Haiyan Ji, Kangle Zhu, Zhiyu Shen, Huixia Zhu
Research on the application and effect of flipped-classroom combined with TBL teaching model in WeChat-platform-based biochemical teaching under the trend of COVID-19
BMC medical education
technology use impact human performance cognitive function studies sought understand electronic health records impact dimensions nurses work purpose review synthesize literature electronic health records impact nurses cognitive work integrative review medlinepubmed cinahl embase web science psycinfo literature search focused 3 concepts electronic health record cognition nursing practice yielded 4910 articles following stepwise process duplicate removal title abstract review full text review reference list searches total 18 studies included 12 qualitative 4 mixedmethods 2 quantitative studies united states 13 scandinavia 2 australia 1 austria 1 canada 1 mixed methods appraisal tool used assess quality eligible studies five themes identified nurses clinicians used electronic health record perceived impact 1 forming maintaining overview patient 2 cognitive work navigating electronic health record 3 use cognitive tools 4 forming maintaining shared understanding patient 5 loss information professional domain knowledge studies indicated forming maintaining overview patient individual team level difficult using electronic health record navigating volumes information challenging increased clinicians cognitive work information perceived scattered fragmented making difficult see chronology events situate understand clinical implications various data templatedriven nature documentation limitations narrative notes restricted clinicians ability express clinical reasoning decipher reasoning colleagues summary reports handoff tools electronic health record proved insufficient standalone tools support nurses work throughout shift handoff causing rely selfmade paper forms nurses needed tools facilitated ability individualize contextualize information order make clinically meaningful electronic health record perceived nurses impediment contextualizing synthesizing information communicating professionals structuring patient care synthesizing communicating information individual team levels known drivers patient safety findings review implications electronic health record design