Saturday, November 1, 2003

This presentation is part of : Nursing Education: Innovative Use of the Web

Seeds on the Prairie: Growing Critical Thinking and Information Technology Skills

Judith J. Warren, RN, PhD, FAAN and Katherine A. Fletcher, PhD, RN, CS. School of Nursing, University of Kansas, Kansas City, KS, USA
Learning Objective #1: Discuss the technical considerations of adapting an electronic patient record for use as an educational strategy for teaching nursing students patient care, critical thinking, and information technology skills
Learning Objective #2: Describe how a partnership between a school of nursing and a health care technology supplier is implemented and maintained

The Simulated E-hEalth Delivery System (SEEDS), a partnership between a school of nursing and healthcare technology provider, is an educational strategy that uses an electronic patient record to enhance critical thinking and information technology skills. The partnership is essential to providing the resources needed for a successful implementation of SEEDS—a strategy that will be explored in this presentation. The technical considerations of how the functions of an electronic patient record were redesigned to support teaching nursing students about clinical reasoning and information technology will be discussed. Students are able to log in to a patient record, record their assessments, plan care, and document care provided to assigned and virtual patients; thus, gaining desirable information technology skills. Screens (documentation forms) were developed to support recording of patient assessment data. Each form is based on the assessment of the strength of evidence in the literature (students are able to learn about this evidence via pull-down menus). A patient problem list function was implemented using NANDA which is taught in the nursing process class. A clinical note template was developed to support nursing care planning based on the SOAPE format so that the linkages in the care planning process can be identified. This application has been used in the following types of courses: fundamentals, client assessment, adult health, and pediatric health. The project employed a multi-method evaluation strategy (focus groups, video-tape, and the Flashlight benchmarking survey) to assess and refine the functionality of the information system. This presentation will demonstrate how SEEDS was developed, evaluated, and refined to meet the Institute of Medicine’s challenge of teaching health professional students the power of decision support and evidence-based protocols using an electronic patient record on the delivery of quality patient care.

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