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      Simulation Education Incorporating Academic Electronic Medical Records for Undergraduate Nursing Students: A Pilot Study

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      https://www.riss.kr/link?id=A108335081

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      다국어 초록 (Multilingual Abstract)

      Objectives: Academic electronic medical records (AEMRs) can be utilized for a variety of educational programs that can enhance nursing students’ nursing informatics and clinical reasoning competencies. This study aimed to identify the applicability ...

      Objectives: Academic electronic medical records (AEMRs) can be utilized for a variety of educational programs that can enhance nursing students’ nursing informatics and clinical reasoning competencies. This study aimed to identify the applicability and effectiveness of simulation education incorporating AEMRs. Methods: We developed simulation education scenarios incorporating AEMRs and evaluated them with 76 third- and fourth-year nursing students from five nursing schools using a mixed-methods design. We incorporated three simulation case scenarios involving preeclampsia, diabetes mellitus, and myocardial infarction into the AEMRs. After the simulation education, participants’ feedback on the usability of the AEMR system and their self-efficacy for AEMR utilization were collected via self-reported surveys. Subsequently, the simulation education incorporating AEMRs was evaluated through a focus group interview. The survey data were examined using descriptive statistics, and thematic analysis was done for the focus group interview data. Results: The average mean scores for the AEMR system’s usability and participants’ self-efficacy for AEMR utilization were 5.36 of 7 and 3.96 of 5, respectively. According to the focus group interviews, the participants were satisfied with the simulation education incorporating AEMRs and recognized their confidence in AEMR utilization. In addition, participants addressed challenges to simulation education incorporating AEMRs, including the need for pre-education and AEMR utilization difficulties. Conclusions: Nursing students were satisfied with and recognized the value of simulation education incorporating AEMRs. Although the actual application of simulation education incorporating AEMRs remains challenging, further research can help develop and implement this approach for nursing students.

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      참고문헌 (Reference) 논문관계도

      1 황재훈 ; 김동현, "성공적인 m-Learning 구현을 위한 핵심 요인에 대한 연구" 한국데이터전략학회 12 (12): 57-80, 2005

      2 Braun V, "Using thematic analysis in psychology" 3 (3): 77-101, 2006

      3 Jung SY, "User perspectives on barriers and facilitators to the implementation of electronic health records in behavioral hospitals : qualitative study" 5 (5): e18764-, 2021

      4 Page-Cutrara K, "Use of prebriefing in nursing simulation : a literature review" 53 (53): 136-141, 2014

      5 최모나 ; 이형숙 ; 박준호, "Usability of Academic Electronic Medical Record Application for Nursing Students’ Clinical Practicum" 대한의료정보학회 21 (21): 191-195, 2015

      6 Chung J, "The need for academic electronic health record systems in nurse education" 54 : 83-88, 2017

      7 Abrahamson K, "The impact of university provided nurse electronic medical record training on health care organizations : an exploratory simulation approach" 208 : 1-6, 2015

      8 American Association of Colleges of Nursing, "The essentials:core competencies for professional nursing education" American Association of Colleges of Nursing

      9 Kuiper R, "The essentials of clinical reasoning for nurses: using the outcome-present state test model for reflective practice" Sigma Theta Tau International 2017

      10 Elliott K, "Teaching student nurses how to use electronic patient records through simulation : a case study" 30 : 7-12, 2018

      1 황재훈 ; 김동현, "성공적인 m-Learning 구현을 위한 핵심 요인에 대한 연구" 한국데이터전략학회 12 (12): 57-80, 2005

      2 Braun V, "Using thematic analysis in psychology" 3 (3): 77-101, 2006

      3 Jung SY, "User perspectives on barriers and facilitators to the implementation of electronic health records in behavioral hospitals : qualitative study" 5 (5): e18764-, 2021

      4 Page-Cutrara K, "Use of prebriefing in nursing simulation : a literature review" 53 (53): 136-141, 2014

      5 최모나 ; 이형숙 ; 박준호, "Usability of Academic Electronic Medical Record Application for Nursing Students’ Clinical Practicum" 대한의료정보학회 21 (21): 191-195, 2015

      6 Chung J, "The need for academic electronic health record systems in nurse education" 54 : 83-88, 2017

      7 Abrahamson K, "The impact of university provided nurse electronic medical record training on health care organizations : an exploratory simulation approach" 208 : 1-6, 2015

      8 American Association of Colleges of Nursing, "The essentials:core competencies for professional nursing education" American Association of Colleges of Nursing

      9 Kuiper R, "The essentials of clinical reasoning for nurses: using the outcome-present state test model for reflective practice" Sigma Theta Tau International 2017

      10 Elliott K, "Teaching student nurses how to use electronic patient records through simulation : a case study" 30 : 7-12, 2018

      11 Organisation for Economic Co-operation and Development, "Strengthening health information infrastructure for health care quality governance: good practices, new opportunities and data privacy protection challenges"

      12 Vijayalakshmi P, "Response and attitudes of undergraduate nursing students towards computers in health care" 8 (8): 1-8, 2013

      13 Udelsman B, "Needle in a haystack : natural language processing to identify serious illness" 22 (22): 179-182, 2019

      14 Mollart L, "Introduction of patient electronic medical records(EMR)into undergraduate nursing education : an integrated literature review" 94 : 104517-, 2020

      15 Behrends M, "Interdisciplinary teaching of digital competencies for undergraduate medical students : experiences of a teaching project by medical informatics and medicine" 281 : 891-895, 2021

      16 Herbert VM, "Integrating an academic electronic health record : challenges and success strategies" 34 (34): 345-354, 2016

      17 Yang F, "Improving clinical judgment by simulation : a randomized trial and validation of the Lasater clinical judgment rubric in Chinese" 19 (19): 20-, 2019

      18 Sittner BJ, "INACSL standards of best practice for simulation : past, present, and future" 36 (36): 294-298, 2015

      19 Institute of Medicine, "Health professions education: a bridge to quality" National Academies Press 2003

      20 Vana KD, "Evaluating the use of a simulated electronic health record and online drug reference in a case study to enhance nursing students’ understanding of pharmacologic concepts and resources" 39 (39): 160-165, 2014

      21 Choi M, "Effects of using mobile devicebased academic electronic medical records for clinical practicum by undergraduate nursing students : a quasiexperimental study" 61 : 112-119, 2018

      22 Li J, "Effects of simulation-based deliberate practice on nursing students’ communication, empathy, and self-efficacy" 58 (58): 681-689, 2019

      23 Samadbeik M, "Education and training on electronic medical records(EMRs)for health care professionals and students : a scoping review" 142 : 104238-, 2020

      24 Jang A, "Clinical judgment model-based nursing simulation scenario for patients with upper gastrointestinal bleeding : a mixed methods study" 16 (16): e0251029-, 2021

      25 Choi M, "Assessment of the need to integrate academic electronic medical records into the undergraduate clinical practicum : a focus group interview" 34 (34): 259-265, 2016

      26 Jones S, "Assessment of electronic health record usability with undergraduate nursing students" 8 : 24-, 2011

      27 Kleib M, "Approaches for defining and assessing nursing informatics competencies : a scoping review" 19 (19): 794-841, 2021

      28 Dileone C, "An examination of simulation prebriefing in nursing education : an integrative review" 41 (41): 345-348, 2020

      29 Forman TM, "A review of clinical informatics competencies in nursing to inform best practices in education and nurse faculty development" 41 (41): E3-E7, 2020

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