Electronic medical record use in nurse education curricula: A systematic review

Williams, Cynthia; Moody, LaRee; Martinez, Dayana

doi:10.1016/j.teln.2021.02.007

Cited by 9 publications

(17 citation statements)

References 27 publications

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“…The AEHR is an electronic records system specifically designed for educational use to support simulation learning. 30 Traditionally, AEHRs have been predominately used in professional education programs 26,[30][31][32] 9 educational efforts for practicing clinicians, such as continuing education courses. In fact, the education and training of practicing clinicians is essential when initiating profession-wide efforts, such as promoting wide-spread use of electronic records, as practicing clinicians make up the vast majority of the profession.…”

Section: Simulated Electronic Records Systems: Supporting Focused Educational Initiatives and Targeted Trainingmentioning

confidence: 99%

The Critical Need for Advanced Training in Electronic Records Use: Implications for Clinical Practice, Education, and the Advancement of Athletic Training

Lam

Anderson

Bacon

2021

Journal of Athletic Training

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Context: The effective use of electronic records (ie, electronic health/medical records) is essential to professional initiatives and the overall advancement of the athletic training profession. However, evidence suggests comprehensive patient care documentation and wide-spread use of electronic records is still limited in athletic training. The lack of formal training and education for clinicians and students are often cited as primary barriers to electronic records use. Other healthcare disciplines have used academic electronic health records (AEHR) systems to address these barriers with promising results. Objectives: To identify common challenges associated with the effective use of electronic records in clinical practice, discuss how an AEHR can address these challenges and encourage more effective use of electronic records, and describe strategies for deploying AEHRs within the athletic training profession. Description: The AEHR is an electronic records system specifically designed for educational use to support simulation learning among all types of learners (eg, practicing clinicians, students). Mimicking the form and function of an EHR, the AEHR offers various educational tasks including patient care documentation projects, critical reviews of standardized patient cases, and assessments of patient care data for quality improvement efforts. Clinical and Research Advantages: Recent evidence suggests the use of an AEHR can improve knowledge and enhance skills. Specifically, AEHR use has been associated with enhanced attitudes toward EHR technology, enhanced informatics competencies, and improved documentation skills. Also, the use of an AEHR has been associated with improved critical thinking and decision-making skills. AEHRs appear to be valuable tools for health professions education and athletic training stands to benefit from AEHR use to better train and upskill clinicians and students alike for clinical practice. Although the implementation of an AEHR will require much time and large-scale coordinated efforts, it will be a worthy investment to address current challenges and advance the athletic training profession.

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Section: Simulated Electronic Records Systems: Supporting Focused Educational Initiatives and Targeted Trainingmentioning

confidence: 99%

The Critical Need for Advanced Training in Electronic Records Use: Implications for Clinical Practice, Education, and the Advancement of Athletic Training

Lam

Anderson

Bacon

2021

Journal of Athletic Training

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“…(Everett-Thomas et al, 2021). [6] Williams et al, 2021 [7] spotlight the gap in education of nurses and emphasize the need for nursing schools to strive to impart knowledge to nurses while they are in training, so nurses can attain adequate knowledge of EHR documentation and general training, in order to meet the present demands of nursing practice. The authors cited preceding studies that touched on the inadequate preparedness of nurses in data entry and mining, prior to entering the workforce.…”

Section: Introductionmentioning

confidence: 99%

“…This has accounted for the slow pace in incorporating and sufficiently implementing information technology into formal nursing education curricula and practice. Even in situations where a learning environment is provided, students' attitudes and cultural beliefs are noted to have influenced student engagement in learning the new technology [7]. Also, cost issues and implementation challenges have been identified as some of the factors that mar the implementation of academic EHRs [5].…”

Section: Introductionmentioning

confidence: 99%

“…Ting et al, (2021) [8] suggested incorporating new approaches for nursing education and training on academic EHRs, that would entail ongoing staff engagement and the development of interventions that enable nurses to integrate academic EHRs into their daily workflows. Williams et al, (2021) [7] emphasized that developing an effective nursing workforce in the face of technological advancements in healthcare delivery will need to start with a robust educational foundation. Interdisciplinary and intradisciplinary collaboration among healthcare professionals is known to foster positive health outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Academic Electronic Health Records: SimChart Students’ Perspective

