Aim: Electronic health record systems are used widely to record people's past, present, and future health conditions. Like other healthcare professionals, nurses commonly use electronic health record systems and manage sizeable health-related data sets. Therefore, this review focused on the extent to which nurses in Turkey use EHRS/HIMS and which data are recorded therein.
Methods: This study is a traditional/narrative literature review. The authors searched five databases (Medline Complete, ScienceDirect, Web of Science, Google Scholar, and Ulakbim National Database). Articles about nursing data recorded on electronic health record systems/hospital information systems of Turkey, written in English or Turkish, from 2008 to 2022 were included.
Results: Ten articles were examined; the authors analyzed articles under two headings according to their results, 'medical treatment related nursing data' and 'nursing care related data.' The results show that medical treatment-related nursing data is documented more frequently electronically, whereas nursing care-related data is often kept in hard copy.
Conclusion: All medical treatments related nursing data (data employed or recorded by nurses) are documented electronically. However, to a great extent, nursing care-related data are still communicated verbally or recorded on paper forms. Hence, nursing care-related data need gradually be transferred to electronic systems for the sake of high-quality, safe, and continuous care.
Anahtar Kelimeler: Electronic health record system, Hospital information management system, Documentation, Nursing care, Nursing.