Simulation Education Incorporating Academic Electronic Medical Records for Undergraduate Nursing Students: A Pilot Study

Abstract

Objectives: Academic electronic medical records (AEMRs) can be utilized for a variety of educational programs that can enhance nursing students’ nursing informatics and clinical reasoning competencies. This study aimed to identify the applicability and effectiveness of simulation education incorporating AEMRs.Methods: We developed simulation education scenarios incorporating AEMRs and evaluated them with 76 third- and fourth-year nursing students from five nursing schools using a mixed-methods design. We incorporated three simulation case scenarios involving preeclampsia, diabetes mellitus, and myocardial infarction into the AEMRs. After the simulation education, participants’ feedback on the usability of the AEMR system and their self-efficacy for AEMR utilization were collected via self-reported surveys. Subsequently, the simulation education incorporating AEMRs was evaluated through a focus group interview. The survey data were examined using descriptive statistics, and thematic analysis was done for the focus group interview data.Results: The average mean scores for the AEMR system’s usability and participants’ self-efficacy for AEMR utilization were 5.36 of 7 and 3.96 of 5, respectively. According to the focus group interviews, the participants were satisfied with the simulation education incorporating AEMRs and recognized their confidence in AEMR utilization. In addition, participants addressed challenges to simulation education incorporating AEMRs, including the need for pre-education and AEMR utilization difficulties.Conclusions: Nursing students weresatisfied with and recognized the value of simulation education incorporating AEMRs. Although the actual application ofsimulation education incorporating AEMRs remains challenging, further research can help develop and implement this approachfor nursing students.

Digital Health Education and Training for Undergraduate and Graduate Nursing Students: Scoping Review

“…At the undergraduate level, the main focus of education delivered was on telehealth and/or telenursing [30][31][32][33][34][35][36][37][38][39][40] and developing competency in using the EHR through the simulated EHRs [71][72][73][74][75][76][77][78][79][80]. Two studies focused on NI education [83,84].…”

“…Integration was mostly as a stand-alone intervention, a few studies reported integration as part of the first year nursing clinical course [71], a clinical course [74], or as part of a fundamentals of nursing course [79]. A key aspect of using the simulated EHRs focused on developing documentation skills [71][72][73]77,80]. Case scenarios were used in most interventions, some included an additional didactic content [71] or provided orientation through videos, webinars and opportunities to practice [72,73,79,80].…”

“…A key aspect of using the simulated EHRs focused on developing documentation skills [71][72][73]77,80]. Case scenarios were used in most interventions, some included an additional didactic content [71] or provided orientation through videos, webinars and opportunities to practice [72,73,79,80]. A few studies related the intervention to required professional NI competencies or educational theories supporting simulation activities [73,78].…”

“…Statistically significant findings were reported in some of these interventions [71,73,74]. Some studies also sought to evaluate the feasibility and suitability of the simulated record for use in a nursing program [72,73,76,77]. practicum course in a telehealth clinical rotation experience [59].…”

Effects of an EMR Education Program on Nursing Information Literacy, Self-Directed Learning, Problem-Solving Ability, and Practice Satisfaction of Undergraduate Nursing Students

“…In addition, due to the busy and complex clinical environment, observation-based practice still makes it difficult for nurses to teach EMR to nursing students [9]. This means that EMR education takes into account the learner's situation, and students cannot practice EMR operation sufficiently, resulting in decreased satisfaction with the practice [5,10].…”