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Integrating Spatial Awareness Into Nursing EHR Design: A Scoping Review of Usability and Cognitive Load.

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Τίτλος: Integrating Spatial Awareness Into Nursing EHR Design: A Scoping Review of Usability and Cognitive Load.
Συγγραφείς: Taylor-Vaughan L; College of Nursing, University of Arizona, Tucson, AZ., Boyles S, Eyler D, DeBoe JC, Garcia A, Puma S, Gephart S
Πηγή: Computers, informatics, nursing : CIN [Comput Inform Nurs] 2026 Jul 01; Vol. 44 (7). Date of Electronic Publication: 2026 Jul 01.
Τύπος έκδοσης: Journal Article; Scoping Review
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 101141667 Publication Model: Electronic Cited Medium: Internet ISSN: 1538-9774 (Electronic) Linking ISSN: 15382931 NLM ISO Abbreviation: Comput Inform Nurs Subsets: MEDLINE
Imprint Name(s): Original Publication: Hagerstown, MD : Lippincott Williams & Wilkins, c2002-
Ιατρικοί όροι (MeSH): Electronic Health Records* , Cognition* , User-Computer Interface* , Awareness*, Humans ; Digital Health
Περίληψη: Background: Usability challenges in electronic health records drive documentation burden and cognitive overload, especially in high-acuity settings. Current electronic health record design often fails to accurately reflect real-world clinical environments, disrupting workflow and decision-making processes. Integrating spatial awareness, which aligns physical clinical equipment with its digital representation, may enhance usability by reducing cognitive strain and fostering intuitive interaction.
Methods: This scoping review followed PRISMA-ScR guidelines. We searched 7 databases for peer-reviewed articles concerning the usability of electronic health records and cognitive load in relation to spatial awareness.
Results: Thirty-five articles met the inclusion criteria. Many were in acute care (71.4%). End-user populations: physicians (n=22, 62.9%), nurses (n=14, 40.0%), and other roles (n=8, 22.9%). Key findings included visual integration (88.6%), kinesthetic interaction (34.3%), and auditory cues (5.7%). Conventional fixes commonly improved entry speed but rarely reduced fragmentation or enhanced SA; no study implemented full room- or device-aligned spatial mapping. Most evaluations used prototype or custom systems (n=20, 57.1%).
Discussion: Despite advancements in interface technology, few systems achieve spatial integration within nursing workflows. Integrating spatial awareness represents a promising but untested design approach that warrants systematic evaluation alongside optimized, simpler solutions.
(Copyright © 2026 Wolters Kluwer Health, Inc. All rights reserved.)
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Contributed Indexing: Keywords: Cognitive load; Documentation burden; Electronic health records; Spatial awareness integration; Usability
Entry Date(s): Date Created: 20260129 Date Completed: 20260703 Latest Revision: 20260703
Update Code: 20260703
DOI: 10.1097/CIN.0000000000001473
PMID: 41607124
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1538-9774
DOI:10.1097/CIN.0000000000001473