Nursing information systems and quality indicators: contributions and challenges

  • Tiago Nascimento
  • Inês Frade
  • Susana Miguel
  • Helena Presado
  • Mário Cardoso


The information systems, where the quality indicators are found, aim to standardise health records. Their provision translates into challenges and contributions, so we propose a reflection on this theme. With this research, you                 have access to the literature on their analysis, and a literature review on this issue has been published in the literature to obtain an indication of the literature on the quality information systems of nursing care, which have a positive impact on the quality of care, measuring the quality of the tests and, in addition, the comparability between them, with an impact in practice.

According to the European Comission (2019), most European countries have performance measurement strategies aimed at improving the quality of health services. These strategies typically include sets of indicators that are measured over time; The number of indicators ranges from less than 30 (Austria) to over 1,000 (Finland). Information systems can be understood as a set of procedures that aim to transmit information between individuals and organs by any means (Amélia, Benito, & I, 2009). According to Tan  (1995, p. 6), information systems are “the application of a total systems perspective in linking relevant theoretical principles with practical methodologies for the effective management of information technologies and their applications to improve the provision of information services. Health in the context of current and future healthcare environments. ” Information systems, however, such as DREAM, SINUS and the user card are maladjusted from a functional and technological point of view, presenting several weaknesses (Espanha, 2010). About nursing information systems, the Order of Nurses (2007, p.1) warns of the relevance, not only of “the legal and ethical imperatives of information systems as well as those arising from its importance for clinical decisions, continuity and quality of care, management, training, research and decision-making processes.”

Studies estimate that concomitant use of standardised computer support and language provide complete and accurate information, contributing to the quality of nursing records (Pinto, Cruz, & Ferreira, 2003). The same authors argue two preponderant questions, in the first instance, that the quality of care is directly related to the quality of nursing records and secondly that the use of standardised language combined with computer tools contributes to better decision making. The nurses' conceptions highlighted that this is a system that facilitates practice, considering access, availability of information, speed, practicality, clarity and optimisation of physical space (Fran et al., 2011). Nurses empirically understand the importance of information systems, from the perspective of resource optimisation as well as the ease of access and increased security of recorded information.