Use of a Simulated Electronic Health Record to Support Nursing Student Informatics Knowledge and Skills

Repsha, Christine; Morse, Brenna L; Lee, Seung Eun; Katz, Jeanne; Burrows, Elizabeth; Teates, Jessica

doi:10.1097/cin.0000000000000618

Cited by 10 publications

(15 citation statements)

References 6 publications

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“…The purpose of this pilot study was to determine feasibility issues and evaluate the suitability of DocuCare from the perspectives of students and educators, as a tool for supporting students’ acquisition of informatics competency and to enhance their readiness for future practice in digital health environments. The use of DocuCare in this study contributed to improving students’ knowledge about informatics and accuracy of electronic documentation, congruent with findings from previous research [ 16 , 19 , 24 , 40 - 42 , 47 ]. There was no change in attitudes toward EHRs.…”

Section: Discussionsupporting

confidence: 90%

“…Educating future nurses about digital health and informatics is no longer an option but rather a core requirement in modern-day nursing practice [5,34,40,42,[54][55][56][57][58][59]. Although the abrupt transition to remote delivery of education during the COVID-19 pandemic highlighted the current gaps in technology infrastructure and created challenges for higher education institutions worldwide, it also revealed opportunities for embracing technology and virtual simulation.…”

Section: Principal Findingsmentioning

confidence: 99%

“…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]. 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%

“…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%

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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: Discussionsupporting

confidence: 90%

Section: Principal Findingsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

Kleib¹,

Jackman²,

Wisnesky³

et al. 2021

JMIR Nursing

View full text Add to dashboard Cite

show abstract

“…12 Nursing Informatics Competency Assessment Self-assessment is a commonly used method to determine NI competencies. 6,7,10,[13][14][15][16] In several studies, research participants have been asked to self-report competencies based on the questions on a measurement instrument. One of the measurement instruments is the SANICS questionnaire, which contains 30 items categorized into five groups of NI competencies.…”

Section: Nursing Informatics Competenciesmentioning

confidence: 99%

Expanding the Informatics Competencies of Nurse Practitioners Through Online Learning

Galacio¹

2022

CIN: Computers, Informatics, Nursing

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Nurse practitioners' informatics competencies are not well-understood. Limited evidence alludes to the potential need to improve the informatics competencies of nurse practitioners. The primary purpose of this study was to analyze the informatics competencies of nurse practitioners, including nurses training to become nurse practitioners, before and after completing an online learning module in nursing informatics. Six topics were covered in the investigator-developed learning module. A pretest-posttest, one-group, quasi-experimental design was used in the study. The link to the study was emailed to members of a local nurse practitioners' association in California and graduate nursing students at a public university in Missouri. The study was also shared on a professional networking Web site, LinkedIn. Data were collected from 15 nurse practitioners and two nurse practitioner students, using a demographic questionnaire and an 18-item self-assessment of informatics competency scale. A related-samples Sign test was conducted to compare the pretest and posttest scores. Statistically significant median increases (P = .001 to <.001) were found in five areas. Findings suggest that the online learning module expanded the participants' competencies in specific areas of informatics. The results also provide an initial understanding of nurse practitioners' informatics competencies and inform future iterations of the study.

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Evolution of Nursing Workload Indicators Since the Implementation of the Electronic Health Record at a Tertiary Hospital in Spain

Martín-Méndez¹,

García-Díaz²,

Zurrón-Madera³

et al. 2021

CIN: Computers, Informatics, Nursing

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Nurses can be overwhelmed by the growing need for documentation derived from the implantation of electronic health records. The objective was to describe the evolution of nursing workload since the implementation of the EHR. We performed a longitudinal study of global workload indicators over a 5-year period at a referral hospital in Spain since introduction of the EHR (2014). Clinical activity records of each nurse were monitored using audit logs of their accesses to EHRs. During the study period, the number of EHR sessions, the number of EHR sessions in which a nursing order was changed, and the time needed to complete each session significantly increased. The number of mouse clicks and keystrokes and the time required to complete each nursing order decreased. Documentation of the following nursing tasks increased: administration of medication, peripheral vascular catheters, urinary catheters, pressure ulcers, nursing assessment forms, and pre-surgical verification. In conclusion, since the implementation of the EHR, an increase in the workload of nursing professionals-estimated through indirect indicators-has been observed due to greater documentation.

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Use of a Simulated Electronic Health Record to Support Nursing Student Informatics Knowledge and Skills

Cited by 10 publications

References 6 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

Expanding the Informatics Competencies of Nurse Practitioners Through Online Learning

Evolution of Nursing Workload Indicators Since the Implementation of the Electronic Health Record at a Tertiary Hospital in Spain

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