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August 28, 2026JMIR NursingOpen Access

Manifestations and Potential Consequences of Information Distortion in Electronic Nursing Records: Qualitative Study

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Authors

JWJianan WangYXYihong XuWLWen Li

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Overview

Qualitative study reveals patterns and hazards of documentation distortion in electronic nursing records, highlighting threats to patient safety and data integrity.

Key Points

  • To identify the primary manifestations and potential consequences of information distortion within electronic nursing records.
  • Conducted semistructured interviews with 12 nurses recruited via purposive and snowball sampling at a Class-A tertiary hospital in China.
  • Analyzed qualitative interview data using inductive content analysis to identify thematic categories.
  • Categorized record distortions into 4 primary domains (untimeliness, inaccuracy, incompleteness, and inconsistency) across 7 subcategories, including premature recording, delayed recording, incorrect data entry, fabrication, account misuse, missing data, and inconsistent data entry.
  • Identified adverse impacts spanning 3 major areas (patient-, nurse-, and data-related), which manifested as patient safety hazards, heightened negative emotions among nurses, damaged professional image, eroded professionalism, and compromised secondary data use.

Cite This Study

Wang et al. (2026) studied this question.

synapsesocial.com/papers/6a91467bd15324a1df3aa154https://doi.org/10.2196/96679
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