Student Nurses and the Electronic Medical Record

Bowers, Anna Mary; Kavanagh, Joan; Gregorich, Tom; Shumway, Julia; Campbell, Yolanda; Stafford, Susan

doi:10.1097/ncn.0b013e31822b8a8f

Cited by 19 publications

(4 citation statements)

References 7 publications

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“…Research suggests that integrating simulated EHRs in prelicensure nursing education is beneficial to students’ learning and development of important educational outcomes [ 20 , 30 , 34 ]. Simulated EHRs help improve students’ critical thinking [ 18 ] and their ability to navigate EHRs and understand informatics concepts such as data management [ 19 , 39 , 40 ]. Other researchers found that simulated EHRs help enhance students’ skills in electronic documentation [ 24 , 41 , 42 ] and aid in the development of positive attitudes and perspectives about electronic records [ 43 , 44 ].…”

Section: Introductionmentioning

confidence: 99%

Academic Electronic Health Records in Undergraduate Nursing Education: Mixed Methods Pilot Study

Kleib¹,

Jackman²,

Wisnesky³

et al. 2021

JMIR Nursing

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Background Teaching students about electronic health records presents challenges for most nursing programs, primarily because of the limited training opportunities within clinical practice settings. A simulated electronic health record is an experiential, learner-centered strategy that enables students to acquire and apply the informatics knowledge needed for working with electronic records in a safe learning environment before the students have encounters with real patients. Objective The aim of this study is to provide a preliminary evaluation of the Lippincott DocuCare simulated electronic health record and determine the feasibility issues associated with its implementation. Methods We used one-group pretest-posttest, surveys, and focus group interviews with students and instructors to pilot the DocuCare simulated electronic health record within an undergraduate nursing program in Western Canada. Volunteering students worked through 4 case scenarios during a 1-month pilot. Self-reported informatics knowledge and attitudes toward the electronic health record, accuracy of computerized documentation, satisfaction, and students’ and educators’ experiences were examined. Demographic and general information regarding informatics learning was also collected. Results Although 23 students participated in this study, only 13 completed surveys were included in the analysis. Almost two-thirds of the students indicated their overall understanding of nursing informatics as being fair or inadequate. The two-tailed paired samples t test used to evaluate the impact of DocuCare on students’ self-reported informatics knowledge and attitudes toward the electronic health record revealed a statistically significant difference in the mean score of knowledge before and after using DocuCare (before: mean 2.95, SD 0.58; after: mean 3.83, SD 0.39; t12=5.80, two-tailed; P<.001). There was no statistically significant difference in the mean scores of attitudes toward the electronic health record before and after using DocuCare (before: mean 3.75, SD 0.40; after: mean 3.70, SD 0.34; t12=0.39, two-tailed; P=.70). Students’ documentation scores varied from somewhat accurate to completely accurate; however, performance improved for the majority of students as they progressed from case scenarios 1 to 4. Both the faculty and students were highly satisfied with DocuCare and highly recommended its integration. Focus groups with 7 students and 3 educators revealed multiple themes. The participants shared suggestions regarding the DocuCare product customization and strategies for potential integration in undergraduate nursing programs. Conclusions This study demonstrated the feasibility and suitability of the DocuCare program as a tool to enhance students’ learning about informatics and computerized documentation in electronic health records. Recommendations will be made to academic leadership in undergraduate programs on the basis of this study. Furthermore, a controlled evaluation study will be conducted in the future.

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Section: Introductionmentioning

confidence: 99%

Academic Electronic Health Records in Undergraduate Nursing Education: Mixed Methods Pilot Study

Kleib¹,

Jackman²,

Wisnesky³

et al. 2021

JMIR Nursing

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show abstract

“…reason, international studies have recommended that each university have an AeMR program for undergraduate nursing students to practice in accessing and entering data, using meaningful real-life scenarios scaffolded over the three-year program in a safe simulated environment. 7,21,22 The study findings revealed student's level of concern about developing a relationship with a patient whilst using a computer at the bedside. The international literature has identified that electronic documentation at the bedside can be a barrier for nurses in providing person-centred care, building positive nurse-patient relationships, [23][24][25] and effective patient communication.…”

Section: Discussionmentioning

confidence: 93%

The impact of using an academic electronic medical record program on first-year nursing students’ confidence and skills in using E-documentation: a quasi-experimental study

