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Integrated Digital Decision-Making Systems in Maternal Nursing and Maternity Care: A Scoping Review
Darmayanti Darmayanti1, Restuning Widiasih2, Setiawan Hadi3
1Faculty of Nursing, Universitas Padjadjaran, Bandung, Jawa Barat, Indonesia.
Journal of Multidisciplinary Healthcare
|June 25, 2026
Summary
Integrated digital decision-making systems show promise for improving maternal care processes and patient satisfaction. However, their impact on critical clinical outcomes remains uncertain and depends on robust infrastructure and implementation support.
Area of Science:
- Maternal Health
- Digital Health
- Healthcare Systems
Background:
- Effective decision-making is crucial in maternal nursing and maternity care.
- Integrated digital systems (electronic records, decision support, mHealth) can aid evidence-informed care.
Purpose of the Study:
- To map evidence on the implementation, outcomes, and barriers of integrated digital decision-making systems in maternal nursing and maternity care.
Main Methods:
- A scoping review following the Arksey and O'Malley framework, enhanced by Levac et al.
- Searches in PubMed, Scopus, CINAHL (2011-2025) for English/Indonesian articles on digital decision-making in maternal care.
- Data synthesis using descriptive qualitative thematic analysis.
Main Results:
- Twelve studies identified four themes: protocol adherence, clinical outcomes, patient-centered outcomes, and implementation barriers.
- Systems improved protocol adherence, triage timeliness, staff confidence, and patient satisfaction.
- Clinical outcomes were mixed; implementation faced barriers like poor infrastructure, connectivity, and digital literacy.
Conclusions:
- Integrated digital systems can enhance maternal care processes and patient-centered outcomes.
- Impact on clinical outcomes is uncertain, contingent on infrastructure, workforce readiness, and sustained support.
- Addressing implementation barriers is key for effective digital integration in maternity services.
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