Electronic patient records as a tool to facilitate care provision in nursing homes: an integrative review

Kate Shiells, Iva Holmerova, Michal Steffl, Olga Stepankova

Research output: Contribution to journalArticle (Academic Journal)peer-review

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The electronic patient record (EPR) has been introduced into nursing homes with the aim of reducing time spent on documentation, improving documentation quality and increasing transferability of information, all of which should facilitate care provision. However, previous research has shown that EPR may be creating new burdens for staff. The purpose of this literature review is to explore how EPR is facilitating or hindering care provision in nursing homes.

An integrative literature review was carried out using four electronic databases to search for relevant articles. After screening, 22 articles were included for thematic synthesis.

Thematic synthesis resulted in six analytical themes linked to care provision: time for direct care; accountability; assessment and care planning; exchange of information; risk awareness; and person-centered care.

For EPR to facilitate care provision in nursing homes, consideration should be given to the type of device used for documentation, as well as the types of applications, the functionality, content, and structure of EPR. Further research exploring the experiences of end users is required to identify the optimal characteristics of an EPR system specifically for use in nursing homes.
Original languageEnglish
Pages (from-to)262-277
Number of pages16
JournalInformatics for Health and Social Care
Issue number3
Early online date20 Aug 2018
Publication statusPublished - 1 Jan 2019

Structured keywords

  • Digital Health
  • Physical and Mental Health


  • nursing home
  • long-term care
  • electronic patient record
  • electronic health record
  • Dementia care

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