Abstract：
Electronic health records are integral to the advanced practice registered nurse role, yet access and training during academic preparation are profoundly limited. Lack of exposure to electronic health records prevents students from becoming fully prepared for the responsibilities of clinical practice and potentially impacts quality of care, patient safety, and communication among patients and providers. This scoping review of 20 articles on electronic health record use in advanced practice registered nursing student education shows significant gaps in current research. Nine articles were classified as research. The remaining 11 were non-research reports of teaching innovations describing the use of simulated electronic health records in graduate nursing education or the use of an electronic health record in interprofessional education activities. Most of the limited research did not use valid and reliable instruments or robust designs, employed disparate approaches and tools to study the phenomenon, and measured low-level outcomes such as student navigation and confidence in using electronic health records. The non-research literature draws attention to the deficits in educational resources, including unaffordable electronic health records for academic use. Although rigorous evidence is lacking, a common theme throughout the reviewed literature was the benefit of simulation to develop electronic health record skills.
摘要：
电子健康记录是高级执业注册护士角色不可或缺的一部分，然而，在学术准备期间的访问和培训是极其有限的。缺乏对电子健康记录的接触会阻止学生为临床实践的责任做好充分准备，并可能影响护理质量。患者安全,以及患者和提供者之间的沟通。对20篇有关电子健康记录在高级实践注册护生教育中使用的文章进行范围审查，显示当前研究存在显着差距。九篇文章被归类为研究。其余11个是非研究报告的教学创新，描述了在研究生护理教育中使用模拟电子健康记录或在跨专业教育活动中使用电子健康记录。大多数有限的研究没有使用有效和可靠的仪器或坚固的设计，采用不同的方法和工具来研究这一现象，并测量低水平的结果，如学生导航和使用电子健康记录的信心。非研究文献引起了人们对教育资源不足的关注，包括用于学术用途的负担不起的电子健康记录。虽然缺乏严格的证据，在整个综述文献中,一个共同的主题是模拟对发展电子健康记录技能的益处.
