This quantitative research study used a pretest/posttest design and reviewed how an educational electronic documentation system helped nursing students to identify the accurate “related to” statement of the nursing diagnosis for the patient in the case study.
Methods
Students in the sample population were senior nursing students in a bachelor of science nursing program in the northeastern United States. Two distinct groups were used for a control and intervention group. The intervention group used the educational electronic documentation system for three class assignments. Both groups were given a pretest and posttest case study. The Accuracy Tool was used to score the students' responses to the related to statement of a nursing diagnosis given at the end of the case study. The scores of the Accuracy Tool were analyzed, and then the numeric scores were placed in SPSS, and the paired t test scores were analyzed for statistical significance. The intervention group's scores were statistically different from the pretest scores to posttest scores, while the control group's scores remained the same from pretest to posttest.
Implications
The recommendation to nursing education is to use the educational electronic documentation system as a teaching pedagogy to help nursing students prepare for nursing practice.
AltmannT. K. (2007). An evaluation of the seminal work of Patricia Benner: Theory or philosophy?Contemporary Nurse: A Journal for the Australian Nursing Profession, 25(1–2), 114–123.
BennerP. (1984). From novice to expert excellence and power in clinical nursing practice. Menlo Park, CA: Addison-Wesley.
4.
BennerP.SutphenM.LeonardV. (2009). Educating nurses: A call for radical transformation. Hoboken, NJ: Jossey-Bass.
5.
BlairW.SmithB. (2012). Nursing documentation: Frameworks and barriers. Contemporary Nurse: A Journal for the Australian Nursing Profession, 41(2), 160–168.
6.
BrokelJ. M. (2009). Infusing clinical decision support interventions into electronic health records. Urologic Nursing, 29(5), 345–353.
7.
BrokelJ. M.OdenbreitM. (2012). Nursing classifications: Criteria and evaluation. In HerdmanT. H. (Ed.), NANDA International nursing diagnoses: Definitions and classification 2012–2014. Oxford, UK: Wiley-Blackwell.
8.
BrooksJ. G.BrooksM. G. (1993). In search of understanding: The case for constructivist classrooms. Alexandria, VA: Association for Supervision and Curriculum.
9.
BruylandsM.PaansW.HedigerH.Müller-StaubM. (2013). Effects on the quality of the nursing care process through an educational program and the use of electronic nursing documentation. International Journal of Nursing Knowledge, 24(3), 163–170. doi:10.1111/j.2047-3095.2013.01248.x
ConceicaoS.TaylorL. D. (2007). Using a constructivist approach with online concept maps: Relationship between theory and nursing education. Nursing Education Perspectives, 28(5), 268–275.
12.
De ClercqE.MoorG.BellonJ.FoulonM.van derLeiJ. (2008). Collaborative patient centered ehealth. Amsterdam, The Netherlands: IOS Press.
13.
ElderB. L.KoehnM. L. (2009). Assessment tool for nursing student computer competencies. Nursing Education Perspectives, 30(3), 148–152.
14.
FetterM. S. (2009). Graduating nurses' self-evaluation of information technology competencies. Journal of Nursing Education, 48(2), 86–90.
15.
GarteeR.BealS. (2012). Electronic health records and nursing. Boston, MA: Pearson.
16.
GreenS. D.ThomasJ. D. (2008). Interdisciplinary collaboration and the electronic medical record. Pediatric Nursing, 34(3), 225.
17.
GuhdeJ. (2010). Clinical decision-making: Using online exercises and patient simulation to improve students' clinical decision-making. Nursing Education Perspectives, 31(6), 387–389. doi:10.1043/1536-5026-31.6.387
18.
HorningR. (2011). Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital. American Journal of Health-System Pharmacy, 68(23), 2288–2292. doi:10.2146/ajhp110249
19.
HunterJ.KrantzS. (2010). Constructivism in cultural competence education. Journal of Nursing Education, 49(4), 207.
20.
Institute of Medicine. (2003). Key capabilities of an electronic health record system. Washington, DC: National Academy Press.
21.
Institute of Medicine. (2010). The future of nursing: Leading change, advancing health. Washington, DC: National Academy Press.
22.
KeenanG.YakelE.Dunn-LopezK.TschannenD.FordY. (2013). Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. Journal of the American Medical Informatics Association, 20(2), 245–251. doi:10.1136/amiajnt-2012-000894
23.
KeenanG.YakelE.YaoY.XuD.SzalachaL.TschannenD.WilkieD. J. (2012). Maintaining a consistent big picture: Meaningful use of a web-based POC EHR system. International Journal of Nursing Knowledge, 23(3), 119–133. doi:10.1111/j.2047-3095.2012.01215.x
24.
KelleyT. F.BrandonD. H.DochertyS. L. (2011). Electronic nursing documentation as a strategy to improve quality of patient care. Journal of Nursing Scholarship, 43(2), 154–162. doi:10.1111/j.1547-5069.2011.01397.x
25.
LucasL. (2010). Partnering to enhance the nursing curriculum: Electronic medical record accessibility. Clinical Simulation in Nursing, 6(3), e97–e102. doi:10.1016/j.ecns.2009.07.006
26.
LunneyM. (1992). Divergent productive thinking factors and accuracy of nursing diagnosis. Research in Nursing & Health, 15, 303–311.
27.
LunneyM. (2008). Current knowledge related to intelligence and thinking with implications for the development and use of case studies. International Journal of Nursing Terminologies & Classifications, 19(4), 158–162.
28.
LunneyM. (2010). Use of critical thinking in the diagnostic process. International Journal of Nursing Terminologies & Classifications, 21(2), 82–88. doi:10.1111/j.1744-618X.2010.01150.x
29.
MeyerL.SternbergerC.ToscosT. (2011). How to implement the electronic health record in undergraduate nursing education: Learn how one university integrated this technology into its interdisciplinary healthcare curricula. American Nurse Today, 6(5), 40–44.
30.
Muller-StaubM.NeedhamI.OdenbreitM.LavinM. A.vanAchterbergT. (2007). Improved quality of nursing documentation: Results of a nursing diagnoses, interventions, and outcomes implementation study. International Journal of Nursing Terminologies & Classifications, 18(1), 5–17.
31.
NANDA-I. (2003). NANDA-nursing diagnoses: Definition and classification 2003–2004. Philadelphia: Author.
32.
NickitasD.NokesK.CaroselliC.MahonP.ColucciD.LesterR. (2010). Increasing nursing student communication skills through electronic health record system documentation. Plastic Surgical Nursing, 30(2), 103–106.
33.
PaansW.Muller-StaubM. (2012). Standards in multi-professional digital documentation. IT for Health, 14(14).
WarrenJ.ConnorsH. R. (2007). Health information technology can and will transform nursing education. Nursing Outlook, 55(1), 58–60. doi:10.1016/j.outlook.2006.11.003
36.
WhittakerA. A.AufdenkampM.TinleyS. (2009). Barriers and facilitators to electronic documentation in a rural hospital. Journal of Nursing Scholarship, 41(3), 293–300.
37.
WolfD. M.NellisD. L. (2011). Informatics: Helping the LNC adjust to electronic records … the second of a two part series. Journal of Legal Nurse Consulting, 22(2), 8–12.
