Mollart Lyndall, Newell Rachel, Geale Sara K, Noble Danielle, Norton Carol, O'Brien Anthony P
School of Nursing and Midwifery, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia.
School of Nursing, Midwifery and Paramedicine, North Sydney Campus, Australian Catholic University, 40 Edward St, North Sydney 2060, Australia.
Nurse Educ Today. 2020 Nov;94:104517. doi: 10.1016/j.nedt.2020.104517. Epub 2020 Jun 29.
To prepare student nurses for clinical practice where patient electronic medical records (EMR) competence is required, nursing undergraduate curricula must provide simulation access to developing this skill set. At this stage, however, the integration of electronic documentation into the Australian undergraduate nursing curriculum has been piecemeal. Aim The aim of this integrated literature review was to identify benefits and challenges for faculty nursing staff and nursing students in relation to the integration, use and evaluation of EMR in an undergraduate nursing program.
A systematic search of relevant peer-reviewed research and project report articles was conducted in the electronic databases. Generic qualitative thematic analysis was then undertaken with themes generated from the data itself.
Fifty eight articles were identified, of these 23 were found to meet the inclusion criteria. Three major themes were identified: 1) Advantages of using EMR in academic settings, 2) Identified Challenges and Limitations of EMR programs; and 3) Developing an academic EMR program and implementing EMR education program in stages. All papers acknowledged that EMR will be standard in healthcare and should be viewed as an 'essential tool' for inclusion in undergraduate nursing programs.
There is a significant increase of electronic technology in healthcare settings, especially relating to patient documentation. Therefore, teaching the use of EMR in the simulated clinical learning environment for new healthcare providers such as nursing students is essential. The papers reviewed identified an urgent need for higher education nursing programs to support undergraduate nursing students and faculty staff to ensure EMR can be implemented effectively into the undergraduate nursing curriculum.
为使护生做好在需要具备患者电子病历（EMR）能力的临床实践中的准备，护理本科课程必须提供模拟环境以培养这一技能组合。然而，现阶段将电子文档整合到澳大利亚本科护理课程中一直是零敲碎打的。目的本整合文献综述的目的是确定本科护理项目中，教师护士和护生在电子病历的整合、使用和评估方面的益处与挑战。
在电子数据库中对相关同行评审研究和项目报告文章进行系统检索。然后对从数据本身生成的主题进行一般定性主题分析。
共识别出58篇文章，其中23篇符合纳入标准。确定了三个主要主题：1）在学术环境中使用电子病历的优势，2）已识别的电子病历项目的挑战和局限性；3）分阶段开发学术电子病历项目并实施电子病历教育项目。所有论文都承认电子病历将成为医疗保健领域的标准，应被视为纳入本科护理项目的“必备工具”。
医疗保健环境中电子技术显著增加，尤其是与患者文档相关的技术。因此，在模拟临床学习环境中教授护生等新医疗服务提供者使用电子病历至关重要。所审查的论文指出，高等教育护理项目迫切需要支持本科护生和教师，以确保电子病历能够有效地纳入本科护理课程。
