{"title":"通过病房模拟学生对电子病历的信心和知识的评估研究","authors":"Lyndall Mollart PhD, RN, RM , Michelle Stubbs PhD, RN , Danielle Noble RN , Noriko Koizumi RN , Gary Crowfoot PhD, RN","doi":"10.1016/j.ecns.2025.101792","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Registered nurses require digital health literacy to use patient electronic medical records. Incorporating on-ward simulation training for student Registered Nurses has the potential to improve engagement with electronic medical records. However, there is minimal evidence exploring this approach.</div></div><div><h3>Method</h3><div>Third-year nursing students (<em>n</em> = 30) completed seven on-ward simulations across 10 weeks of professional experience placement. Data were collected pre-intervention, mid-intervention and post-intervention. Differences in survey item scoring were analyzed across the intervention timeframe (Friedman’s) and between individual timepoints (Wilcoxon).</div></div><div><h3>Results</h3><div>A significant improvement in student knowledge documenting electronic observation charts (<em>p</em> = 0.024) and electronic medical records (<em>p</em> = 0.004) was observed between pre-and post-intervention timepoints. Student confidence in documenting in the patient’s electronic observation charts (<em>p</em> = 0.033) and electronic medical records (<em>p</em> = 0.002) was significantly improved pre- and post-intervention. Anxiety levels associated with documenting in the patient electronic medical records were significantly reduced between pre-and post-intervention timepoints (<em>p</em> = 0.005).</div></div><div><h3>Conclusion</h3><div>On-ward simulations show promise and appears to be efficacious in improving student-related outcomes associated with electronic medical record use. Future research is required to determine the effectiveness of this intervention.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"106 ","pages":"Article 101792"},"PeriodicalIF":2.5000,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Student confidence and knowledge with electronic medical records through on-ward simulation: An evaluation study\",\"authors\":\"Lyndall Mollart PhD, RN, RM , Michelle Stubbs PhD, RN , Danielle Noble RN , Noriko Koizumi RN , Gary Crowfoot PhD, RN\",\"doi\":\"10.1016/j.ecns.2025.101792\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Registered nurses require digital health literacy to use patient electronic medical records. Incorporating on-ward simulation training for student Registered Nurses has the potential to improve engagement with electronic medical records. However, there is minimal evidence exploring this approach.</div></div><div><h3>Method</h3><div>Third-year nursing students (<em>n</em> = 30) completed seven on-ward simulations across 10 weeks of professional experience placement. Data were collected pre-intervention, mid-intervention and post-intervention. Differences in survey item scoring were analyzed across the intervention timeframe (Friedman’s) and between individual timepoints (Wilcoxon).</div></div><div><h3>Results</h3><div>A significant improvement in student knowledge documenting electronic observation charts (<em>p</em> = 0.024) and electronic medical records (<em>p</em> = 0.004) was observed between pre-and post-intervention timepoints. Student confidence in documenting in the patient’s electronic observation charts (<em>p</em> = 0.033) and electronic medical records (<em>p</em> = 0.002) was significantly improved pre- and post-intervention. Anxiety levels associated with documenting in the patient electronic medical records were significantly reduced between pre-and post-intervention timepoints (<em>p</em> = 0.005).</div></div><div><h3>Conclusion</h3><div>On-ward simulations show promise and appears to be efficacious in improving student-related outcomes associated with electronic medical record use. Future research is required to determine the effectiveness of this intervention.</div></div>\",\"PeriodicalId\":48753,\"journal\":{\"name\":\"Clinical Simulation in Nursing\",\"volume\":\"106 \",\"pages\":\"Article 101792\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2025-08-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Simulation in Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1876139925001094\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Simulation in Nursing","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1876139925001094","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
Student confidence and knowledge with electronic medical records through on-ward simulation: An evaluation study
Background
Registered nurses require digital health literacy to use patient electronic medical records. Incorporating on-ward simulation training for student Registered Nurses has the potential to improve engagement with electronic medical records. However, there is minimal evidence exploring this approach.
Method
Third-year nursing students (n = 30) completed seven on-ward simulations across 10 weeks of professional experience placement. Data were collected pre-intervention, mid-intervention and post-intervention. Differences in survey item scoring were analyzed across the intervention timeframe (Friedman’s) and between individual timepoints (Wilcoxon).
Results
A significant improvement in student knowledge documenting electronic observation charts (p = 0.024) and electronic medical records (p = 0.004) was observed between pre-and post-intervention timepoints. Student confidence in documenting in the patient’s electronic observation charts (p = 0.033) and electronic medical records (p = 0.002) was significantly improved pre- and post-intervention. Anxiety levels associated with documenting in the patient electronic medical records were significantly reduced between pre-and post-intervention timepoints (p = 0.005).
Conclusion
On-ward simulations show promise and appears to be efficacious in improving student-related outcomes associated with electronic medical record use. Future research is required to determine the effectiveness of this intervention.
期刊介绍:
Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation.
We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria:
Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation
Innovative teaching/learning strategies using simulation
Articles updating guidelines, regulations, and legislative policies that impact simulation
Leadership for simulation
Simulation operations
Clinical and academic uses of simulation.