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Exploring educational barriers to pre-registration nursing students digital literacy competency in the clinical
Annette Stunden1, Anupama Ginige2, Rebecca O'Reilly3
1School of Nursing and Midwifery, Western Sydney University, Locked bag 1797, Penrith, NSW, Australia.
Background:
Digitalised clinical settings require pre-registration nursing students to confidently use electronic medical records and other technologies. Due to inconsistent curricula structure and limited exposure to clinical digital systems, nursing students are not adequately prepared for digitally enabled clinical practice. These educational gaps highlight the need to better understand the barriers that impede students' development of digital literacy skills.
Aim:
To explore the educational barriers that impede pre-registration nursing students' development of digital literacy skills and identify strategies to enhance their preparedness for digitalised clinical practice.
Design And Methods:
A descriptive qualitative approach was employed to capture the participants' subjective perspectives. Data was collected via semi-structured individual interviews with (n = 10) clinical nurse educators and (n = 10) nursing academics and focus group interviews with (n = 13) nursing students. All interviews were conducted online via zoom and analysed using thematic analysis.
Results:
Three major themes were generated. This paper reports on one main theme: "Educational Needs" describing limited structured teaching, limited opportunities to practice with EMR like systems, and misalignment between curriculum content and expected digital capability. Participants proposed scaffolded learning across year levels, simulated academic EMR activities, and assessment mapped to national capability expectations.
Conclusion:
While most healthcare institutions are now digitalised, research has shown higher educational providers are not meeting digital literacy needs of nursing students in this area. Future nurses must be digitally competent to overcome technological barriers when providing digitalised patient care. Therefore, contemporary digitally embedded education that includes digital literacy skills will prepare nursing students to provide quality and safe care in a digitalised clinical setting.
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