Electronic Health Record Knowledge, Skills, and Attitudes Among Newly Graduated Nurses: A Scoping Review

Area of Science:

• Nursing Informatics
• Health Professions Education

Background:

• Electronic Health Records (EHRs) are integral to modern healthcare.
• Assessing end-user system optimization is crucial for effective EHR implementation.
• Graduating and newly graduated nurses' proficiency with EHR systems requires evaluation.

Purpose of the Study:

• To identify key characteristics of electronic health record (EHR) end-user system optimization levels.
• To examine the EHR-related knowledge, skills, and attitudes of graduating/newly graduated nurses.

Main Methods:

• A systematic scoping review methodology was employed.
• Eleven articles were systematically identified and reviewed from three databases.
• Data extraction focused on nursing level, EHR type, assessment methods, and studied EHR competencies.

Main Results:

• Most studies assessed EHR documentation accuracy (skills) via evaluator reports.
• EHR knowledge was investigated in only two studies; EHR attitudes were not examined.
• Self-reported data primarily focused on EHR navigation, utilization, and knowledge acquisition skills.

Conclusions:

• Graduating/newly graduated nurses exhibit deficiencies in EHR skills, knowledge, and attitudes.
• Simulation and dedicated EHR education are effective pedagogical strategies.
• Enhancing EHR end-user system optimization is vital for nursing practice.