Evidence map›Paper›PMID 39758050›Full record

ArticleWestern journal of nursing research2025

Implementing Oncologic Nursing Care Plans in Electronic Health Records With Two Taxonomies: A Pilot Study.

Serena Togni, Lucia Saracino, Mariangela Cieri, Rosita Bianco, Stefano Terzoni, Santini Magda Giulia, Emanuela Zito, Maura Lusignani, Pazzaglia Maria Silvia, Letizia Depalma

Abstract read
In one paragraph

Article in Western journal of nursing research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. ICNPReports (MDPI) · 2026
    Article
  2. Developing a Subset of ICNPHealthcare (Basel, Switzerland) · 2026
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Serena TogniFondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.ORCID 0000-0002-8518-1036
Lucia SaracinoFondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.ORCID 0009-0000-8012-2638
Mariangela CieriFondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.ORCID 0009-0006-2712-7134
Rosita BiancoFondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.ORCID 0009-0006-2124-0689
Stefano TerzoniDepartment of Biomedical Sciences for Health, University of Milan, Milan, Italy.ORCID 0000-0002-0716-5663
Santini Magda GiuliaFondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.ORCID 0009-0000-1325-6062
Emanuela ZitoFondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.ORCID 0000-0002-8318-4030
Maura LusignaniDepartment of Biomedical Sciences for Health, University of Milan, Milan, Italy.ORCID 0000-0002-5389-9879
Pazzaglia Maria SilviaFondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.
Letizia DepalmaFondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.ORCID 0000-0002-1324-3939

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNursing care plans document the nursing process, displaying actions, and illustrating expected outcomes. Their integration into electronic health records (EHRs) is critical for accurate documentation, enhanced by standardized nursing terminologies that promote communication, critical reasoning, and patient safety through consistent language for information.

objectiveThis study aimed to identify appropriate standardized nursing terminology tailored to the context of a Northern Italian Cancer Center and research facility for developing nursing care plans and starting their integration into institutional EHRs.

methodsParticipatory action research was conducted to select proper terminology respecting the oncological setting, develop nursing care plans, and start their implementation in EHRs. The nursing team of a pilot ward collaborated closely with the researchers as coresearchers. Care plan samples were presented using the North American Nursing Diagnosis Association-International Nursing Intervention Classification, Nursing Outcomes Classification, and International Classification for Nursing Practice (ICNP) in the test section of the EHRs to gather nurses' preferences. Quantitative data collection, focus groups, and survey analyses were conducted.

resultsNurses chose the ICNP for its flexibility but sought better methods to define patient severity in assessments and outcomes. They suggested incorporating the Common Terminology Criteria for Adverse Events to enable context-sensitive care plans.

conclusionsEnd-user involvement is essential for developing EHRs, enhancing system usability, and reducing implementation resistance. Including nurses in management decisions empowers them, and improves care quality.

Indexed as

Electronic Health RecordsOncology NursingPatient Care PlanningStandardized Nursing TerminologyFemaleFocus GroupsHumansItalyPilot ProjectsSurveys and QuestionnairesCommon Terminology Criteria for Adverse Eventselectronic health recordsInternational Classification for Nursing Practicenursing care plansoncology nursing

Identifiers

PMID39758050
PMCPMC11812278

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.