Mollart,

Noble,

Mereles

et al. 2023

AJAN

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Objective: To evaluate the impact of using an academic electronic medical record program on first-year nursing students' confidence and skill in E-documentation after their hospital clinical placement.Background: Registered nurses are the largest user group of health information technology systems such as patient electronic medical records (eMR). As such, nurse undergraduate programs need to reflect contemporary practices and respond to emerging trends including digital technology, however integration of eMR learning has not occurred in many countries. To address this gap, a fit-for-purpose academic eMR simulation program was developed by nursing academics and a university Learning Design Department member.study Design and Methods: A quasi-experimental study design, with self-administered pre-test, posttest surveys, was used with a convenience sample of all first-year nursing students at one regional university in NSW Australia in 2019 and 2021. results: A total of 105 students completed the surveys (9.7% pre, and 7.4% post-test survey). Only 23% of respondents received training during hospital clinical placement on eMR and electronic observation charts. There was a significant increase in participant confidence and knowledge in documenting in electronic adult observational charts and notes after using the academic eMR program and attending clinical placement. Three themes emerged from the qualitative data: preparation for practice; more exposure increases confidence; and we can't forget the patient. conclusion: Students acknowledged the need for repeated practice using an academic eMR program in university learning environments to ensure they would be work-ready. The identified challenge was the communication barrier (computer on wheels) and aUthOrs lYNDall MOllart PhD RN RM 1

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“…Teknoloji ve sağlık alanındaki gelişmeler, teknoloji ve sağlık sektörünü birbirine daha bağımlı hale getirmiştir. Artık sağlık kurumlarında, hastalara ait bilgiler, manuel yöntemle doldurulan formlar ve dosyalar yerine, elektronik ortama aktarılarak ETK sistemi ile kullanılmaya başlanmıştır (7).…”

Section: Introductionunclassified

The Opinion Of The Nurses Working In The Hospitals About The Electronic Medical Records They Use: Sanliurfa Example

Eri̇ş¹

2016

Health Care Acad J

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ÖZETBu araştırma hastanelerin kliniklerinde çalışan hemşirelerin, hastanede kullandıkları elektronik tıbbi kayıtlara ilişkin görüşlerinin kullanım, kalite ve kullanıcı tatmini açısından değerlendirmesini yapmaktır. Araştırma, anket esasına dayalı bir alan araştırmasıdır. Araştırma Şanlıurfa ili merkezinde bulunan Harran Üniversitesi Hastanesi ile Özel Edessa hastanesinin kliniklerinde çalışan hemşirelere yapılmıştır. Araştırmada, hastanelerin kliniklerinde çalışan 115 hemşirenin 93'üne anket uygulanmıştır. Araştırma sonucunda hemşirelerin elektronik tıbbi kayıtları kullanım düzeyinin 3, 59/5; elektronik tıbbi kayıtların kalitesine ilişkin değerlendirme ortalama skorunun 3, 59/5 ve elektronik tıbbı kayıtlardan kullanıcı tatmin düzeyleri boyutu bakımından 3, 23/5 olduğu tespit edilmiştir. ABSTRACTThe purpose of the study, nurses working in hospitals, clinics, opinion on the use of electronic medical records in the hospital they use their own work, is to make an assessment in terms of quality and user satisfaction. The participants of this research study were the nurses who work in inpatient wards of Harran University Research and Application Hospital and private Edessa Hospital. In this study, the participants were not selected because it was aimed to reach all nurses who work at these hospitals. The questionnaires were applied to 93 nurses out of 115. At the end of the research, it was determined that the level of nurses' use of electronic medical records was 3, 59/5 and the mean score of the quality of electronic medical records was 3, 59/5 while the score was 3, 23/5 in terms of user satisfaction.

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Student Nurses and the Electronic Medical Record

Cited by 19 publications

References 7 publications

Academic Electronic Health Records in Undergraduate Nursing Education: Mixed Methods Pilot Study

Academic Electronic Health Records in Undergraduate Nursing Education: Mixed Methods Pilot Study

The impact of using an academic electronic medical record program on first-year nursing students’ confidence and skills in using E-documentation: a quasi-experimental study

The Opinion Of The Nurses Working In The Hospitals About The Electronic Medical Records They Use: Sanliurfa Example

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