Digitization in nursing processes and the use of clinical decision support systems: do they improve perinatal indicators?

Abstract Background The increasing integration of digital technologies in healthcare has significantly enhanced the efficiency and quality of maternal and infant care services, with national and international bodies emphasizing the use of quality indicators to monitor and improve outcomes. Nursing p...

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Main Authors: Asibe Özkan, Zehra Acar
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Pregnancy and Childbirth
Subjects:
Online Access:https://doi.org/10.1186/s12884-025-07272-1
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author Asibe Özkan
Zehra Acar
author_facet Asibe Özkan
Zehra Acar
author_sort Asibe Özkan
collection DOAJ
description Abstract Background The increasing integration of digital technologies in healthcare has significantly enhanced the efficiency and quality of maternal and infant care services, with national and international bodies emphasizing the use of quality indicators to monitor and improve outcomes. Nursing plays a crucial role in this process, and the implementation of Clinical Decision Support Systems (CDSS) can further support nurses in providing high-quality care. Aim This study was carried out to determine the effects of digitization efforts and the CDSS, which were designed to improve perinatal indicators, on “safe childbirth checklist usage rates”, “rates of infants discharged following exclusive breastfeeding”, and “rates of mother–infant pairs starting skin–to–skin contact within one hour after delivery”. Methods The data for this retrospective, descriptive, and correlational study were collected between January and May 2024. The data, which were used to evaluate the perinatal indicators selected for the study and the effectiveness of digitization efforts and the CDSS designed for nursing, were obtained from indicator and log database records made in 2021–2023 in the Turkey Health Quality Indicators System (THQIS). Conclusion In the comparisons of the World Health Organization safe childbirth checklist usage rates, rates of infants discharged following exclusive breastfeeding, and rates of mother-infant pairs starting skin-to-skin contact within one hour after delivery according to the THQIS records in 2021, 2022, and 2023, the increase from 2021 to 2022 and the increase from the average of 2021–2022 to 2023 were found statistically significant. Digitization in nursing processes and the use of the CDSS were found to be highly beneficial for improving the perinatal indicators examined in the present study.
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spelling doaj-art-74792a714b034409b40085e1fc196d4a2025-08-20T03:00:40ZengBMCBMC Pregnancy and Childbirth1471-23932025-02-012511910.1186/s12884-025-07272-1Digitization in nursing processes and the use of clinical decision support systems: do they improve perinatal indicators?Asibe Özkan0Zehra Acar1Faculty of Nursing, Department of Obstetrics and Women’s Health Nursing, University of Health SciencesFaculty of Nursing, Department of Obstetrics and Women’s Health Nursing, University of Health SciencesAbstract Background The increasing integration of digital technologies in healthcare has significantly enhanced the efficiency and quality of maternal and infant care services, with national and international bodies emphasizing the use of quality indicators to monitor and improve outcomes. Nursing plays a crucial role in this process, and the implementation of Clinical Decision Support Systems (CDSS) can further support nurses in providing high-quality care. Aim This study was carried out to determine the effects of digitization efforts and the CDSS, which were designed to improve perinatal indicators, on “safe childbirth checklist usage rates”, “rates of infants discharged following exclusive breastfeeding”, and “rates of mother–infant pairs starting skin–to–skin contact within one hour after delivery”. Methods The data for this retrospective, descriptive, and correlational study were collected between January and May 2024. The data, which were used to evaluate the perinatal indicators selected for the study and the effectiveness of digitization efforts and the CDSS designed for nursing, were obtained from indicator and log database records made in 2021–2023 in the Turkey Health Quality Indicators System (THQIS). Conclusion In the comparisons of the World Health Organization safe childbirth checklist usage rates, rates of infants discharged following exclusive breastfeeding, and rates of mother-infant pairs starting skin-to-skin contact within one hour after delivery according to the THQIS records in 2021, 2022, and 2023, the increase from 2021 to 2022 and the increase from the average of 2021–2022 to 2023 were found statistically significant. Digitization in nursing processes and the use of the CDSS were found to be highly beneficial for improving the perinatal indicators examined in the present study.https://doi.org/10.1186/s12884-025-07272-1DigitizationClinical decision support systemsNursing information systemsNursing processOutcomes
spellingShingle Asibe Özkan
Zehra Acar
Digitization in nursing processes and the use of clinical decision support systems: do they improve perinatal indicators?
BMC Pregnancy and Childbirth
Digitization
Clinical decision support systems
Nursing information systems
Nursing process
Outcomes
title Digitization in nursing processes and the use of clinical decision support systems: do they improve perinatal indicators?
title_full Digitization in nursing processes and the use of clinical decision support systems: do they improve perinatal indicators?
title_fullStr Digitization in nursing processes and the use of clinical decision support systems: do they improve perinatal indicators?
title_full_unstemmed Digitization in nursing processes and the use of clinical decision support systems: do they improve perinatal indicators?
title_short Digitization in nursing processes and the use of clinical decision support systems: do they improve perinatal indicators?
title_sort digitization in nursing processes and the use of clinical decision support systems do they improve perinatal indicators
topic Digitization
Clinical decision support systems
Nursing information systems
Nursing process
Outcomes
url https://doi.org/10.1186/s12884-025-07272-1
work_keys_str_mv AT asibeozkan digitizationinnursingprocessesandtheuseofclinicaldecisionsupportsystemsdotheyimproveperinatalindicators
AT zehraacar digitizationinnursingprocessesandtheuseofclinicaldecisionsupportsystemsdotheyimproveperinatalindicators