Irwin Pauletta, Barnett Amy, Butler-Henderson Kerryn, Ellis Mathew, Kim Jeong-Ah, Magee Deborah, McDonald Simon, Speedie Lisa, Fealy Shanna
School of Nursing, Paramedicine and Healthcare Sciences, Charles Sturt University, Locked Bag 5000, Port Macquarie 2444, New South Wales, Australia.
School of Nursing, Paramedicine and Healthcare Sciences, Charles Sturt University, Locked Bag 558, Wagga Wagga 2678, New South Wales, Australia.
J Nurs Manag. 2025 Apr 23;2025:6145329. doi: 10.1155/jonm/6145329. eCollection 2025.
As the largest workforce in health, it is critically important that the principles of planetary health are incorporated into nursing education to have a significant influence on reducing the environmental impacts of health practices and address health inequities. Despite the adoption of sustainability principles by the higher education sector, the translation into nursing curriculum has been challenging. The increased integration of digital technologies in health contributes towards both sustainability in health and the United Nations Sustainable Development Goals (SDG). Electronic health records (EHRs) are well documented in reducing the reliance on paper-based records and improve the efficiency of health delivery, including accessibility to health where information sharing barriers are reduced. The incorporation of digital health training, and specifically the use of simulated EHRs, into nursing curriculum will increase the application of the principles of planetary health into graduate practice. This study explored if the use of an EHR in a simulated learning environment (SLE) in a Bachelor of Nursing (BN) program can lead to tangible reduction in paper consumption. A nonexperimental, pre- and postdesign was used to audit the paper consumption, specifically paper-based manuals, within the SLE pre- and postimplementation of the HealthiERSim®, an in house developed simulated EHR system. The study was held across multiple campuses with different BN cohorts. The study reported an overall reduction paper consumption by 12.59% post-implementation of HealthiERSim® and a reduction in pages per SLE manual, with a significant ( < 0.001) difference in paper consumption between the subjects. The results of this study indicate an effective implementation of an EHR solution can decrease paperconsumption within an SLE, contributing to reducing the environmental footprint of an educational institution. Where adopted with curriculum content about sustainable practices, this will increase graduate awareness and practice of planetary health principles and the SDGs.
作为医疗卫生领域最大的劳动力群体，将全球健康原则纳入护理教育至关重要，这对减少健康实践的环境影响和解决健康不平等问题具有重大影响。尽管高等教育部门已采用可持续发展原则，但将其转化为护理课程却颇具挑战。数字技术在医疗卫生领域的日益融合有助于实现医疗卫生领域的可持续发展以及联合国可持续发展目标（SDG）。电子健康记录（EHR）在减少对纸质记录的依赖以及提高医疗服务效率（包括减少信息共享障碍情况下的医疗可及性）方面已有充分记录。将数字健康培训，特别是模拟电子健康记录的使用，纳入护理课程将增加全球健康原则在毕业生实践中的应用。本研究探讨了在护理学学士（BN）课程的模拟学习环境（SLE）中使用电子健康记录是否能切实减少纸张消耗。采用非实验性的前后设计，对内部开发的模拟电子健康记录系统HealthiERSim®在SLE实施前后的纸张消耗情况进行审核，特别是纸质手册的消耗。该研究在多个校区针对不同的BN学生群体开展。研究报告称，在实施HealthiERSim®后，纸张总消耗量总体减少了12.59%，且每本SLE手册的页数也有所减少，各受试者之间的纸张消耗存在显著差异（<0.001）。本研究结果表明，有效实施电子健康记录解决方案可减少SLE中的纸张消耗，有助于减少教育机构的环境足迹。若与关于可持续实践的课程内容相结合，这将提高毕业生对全球健康原则和可持续发展目标的认识及实践能力。
