HYBRID EVENT: You can participate in person at Orlando, USA or Virtually from your home or work.

6th Edition of Nursing World Conference

October 27-29, 2022 | Orlando, USA

October 27 -29, 2022 | Orlando, Florida, USA
NWC 2022

Joanne Weinschreider

Speaker at  Nursing World Conference 2022 - Joanne Weinschreider
University of Buffalo, United States
Title : Electronic health record: Say what?


Background: To adequately support a newly graduated nurse’s transition to practice, it is vital that nursing educators understand electronic health record (EHR) characteristics in the graduating/newly graduating nurse population. EHRs are complex, advanced and robust. Nurses are known to spend on average, one-fourth of their day documenting in the EHR (Weaver & Obrien, 2016). This high usage rate highlights the need for all nurses to have a solid foundation in EHR related competencies. The aim of this scoping review was to identify crucial EHR characteristics related to EHR end-user system optimization levels in graduating/newly graduated nurses. Through understanding more about EHR characteristics in this population, nursing educators can meet EHR related industry demands.

Method: A robust and systematic approach was utilized to conduct this scoping review. This review used the Levac et al. (2010) approach to identify appropriate articles. The scoping review yielded 11 articles from three different databases. Each article was reviewed for: purpose, size of sample, research design, level of nursing participant (e.g. graduating or newly graduated), EHR type (e.g. academic, in-situ or high-fidelity), method of assessment (e.g. evaluation or self-reported) and which EHR knowledge, skill or attitude was studied.

Results: The review identified that the majority of the 11 articles assessed for accuracy of EHR documentation (e.g., skills) through an evaluator method.  Only two articles evaluated EHR knowledge and no articles evaluated EHR attitudes. Articles using self-reported data focused mainly on EHR skills related to the psychomotor domain and the domain of knowledge. 

Conclusion: Overwhelming, the review identified that there is a need for more research in this area and that graduating/newly graduated nurses have gaps in EHR competency related characteristics. Specifically, this population struggles with demonstrating EHR skills and knowledge to a level of proficiency.


Joanne Weinschreider, MS, RN, is the Director of Experiential Learning at Saint John Fisher College and a PhD Candidate at the University at Buffalo. She has designed and continues to design the WSON simulation and lab program to enrich the learning experiences of undergraduate and graduate nursing students. In 2016, she received the Pinnacle Award for Collaboration in Education from Laerdal Medical Corporation for developing a simulation program of excellence. Prior to working at SJFC, she was a Perinatal Safety Nurse (2007-2010) and a Labor and Delivery Acute Care Nurse (2001-2007) at the University of Rochester Medical Center.