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EpicEDU: An Innovation to Improve Core Electronic Health Record Competencies Among Nursing Students
Sheryl Malone-Thomas1, Padmavathy Ramaswamy2, Kennessa Landry3,4
1Department of Undergraduate and Graduate Studies.
The Journal of Nursing Education
|July 23, 2026
Summary
Nursing students often lack electronic health record (EHR) skills. An academic EHR simulation, EpicEdu, enhanced preparedness and realism for future nurses, improving patient safety.
Area of Science:
- Nursing Education
- Health Informatics
- Medical Simulation
Background:
- Electronic health records (EHRs) are integral to contemporary healthcare delivery.
- A significant gap exists in nursing graduates' preparedness for utilizing EHR systems in clinical practice.
Purpose of the Study:
- To address the EHR competency gap among nursing students.
- To evaluate the effectiveness of a novel academic EHR simulation, EpicEdu, in preparing future nurses for clinical practice.
Main Methods:
- Development of EpicEdu, an academic EHR system, in partnership with Epic Systems.
- Implementation of EpicEdu simulations for nursing and nurse practitioner students.
- Assessment of student perceptions regarding simulation realism, clinical preparedness, and patient safety.
Main Results:
- 239 nursing and 88 nurse practitioner students participated in EpicEdu simulations.
- 54.1% of students felt the simulation enhanced realism.
- 43.1% reported feeling better prepared for clinical practice post-simulation.
- 42.2% believed EpicEdu use could improve patient safety outcomes.
Conclusions:
- The academic-industry partnership successfully created an academic EHR that mirrors clinical systems.
- EpicEdu is an effective tool for developing essential technology competencies in future nurses.
- Simulation using academic EHRs can enhance nursing students' readiness and contribute to patient safety.
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