Validation of a Tool to Evaluate Nursing Students' Electronic Health Record Competency in Simulation

Susan McBride; Laura Thomas; Sharon Decker; Matthew Pierce; Shelley Burson; Huaxin Song; Katie Haerling Adamson

doi:10.1097/01.NEP.0000000000001240

Validation of a Tool to Evaluate Nursing Students' Electronic Health Record Competency in Simulation

Nurs Educ Perspect. 2024 May-Jun;45(3):161-168. doi: 10.1097/01.NEP.0000000000001240. Epub 2024 Feb 23.

Authors

Susan McBride¹, Laura Thomas, Sharon Decker, Matthew Pierce, Shelley Burson, Huaxin Song, Katie Haerling Adamson

Affiliation

¹ About the Authors Susan McBride, PhD, RN-BC, CPHIMS, FAAN, is a professor and associate dean of research, The University of Texas at Tyler School of Nursing, Tyler, Texas. Laura Thomas, PhD, RN, CNE, is a professor, University of North Texas Health Sciences Center College of Nursing, Fort Worth, Texas. Sharon Decker, PhD, RN, FSSH, ANEF, FAAN, is professor emeritus, Texas Tech University Health Sciences Center School of Nursing, Lubbock, Texas. Matthew Pierce, MS, NREMT, CHSOS, is director of health information, Texas Tech University Health Sciences Center School of Nursing. Shelley Burson, MEd, is coordinator of special projects, Texas Tech University Health Sciences Center School of Nursing. Huaxin Song, PhD, is assistant professor, The University of Texas at Tyler School of Nursing. Katie Haerling (Adamson), PhD, RN, CHSE, is a professor, University of Washington Tacoma School of Nursing and Healthcare Leadership, Tacoma, Washington. This research was supported by funding from the Dorothy Otto Research Award under the National League for Nursing Research Awards in 2021. The research team acknowledges the contributions of the University Medical Center Health System, Lubbock, Texas, and the following nurses, faculty, and technology support: Rebecca Clark, Erin Gibson, Heather Guest, Courtnie Moore, Belen Ramirez, Tammy Williams, Bill Eubanks, Autumn Harris, Apryl Keaty, George Esquivel, Emmanuel Sanchez, Adam Wood, and William McGaghie. For more information, contact Dr. McBride at susanmcbride@uttyler.edu .

PMID: 38407222
DOI: 10.1097/01.NEP.0000000000001240

Abstract

Aim: The aim of the study was to establish reliability and validity of the Competency Assessment in Simulation of Electronic Health Records (CASE) tool.

Background: Effective teaching and learning practices, including valid and reliable assessment of students' electronic health record (EHR) competency, contribute to safe, high-quality, efficient nursing care.

Method: The study used a mixed-methods design to test reliability and validity of the CASE tool.

Results: A nationally representative sample of faculty from universities representing 27 states provided scores for videos using the CASE tool. Forty-seven participants completed the first scoring survey; 22 of the 47 participants (47%) completed the second-round scoring. Intraclass correlation for the final score between the first and second responses shows the consistency of test-retest reliability (ICC = .78, p < .001).

Conclusion: The CASE tool provided evidence of validity and reliability in evaluating EHR competency in simulation.