Abstract
BackgroundThe adoption of electronic health records (EHRs) has revolutionized healthcare delivery, offering potential benefits for enhancing the quality and safety of pediatric nursing care. However, the effective implementation and utilization of EHRs in pediatric settings present unique challenges.ObjectivesThis systematic review aims to critically analyze the available literature on the role of EHRs in improving various aspects of pediatric nursing care, including clinical documentation, medication management, care coordination, and patient engagement.MethodsA comprehensive search of multiple electronic databases (PubMed, CINAHL, Embase, and Cochrane Library) was conducted to identify relevant studies published between January 2000 and March 2023. Eligible studies included randomized controlled trials (RCTs), observational studies, and qualitative research investigating the impact of EHRs on pediatric nursing care outcomes. Study selection, data extraction, and quality assessment were performed by two independent reviewers.ResultsOut of 1,257 records, 28 studies (12 RCTs, 10 observational, 6 qualitative) were included, involving 3,642 pediatric patients and 1,278 healthcare professionals. EHRs were associated with a 20% improvement in clinical documentation completeness. However, initial implementation was associated with increased documentation time. EHRs with computerized provider order entry (CPOE) reduced medication errors by 30%, but initial training challenges were noted. Redundant testing was reduced by 15%, and care continuity improved by 25% with EHR implementation. Key themes from qualitative research included increased patient involvement in care decisions and improved satisfaction with care processes.ConclusionEHRs have the potential to enhance various aspects of pediatric nursing care, including improved documentation, medication management, care coordination, and patient engagement. Nonetheless, successful implementation requires addressing system usability, interoperability, and user acceptance through comprehensive training, workflow redesign, and ongoing technical support.Systematic review registration This review was registered with PROSPERO (CRD42024563092).
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