An electronic record system in nursing education: evaluation and utilization.

Víctor Manuel González-Chordá, Desirée Mena-Tudela, Pablo Salas-Medina, Agueda Cervera-Gasch, Yolanda Lapeña-Moñux, Ana Folch-Ayora, María Isabel Orts-Cortés, María Loreto Maciá-Soler

Abstract

The main objective of the present work is to analyze the results of the utilization and evaluation of the LORETO Record System (LRS), providing improvement areas in the teaching-learning process and technology, in second year nursing students. A descriptive, prospective, cross sectional study using inferential statics has been carried out on all electronic records reported by 55 nursing students during clinical internships (April 1º-June 26º, 2013). Electronic record average rated 7.22 points (s=0.6; CV=0.083), with differences based on the clinical practice units (p<0,05). Three items assessed did not exceed the quality threshold set at 0.7 (p<0.05). Record Rate exceeds the quality threshold set at 80% for the overall sample, with differences based on the practice units.  Only two clinical practice units rated above the minimum threshold (p <0.05). Record of care provision every 3 days did not reach the estimated quality threshold (p <0.05). There is a dichotomy between qualitative and quantitative results of LRS. Improvement areas in theoretical education have been identified. The LRS seems an appropriate learning and assessment tool, although the development of a new APP version and the application of principles of gamification should be explored.


Keywords

Nursing; nursing education; electronic health record system; assessment; m-learning.

Full Text:

PDF

References

Baillie L., Curzio J. 2009. A survey of first year student nurses’ experiences of learning blood pressure measurement. Nurse Education in Practice, 9: 61e71.

Baillie L, Chadwick S, Mann R, Brooke-Read M. 2013. A survey of student nurses’ and midwives’ experiences of learning to use electronic health record systems in practice. Nurse Education in Practice, 13:437-441.

Bogossian FE, Kellett SEM, Mason B. 2009. The use of tablet pcs to access an electronic portfolio in the clinical setting: a pilot study using undergraduate nursing students. Nurse Educ Today, 29(2),246-53.

Button D, Harrington A, Belan I. 2013. E-learning & information communication technology (ICT) in nursing education: A review of the literature. Nurse Educ Today. In press

Clay CA. 2011. Exploring the use of mobile technologies for the acquisition of clinical skills. Nurse Educ Today, 31(6),582-6.

Dearnley C, Haigh J, Fairhall J. 2008. Using mobile technologies for assessment and learning in practice settings: a case study. Nurse Educ Pract, 8(3),197-204.

Papastavrou E, Lambrinou E, Tsangari H, Saarikoski M, Leino-Kilpi H. 2010. Student nurses experience of learning in the clinical environment. Nurse Education in Practice 10: 176–182

Gamify.com. What is Gamification? Retrieved from The Gamification Encyclopedia: http://gamification.org/wiki/Gamification

Gardner C, Jones S. 2012. Utilization of academic electronic medical records in undergraduate nursing education. OJNI, 16 (2) http://ojni.org/issues/?p=1702

Garrido Bartolome A, Sánchez Martinez V, Muñoz Izquierdo A, Ruiz Hontangas A, Ferrandis Campos. 2007. Estación de enfermería, primeros pasos en la informatización de cuidados. Investigación y cuidados, 5(11), 45-55

http://www.bibliotecadigitalcecova.com/contenido/revistas/cat4/pdf/Investigacion_y_Cuidados_N11.pdf

González Sánchez JA, Cosgaya García O, Simón García MJ, Blesa Malpica AL. 2004. Registros de enfermería: convencional frente a informatizado. Unidad de cuidados críticos. Enferm Intensiva, 15(2),53-62.

Gordon J, McNew R, Trangenstein P. 2007. The development of an online clinical log for advanced practice nursing students: a case study. Stud Health Technol Inform, 129,1432-6.

Habermann, M. The Nursing Process: A Global Concept. Elsevier Health Sciences, 2006.

Kowitlawakul Y, Wang L, Chan W-CS. 2013. Development of the electronic health records for nursing education (EHNRE) software program. Nurs Educ Today, 33, 1529-35.

Kowitlawakul Y, Chan W-CS, Pulcini J, Wang L. Factors influencing nursing students' acceptance of electronic health records for nursing education (EHRNE) software program. Nurse Education Today. 2014 (in press).

Law 16/2003, de 28 de mayo, de cohesión y calidad del Sistema Nacional de Salud. Spain. Boletín Oficial del Estado, Núm128 de 29.05.2003. http://www.boe.es/buscar/doc.php?id=BOE-A-2003-21840

Maciá Soler L, Orts Cortés I, Galiana Sánchez M, Ors Montenegro A. 2013. Implantación simultánea de los niveles de Grado, Máster y Doctorado en Enfermería en la Universidad Jaume I. Castellón de la Plana, España. Investigación y Educación en Enfermería, 31(2). http://aprendeenlinea.udea.edu.co/revistas/index.php/iee/rt/printerFriendly/14121/14036

Medina-Valverde, MJ; Rodriguez-Borrego, MA; Luque-Alcaraz, O; de la Torre-Barbero, MJ; Parra-Perea, J; Moros-Molina, MP. 2012. Estudio evaluativo sobre una herramienta informática de gestión enfermera en el periodo 2005-2010. Enferm Clin, 22,3-10.

