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      Usability of Academic Electronic Medical Record Application for Nursing Students' Clinical Practicum

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          Abstract

          Objectives

          Nursing curricula for undergraduate nursing students need to reflect the information technology used in current nursing practice. A smart-device Academic Electronic Medical Record (AEMR) application can help nursing students access and document records for the clinical practicum. We conducted a pilot study to evaluate the usability of an AEMR application before applying it to the clinical nursing practicum.

          Methods

          A previously developed EMR application was modified as an AEMR to access patient information at bedside and to practice documentation. We added several features to the current EMR application to create an AEMR environment. We created a series of document forms and several useful scales on an external application, which included nursing admission notes, vital signs, and intake/output. The case scenarios and tasks were created by a research team to evaluate aspects of AEMRs, including their usability and functionality. Five nursing students completed 15 tasks using a think-aloud method with a tablet device.

          Results

          Minor usability issues were identified and rectified. All participants indicated that they became familiar with the application with little effort. They said that the application icons were intuitive, which helped them find patient information more quickly and accurately.

          Conclusions

          The application will improve timely access to patient data and documentation for nursing students. We are confident that this AEMR application will enhance nursing students' experience with their clinical practicum, and help them to better understand patient conditions and document them with ideal accessibility.

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          Most cited references15

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          Medical student documentation in electronic health records: a collaborative statement from the Alliance for Clinical Education.

          The electronic health record (EHR) is an important advancement in health care. It facilitates improvement of health care delivery and coordination of care, but it creates special challenges for student education. This article represents a collaborative effort of the Alliance for Clinical Education (ACE), a multidisciplinary group formed in 1992. ACE recognizes the importance of medical student participation in patient care including the ability of documentation. This article proposes guidelines that can be used by educators to establish expectations on medical student documentation in EHRs. To provide the best education for medical students in the electronic era, ACE proposes to use the following as practice guidelines for medical student documentation in the EHR: (a) Students must document in the patient's chart and their notes should be reviewed for content and format, (b) students must have the opportunity to practice order entry in an EHR--in actual or simulated patient cases--prior to graduation, (c) students should be exposed to the utilization of the decision aids that typically accompany EHRs, and (d) schools must develop a set of medical student competencies related to charting in the EHR and state how they would evaluate it. This should include specific competencies to be documented at each stage, and by time of graduation. In addition, ACE recommends that accreditation bodies such as the Liaison Committee for Medical Education utilize stronger language in their educational directives standards to ensure compliance with educational principles. This will guarantee that the necessary training and resources are available to ensure that medical students have the fundamental skills for lifelong clinical practice. ACE recommends that medical schools develop a clear set of competencies related to student in the EHR which medical students must achieve prior to graduation in order to ensure they are ready for clinical practice.
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            A survey of student nurses' and midwives' experiences of learning to use electronic health record systems in practice.

            The study aimed to investigate student nurses' and midwives' experiences of learning to use electronic health records (EHR) in practice.
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              Selecting an academic electronic health record.

              Donna Gloe (2010)
              It is critical to keep students up-to-date on technology being used in healthcare systems. One such system is the electronic health record; however, selecting the academic electronic health record (AEHR) system and integrating it into the curriculum are complex. This author presents a plan for researching, reviewing, and choosing an AEHR. This plan can be adapted to any school interested in choosing an AEHR.
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                Author and article information

                Journal
                Healthc Inform Res
                Healthc Inform Res
                HIR
                Healthcare Informatics Research
                Korean Society of Medical Informatics
                2093-3681
                2093-369X
                July 2015
                31 July 2015
                : 21
                : 3
                : 191-195
                Affiliations
                [1 ]Nursing Policy Research Institute, College of Nursing, Yonsei University, Seoul, Korea.
                [2 ]Seoul Women's College of Nursing, Seoul, Korea.
                [3 ]Department of Nursing, Hyejeon College, Hongseong, Korea.
                Author notes
                Corresponding Author: Mona Choi, PhD, RN. Nursing Policy Research Institute, College of Nursing, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Korea. Tel: +82-2-2228-3341, Fax: +82-2-392-5440, monachoi@ 123456yuhs.ac
                Article
                10.4258/hir.2015.21.3.191
                4532844
                79b2d3e8-de37-4471-a9f4-680eb3069101
                © 2015 The Korean Society of Medical Informatics

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 08 June 2015
                : 24 June 2015
                : 25 June 2015
                Funding
                Funded by: National Research Foundation of Korea
                Award ID: 2013R1A1A3011136
                Categories
                Case Report

                Bioinformatics & Computational biology
                nursing education,computerized medical records systems,mobile applications,nursing records,pilot projects

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