Raghunathan Kalpana, McKenna Lisa, Peddle Monica
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. 2023 Jan;120:105626. doi: 10.1016/j.nedt.2022.105626. Epub 2022 Nov 9.
Academic electronic medical records are useful simulation-based educational tools that assist health professional students develop their skill sets for digital health practice. Despite this, their utilisation in pre-registration nursing curricula is uncommon in Australia and New Zealand.
To explore factors surrounding integration of academic electronic medical records into pre-registration nursing curricula in Australia and New Zealand.
Exploratory qualitative multiple case studies approach with purposive sampling set within a larger research project.
Semi-structured interviews conducted with course leaders from six nursing schools. Data were analysed in an iterative content-driven deductive and inductive process using open-coding and categories. Case analysis involved within case and cross-case analysis.
Findings revealed different factors that impacted the utilisation of academic electronic medical records in nursing curricula including factors influencing adoption, barriers and challenges with implementation, enablers for integration and perceived benefits for students' clinical practice preparation. Reasons for not using academic electronic medical records, barriers for implementation, and preparation of students for clinical practice in the absence of these simulation tools were also highlighted.
Our findings suggest that use of academic electronic medical records in nursing curricula is still evolving and that their adoption and application within programs is not straightforward. While there are many factors unique to the schools using such resources, factors including decisions around curriculum incorporation, optimising available resources to support students' learning, and developing faculty capability to teach with academic electronic medical records were common considerations. Lack of funding and access to local educational tools were ongoing barriers for adoption. Further research examining curriculum timing and preparation, possibilities of partnerships to share resources, and evaluation in meeting students' needs is necessary.
学术电子病历是基于模拟的有用教育工具，可帮助健康专业学生培养数字健康实践所需的技能。尽管如此，在澳大利亚和新西兰，学术电子病历在注册前护理课程中的应用并不常见。
探讨将学术电子病历整合到澳大利亚和新西兰注册前护理课程中的相关因素。
在一个更大的研究项目中采用探索性定性多案例研究方法，并进行目的抽样。
对六所护理学院的课程负责人进行半结构化访谈。使用开放式编码和类别，通过迭代的内容驱动演绎和归纳过程对数据进行分析。案例分析包括案例内分析和跨案例分析。
研究结果揭示了影响护理课程中学术电子病历使用的不同因素，包括影响采用的因素、实施中的障碍和挑战、整合的促进因素以及对学生临床实践准备的预期益处。还强调了不使用学术电子病历的原因、实施障碍以及在没有这些模拟工具的情况下学生临床实践的准备情况。
我们的研究结果表明，护理课程中学术电子病历的使用仍在不断发展，其在课程中的采用和应用并非易事。虽然使用此类资源的学校有许多独特因素，但围绕课程纳入的决策、优化可用资源以支持学生学习以及培养教师使用学术电子病历进行教学的能力等因素是共同的考虑因素。资金短缺和无法获取当地教育工具仍然是采用的障碍。有必要进一步研究课程安排和准备情况、共享资源的合作可能性以及满足学生需求的评估。
