Evidence map›Paper›PMID 41968743›Full record

ReviewJournal of nursing management2026

An Integrative Review of Automation Integration in Emergency Nursing Practice: Evidence Synthesis and Contextual Application to Rafidia Governmental Hospital, Palestine.

Ibrahim Aqtam, Mustafa Shouli, Saqr Alkorom

Abstract readReview
In one paragraph

Review in Journal of nursing management, 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

3 authors.

Ibrahim AqtamDepartment of Nursing, Ibn Sina College for Health Professions, Nablus University for Vocational and Technical Education, Nablus, State of Palestine.ORCID https://orcid.org/0000-0001-6339-9176
Mustafa ShouliDepartment of Nursing, Nablus University for Vocational and Technical Education, Nablus, State of Palestine.ORCID https://orcid.org/0009-0006-0560-9327
Saqr AlkoromDepartment of Nursing, Nablus University for Vocational and Technical Education, Nablus, State of Palestine.ORCID https://orcid.org/0009-0003-3494-1028

Funding

Nablus University for Vocational and Technical Education
6 · The paper itself

Abstract

aimTo synthesize evidence on automation integration in emergency nursing and propose a contextually appropriate implementation framework for a governmental hospital in Palestine.

designIntegrative review.

methodsFollowing the Whittemore and Knafl methodology, we conducted a comprehensive search across PubMed, CINAHL, Scopus, Web of Science, IEEE Xplore, and regional databases from January 2015 to March 2025. Two independent reviewers screened articles, with conflicts resolved through discussion. The quality of included studies was appraised using the Mixed Methods Appraisal Tool (MMAT). A total of 47 sources were included and analyzed thematically using NVivo 14, guided by sociotechnical systems theory and ethics of care principles.

resultsFive themes emerged: (1) types of automation with proven efficacy in emergency nursing; (2) outcomes including workflow efficiency gains (up to 40% time savings reported in high-resource settings) and safety improvements (30%-50% error reduction); (3) contextual barriers (infrastructure, financial constraints, and workforce readiness) and facilitators (nurse involvement and phased implementation); (4) ethical considerations specific to Arab healthcare contexts; and (5) alignment of local pilot experiences at Rafidia Hospital with global evidence. Key gaps identified include the absence of formal governance, limited evaluation infrastructure, and a lack of embedded sustainability planning, gaps that are particularly consequential in politically constrained, resource-limited environments.

conclusionAutomation holds significant promise for emergency nursing in Palestine, but success depends on contextual adaptation, nurse-led design, and sustainable planning.

Indexed as

AutomationEmergency NursingHumansMiddle Eastartificial intelligencedigital healthemergency nursingimplementation frameworklow-resource settingsnursing automationPalestine

Identifiers

PMID41968743
PMCPMC13071338

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.