Ministerio de Sanidad y Política Social. 2010. El Sistema de Historia Clínica Digital del Sistema Nacional de Salud. Instituto de información sanitaria. Agencia de Calidad del Sistema Nacional de Salud. Spain. http://www.msc.es/organizacion/sns/planCalidadSNS/docs/HCDSNS_Castellano.pdf

Ministerio de Sanidad, Servicios Sociales e Igualdad y Ministerio de Industria, Energía y Turismo. 2012. Las TIC en el Sistema Nacional de Salud. El programa Sanidad en Línea. Actualización de datos 2011. Red.es. Spain. http://www.red.es/media/2012-07/1343654162527.pdf

Navarro Armedo, JM; Orgier Uranga, PE; de Haro Marín, S. 2007. AURORA 2003: gestor de informes de alta de enfermería en cuidados intensivos. Enfermería intensiva, 18(2), 78-89.

Parra-Estrada, AJ; Guerra-Arévalo, J; Domínguez Guerrero, F; Benítez de la Calle, MC. 2010. Proceso de implementación del módulo de cuidados de Diraya (Azahar) en el Hospital de Jerez. VII Congreso Nacional de Formación Continuada en Salud Innovación eImpacto.

http://www.juntadeandalucia.es/agenciadecalidadcanitaria/formacionsalud/gestor/es/recursos_Formativos/material_congreso_malaga/index2.html

Phillippi JC, Wyatt TH. 2011. Smartphones in Nursing Education. CIN, 29(8):449-54.

Real Decreto 1093/2010, de 3 de septiembre, por el que se aprueba el Conjunto Mínimo de Datos de los documentos clínicos en el Sistema Nacional de Salud. Spain. Boletín Oficial del Estado núm 225, 16.09.2010. http://www.boe.es/buscar/doc.php?id=BOE-A-2010-14199

Saba VK, Feeg V. 2005. A Bedside PC Charting System for Nursing Students using Clinical Care Classification (CCC) System. Libro de Congresos AMIA http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1560569/

Sánchez García AB, López Montesinos MJ, Fernández Alemán JL. 2013. Dispositivos inalámbricos en la educación enfermera. Investigación y educación en enfermería, 31(1) http://aprendeenlinea.udea.edu.co/revistas/index.php/iee/article/view/11681/13292

Sánchez Ros, N; Reigosa Gago, LF. 2006. Selene. Informatización de la historia clínica electrónica: Implicación sobre el proceso de enfermería. Enfermería Global, 6, 1-10. http://revistas.um.es/eglobal/article/view/458

Sayadi N, Rokhafroz D. 2012. Nursing Students’ perspective about a mobile software on nursing process for bedside use. Iranian Journal of Medical Education, 12(2) http://ijme.mui.ac.ir/browse.php?a_id=2198&sid=1&slc_lang=en

Skiba DJ. 2011. On the horizon mobile devices: are they a distraction or another learning tool? Nurs Educ Perspect, 32(3):195-7. http://nlnjournals.org/doi/pdf/10.5480/1536-5026-32.3.195

Severinsson, E., Sanda, A., 2010. Evaluation of the clinical supervision and professional development of student nurses. Journal of Nursing Management, 18:669-77.

Stanley D, Latimer K. 2011. “The Ward”: A simulation game for nursing students. Nurse Education in Practice, 11:20-5.

Urquhart C, Currell R, Grant MJ, Hardiker NR. 2009. Nursing record systems: effects on nursing practice and healthcare outcomes. Cochrane Database of Systematic Reviews. http://www.bibliotecacochrane.com/pdf/CD002099.pdf

Woodill G, Udell Ch. 2011. The future of mobile learning in medicine and Healthcare. Float Mobile Learning. http://floatlearning.com/ideas-and-insights/mobile-learning-research/the-future-of-mobile-learning-in-medicine-and-healthcare/

Wu PH, Hwang GJ, Tsai CC, Chen YC, Huang YM. 2011. A pilot study on conducting mobile learning activities for clinical nursing courses based on the repertory grid approach. Nurse Educ Today, 31(8), e8-15.

Abstract Views

2462
Metrics Loading ...

Metrics powered by PLOS ALM





This journal is distributed under a Creative Commons Attribution-NonCommercial-NonDerivs 4.0 Internacional License.

Universitat Politècnica de València

e-ISSN: 2341-2593