Purpose/Objectives: Analyze the use of Electronic Health Records (EHR) to stimulate the critical thinking and decision making required of students in real clinical settings by: 1) integrating current written work into the EHR and 2) creating a robust database of simulated patient cases, including diagnostic test results, physician orders, medications and physical assessment data. Currently, in order to enhance the students’ level of critical thinking, a weekly worksheet is completed utilizing a template in a Word document. The client’s physical, psychosocial and spiritual needs or “stressors” are identified and analyzed using the Neuman Systems Model (NSM).
Background: EHRs are a general category of software used by healthcare organizations to document all aspects of patient care. The dynamic healthcare environment challenges nursing faculty to produce graduates who are not only comfortable using technology, but more importantly, possess the ability to interpret, analyze and synthesize clinical data that are stored in EHRs.
Design/Sample: The qausi-experimental study with a pre-test, post-test design employed a sample consisting of two semesters of students who were enrolled in Medical-Surgical Nursing of Adults, II, a didactic and clinical course with an average enrollment of 60 students.
Methods: Data collection included a comparison of assessment paper grades from the first semester to the second, and a questionnaire completed by students prior to (Spring, 2010) and after (fall, 2010) the project implementation.
Findings: The study is in progress with completion of work and data collection planned for December, 2010 with data analysis to follow.
Implications for Nursing: The EHR can be used to document nursing students’ patient care activities after weekly clinical experiences. The EHR documentation will use the NSM variables and the nursing process in assessing, planning, creating outcomes, implementing, and evaluating the overall plan of care for the client.
1) Describe the use of Electronic Health Records to stimulate the critical thinking and decision making required of students in real clinical settings.
2) Discuss the implications for use of Electronic Health Records in an undergraduate nursing program.
Available at: http://works.bepress.com/rachel_ramsey/1/