Unintentional consequences nurses experienced while using the electronic health record; Systematic review

Background: Nurses are important users of EHRs, but little is known about their experiences or if they think that EHRs contribute to high-quality care and patient safety. Examining published articles that address nurses' experiences with unexpected EHR outcomes is the goal of this review. Method: we searched for papers published between 2009 and 2024 using the keywords "nurse" and "unintended consequences" in the CINAHL and PubMed databases. 98 references were found. Three more were added following a "hand" search. After duplication removal and assessment of full text we included 7 articles in our systematic review. Result: Seven publications describing nurses' experiences with unintentional results in EHR were included. Six of the investigations used qualitative methods, and one used mixed approaches. Several study teams wrote the seven reports. In six of the studies, the population of interest was nurses who directly care for patients at the bedside in acute care settings. Small-sample qualitative methodology and content analysis techniques were the most widely used approaches. Conclusion: The findings demonstrated many of the unanticipated outcomes that have been reported in studies focused on the EHR—workflow time, communication, a learning curve during deployment, system problems, patient safety, nurse satisfaction, interruptions in documentation, efficiency, and functionality—were revealed.