Lesson learned from practice: Informing how to teach the use of simulated electronic medical records to nursing students

Abstract

Background

The rise of electronic medical records (EMRs) in healthcare necessitates their incorporation into nursing education. This study examines the implications of electronic medical records on nursing practice and education, highlighting the need for competency in technology use among student nurses. Registered nurses face challenges balancing EMRs use with patient care, often experiencing increased cognitive load and stress related to using this technology. With an understanding that the registered nurses are the largest users of EMRs, this research seeks to gain their perspectives about the practicalities of working with a workstation on wheels, and EMRs. Using insights from registered nurses, the study delves into these dynamics, offering insights into the practical realities of EMRs in nursing.

Methods

A qualitative approach was employed, gathering focus group data from eight clinical active registered nurses to understand their experiences with EMRs.

Results

Three key themes emerged: The integration of EMRs in practice; The balancing act between technology and patient-centred care and; Practical challenges such as time management and system usability. The findings highlight the necessity to equip nurses-and by extension, nursing students- with technological skills while ensuring EMRs integration does not compromise patient care.

Conclusion

Recommendations focus on enhancing nursing curricula with EMRs training and advocating for resources that support workflow efficiency and clinical decision making. This study illustrates the complexities of EMRs in nursing, emphasising the importance of digital competencies in nursing curricula to enhance student preparedness, optimise clinical workflows and improved healthcare outcomes.