Nurses' experiences using electronic medical record (EMR): A systematic review

Dewi Susanna Ginting; Wan Nishfa Dewi; Widia Lestari

doi:10.33024/minh.v7i8.625

Authors

Dewi Susanna Ginting Fakultas Ilmu Keperawatan, Universitas Riau
Wan Nishfa Dewi Fakultas Ilmu Keperawatan, Universitas Riau
Widia Lestari Fakultas Ilmu Keperawatan, Universitas Riau

DOI:

https://doi.org/10.33024/minh.v7i8.625

Keywords:

Documentation, Electronic Medical Record, Nurse Experience

Abstract

Background: The evolution of information and communication technology has led to significant changes in nursing care and the health care system, particularly through the use of Electronic Medical Records (EMR). This literature review focuses on the pivotal role of nurses in the development and implementation of EMR for the documentation of nursing care.

Purpose: To investigate nurses' experiences with electronic medical records (EMR) for documenting nursing care.

Method: A systematic review approach in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Articles were sourced from online databases such as PubMed, Google Scholar, Garuda, and Science and Technology Index (SINTA). The review was organized according to the PICOS framework. In this article, the PICOS criteria were defined as follows: P: Nurse and health worker, I: Nursing documentation uses electronic medical records, C: Explains the influence, impact of electronic documentation, O: Efficiency, quality of health care and safety of patient care, S: qualitative research methods. The keywords used in the search included “documentation of nursing”, “electronic medical record” and “nurse performance”. Articles were selected based on specific inclusion criteria: publication within the last five years (2019-2024), English language, use of qualitative research methodology, the nurse uses electronic medical records, and with full-text availability.

Results: The literature review found that most nurses felt a sense of ease and efficiency in filling out documentation, higher data accuracy, increased work productivity, and ease in identifying patient data to carry out nursing diagnoses regarding patient care, thereby underscoring the integral role of nurses in the development and use of EMR.

Conclusion: Computer-based nursing care documentation provides various conveniences and helps nurses deliver their care. Thus, considering the use of EMR in nursing documentation may increase the quality of care.

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