Faculty of Health and Social Care, University of Central Lancashire, Preston, Lancashire, UK.
School of Nursing, University of Central Lancashire, Preston, Lancashire, UK
BMJ Health Care Inform. 2020 Oct;27(3). doi: 10.1136/bmjhci-2020-100163.
Many clinical education programmes have not incorporated the use of the electronic health record (EHR) into their curriculum. It is important to incorporate technologies that will be used in real-world settings to better prepare students for clinical practice.
To undertake a review of literature to identify a training evaluation framework; to conduct a self-completion survey, pretraining and post-training, to determine students' perceptions on the benefit of using EHR training system.
Nursing School, University, North West England, UK; University Ethic Committee Approval Received.
Registered nurses undertaking a validated return to practice course; 24 participants for the first cohort who completed pretraining questionnaire and 23 for the second post-training cohort.
The statistical results show that the students perceived that the training improved their capability in employing digital systems with statistically significant difference in the assessed preproficiency and post proficiency in the use of digital clinical systems (premedians and post medians are 2 and 5 on 10-point Likert scale, p=0.041). There was also an indication of an improvement in the knowledge of EHR systems although not statistically significant. Most students perceived it increased their knowledge on digital systems.
Students perceived an increase in proficiency with the EHR. There was evidence of improvement in confidence in the use of the EHR, but this confidence would be enhanced by additional use of the system. Some desire to increase confidence further and to develop knowledge of digital systems was expressed.
许多临床教育计划并未将电子健康记录 (EHR) 的使用纳入其课程。将在实际环境中使用的技术纳入其中对于更好地为学生的临床实践做好准备非常重要。
对文献进行综述,以确定培训评估框架;进行自我完成的调查,在培训前和培训后进行,以确定学生对使用电子健康记录培训系统的好处的看法。
英国西北部某大学护理学院;已获得大学伦理委员会的批准。
注册护士参加经过验证的回归实践课程;第一组有 24 名参与者完成了培训前问卷,第二组有 23 名参与者完成了培训后问卷。
统计结果表明,学生认为培训提高了他们使用数字系统的能力,在使用数字临床系统的评估前和后熟练度方面存在统计学显著差异(预中位数和后中位数分别为 10 分制的 2 和 5,p=0.041)。EHR 系统知识也有一定程度的提高,尽管没有统计学意义。大多数学生认为它增加了他们对数字系统的了解。
学生认为他们在使用 EHR 方面的熟练程度有所提高。在使用 EHR 的信心方面有证据表明有所改善,但通过进一步使用该系统可以增强这种信心。一些学生表示希望进一步增强信心并发展数字系统知识。