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.