Advertisement

Utilisation of academic electronic medical records in pre-registration nurse education: A descriptive study

      ABSTRACT

      Background

      Electronic medical records are an essential point-of-care information technology that health professionals use in standard work practice. Nurses are major users of electronic records and nursing students must be adequately prepared for these core clinical technologies within their curriculum. An academic electronic medical record is a simulated educational version of clinical systems that enables students to learn necessary informatics and technology knowledge needed to use electronic records safely and effectively before clinical practice.

      Aim

      To explore how academic electronic medical records are currently used in pre-registration nurse education in Australia and New Zealand to prepare students for the clinical environment.

      Method

      Quantitative descriptive research design involving survey of pre-registration nursing programs, analysed with descriptive statistics.

      Findings

      Survey results show that only 37.8% of the sample used academic electronic medical records in their programs and such implementation was relatively recent. They were primarily used in skills and simulation laboratory settings to teach essential nursing practice skills and core clinical topics, with a variety of curriculum integration approaches.

      Discussion

      Even though healthcare is rapidly digitising, application of academic electronic records in nurse education was not extensive across Australia and New Zealand. Gaps were identified in relation to academic-healthcare partnerships, most efficacious use, and lack of data about student preparedness for digital practice.

      Conclusion

      Academic electronic medical records are currently underutilised in pre-registration curricula given increasing digitalisation of healthcare and need for technology ready graduates, which suggest a subsequent requirement for greater uptake by education providers.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Collegian
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

      1. Australian Digital Health Agency (ADHA). (2018). Australia's national digital health strategy. Available from: https://www.digitalhealth.gov.au/sites/default/files/2020-11/Australia%27s%20National%20Digital%20Health%20Strategy%20-%20Safe%2C%20seamless%20and%20secure.pdf.

        • Australian Digital Health Agency (ADHA)
        National nursing and midwifery digital health capability framework.
        Australian Government, Sydney, NSW.2020
      2. Australian Nursing and Midwifery Accreditation Council (ANMAC). (2014). Health informatics and health technology – a explanatory note. Available from: http://www.anmac.org.au/sites/default/files/documents/20150130_Health_Informatics_Technology_Explanatory_Note.pdf.

        • Badowski D.
        • Horsley T.L.
        • Rossler K.L.
        • Mariani B.
        • Gonzalez L.
        Electronic charting during simulation: a descriptive study.
        CIN: Computers, Informatics, Nursing. 2018; 36: 466https://doi.org/10.1097/CIN.0000000000000457
        • Baillie L.
        • Chadwick S.
        • Mann R.
        • Brooke-Read M.
        A survey of student nurses' and midwives' experiences of learning to use electronic health record systems in practice.
        Nurse Educ Pract. 2013; 13: 437-441https://doi.org/10.1016/j.nepr.2012.10.003
        • Borycki E.
        • Bellwood P.
        • Armstrong B.
        • Joe R.S.
        • Campbell R.
        Educating health professionals about the electronic health record (EHR): removing the barriers to adoption.
        Knowledge Management & E-Learning: An International Journal. 2011; 3: 51-62
        • Everett-Thomas R.
        • Joseph L.
        • Trujillo G.
        Using virtual simulation and electronic health records to assess student nurses' documentation and critical thinking skills.
        Nurse Educ Today. 2021; 99104770https://doi.org/10.1016/j.nedt.2021.104770
        • Gardner C.L.
        • Jones S.J.
        Utilization of academic electronic medical records in undergraduate nursing education.
        Online Journal of Nursing Informatics. 2012; 16: 1-9
        • Gold J.A.
        • Tutsch A.S.R.
        • Gorsuch A.
        • Mohan V.
        Integrating the electronic health record into high-fidelity interprofessional intensive care unit simulations.
        Journal of Interprofessional Care. 2015; 29: 562-563https://doi.org/10.3109/13561820.2015.1063482
        • Herbert V.M.
        • Connors H.
        Integrating an academic electronic health record: challenges and success strategies.
        Computers, Informatics, Nursing : CIN. 2016; 34: 345-354https://doi.org/10.1097/CIN.0000000000000264
      3. Honey, M., Collins, E., & Britnell, S. (2018). Guidelines: informatics for nurses entering practice. In. Auckland, New Zealand.

