Use of academic electronic medical records in nurse education: A scoping review.
Digital health
Electronic documentation
Electronic medical record
Nurse education
Nursing students
Simulation
Journal
Nurse education today
ISSN: 1532-2793
Titre abrégé: Nurse Educ Today
Pays: Scotland
ID NLM: 8511379
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
received:
02
12
2020
revised:
15
03
2021
accepted:
28
03
2021
pubmed:
18
4
2021
medline:
28
5
2021
entrez:
17
4
2021
Statut:
ppublish
Résumé
Use of academic electronic medical records is internationally recognised as a means for preparing health professional students for the digital healthcare environment. Reported practice benefits include skills for electronic documentation, health informatics, point-of-care clinical decision support systems, as well as preparation for information technology-enabled clinical settings, while challenges include lack of access to simulation software, faculty-related barriers, limited finances and educational software costs. However, little is known about best practices related to its use within pre-licensure or entry-to-practice nursing curricula and impact on clinical practice outcomes. This review sought to explore how academic electronic medical records are used in entry-to-practice nursing curricula. A scoping review guided by the Joanna Briggs Institute three-step search strategy, exploring existing publications and grey literature. Quantitative and qualitative studies related to use of academic electronic medical records in pre-licensure nurse education. A range of databases were searched including CINAHL, Medline, Proquest Central, ERIC, ScienceDirect, PubMed, IOS Press, as well as grey literature, reference lists and handsearching. The search yielded 580 articles, from which inductive thematic analysis of 34 included studies was conducted. Included articles were nine qualitative, 21 quantitative and five mixed methods studies. Most originated from the USA. Academic electronic medical records are mainly used to teach documentation, safe use of health technology, and for clinical preparation. Most are used for fundamental or junior levels courses, with problem-based learning and simulation embedded. Institution's technology resources and faculty capability are essential to implementation. There is a need for more research that examines optimal timing and duration of use of academic electronic medical records in curricula, and their impact on critical thinking and clinical performance. Finally, there is a need to explore greater academic-clinical partnerships in the education process.
Sections du résumé
BACKGROUND
BACKGROUND
Use of academic electronic medical records is internationally recognised as a means for preparing health professional students for the digital healthcare environment. Reported practice benefits include skills for electronic documentation, health informatics, point-of-care clinical decision support systems, as well as preparation for information technology-enabled clinical settings, while challenges include lack of access to simulation software, faculty-related barriers, limited finances and educational software costs. However, little is known about best practices related to its use within pre-licensure or entry-to-practice nursing curricula and impact on clinical practice outcomes.
OBJECTIVE
OBJECTIVE
This review sought to explore how academic electronic medical records are used in entry-to-practice nursing curricula.
DESIGN
METHODS
A scoping review guided by the Joanna Briggs Institute three-step search strategy, exploring existing publications and grey literature.
INCLUSION CRITERIA
METHODS
Quantitative and qualitative studies related to use of academic electronic medical records in pre-licensure nurse education.
INFORMATION SOURCES
METHODS
A range of databases were searched including CINAHL, Medline, Proquest Central, ERIC, ScienceDirect, PubMed, IOS Press, as well as grey literature, reference lists and handsearching.
REVIEW METHODS
METHODS
The search yielded 580 articles, from which inductive thematic analysis of 34 included studies was conducted.
RESULTS
RESULTS
Included articles were nine qualitative, 21 quantitative and five mixed methods studies. Most originated from the USA. Academic electronic medical records are mainly used to teach documentation, safe use of health technology, and for clinical preparation. Most are used for fundamental or junior levels courses, with problem-based learning and simulation embedded. Institution's technology resources and faculty capability are essential to implementation.
CONCLUSIONS
CONCLUSIONS
There is a need for more research that examines optimal timing and duration of use of academic electronic medical records in curricula, and their impact on critical thinking and clinical performance. Finally, there is a need to explore greater academic-clinical partnerships in the education process.
Identifiants
pubmed: 33865191
pii: S0260-6917(21)00146-5
doi: 10.1016/j.nedt.2021.104889
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
104889Informations de copyright
Copyright © 2021 Elsevier Ltd. All rights reserved.