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Electronic nursing documentation in paediatric palliative care: a scoping review
Andrea Beghè1, Stefano Mancin2, Elena Cacciapaglia3
1Registered nurse, ASST Rhodense, Garbagnate Milanese, Milan, Italy.
Electronic nursing documentation in electronic medical records (EMRs) enhances paediatric palliative care. Future research should explore technology integration for improved efficiency and comprehensive patient care documentation.
Area of Science:
- Nursing
- Health Informatics
- Palliative Care
Background:
- Nursing documentation is vital in paediatric palliative care.
- Electronic Medical Records (EMRs) are increasingly used for documentation.
Purpose of the Study:
- To assess the current state of nursing documentation in EMRs within paediatric palliative care.
- To identify best practices and areas for improvement in electronic nursing documentation.
Main Methods:
- A scoping review was conducted.
- Utilized Arksey and O'Malley's framework and Joanna Briggs Institute methodology.
- Included six studies from 1723 records.
Main Results:
- Electronic nursing documentation in EMRs was used for assessments, medication, wound care, and device management.
- EMRs should be user-friendly, text-searchable, and have designated documentation fields.
- End-user involvement in EMR development enhances system efficiency and completeness.
Conclusions:
- Electronic nursing documentation represents an advancement over paper-based methods in paediatric palliative care.
- Further research is needed to define specific documentation needs.
- Exploring technological advancements and artificial intelligence integration is recommended.
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