Biomedical Informatics and Digital Health, School of Medical Sciences, Charles Perkins Centre, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Appl Clin Inform. 2022 Mar;13(2):410-418. doi: 10.1055/s-0042-1744550. Epub 2022 Apr 6.
Allowing students to access and document in electronic medical records (eMRs) during clinical placements is viewed as critical for ensuring that graduates have a high level of digital proficiency prior to entering the workforce. Limited studies have explored student access to eMRs in health disciplines outside of medicine and nursing.
Our main objective was to examine allied health students' experiences and perceptions of the opportunity to develop eMR competencies during their placement, across a range of allied health disciplines and placement settings.
An explanatory sequential design was used, comprising a quantitative survey ( = 102) followed by qualitative semi-structured interviews ( = 6) with senior allied health students to explore their experiences and perceptions of eMR access during placements.
Of the 93 students who responded to the question about their placement eMR, nine (10%) reported their placement site did not use an eMR and four students reported that they were not allowed to access the eMR during their placement. Most students (64%, 54 out of 84) accessed the system using their own credentials, but 31% (26 out of 84) used someone else's log-in and password. Students were satisfied with the eMR training and support received while on placement, but there was significant variability across sites on the level of training and support provided. All students believed that eMR access was beneficial for learning and preparation for work, improved delivery of care, taking ownership of work, and feeling responsible for patient care.
Providing students with access to eMRs during placements is fundamental to the development of a student's professional identity and to recognizing their role in the delivery of interprofessional patient care. For graduates to be equipped to effectively contribute to multi-disciplinary care in a digital health environment, universities need to work with practice partners to standardize and formalize eMR access, registration, training, and support, and to provide students with early exposure and training on eMRs in university courses.
允许学生在临床实习期间访问和记录电子病历(eMR),被认为对于确保毕业生在进入劳动力市场之前具备高水平的数字能力至关重要。有限的研究探讨了医学和护理以外的健康学科学生访问电子病历的情况。
我们的主要目的是研究不同健康学科的学生在实习期间获得电子病历能力的机会,探索他们的经历和看法,涵盖了一系列的健康学科和实习环境。
采用解释性顺序设计,包括一项定量调查( = 102),随后对高级健康学科学生进行了 6 次半结构化访谈,以探索他们在实习期间对访问电子病历的经历和看法。
在回答关于实习电子病历的问题的 93 名学生中,有 9 名(10%)报告他们的实习地点不使用电子病历,有 4 名学生报告他们在实习期间不被允许访问电子病历。大多数学生(64%,84 名中的 54 名)使用自己的凭证访问系统,但 31%(84 名中的 26 名)使用他人的登录名和密码。学生对实习期间接受的电子病历培训和支持感到满意,但在提供的培训和支持水平方面,各实习地点存在显著差异。所有学生都认为访问电子病历有助于学习和为工作做准备,改善护理服务,承担工作责任,并对患者护理负责。
在实习期间为学生提供访问电子病历的机会对于培养学生的专业身份和认识他们在提供跨专业患者护理中的作用至关重要。为了使毕业生具备在数字医疗环境中有效为多学科护理做出贡献的能力,大学需要与实践合作伙伴合作,规范和正式确定电子病历的访问、注册、培训和支持,并在大学课程中为学生提供早期接触和电子病历培训。