2024

Curr Trends Intern Med

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Background: Over the years, healthcare has witnessed remarkable transformations, as reflected in today's nursing practice, research and education. The introduction of electronic health records (EHRs) with the increasing uptake in its implementation is a manifestation of the positive impact of EHRs on the healthcare delivery system. Notably, EHRs has been in use over the past two decades, with a significant increase in its utilization across healthcare settings. However, studies have shown that EHR technologies have not been adequately incorporated into the educational curricula of nurses to prepare them for transition to real-world practice experience, after their graduation. In the light of the stated benefits and challenges of EHRs, the goal of this article is to ascertain the undergraduate students' usability and perspective regarding the academic EHR (SimChart) in the preparedness of nurses.Method: Approximately, a hundred SimChart codes were purchased through the Evolve ® Elsevier Inc., for this pilot study. Both faculty and students were trained on the usage of SimChart after the codes were installed in their laptops. A survey was created with a secured tool for data collection on the perspective of undergraduate students. Data were analyzed using the IBM SPSS Statistics v29.0.Results: 59 (81.94%) out of 72 students who responded to the survey answered favorably to perceived importance of SimChart usage in case study, simulation, or clinical arena. 37 (56.39%) of students deemed SimChart as extremely important and very important, while 22 (30.56%) described usage as somewhat important. The remarkably high percentage of students who acknowledge usefulness of SimChart is proof of the significance importance of SimChart in developing relevant competencies as well as building skills that students need to be successful in current healthcare settings. Limitations & Discussion:The survey is limited to the experience of one institution; hence, study is not panoramic as to reflect experiences with nursing programs in other institutions. Financial constraints constitute a limiting factor to the implementation of SimChart, not only for institutions but also for faculty skill and students who may not afford the additional costs of purchasing necessary informatics and analytical tools for positive learning outcomes.Implications & Future Research: The potential gains of SimChart tool are not fully realized when training is not started early in nursing programs. It is necessary that nurses, at the inception of their programs, are assessed on self-reported knowledge of informatics and attitudes toward SimChart to guide instructional designs and approaches. Therefore, there is need for more studies to identify impediments to students' adoption of SimChart learning strategies to meet current health technology and informatics workplace requirements and equip nurses with essential knowledge and skills to perform nursing roles.

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“…This created a significant change in the way clinicians access, read, digest, and use information within the EHR. To prepare nursing students to practice in a technology-rich environment, nurse educators must include electronic documentation as part of nursing school curricula (Williams et al, 2021). An objective method to evaluate student competency with EHR documentation is needed to ensure a seamless transition into the workforce.…”

mentioning

confidence: 99%

Validation of a Tool to Evaluate Nursing Students’ Electronic Health Record Competency in Simulation

McBride,

Thomas,

Decker

et al. 2024

Nurs Educ Perspect

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AIM The aim of the study was to establish reliability and validity of the Competency Assessment in Simulation of Electronic Health Records (CASE) tool. BACKGROUND Effective teaching and learning practices, including valid and reliable assessment of students’ electronic health record (EHR) competency, contribute to safe, high-quality, efficient nursing care. METHOD The study used a mixed-methods design to test reliability and validity of the CASE tool. RESULTS A nationally representative sample of faculty from universities representing 27 states provided scores for videos using the CASE tool. Forty-seven participants completed the first scoring survey; 22 of the 47 participants (47%) completed the second-round scoring. Intraclass correlation for the final score between the first and second responses shows the consistency of test-retest reliability (ICC = .78, p < .001). CONCLUSION The CASE tool provided evidence of validity and reliability in evaluating EHR competency in simulation.

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Electronic medical record use in nurse education curricula: A systematic review

Cited by 9 publications

References 27 publications

The Critical Need for Advanced Training in Electronic Records Use: Implications for Clinical Practice, Education, and the Advancement of Athletic Training

The Critical Need for Advanced Training in Electronic Records Use: Implications for Clinical Practice, Education, and the Advancement of Athletic Training

Academic Electronic Health Records: SimChart Students’ Perspective

Validation of a Tool to Evaluate Nursing Students’ Electronic Health Record Competency in Simulation

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