        • Jansen D.
        Student perceptions of electronic health record use in simulation.
        Journal of Nursing Education and Practice. 2014; 4: 163https://doi.org/10.5430/jnep.v4n9p163
        • Jedwab R.M.
        • Chalmers C.
        • Dobroff N.
        • Redley B.
        Measuring nursing benefits of an electronic medical record system: a scoping review.
        Collegian (Royal College of Nursing, Australia). 2019; 26: 562-582https://doi.org/10.1016/j.colegn.2019.01.003
        • Jenkins A.
        • Eide P.
        • Smart D.
        • Wintersteen-Arleth L.
        Implementing electronic health records in nursing education.
        International Journal of Nursing Student Scholarship (IJNSS). 2018; 5 (Article 28): 28
        • Johnson D.M.
        • Bushey T.I.
        Integrating the academic electronic health record into nursing curriculum: preparing student nurses for practice.
        CIN: Computers, Informatics, Nursing. 2011; 29: 133-137https://doi.org/10.1097/NCN.0b013e3182121ed8
        • Kowitlawakul Y.
        • Chan S.W.
        • Pulcini J.
        • Wang W.
        Factors influencing nursing students' acceptance of electronic health records for nursing education (EHRNE) software program [Research Support, Non-U.S. Gov't].
        Nurse Education Today. 2015; 35: 189-194https://doi.org/10.1016/j.nedt.2014.05.010
        • Lam M.K.
        • Hines M.
        • Lowe R.
        • Nagarajan S.
        • Keep M.
        • Penman M.
        • Power E.
        Preparedness for eHealth: Health sciences students’ knowledge, skills, and confidence.
        Journal of Information Technology Education: Research. 2016; 15: 305-334https://doi.org/10.28945/3523
        • Lucas L.
        Partnering to enhance the nursing curriculum: electronic medical record accessibility.
        Clinical Simulation in Nursing. 2010; 6: e97-e102https://doi.org/10.1016/j.ecns.2009.07.006
        • Meyer L.
        • Sternberger C.
        • Toscos T.
        How to implement the electronic health record in undergraduate nursing education.
        American Nurse Journal. 2011; 6: 1-5
        • Miller L.
        • Miller K.
        Novice nurse preparedness to effectively use electronic health records in acute care settings: critical informatics knowledge and skill gaps.
        Online Journal of Nursing Informatics. 2014; 18: 1-24
        • Mitchell J.
        Electronic documentation: assessment of newly graduated nurses’ competency and confidence levels.
        Online Journal of Nursing Informatics. 2015; 19: 1-6
        • Mollart L.
        • Newell R.
        • Geale S.K.
        • Noble D.
        • Norton C.
        • O'Brien A.P
        Introduction of patient electronic medical records (EMR) into undergraduate nursing education: an integrated literature review.
        Nurse Education Today. 2020; 94https://doi.org/10.1016/j.nedt.2020.104517
        • Mollart L.
        • Newell R.
        • Noble D.
        • Geale S.
        • Norton C.
        • O'Brien A
        Nursing undergraduates’ perception of preparedness using patient electronic medical records in clinical practice.
        Australian Journal of Advanced Nursing. 2021; 38: 44https://doi.org/10.37464/2020.382.282
        • Pallant J.
        SPSS survival manual: a step by step guide to data analysis using IBM SPSS.
        7th ed. Taylor & Francis Group, Sydney2020
        • Raghunathan K.
        • McKenna L.
        • Peddle M.
        Use of academic electronic medical records in nurse education: a scoping review.
        Nurse Education Today. 2021; 101 (-104889)104889https://doi.org/10.1016/j.nedt.2021.104889
        • Ravert P.
        • Whipple K.
        • Hunsaker S.
        Academic electronic health record implementation: tips for success.
        Clinical Simulation in Nursing. 2020; 41: 9-13https://doi.org/10.1016/j.ecns.2019.12.008
        • Repsha E.C.
        • Morse E.B.
        • Lee E.S.
        • Katz E.J.
        • Burrows E.E.
        • Teates E.J.
        Use of a simulated electronic health record to support nursing student informatics knowledge and skills.
        CIN: Computers, Informatics, Nursing. 2020; 38: 55-59https://doi.org/10.1097/CIN.0000000000000618
        • Shin E.H.
        • Cummings E.
        • Ford K.
        A qualitative study of new graduates' readiness to use nursing informatics in acute care settings: clinical nurse educators' perspectives.
        Contemp Nurse. 2018; 54: 64-76https://doi.org/10.1080/10376178.2017.1393317
        • Sorensen J.
        • Campbell L.
        Curricular path to value: integrating an academic electronic health record.
        Jornal of Nursing Education. 2016; 55: 716-719https://doi.org/10.3928/01484834-20161114-10
        • Vana D.K.
        • Silva E.G.
        Evaluating the use of a simulated electronic health record and online drug reference in a case study to enhance nursing students’ understanding of pharmacologic concepts and resources.
        Nurse Educator. 2014; 39: 160-165https://doi.org/10.1097/NNE.0000000000000046
        • Warboys I.
        • Mok W.Y.
        • Frith K.H.
        Electronic medical records in clinical teaching.
        Nurse Educator. 2014; 39: 298-301https://doi.org/10.1097/NNE.0000000000000072
        • Wilbanks A.B.
        • Watts I.P.
        • Epps A.C.
        Electronic health records in simulation education: literature review and synthesis.
        Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare. 2018; 13: 261-267https://doi.org/10.1097/SIH.0000000000000288
        • Williamson M.K.
        • Muckle M.J.
        Students’ perception of technology use in nursing education.
        CIN: Computers, Informatics, Nursing. 2018; 36: 70-76https://doi.org/10.1097/CIN.0000000000000396
        • Zahabi M.
        • Kaber D.B.
        • Swangnetr M.
        Usability and safety in electronic medical records interface design: a review of recent literature and guideline formulation.
        Human Factors. 2015; 57: 805-834https://doi.org/10.1177/0018720815576827