School of Nursing and Midwifery, La Trobe University, Bundoora, Victoria 3086, Australia.
School of Nursing and Midwifery, La Trobe University, Bundoora, Victoria 3086, Australia.
Nurse Educ Today. 2021 Jun;101:104889. doi: 10.1016/j.nedt.2021.104889. Epub 2021 Apr 9.
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.
国际上已经认识到使用学术电子病历是为卫生专业学生准备数字医疗环境的一种手段。据报道，实践的好处包括电子文档、健康信息学、即时临床决策支持系统的技能，以及为信息技术支持的临床环境做好准备，而挑战包括缺乏模拟软件的访问权限、与教师相关的障碍、有限的财务和教育软件成本。然而，对于其在许可前或实践入门护理课程中的使用以及对临床实践结果的影响，人们知之甚少。
本综述旨在探讨学术电子病历在入门护理课程中的使用情况。
在 Joanna Briggs 研究所三步搜索策略的指导下进行的范围综述，探索现有的出版物和灰色文献。
与许可前护士教育中使用学术电子病历相关的定量和定性研究。
包括 CINAHL、Medline、Proquest Central、ERIC、ScienceDirect、PubMed、IOS Press 在内的各种数据库，以及灰色文献、参考文献列表和手工搜索。
搜索结果产生了 580 篇文章，对其中的 34 篇纳入研究进行了归纳主题分析。
纳入的文章包括 9 篇定性研究、21 篇定量研究和 5 篇混合方法研究。它们主要来自美国。学术电子病历主要用于教授文档、安全使用健康技术和临床准备。大多数用于基础或初级水平的课程，嵌入问题式学习和模拟。机构的技术资源和教师能力对实施至关重要。
需要更多的研究来检查学术电子病历在课程中的最佳使用时间和时长，以及它们对批判性思维和临床表现的影响。最后，需要探索在教育过程中加强学术与临床的伙伴关系。
