Using the academic electronic health record to build clinical judgment skills in the classroom setting

Miller, Jennifer; Warren, Gabri; Biven, Sawyer

doi:10.1016/j.teln.2022.05.002

Cited by 3 publications

(8 citation statements)

References 8 publications

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“…Nursing documentation in the clinical area provides a foundation for each patient's care 5 . Practicing nurses need the informatics skills necessary to document in the EMR 1,11 . Frequently missing are nursing assessment documentation and plan of care 16 .…”

Section: Discussionmentioning

confidence: 99%

“…The ability to practice documentation skills increases critical thinking and problem solving, thus assisting graduate nurses in being workforce ready. 9,11 Additionally, the integration of nursing informatics into curriculum is supported by professional nursing organizations, such as the American Association of Colleges of Nursing, and included as one of the competencies in the Quality and Safety Education for Nurses initiative. 2,5,11 Nurse educators are challenged to find ways to incorporate relevant content that is transferable from classroom to the clinical area.…”

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confidence: 99%

“…Since there is inconsistency in documentation experiences, the addition of an academic EHR provides students the time to practice in a safe environment, receive feedback, and modify their documentation techniques. The ability to practice documentation skills increases critical thinking and problem solving, thus assisting graduate nurses in being workforce ready 9,11 . Additionally, the integration of nursing informatics into curriculum is supported by professional nursing organizations, such as the American Association of Colleges of Nursing, and included as one of the competencies in the Quality and Safety Education for Nurses initiative 2,5,11 …”

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confidence: 99%

“…Although faculty agree that use of an academic EMR (AEMR) would enhance nursing education, adoption of this technology continues to be slow. Barriers to adoption include lack of resources, resistance to change, already crowded curriculum, and the perception that use of the EHR is on the job training 6,11,12 . Nursing curricula need to incorporate EHR proficiencies to ensure students have confidence in documentation skills that promote accuracy and lead to increased clinical proficiency 9 …”

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confidence: 99%

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Academic Electronic Health Record in Mental Health Clinical

Mountain,

Hill

2024

CIN: Computers, Informatics, Nursing

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Developing competency in the use of EHRs is essential for entry-level professional nurses. Although nursing education has been encouraged to integrate this technology into nursing curriculum, many students still graduate feeling unprepared in this area. As a result, nursing graduates lack the skills necessary to effectively use EHRs, which may have negative consequences for safe patient care. Use of academic EMRs provides students the opportunity to integrate informatics education, develop critical thinking, and incorporate problem-solving skills in the clinical area. An academic EMR was introduced to students in the second semester of a baccalaureate degree nursing program. Students completed documentation on one patient from the mental health clinical rotation. A retrospective chart review was conducted, using a rubric to determine charting efficacy. Data analysis indicated that students struggled with documentation of the mental health assessment, care plan development, and nursing notes. Student documentation was strongest in vital signs and basic information. Students need practice documenting on the critical aspects of nursing care. Utilization of an academic EMR for clinical charting provides an opportunity for students to practice documentation and develop necessary skills for clinical practice.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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Academic Electronic Health Record in Mental Health Clinical

Mountain,

Hill

2024

CIN: Computers, Informatics, Nursing

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“…I have used SimChart in the following course/courses (Please select all that apply): Out of 72 students that responded, 63 (87.50%) indicated they had used SimChart with Adult Health, 62 students (86.11 %) had used SimChart with the Fundamental course, while 47 (65.28%) had used SimChart with HealthAssessment course. The significant number of students who attested to the effective use of SimChart with their courses is proof of the increasing awareness of incorporating SimChart in nursing curricula and confirming proposals that learning strategies be framed by governing professional nursing bodies and licensing authorities, through the introduction of simulation and lab activities in EHR systems Miller et al, (2022) [13]. had supported proposals to that effect.…”

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confidence: 81%

Academic Electronic Health Records: SimChart Students’ Perspective

2024

Curr Trends Intern Med

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Background: Over the years, healthcare has witnessed remarkable transformations, as reflected in today's nursing practice, research and education. The introduction of electronic health records (EHRs) with the increasing uptake in its implementation is a manifestation of the positive impact of EHRs on the healthcare delivery system. Notably, EHRs has been in use over the past two decades, with a significant increase in its utilization across healthcare settings. However, studies have shown that EHR technologies have not been adequately incorporated into the educational curricula of nurses to prepare them for transition to real-world practice experience, after their graduation. In the light of the stated benefits and challenges of EHRs, the goal of this article is to ascertain the undergraduate students' usability and perspective regarding the academic EHR (SimChart) in the preparedness of nurses.Method: Approximately, a hundred SimChart codes were purchased through the Evolve ® Elsevier Inc., for this pilot study. Both faculty and students were trained on the usage of SimChart after the codes were installed in their laptops. A survey was created with a secured tool for data collection on the perspective of undergraduate students. Data were analyzed using the IBM SPSS Statistics v29.0.Results: 59 (81.94%) out of 72 students who responded to the survey answered favorably to perceived importance of SimChart usage in case study, simulation, or clinical arena. 37 (56.39%) of students deemed SimChart as extremely important and very important, while 22 (30.56%) described usage as somewhat important. The remarkably high percentage of students who acknowledge usefulness of SimChart is proof of the significance importance of SimChart in developing relevant competencies as well as building skills that students need to be successful in current healthcare settings. Limitations & Discussion:The survey is limited to the experience of one institution; hence, study is not panoramic as to reflect experiences with nursing programs in other institutions. Financial constraints constitute a limiting factor to the implementation of SimChart, not only for institutions but also for faculty skill and students who may not afford the additional costs of purchasing necessary informatics and analytical tools for positive learning outcomes.Implications & Future Research: The potential gains of SimChart tool are not fully realized when training is not started early in nursing programs. It is necessary that nurses, at the inception of their programs, are assessed on self-reported knowledge of informatics and attitudes toward SimChart to guide instructional designs and approaches. Therefore, there is need for more studies to identify impediments to students' adoption of SimChart learning strategies to meet current health technology and informatics workplace requirements and equip nurses with essential knowledge and skills to perform nursing roles.

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Spreadsheet solutions: Documentation on a dime

Johnston,

Keil

2024

Teaching and Learning in Nursing

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Using the academic electronic health record to build clinical judgment skills in the classroom setting

Cited by 3 publications

References 8 publications

Academic Electronic Health Record in Mental Health Clinical

Academic Electronic Health Record in Mental Health Clinical

Academic Electronic Health Records: SimChart Students’ Perspective

Spreadsheet solutions: Documentation on a dime

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