Mollart Lyndall, Irwin Pauletta, Noble Danielle, Kinsman Leigh
School of Nursing and Midwifery, College of Health, Medicine and Wellbeing, University of Newcastle, University Dr, Callaghan, NSW 2308. Australia.
School of Nursing, Paramedicine and Health Sciences, Charles Sturt University, Major Innes Rd, Port Macquarie, NSW 2444. Australia.
Nurse Educ Pract. 2023 Jul;70:103653. doi: 10.1016/j.nepr.2023.103653. Epub 2023 Apr 29.
This discussion paper highlights the importance of Australian nursing and midwifery students' lack of exposure to electronic medical records during their undergraduate programs. There is pressure on universities offering nursing and midwifery programs to provide students with opportunities to learn to use patient electronic medical records. This will provide authentic rehearsal with the digital technology prior to clinical placements and increase graduate work readiness. Informed by contemporary literature, we describe the benefits of implementing electronic medical records (eMR) in health organisations and identify the challenges and barriers to implementing and integrating the education of electronic records into undergraduate nursing and midwifery programs. Undergraduate students who had not experienced eMR as part of on-campus learning felt unprepared and lacked confidence when commencing clinical practice. Some international nursing and midwifery programs have found that student's skills improve in decision-making and documenting patient observations when eMR is integrated into their university education program. Successful integration of an eMR program should consider academic/teaching staff skills and confidence in technology use, initial and ongoing costs and technical support required to deliver the program. In conclusion, Australian universities need to embed eMR learning experiences into the nursing and midwifery undergraduate curricula to increase students work-readiness with a focus on patient safety.
本讨论文件强调了澳大利亚护理和助产专业学生在本科课程中缺乏电子病历接触机会这一问题的重要性。提供护理和助产专业课程的大学面临着压力，需要为学生提供学习使用患者电子病历的机会。这将在临床实习前提供与数字技术的真实演练，并提高毕业生的工作准备程度。根据当代文献，我们描述了在卫生组织中实施电子病历（eMR）的好处，并确定了将电子病历教育纳入本科护理和助产专业课程在实施和整合过程中面临的挑战和障碍。那些在校园学习中没有体验过电子病历的本科生在开始临床实习时感到准备不足且缺乏信心。一些国际护理和助产专业课程发现，当电子病历被纳入大学教育课程时，学生在决策和记录患者观察情况方面的技能会得到提高。成功整合电子病历项目应考虑学术/教学人员在技术使用方面的技能和信心、初始及持续成本以及实施该项目所需的技术支持。总之，澳大利亚的大学需要将电子病历学习体验融入护理和助产本科课程中，以提高学生的工作准备程度，并将重点放在患者安全上。
