{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T12:01:36Z","timestamp":1785240096317,"version":"3.55.0"},"reference-count":127,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To map evidence and identify research gaps from primary studies on the impact of electronic health records (EHRs) on nurses and nursing care in low\u2010 and middle\u2010income countries (LMICs) from 2015 to 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A scoping literature review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review Methods<\/jats:title>\n                    <jats:p>Guided by the Joanna Briggs Institute (JBI) guidelines for evidence synthesis, two reviewers conducted screening and data extraction using Covidence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>A systematic search of Medline, Embase, CINAHL, Scopus, Web of Science, and WHO Global Index Medicus databases was conducted in May 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 6122 studies, 41 were included. Most employed quantitative methods, but often did not use validated tools or theoretical frameworks. EHRs improved documentation, but some quality deficits remain. Depersonalized care, workflow disruptions, reduced nurse\u2013patient interaction, and technostress were also reported. Regional research output disparities emerged.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The evidence demonstrates that EHRs enhanced nursing documentation and data access, yet were also associated with data quality deficits, increased burden, workflow disruption, technostress, and depersonalized care in LMICs. The LMIC regional research disparities and theoretically underdeveloped evidence base, particularly from Sub\u2010Saharan Africa, necessitate nurse\u2010led investigations of documentation quality, workload, care disruption and nurse well\u2010being to inform context\u2010sensitive practice, education and policy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implication for Nursing and\/or Patient Care<\/jats:title>\n                    <jats:p>The findings will guide nurses and policymakers in this region to optimize the use of digital health systems, promote equitable access, stimulate further research, provide solutions, and support effective ehealth transformation in LMICs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>This review identifies critical gaps in current research on electronic health records, highlighting both benefits and drawbacks for nurses and nursing care. The findings will guide nurses and policymakers in this region to improve digital systems implementation and inform future nursing research and policy development.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>Reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses extension for Scoping Reviews (PRISMA\u2010ScR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No Patient or Public Contribution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review Protocol Registration<\/jats:title>\n                    <jats:p>\n                      DOI:\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/doi.org\/10.17605\/OSF.IO\/GNTKS\">https:\/\/doi.org\/10.17605\/osf.io\/gntks<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nop2.70649","type":"journal-article","created":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T04:33:33Z","timestamp":1782448413000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of Electronic Health Records on Nurses and Nursing Care in Low\u2010 and Middle\u2010Income Countries: A Scoping Review"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6288-9931","authenticated-orcid":false,"given":"Wahab","family":"Osman","sequence":"first","affiliation":[{"name":"Lawrence Bloomberg Faculty of Nursing University of Toronto  Toronto Ontario Canada"},{"name":"School of Nursing and Midwifery University for Development Studies  Tamale Ghana"},{"name":"Ghana College of Nurses and Midwives (GCNM)  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1710-6985","authenticated-orcid":false,"given":"Stephanie","family":"Asah\u2010Ofori","sequence":"additional","affiliation":[{"name":"Lawrence Bloomberg Faculty of Nursing University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4423-1332","authenticated-orcid":false,"given":"Alexandra","family":"Harris","sequence":"additional","affiliation":[{"name":"Lawrence Bloomberg Faculty of Nursing University of Toronto  Toronto Ontario Canada"},{"name":"Unity Health Toronto  Toronto Ontario Canada"},{"name":"Li Ka Shing Knowledge Institute St. Michael's Hospital  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8014-2989","authenticated-orcid":false,"given":"Vida N.","family":"Yakong","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery University for Development Studies  Tamale Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8132-061X","authenticated-orcid":false,"given":"Kimberley","family":"Widger","sequence":"additional","affiliation":[{"name":"Lawrence Bloomberg Faculty of Nursing University of Toronto  Toronto Ontario Canada"},{"name":"Hospital for Sick Children  Toronto Ontario Canada"},{"name":"Institute for Clinical and Evaluative Science  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0333-7210","authenticated-orcid":false,"given":"Charlene H.","family":"Chu","sequence":"additional","affiliation":[{"name":"Lawrence Bloomberg Faculty of Nursing University of Toronto  Toronto Ontario Canada"},{"name":"KITE Research Institute, Toronto Rehabilitation Institute University Health Network  Toronto Ontario Canada"},{"name":"Institute for Life Course and Aging University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,25]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NEP.0000000000000126"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.imu.2022.101102"},{"key":"e_1_2_13_4_1","first-page":"388","volume-title":"Studies in Health Technology and Informatics","author":"Adedeji T.","year":"2023"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/2047\u20103095.12232"},{"key":"e_1_2_13_6_1","volume-title":"Africa Health Strategy","author":"African Union Commission","year":"2016"},{"issue":"1","key":"e_1_2_13_7_1","first-page":"1","article-title":"Use of Electronic Health Records in Sub\u2010Saharan Africa: Progress and Challenges","volume":"14","author":"Akanbi M. 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