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Meta-Analysis
. 2017 Apr 25;19(4):e122.
doi: 10.2196/jmir.6686.

Impact of Information and Communication Technologies on Nursing Care: Results of an Overview of Systematic Reviews

Geneviève Rouleau  1   2 , Marie-Pierre Gagnon  1   3 , José Côté  2   4 , Julie Payne-Gagnon  3 , Emilie Hudson  5 , Carl-Ardy Dubois  4
Affiliations
Meta-Analysis

Impact of Information and Communication Technologies on Nursing Care: Results of an Overview of Systematic Reviews

Geneviève Rouleau et al. J Med Internet Res. .

Abstract

Background: Information and communication technologies (ICTs) are becoming an impetus for quality health care delivery by nurses. The use of ICTs by nurses can impact their practice, modifying the ways in which they plan, provide, document, and review clinical care.

Objective: An overview of systematic reviews was conducted to develop a broad picture of the dimensions and indicators of nursing care that have the potential to be influenced by the use of ICTs.

Methods: Quantitative, mixed-method, and qualitative reviews that aimed to evaluate the influence of four eHealth domains (eg, management, computerized decision support systems [CDSSs], communication, and information systems) on nursing care were included. We used the nursing care performance framework (NCPF) as an extraction grid and analytical tool. This model illustrates how the interplay between nursing resources and the nursing services can produce changes in patient conditions. The primary outcomes included nurses' practice environment, nursing processes, professional satisfaction, and nursing-sensitive outcomes. The secondary outcomes included satisfaction or dissatisfaction with ICTs according to nurses' and patients' perspectives. Reviews published in English, French, or Spanish from January 1, 1995 to January 15, 2015, were considered.

Results: A total of 5515 titles or abstracts were assessed for eligibility and full-text papers of 72 articles were retrieved for detailed evaluation. It was found that 22 reviews published between 2002 and 2015 met the eligibility criteria. Many nursing care themes (ie, indicators) were influenced by the use of ICTs, including time management; time spent on patient care; documentation time; information quality and access; quality of documentation; knowledge updating and utilization; nurse autonomy; intra and interprofessional collaboration; nurses' competencies and skills; nurse-patient relationship; assessment, care planning, and evaluation; teaching of patients and families; communication and care coordination; perspectives of the quality of care provided; nurses and patients satisfaction or dissatisfaction with ICTs; patient comfort and quality of life related to care; empowerment; and functional status.

Conclusions: The findings led to the identification of 19 indicators related to nursing care that are impacted by the use of ICTs. To the best of our knowledge, this was the first attempt to apply NCPF in the ICTs' context. This broad representation could be kept in mind when it will be the time to plan and to implement emerging ICTs in health care settings.

Trial registration: PROSPERO International Prospective Register of Systematic Reviews: CRD42014014762; http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42014014762 (Archived by WebCite at http://www.webcitation.org/6pIhMLBZh).

Keywords: eHealth; information and communication technology; nursing care; review, overview of systematic review; telehealth.

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Conflict of interest statement

Conflicts of Interest: None declared.

Figures

Figure 1
Figure 1
Nursing care performance framework.
Figure 2
Figure 2
The preferred reporting items for systematic reviews and meta-analyses (PRISMA) study flow diagram. ICT: information and communication technology.
Figure 3
Figure 3
Presentation of results.
See this image and copyright information in PMC

References

    1. Eng T. The e-Health Landscape: A Terrain Map of Emerging Information and Communication Technologies in Health and Health Care. Princeton, NJ: The Robert Wood Johnson Foundation; 2001.
    1. World Health Organization. 2016. [2017-01-21]. e-Health http://www.who.int/topics/ehealth/en/
    1. Carrington JM, Tiase VL. Nursing informatics year in review. Nurs Adm Q. 2013;37(2):136–43. doi: 10.1097/NAQ.0b013e3182869deb.00006216-201304000-00009 - DOI - PubMed
    1. Institute of Medicine . The Future of Nursing: Leading Change, Advancing Health. Washington, DC: The National Academies press; 2011. - PubMed
    1. Monteiro AP. Cyborgs, biotechnologies, and informatics in health care - new paradigms in nursing sciences. Nurs Philos. 2016 Jan;17(1):19–27. doi: 10.1111/nup.12088. - DOI - PubMed