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Routinization in Nursing Care: An Integrated Review
Reza Mohammad Pourhodki1, Zahra-Sadat Manzari2, Javad Moghri3
1Student Research Committee, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Iranian Journal of Nursing and Midwifery Research
|July 17, 2026
Summary
Routinization in nursing care impacts care quality and innovation. This review identified individual, organizational, communication, and patient factors contributing to this issue, highlighting the need for interventions.
Area of Science:
- Nursing Science
- Healthcare Quality Improvement
- Organizational Behavior in Healthcare
Background:
- Routinization in nursing care is a global concern, potentially diminishing care quality, creativity, and individualized patient attention.
- Understanding the factors driving routinization is crucial for developing strategies to maintain high standards in nursing practice.
Purpose of the Study:
- To identify and categorize factors associated with routinization in nursing care.
- To provide a comprehensive overview of the drivers of routinization in the nursing profession.
Main Methods:
- An integrated review methodology based on Whittemore and Knafl's five-stage process was utilized.
- A systematic literature search was conducted across multiple databases using relevant keywords, followed by critical appraisal of included articles.
Main Results:
- Twenty-three articles were included in the final review.
- Key factors influencing nursing care routinization were categorized into four domains: individual, organizational, communication, and patient-related.
- Workload, work environment, and nurse characteristics were identified as significant contributors.
Conclusions:
- Interventions are necessary to mitigate the negative impacts of routinization in nursing care.
- Addressing factors such as workload and work environment is essential for nurses to provide comprehensive and individualized care.
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