Use of Artificial Intelligence in Electronic Health Records With Nursing Data Across Multiple Care Settings

BACKGROUND: In the pursuit of understanding current improvements that enhance nursing care leveraging emerging technologies, this study focused on answering "How has artificial intelligence been integrated into electronic health records, with an emphasis on nursing practice?" METHODS: This scoping review was conducted after the methodology proposed by the Joanna Briggs Institute and structured according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. The study protocol was registered on the Open Science Framework platform (DOI: 10.17605/OSF.IO/D96TY). Searches were performed across 7 databases, in addition to grey literature and manual reference screening. RESULTS: A total of 74 studies were included. A variety of artificial intelligence technologies were identified, particularly traditional supervised learning and natural language processing. Artificial intelligence contributed to clinical decision-making, risk anticipation, workload reduction through documentation automation, and the enhancement of documentation quality by improving its accuracy, completeness, and consistency. DISCUSSION: The adoption of these technologies demonstrates promising potential to optimize nursing documentation, support clinical decisions, and strengthen patient safety, thereby promoting a more efficient and evidence-based nursing practice. However, effective implementation requires attention to data quality, interoperability, and increased active engagement of nurses in the development and use of such technologies.