Smailes Paula S, Zurmehly Joyce, Schubert Carolyn, Loversidge Jacqueline M, Sinnott Loraine T
Author Affiliations: Information Technology, The Ohio State University Wexner Medical Center (Dr Smailes); and Doctor of Nursing Practice Program (Drs Zurmehly, Schubert, Loversidge, and Sinnott), The Ohio State University College of Nursing, Columbus.
Comput Inform Nurs. 2019 Aug;37(8):405-412. doi: 10.1097/CIN.0000000000000514.
In recent times, policies stemming from the American Recovery and Reinvestment Act of 2009 have served as a stimulus for healthcare organizations to adopt an electronic medical record. As a result, nurses are now more knowledgeable of and experienced with an electronic medical record. In August 2016, our facility converted from instructor-led training to electronic learning for inpatient nurse electronic medical record training, hoping to capitalize on previous experience with the clinical information system. However, a complete program evaluation of this transition had yet to be conducted. The purpose of this study was to evaluate electronic learning usability and the return on investment of an electronic medical record training conversion. Evaluations of electronic medical record electronic learning training were collected from 75 newly hired, inpatient nurses from November and December 2017, and compared to our instructor-led program. Results showed that users found it effective and were satisfied with this training method. The electronic learning had superior efficiency, reducing training time by ~50% compared to instructor-led training, while proving to yield effectiveness and satisfaction. The return on investment was $18 540, with a gain of 593.25 hours in nursing time during the study period of two months. These results support the organizational decision to convert to electronic learning, further supporting the conversion for other clinical roles.
近年来，源自2009年《美国复苏与再投资法案》的政策推动了医疗保健机构采用电子病历。因此，护士现在对电子病历有了更多的了解和经验。2016年8月，我们的机构将住院护士电子病历培训从教师主导培训转变为电子学习，希望利用之前在临床信息系统方面的经验。然而，尚未对这一转变进行全面的项目评估。本研究的目的是评估电子学习的可用性以及电子病历培训转换的投资回报率。2017年11月和12月，我们从75名新入职的住院护士那里收集了对电子病历电子学习培训的评估，并与教师主导的培训项目进行了比较。结果显示，用户认为这种培训方法有效且满意。电子学习效率更高，与教师主导培训相比，培训时间减少了约50%，同时证明具有有效性和满意度。投资回报率为18540美元，在为期两个月的研究期间，节省了593.25小时的护理时间。这些结果支持了机构转向电子学习的决定，进一步支持了其他临床岗位的转换。
