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Nursing Management:
doi: 10.1097/01.NUMA.0000409909.78566.e7
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EMR development...Always be prepared

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INSTRUCTIONS EMR development...Always be prepared

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EMR development...Always be prepared

GENERAL PURPOSE: To advise the professional registered nurse of organizational environment implications on the development and delivery of computerized EMR clinical documentation training, including barriers and enablers. LEARNING OBJECTIVES: After reading this article and taking this test, you should be able to: 1. Discuss the implications of computerized EMR clinical documentation training for patient-care staff, including barriers and enablers. 2. List barriers and enablers as identified by survey participants.

1. Implementing an EMR can have which of the following benefits?

a. elimination of medical errors

b. major healthcare savings

c. increase in nursing positions

d. consistently positive patient outcomes

2. To profit from an EMR, new programs must be supported by

a. a large financial allocation.

b. additional staff positions.

c. detailed, precise training.

d. a new computer system.

3. Effective end-user training allows the nursing staff to

a. work a shorter shift.

b. focus on safe, reliable patient care.

c. do less documentation.

d. determine what needs to be documented and what doesn't.

4. Who's most often assigned to develop guidelines to address the complexity of the EMR process?

a. IT department personnel

b. representatives of the company from which the EMR system was purchased

c. professional development specialists

d. nurses

5. In a 2010 survey, informatics nurses and nurse executives were asked about how EMR design and delivery was impacted by the

a. organizational environment.

b. level of nurse education.

c. nurse patient ratio.

d. nurses' knowledge of computer applications.

6. Which of the following wasn't a task that informatics nurses identified as part of training for EMR implementation?

a. create a council with nurse representatives from each patient-care area

b. understand best training practices

c. adapt training to student skill level variations

d. evaluate training outcomes

7. The majority of study participants surveyed represented

a. home health.

b. hospice.

c. ambulatory care facilities.

d. hospital environments.

8. What did informatics nurses identify as their most complicated tasks?

a. obtaining training space and training materials

b. obtaining training space and enforcing attendance

c. enforcing attendance and obtaining access to nurse executives

d. enforcing attendance and acquiring leadership support

9. Informatics nurses identified which of the following tasks as less challenging?

a. acquiring leadership support and choosing the best delivery method

b. choosing the best delivery method and creating a training schedule

c. creating a training schedule and evaluating instructional outcomes

d. evaluating instructional outcomes and using best training practices

10. Tasks posing no difficulty for the informatics nurses were

a. making a training project plan and acquiring leadership support.

b. acquiring leadership support and understanding educational practices.

c. understanding educational practices and using computer technology for training.

d. using computer technology for training and evaluating instructional outcomes.

11. Which type of instruction was most frequently used for evaluating EMR education?

a. satisfaction surveys

b. competency testing

c. documentation audits

d. pass/fail exam

12. Informatics nurses identified the most significant project enabler as

a. leadership support.

b. training environment.

c. competence of instructor.

d. training methods used.

13. Which did nurse executives identify as enablers essential to success?

a. leadership and effective change management

b. effective change management and an adequate budget

c. an adequate budget and resources

d. resources and power users

14. Informatics nurses identified the greatest barrier to successful training as

a. timing of training.

b. disparate computer skills.

c. lack of leadership support.

d. creating appropriate educational materials.

15. What did nurse executives identify as a barrier to successful EMR implementation?

a. timing of training

b. length of training

c. attendance at training

d. lack of computer skills

16. Ineffective training resulted in which difficulty for the organization?

a. frequent computer “down time”

b. poor documentation

c. the need to hire additional IT personnel

d. increased incident reports

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