Evidence map›Paper›PMID 39225789›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2024

Implementation and delivery of electronic health records training programs for nurses working in inpatient settings: a scoping review.

Oliver T Nguyen, Steven D Vo, Taeheon Lee, Kenrick D Cato, Hwayoung Cho

Abstract readScoping Review
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Oliver T NguyenDepartment of Family, Community and Health System Science, College of Nursing, University of Florida, Gainesville, FL 32611, United States.
Steven D VoDepartment of Epidemiology & Biostatistics, University of South Florida, Tampa, FL 33612, United States.
Taeheon LeeDepartment of Biotechnology, Ghent University Global Campus, Incheon 21985, South Korea.
Kenrick D CatoDepartment of Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia, PA 19104, United States.
Hwayoung ChoDepartment of Family, Community and Health System Science, College of Nursing, University of Florida, Gainesville, FL 32611, United States.ORCID 0000-0002-6023-5309

Funding

University of Florida College of Nursing Internal PilotUniversity of Florida College of Nursing Internal Pilot Project Award
6 · The paper itself

Abstract

objectivesWell-designed electronic health records (EHRs) training programs for clinical practice are known to be valuable. Training programs should be role-specific and there is a need to identify key implementation factors of EHR training programs for nurses. This scoping review (1) characterizes the EHR training programs used and (2) identifies their implementation facilitators and barriers. MATERIALS AND

methodsWe searched MEDLINE, CINAHL, PsycINFO, and Web of Science on September 3, 2023, for peer-reviewed articles that described EHR training program implementation or delivery to nurses in inpatient settings without any date restrictions. We mapped implementation factors to the Consolidated Framework for Implementation Research. Additional themes were inductively identified by reviewing these findings.

resultsThis review included 30 articles. Healthcare systems' approaches to implementing and delivering EHR training programs were highly varied. For implementation factors, we observed themes in innovation (eg, ability to practice EHR skills after training is over, personalizing training, training pace), inner setting (eg, availability of computers, clear documentation requirements and expectations), individual (eg, computer literacy, learning preferences), and implementation process (eg, trainers and support staff hold nursing backgrounds, establishing process for dissemination of EHR updates). No themes in the outer setting were observed. DISCUSSION: We found that multilevel factors can influence the implementation and delivery of EHR training programs for inpatient nurses. Several areas for future research were identified, such as evaluating nurse preceptorship models and developing training programs for ongoing EHR training (eg, in response to new EHR workflows or features).

conclusionsThis scoping review highlighted numerous factors pertaining to training interventions, healthcare systems, and implementation approaches. Meanwhile, it is unclear how external factors outside of a healthcare system influence EHR training programs. Additional studies are needed that focus on EHR retraining programs, comparing outcomes of different training models, and how to effectively disseminate updates with the EHR to nurses.

Indexed as

Electronic Health RecordsNursing Staff, HospitalHumansInservice Trainingcomputer user trainingelectronic health recordsimplementationnurses

Identifiers

PMID39225789
PMCPMC11491623

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.