Successful Integration of an Academic Electronic Health Record Into the Curriculum of an Associate Degree Nursing Program

Baxter, Patricia M.; Andrew, Lesley A.

doi:10.1097/01.nep.0000000000000255

Cited by 13 publications

(13 citation statements)

References 3 publications

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“…The integration of simulated EHRs also enhances students' confidence and self-efficacy in using electronic records [23,[44][45][46] and increases informatics knowledge and competency [16,40,47]. Despite these benefits, factors such as cost and faculty expertise continue to be major challenges in integrating simulated EHRs in nursing education [18,34,48,49].…”

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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“…The integration of EMR into the curriculum, both theory and simulation learning, would better prepare them for the real world of clinical practice. EMR systems and educational programs have been successfully integrated into undergraduate nursing curriculum in other countries such as USA, 19,21,41 Canada, 10 South Korea, 7,18 and Singapore, 24 however it is unclear why there has been a delayed interval in Australian universities. The Australian Nursing and Midwifery Accreditation Council (ANMAC) accreditation standards makes specific mention of prioritising the development and application of knowledge and skills in health informatics and health technology in the undergraduate nursing program content.…”

Section: Discussionmentioning

confidence: 99%

Nursing undergraduates’ perception of preparedness using patient electronic medical records in clinical practice

Mollart¹,

Newell²,

Noble³

et al. 2021

AJAN

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“…The current literature shows that students are confident with their electronic nursing documentation after students explore AEHRs, [5,18] although several challenges/barriers were addressed in the current literature such as a lack of training, inadequate technical support, and cost. [5,7,9,19] One of the barriers, some faculty felt that learning electronic documentation was not a priority.…”

Section: Discussionmentioning

confidence: 99%

“…[3,4] As part of informatics, an academic electronic health record system (AEHRs) is adopted to provide students' learning opportunities through patient assessment and decision making. [5][6][7][8] Specifically, AEHRs can help students how to utilize standard nursing terminology, how to incorporate clinical documentation from various sources, how to support standard care plans, guidelines, and protocols, and how to support drug interaction checking, and linking clinical tasks. [7,9,10] However, nurse educators have been faced with several challenges to meet the expectation of graduate nurses' competency to use AEHRs for synthesizing knowledge in patient care.…”

Section: Introductionmentioning

confidence: 99%

“…[7,9,10] However, nurse educators have been faced with several challenges to meet the expectation of graduate nurses' competency to use AEHRs for synthesizing knowledge in patient care. The barriers include the Internet connectivity at the clinical laboratory, [5] the small group of nursing faculty involved in integrating AEHRs, [9] lack of resources, including IT support and faculty development. [7] In order to ensure adequate preparation for meaningful use within the EHRs, integrating an AEHRs into the curriculum is no longer optional for nursing faculty.…”

Section: Introductionmentioning

confidence: 99%

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The effect of early adoption of an academic electronic health record system in nursing education: A pilot outcome study

Chung

Reynolds²

2021

JNEP

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Objective: This study aimed to explore the faculty’s and students’ perceptions of an academic electronic health record system (AEHRs) for teaching/learning electronic nursing documentation and to assess the outcomes of the AEHRs on nursing students’ competency with electronic nursing documentation.Methods: With a mixed-method pilot study, a convenience sample of 41 undergraduate nursing students and a purposive sample of 7 faculty and 9 students were used. Two groups of student participants for the quantitative data were compared for their competency with electronic nursing documentation. For the qualitative data, an in-depth, exploratory approach to data collection was taken for the nursing faculty and the intervention group.Results: For the quantitative findings, the early adoption of an AEHRs could help students to collect a patients’ health information through the system even though it may not impact their critical thinking on a patient’s care. For the qualitative findings, three key themes were shared by the faculty and students: (1) benefits and challenges, (2) impact of the AEHRs, and (3) recommendations for future adoption.Conclusions: This study revealed that the successful adoption of an AEHRs includes many steps that can be used to create positive improvements. These findings were beneficial to prepare students and nursing educators for the future of health information technology. Meaningful adoption of an AEHRs will help in building the competence of undergraduate nursing students in electronic nursing documentation and improve patient care.

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Successful Integration of an Academic Electronic Health Record Into the Curriculum of an Associate Degree Nursing Program

Cited by 13 publications

References 3 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

Nursing undergraduates’ perception of preparedness using patient electronic medical records in clinical practice

The effect of early adoption of an academic electronic health record system in nursing education: A pilot outcome study

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