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实习护士与电子病历:学术界与医疗保健的合作关系。

Student nurses and the electronic medical record: a partnership of academia and healthcare.

作者信息

Bowers Anna Mary, Kavanagh Joan, Gregorich Tom, Shumway Julia, Campbell Yolanda, Stafford Susan

机构信息

Nursing Education and Professional Practice Development, Cleveland, OH, USA.

出版信息

Comput Inform Nurs. 2011 Dec;29(12):692-7. doi: 10.1097/NCN.0b013e31822b8a8f.

DOI:10.1097/NCN.0b013e31822b8a8f
PMID:21825971
Abstract

The advent of the electronic medical record has brought a new challenge to nursing education. Although most nursing students are proficient in data entry and computer skills, they often do not comprehend how the information they enter becomes a vital component of interdisciplinary team communication. Furthermore, the electronic medical record becomes a repository for information that can be retrieved for the purpose of decision support. Developed by the Cleveland Clinic, the Deans' Roundtable, and University Hospitals of Cleveland, the Student Nurse Portal provides a means of assisting the student to understand how data entered into the computer transforms into information and knowledge, resulting in the wisdom that enables healthcare workers to provide optimal patient care. Current courses present the purpose of the electronic medical record and its roleas a powerful communication tool, but future courses will also help the student develop data entry and retrieval skills. Hosted on the Cleveland Clinic servers and available to students around-the-clock from any computer with Internet access, students have found the Student Nurse Portal to be a valuable tool in preparing for the use of the electronic medical record during their clinical experiences.

摘要

电子病历的出现给护理教育带来了新的挑战。尽管大多数护理专业学生精通数据录入和计算机技能,但他们常常不理解自己录入的信息如何成为跨学科团队沟通的重要组成部分。此外,电子病历成为了一个信息库,可用于检索以提供决策支持。由克利夫兰诊所、院长圆桌会议和克利夫兰大学医院共同开发的学生护士门户,提供了一种帮助学生理解输入计算机的数据如何转化为信息和知识的方法,进而产生使医护人员能够提供最佳患者护理的智慧。当前的课程介绍了电子病历的目的及其作为强大沟通工具的作用,但未来的课程还将帮助学生培养数据录入和检索技能。学生护士门户托管在克利夫兰诊所的服务器上,任何能上网的计算机的学生都可随时使用,学生们发现该门户是他们在临床实习期间为使用电子病历做准备的宝贵工具。

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