Restrictions on Nursing Students' Electronic Health Information Access
Wendy Hansbrough1, Kimberly Silver Dunker, Jennifer Gunberg Ross
1Author Affiliations: Assistant Professor (Dr Hansbrough), School of Nursing, California State University San Marcos; Associate Professor (Dr Dunker), School of Nursing, Worcester State University, Massachusetts; Assistant Professor (Dr Ross), M. Louise Fitzpatrick College of Nursing, Villanova University, Pennsylvania; and Assistant Clinical Professor (Dr Ostendorf), School of Nursing, University of Southern Indiana, Evansville.
Nursing students face significant restrictions accessing electronic health records, often resorting to shared credentials. This highlights a critical need to update informatics education and clinical access policies.
Area of Science:
- Nursing Education
- Health Informatics
- Electronic Health Records
Background:
- Student restrictions on electronic health information access pose a threat to clinical learning and informatics competency.
- Lack of evidence hinders the development of effective informatics education and policy strategies.
Purpose of the Study:
- To describe the extent of nursing students' access to and use of electronic health information systems.
- To gather insights from clinical instructors regarding student EHR system utilization.
Main Methods:
- An online survey was administered to clinical faculty.
- 193 prelicensure nursing program faculty from 25 states participated.
Main Results:
- Students frequently encounter limitations in accessing patient health information and utilizing core EHR functions like charting and medication administration.
- A common workaround involves students using faculty or staff nurse system access credentials.
Conclusions:
- Findings indicate a need to critically evaluate current nursing curricula concerning informatics competency.
- Review of clinical site policies regarding electronic health records access for students is recommended.
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