonsei Univ Hlth Syst, Dept Med Informat, Seoul, South Korea Yonsei Univ Hlth Syst, Dept Nursing, Seoul, South Korea
- [3] Quality of nursing documentation: Paper-based health records versus electronic-based health records[J]. JOURNAL OF CLINICAL NURSING, 2018, 27 (3-4) : e578 - e589Akhu-Zaheya, Laila论文数: 0 引用数: 0 h-index: 0机构: Jordan Univ Sci & Technol, Irbid, Jordan Jordan Univ Sci & Technol, Irbid, JordanAl-Maaitah, Rowaida论文数: 0 引用数: 0 h-index: 0机构: Jordan Univ Sci & Technol, Irbid, Jordan Jordan Univ Sci & Technol, Irbid, JordanHani, Salam Bany论文数: 0 引用数: 0 h-index: 0机构: Jordan Univ Sci & Technol, Irbid, Jordan Jordan Univ Sci & Technol, Irbid, Jordan
- [4] Nursing care management based on the Omaha system for inpatients diagnosed with COVID-19: An electronic health record study[J]. JOURNAL OF ADVANCED NURSING, 2021, 77 (06) : 2709 - 2717Ardic, Aysun论文数: 0 引用数: 0 h-index: 0机构: Istanbul Univ Cerrahpasa, Florence Nightingale Fac Nursing, Istanbul, Turkey Istanbul Univ Cerrahpasa, Florence Nightingale Fac Nursing, Istanbul, TurkeyTuran, Ebru论文数: 0 引用数: 0 h-index: 0机构: Istanbul Haydarpasa Numune Training & Res Hosp, Istanbul, Turkey Istanbul Univ Cerrahpasa, Florence Nightingale Fac Nursing, Istanbul, Turkey
- [5] Electronic Health Record Use in Swiss Nursing Homes and Its Association With Implicit Rationing of Nursing Care Documentation: Multicenter Cross-sectional Survey Study[J]. JMIR MEDICAL INFORMATICS, 2021, 9 (03)论文数: 引用数: h-index:机构:论文数: 引用数: h-index:机构:Simon, Michael论文数: 0 引用数: 0 h-index: 0机构: Univ Basel, Dept Publ Hlth, Nursing Sci, Bernoullistr 28, CH-4056 Basel, Switzerland Bern Univ Hosp, Nursing Res Unit, Inselspital, Bern, Switzerland Coll Hlth Care Profess Claudiana, Bolzano, ItalyZuniga, Franziska论文数: 0 引用数: 0 h-index: 0机构: Univ Basel, Dept Publ Hlth, Nursing Sci, Bernoullistr 28, CH-4056 Basel, Switzerland Coll Hlth Care Profess Claudiana, Bolzano, Italy
- [6] The role of electronic medical records in improving the quality of health care services: Comparative study[J]. INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS, 2019, 127 : 63 - 67Ayaad, Omar论文数: 0 引用数: 0 h-index: 0机构: King Hussein Canc Ctr, Dept Nursing Jordan, Qual & Patient Safety, Amman, Jordan King Hussein Canc Ctr, Dept Nursing Jordan, Qual & Patient Safety, Amman, JordanAlloubani, Aladeen论文数: 0 引用数: 0 h-index: 0机构: King Hussein Canc Ctr, Nursing Res Unit, Amman, Jordan Harvard Med Sch, Boston, MA 02115 USA King Hussein Canc Ctr, Dept Nursing Jordan, Qual & Patient Safety, Amman, JordanAbu ALhajaa, Eyad论文数: 0 引用数: 0 h-index: 0机构: Abdali Med Ctr, Amman, Jordan King Hussein Canc Ctr, Dept Nursing Jordan, Qual & Patient Safety, Amman, JordanFarhan, Mohammad论文数: 0 引用数: 0 h-index: 0机构: King Hussein Canc Ctr, Amman, Jordan King Hussein Canc Ctr, Dept Nursing Jordan, Qual & Patient Safety, Amman, JordanAbuseif, Sami论文数: 0 引用数: 0 h-index: 0机构: Al Ghad Int Coll Appl Med Sci, Riyadh, Saudi Arabia King Hussein Canc Ctr, Dept Nursing Jordan, Qual & Patient Safety, Amman, JordanAl Hroub, Ahmad论文数: 0 引用数: 0 h-index: 0机构: King Hussein Canc Ctr, Amman, Jordan King Hussein Canc Ctr, Dept Nursing Jordan, Qual & Patient Safety, Amman, JordanAkhu-Zaheya, Laila论文数: 0 引用数: 0 h-index: 0机构: Jordan Univ Sci & Technol, Fac Nursing, Irbid, Jordan King Hussein Canc Ctr, Dept Nursing Jordan, Qual & Patient Safety, Amman, Jordan
- [7] Documenting patient risk and nursing interventions: record audit[J]. AUSTRALIAN JOURNAL OF ADVANCED NURSING, 2020, 38 (01) : 36 - 44论文数: 引用数: h-index:机构:论文数: 引用数: h-index:机构:Bridge, Chrysta论文数: 0 引用数: 0 h-index: 0机构: Australian Coll Nursing, Membership Serv, Deakin, ACT, Australia Univ Canberra, Canberra, ACT, AustraliaRedley, Bernice论文数: 0 引用数: 0 h-index: 0机构: Deakin Univ, Ctr Qual & Patient Safety Res Monash Hlth Partner, Burwood, Vic, Australia Univ Canberra, Canberra, ACT, Australia
- [8] A longitudinal time and motion study quantifying how implementation of an electronic medical record influences hospital nurses' care delivery[J]. INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS, 2021, 153Bingham, Gordon论文数: 0 引用数: 0 h-index: 0机构: Alfred Hlth, Nursing Serv, Melbourne, Vic, Australia Alfred Hlth, Nursing Serv, Melbourne, Vic, AustraliaTong, Erica论文数: 0 引用数: 0 h-index: 0机构: Alfred Hlth, Dept Pharm, Melbourne, Vic, Australia Alfred Hlth, Nursing Serv, Melbourne, Vic, AustraliaPoole, Susan论文数: 0 引用数: 0 h-index: 0机构: Alfred Hlth, Dept Pharm, Melbourne, Vic, Australia Alfred Hlth, Nursing Serv, Melbourne, Vic, AustraliaRoss, Paul论文数: 0 引用数: 0 h-index: 0机构: Alfred Hlth, Intens Care Unit, Melbourne, Vic, Australia Alfred Hlth, Nursing Serv, Melbourne, Vic, AustraliaDooley, Michael论文数: 0 引用数: 0 h-index: 0机构: Alfred Hlth, Dept Pharm, Melbourne, Vic, Australia Monash Univ, Ctr Medicat Use & Safety, Melbourne, Vic, Australia Alfred Hlth, Nursing Serv, Melbourne, Vic, Australia
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