Developing clinical judgment through the implementation of information and communication technology, such as the electronic health record (EHR)
View File(s)
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Carter, Sherri by View
Title | Page Views |
---|
Popular Works for Carter, Sherri by Download
Title | Downloads |
---|
View Citations
Citations
Graduate nurses are expected to enter a technology-rich workforce with an understanding of the electronic health record (EHR) and how it is used to guide patient care. Limited access to EHRs in clinical settings may result in students entering professional practice with limited ability to understand the full potential of the EHR. Over a seven-week term, students enrolled in the Patient-Centered Care I course, during the 2018 Spring I term, participated in high-fidelity simulation and seminar activities that included an educational electronic healthcare record (EEHR). These activities were integrated into the course to guide students when making clinical decisions regarding patient-centered care. Of the 93 students, 14 participated in the pre-course self-assessment survey, and 10 participated in the post-course self-assessment survey. Only those students who took both the pre and post-course self-assessment were evaluated (11% response rate). This survey was not mandatory, however, the EEHR activities in the course were. Students used Lasater’s Clinical Judgment Rubric to rate themselves in the dimensions of noticing, interpreting, responding, and reflecting. Overall, mean scores increased in three of the four dimensions of clinical judgment (noticing, interpreting, and reflecting). There was a significant difference under the criteria focused observation, for the dimension of noticing. There was marginal significance under the criteria making sense of data, for the dimension of interpreting, as well as marginal significance under the criteria commitment to improvement under the dimension of reflection.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 10928012; ProQuest document ID: 2247164632. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Quality Improvement |
Research Approach | Mixed/Multi Method Research |
Keywords | Educational Electronic Health Record; Experiential Learning; Simulation; Active Student Learning |
Grantor | Gardner-Webb University |
Advisor | Waters, Nicole; Brady, Marilyn |
Level | DNP |
Year | 2018 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Examining patient engagement with clinical technology: Demographic patterns of pediatric patient portal activation
Bush, Ruth A.; Vemulakonda, Vijaya M.; Richardson, Andrew; Davies, Sara Deakyne; Bojorquez, Genesis R.; Chiang, George J.EHRs of more than 42,000 patients at two geographically diverse pediatric specialty clinics were analyzed to identify 1) patients approached for patient portal access and 2) activated the portal. There were moderate ... -
A pilot to improve professional competence and safety through the use of clinical information systems and healthcare technology in nursing and allied health clinically-based courses
Katrancha, Elizabeth D.; George, Nickole M.; Drahnak, Dawn M. (2016-03-17)Session presented on Sunday, July 26, 2015: Purpose: The goal of this project is to develop, implement, and evaluate an innovative teaching strategy designed utilizing a simulated clinical information system (CIS), ... -
Overcoming barriers in students' electronic documentation
Hansbrough, Wendy B.; Dunker, Kimberly N. Silver; Ross, Jennifer Gunberg; Ostendorf, Marilyn (Sigma Theta Tau InternationalQuality and Safety Education for Nurses, 2020-06-26)This webinar will discuss the barriers that students and faculty face in clinical regarding access and documentation in the electronic health record and medication administration record. Learning Outcomes: Discuss the ... -
Implementation of an innovative machine learning-based triage support tool: Translating technology and research to practice
Whalen, Madeleine; Gardner, Heather; Martinez, Diego; Henry, Sophia; McKenzie, Catherine; Hinson, Jeremiah; Levin, ScotSession A presented Thursday, September 27, 10:00-11:00 am Purpose: Leveraging the electronic health record (EHR), as well as translating research to clinical practice, are paramount to improving the provision of healthcare ... -
Restricted electronic health record access in clinical leads to gaps in student learning
Dunker, Kimberly N. Silver; Hansbrough, Wendy B.; Ross, Jennifer Gunberg; Ostendorf, MarilynThe purpose of this study was to describe the current state of student nurses' clinical education related to informatics. This data demonstrates that students have limited access to electronic health care records which ...