School of Nursing, Midwifery and Social Work, The University of Queensland, St Lucia, Australia.
Institute for Teaching and Learning Innovation, The University of Queensland, St Lucia, Australia.
J Adv Nurs. 2022 Apr;78(4):1128-1139. doi: 10.1111/jan.15091. Epub 2021 Nov 3.
To explore undergraduate nursing and midwifery student perspectives of using digital patient systems on clinical placements.
This was an interpretative qualitative design study.
Undergraduate nursing and midwifery students in a large Australian metropolitan university were invited to participate in two focus groups from April to June 2019. Twenty (20) students participated and data on their perspective of using digital systems on placement were collected. Thematic analysis using NVivo 12 software was undertaken.
Students identified benefits and challenges when moving between paper records and digital systems. Whilst paper reporting was more efficient for some processes, the students recognised the advantages of digital technology, such as enabling greater confidentiality and consolidation of patient data in one place. However, they also reported difficulty with student access and the size of the portal digital workstation at the bedside. Generally, the lack of preparation and access was considered frustrating and mitigated some of the benefits described when using digital systems.
Nursing and midwifery students prefer to be prepared for both paper and digital record keeping. Whilst students identify the benefits of digital platforms, not having direct access mitigates the benefits of these systems. Students identified the use of simulation and interactive modules prior to commencement of clinical practice to enable them to feel more confident with using the systems in patient care.
Health care students require direct access to digital health platforms whilst on clinical placement to facilitate their learning. Higher Education Institutions (HEIs) are in a unique position to work with health care providers to better prepare health care professionals, including nurses and midwives, to work with digital health care systems. Further research is needed to develop the educational preparation for nurses, midwives, and other health care professionals to work with digital systems in practice.
探索本科护理和助产学学生在临床实习中使用数字患者系统的看法。
这是一项解释性定性设计研究。
邀请澳大利亚大都市一所大型大学的本科护理和助产学学生参加 2019 年 4 月至 6 月的两次焦点小组。20 名学生参加了研究，收集了他们在实习中使用数字系统的观点数据。使用 NVivo 12 软件进行主题分析。
学生在纸质记录和数字系统之间移动时，确定了优势和挑战。虽然纸质报告对某些流程更有效率，但学生认识到数字技术的优势，例如能够更保密地在一个地方整合患者数据。然而，他们也报告了学生访问和床边数字工作站端口大小的困难。总的来说，缺乏准备和访问被认为是令人沮丧的，并减轻了使用数字系统时描述的一些优势。
护理和助产学学生更喜欢为纸质和数字记录保存做好准备。虽然学生确定了数字平台的优势，但没有直接访问权限会降低这些系统的优势。学生确定在开始临床实践之前使用模拟和互动模块，使他们在患者护理中更有信心使用系统。
卫生保健学生在临床实习期间需要直接访问数字健康平台，以促进他们的学习。高等教育机构（HEI）处于独特的地位，可以与医疗保健提供者合作，更好地为医疗保健专业人员（包括护士和助产士）做好准备，使他们能够使用数字医疗保健系统。需要进一步研究，为护士、助产士和其他医疗保健专业人员在实践中使用数字系统制定教育准备。
