August 9, 2025HealthcareOpen Access

Standardized Nursing Terminologies and Electronic Health Records: A Secondary Analysis of a Systematic Review

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Discussion

Secondary analysis reveals upward trends in integration of nursing assessment into EHRs, suggesting improved outcomes.

The integration of standardized nursing terminologies into electronic health records is increasing, but details are often inconsistently reported.
Approximately one-third of studies indicated EHR usage, with a notable upward trend observed over the last decade.
Analysis included data from 53 primary studies extracted from multiple databases, focusing on nursing assessment tools and reliability.
Standardizing documentation practices may enhance nursing visibility and improve quality measurement in clinical settings.

Bertocchi et al. (2025) studied this question.

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