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This is a Systematic Review study.

September 10, 2025HealthcareOpen Access

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

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Integration of standardized nursing terminologies with electronic health records is increasing, yet inconsistently documented.
Approximately one-third of studies explicitly reported using electronic health records; trends suggest rising usage over the decade.
Gordon’s Eleven Functional Health Patterns was commonly used alongside NANDA-I diagnoses in nursing assessments.
Inter-rater reliability varied across studies, indicating inconsistencies in assessment methods and reporting.

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Secondary analysis reveals trends in the use of nursing assessment data in electronic health records, highlighting inconsistencies in reporting.

Bertocchi et al. (2025) studied this question.

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Secondary analysis reveals trends in the use of nursing assessment data in electronic health records, highlighting inconsistencies in reporting.