Pioneering the Australian Academic electronic medical records (AAeMR) prototype: affordability, accessibility, and accountability

Pauletta Irwin, Shanna Fealy, Amy Barnett, Lyndall Mollart (Presenter), Raelene Kenny, Keden Montgomery, Shannon Weily, Donovan Jones, Anwaar Ul-Haq, Danielle Noble

Research output: Other contribution to conferencePresentation onlypeer-review

Abstract

Background:
Globally, the healthcare industry's adoption of advanced technology has impacted nursing education and highlighted the need for undergraduate nursing programs to incorporate digital technology literacy within their curricula. The limited integration of electronic medical records (eMR) into undergraduate nursing programs in Australia is one example of the widening gap between theory and practice. There has been minimal contemporary Australian research examining the experience, perceptions, and culture of nurse-patient interactions when using eMR and how considerations of affordability, accessibility, and accountability impact on this integration.
Objectives:
This research examined the impact of using the Australian academic electronic medical records (AAeMR) prototype in an undergraduate nursing simulated learning environment (SLE) with a specific focus on third year student perspectives. A secondary focus was to explore Registered Nurses’ (RN) perspectives of the simulated program and their cultural work practices when utilising eMR in the clinical setting.
Methods:
The AAeMR prototype was used in an undergraduate nursing third-year subject within one regional university. Students practiced providing care using a workstation on wheels housing realistic simulated patient medical records and the AAeMR. RNs were invited to visit the campus to view the SLE and the AAeMR in use.
Design and Analysis:
After ethics approval and written consent, a purposive sample of third year nursing students (n=12) and Registered Nurses (n=9) participated in their respective focus groups that were recorded and then transcribed. Thematic analysis was conducted on all focus group contributions and emerging themes were identified.
Impact:
Findings contribute to the understanding of how the delivery of patient-centered care is impacted by digital technology and provide a foundation to develop this innovative AAeMR program. Key recommendations from this research address the concepts of affordability, accessibility, and accountability as they relate to best practices in simulated teaching and learning using eMR at the bedside.
Original languageEnglish
Publication statusPublished - 23 Aug 2023
EventAustralasian Simulation Congress 2023: ASC 2023 - Adelaide Convention Centre, Adelaide, Australia
Duration: 21 Aug 202324 Aug 2023
https://www.sesa.org.au/event/asc2023/ (Event website)
https://simaust.com/australasian-simulation-congress/
https://web.archive.org/web/20231126051925/http://www.simulationcongress.com/wp-content/uploads/2023/08/ASC-2023-Program-as-at-20-Aug.pdf (Program on Wayback Machine)

Conference

ConferenceAustralasian Simulation Congress 2023
Abbreviated titleLife between reality and simulation
Country/TerritoryAustralia
CityAdelaide
Period21/08/2324/08/23
Otherhe Simulation Australasia Board, 2023 Australasian Simulation Congress Organising Committee, and joint hosts, Systems Engineering Society of Australia (SESA) and the International Test and Evaluation Association (ITEA), warmly invite you to join us at the Australasian Simulation Congress 2023 (ASC 2023) from 21 to 24 August 2023 at the Adelaide Convention Centre. This year’s Congress will explore contemporary challenges for simulation practitioners through the theme, ‘Life between reality and simulation‘.

The ASC 2023 theme reflects the practical considerations for bringing simulations to life: budgets, diversity and inclusion, ethics, innovation and purposeful holistic approaches. Practitioners are increasingly called on to juggle operational realities in an environmental context of increasing socio-technical complexity with ongoing skills and workforce shortages exacerbated by a global pandemic, increasingly frequent natural disasters and a shifting geo-political balance. Modelling and simulation approaches are foundational transdisciplinary enablers to innovations that span the scope of emerging technologies as well as creating new ways of working together.

Join us in Adelaide to share, inform, experience and explore modelling, simulation, and system approaches in research, education, health, defence, resources and many other sectors. Connect with like-minded simulation developers and practitioners from across sectors and around the world!
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