Objective To conduct a scoping review of literature related to evaluation indicators for nursing clinical decision support systems (CDSS), providing a reference for constructing a scientific, standardized, and localized evaluation indicator system. Methods Guided by the scoping review methodology and focusing on nursing CDSS evaluation indicators, a systematic search was conducted across domestic and international databases. The search period spanned from the inception of the databases to April 1, 2025. Results The evaluation indicators for nursing CDSS were categorized into three primary indicators:nursing staff, patients, and system technology, encompassing 24 secondary indicators. These indicators appeared a total of 512 times, with nursing staff-related indicators appearing 208 times (40.62%), patient-related indicators 126 times (24.61%), and technical-level indicators 178 times (34.77%). In China, the top five secondary indicators by frequency were nursing quality outcomes, patient outcomes, nursing quality processes, nursing workload, and decision effectiveness. Internationally, the top five secondary indicators were alert clinical relevance (fit), decision effectiveness, nursing quality outcomes, patient outcomes, and algorithm maturity. Conclusion Evaluation indicators for nursing CDSS focus on three core dimensions:nursing staff, patients, and system technology, with differing emphases between domestic and international research. Future studies should follow international clinical guidelines, determine the weights of various indicators, and encourage medical institutions to adopt unified standard assessment tools to enhance the accuracy and effectiveness of CDSS evaluations.