Evidence map›Paper›PMID 41564275›Full record

ArticleJMIR nursing2026

Nurses' Expectations of a Knowledge Management System in Nursing Practice: Qualitative Study.

Magdalena Vogt, Sebastian Müller, Glorianna Wagner-Jagfeld, Renate Ranegger, Sabin Zürcher, Janine Vetsch

Abstract read
In one paragraph

Article in JMIR nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

6 authors.

Magdalena VogtInstitute of Health Sciences, Eastern Switzerland University of Applied Sciences, Rosenbergerstrasse 59, St. Gallen, 9000, Switzerland, 41 582571354.ORCID 0009-0002-1281-8304
Sebastian MüllerInstitute of Information and Process Management, Eastern Switzerland University of Applied Sciences, St. Gallen, Switzerland.ORCID 0000-0001-9877-0086
Glorianna Wagner-JagfeldDepartment of Research and Development, LEP AG, St. Gallen, Switzerland.ORCID 0000-0001-7588-1533
Renate RaneggerDepartment of Research and Development, LEP AG, St. Gallen, Switzerland.ORCID 0000-0003-1746-2140
Sabin ZürcherDepartment of Nursing Development, Lindenhofgruppe Bern, Bern, Switzerland.ORCID 0009-0006-3862-1728
Janine VetschInstitute of Health Sciences, Eastern Switzerland University of Applied Sciences, Rosenbergerstrasse 59, St. Gallen, 9000, Switzerland, 41 582571354.ORCID 0000-0002-5564-7093

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Evidence-based practice is essential for delivering safe, high-quality nursing care; however, its implementation remains challenging due to barriers such as limited knowledge, a lack of supportive organizational culture, and insufficient access to relevant knowledge at the point of care. Knowledge management systems (KMSs) have the potential to bridge this gap by integrating evidence into the nursing process through technological support. Despite growing interest, the integration of KMS into daily nursing practice is still underexplored, especially from the perspective of frontline nurses. Objective: The aim of this study was to explore nurses' perspectives on the requirements for a KMS that supports evidence-based practice at the point of care, with a focus on usability, process integration into the electronic nursing care plan and patient chart, and implementation challenges and benefits. Methods: A qualitative study was conducted in a Swiss hospital using observations, focus groups, and individual interviews with 6 registered nurses, 9 advanced practice nurses, 2 nursing managers, and 1 head physician. Data were analyzed using thematic analysis. Results: The analysis revealed four main categories and ten subcategories: (1) content of the KMS, (2) personal and structural factors of knowledge management, (3) technical conditions of the KMS, and (4) implementation of a KMS. Participants emphasized the need for an intuitively structured, process-integrated system that links evidence-based information directly to nursing interventions in the electronic nursing care plan and patient chart. Organizational support, interprofessional collaboration, and clear responsibilities were identified as critical for successful implementation. Conclusions: There is a clear need for a KMS that is user-friendly, seamlessly integrated into clinical workflows, and supports quick, reliable access to evidence-based knowledge. A KMS could enhance nurses' access to reliable knowledge, promote evidence-based decision-making, and strengthen professional confidence at the point of care. By embedding evidence directly into the electronic nursing care plan and patient chart, such systems can streamline workflows, reduce time spent searching for information, and support more consistent application of best practices. These capabilities may improve information retrieval and contribute to a safer, more consistent nursing practice.

Indexed as

Attitude of Health PersonnelKnowledge ManagementNursesAdultFemaleFocus GroupsHumansQualitative ResearchSwitzerlandevidence-based practiceknowledge managementknowledge management systemnursingpoint of carequalitative research

Identifiers

PMID41564275
PMCPMC12822857

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Registered trials

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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.