title: The impact of university provided nurse electronic medical record training on health care organizations: an exploratory simulation approach.
abstract: Training providers appropriately, particularly early in their caregiving careers, is an important aspect of electronic medical record (EMR) implementation. Considerable time and resources are needed to bring the newly hired providers 'up to speed' with the actual use practices of the organization. Similarly, universities lose valuable clinical training hours when students are required to spend those hours learning organization-specific EMR systems in order to participate in care during clinical rotations. Although there are multiple real-world barriers to university/health care organization training partnerships, the investment these entities share in training care providers, specifically nurses, to use and understand EMR technology encourages a question: What would be the cumulative effect of integrating a mutually agreed upon EMR system training program in to nursing classroom training on downstream hospital costs in terms of hours of direct caregiving lost, and benefits in terms of number of overall EMR trained nurses hired? In order to inform the development of a large scale study, we employed a dynamic systems modeling approach to simulate the theoretical relationships between key model variables and determine the possible effect of integrating EMR training into nursing classrooms on hospital outcomes. The analysis indicated that integrating EMR training into the nursing classroom curriculum results in more available time for nurse bedside care. Also, the simulation suggests that efficiency of clinical training can be potentially improved by centralizing EMR training within the nursing curriculum.
authors: Purdue University, West Lafayette, IN.
authors: Kathleen
authors: K
authors: Abrahamson
authors: Purdue University, West Lafayette, IN.
authors: James G
authors: JG
authors: Anderson
authors: School of Health Information Science, University of Victoria, British Columbia.
authors: Elizabeth M
authors: EM
authors: Borycki
authors: School of Health Information Science, University of Victoria, British Columbia.
authors: Andre W
authors: AW
authors: Kushniruk
authors: Provincial Health Services Authority, British Columbia.
authors: Shannon
authors: S
authors: Malovec
authors: School of Health Information Science, University of Victoria, British Columbia.
authors: Angela
authors: A
authors: Espejo
authors: Anderson Consulting, West Lafayette, IN.
authors: Marilyn
authors: M
authors: Anderson
mesh_terms: D003479:Curriculum; D004506:Education, Nursing / Q000379:methods*; D004508:Education, Nursing, Baccalaureate / Q000379:methods*; D004521:Educational Measurement; D057286:Electronic Health Records / Q000706:statistics & numerical data*; D006761:Hospitals; D008490:Medical Informatics / Q000193:education*; D017145:Models, Educational; D014481:United States