Effects of a Modified Nurse Training Program on Completion Rate of Forms and Assessments in the Electronic Medical Record

This retrospective study of an electronic medical record database evaluated a modified training program aimed at improving documentation completion percentages in eight skilled nursing facilities across Tennessee, Ohio, Florida, and Wisconsin. The program involved a weeklong curriculum tailored to increase proficiency with the electronic medical record system, focusing on five key documentation forms: Admission Assessment, Morse Fall Risk Assessment, Braden Risk Assessment, Elopement Risk Assessment, and Weekly Skin Check. Data were collected between February 2023 and July 2023. A 3-month preimplementation phase served as the baseline control, representing the period prior to the nurses undergoing the modified training program. Data from the 3-month period after implementation was used for comparison. The sample included 47 nurses. Data analysis consisted of descriptive and inferential statistics, with two-tailed paired t tests showing significant mean improvements ( P < .001) in documentation completion percentages ranging from 42% to 70% across all five forms. Although causality could not be inferred, significant improvements were observed following the training program.

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Publication Details

Journal
CIN Computers Informatics Nursing
Published
2025-02-12
DOI
https://doi.org/10.1097/cin.0000000000001256
Primary Topic
Nursing Diagnosis and Documentation
Type
article
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article

Effects of a Modified Nurse Training Program on Completion Rate of Forms and Assessments in the Electronic Medical Record

Norman W. Gill, D Murray, A Ware
CIN Computers Informatics Nursing
Nursing Diagnosis and Documentation
article

Effects of a Modified Nurse Training Program on Completion Rate of Forms and Assessments in the Electronic Medical Record

Norman W. Gill, D Murray, A Ware
article en

Abstract

This retrospective study of an electronic medical record database evaluated a modified training program aimed at improving documentation completion percentages in eight skilled nursing facilities across Tennessee, Ohio, Florida, and Wisconsin. The program involved a weeklong curriculum tailored to increase proficiency with the electronic medical record system, focusing on five key documentation forms: Admission Assessment, Morse Fall Risk Assessment, Braden Risk Assessment, Elopement Risk Assessment, and Weekly Skin Check. Data were collected between February 2023 and July 2023. A 3-month preimplementation phase served as the baseline control, representing the period prior to the nurses undergoing the modified training program. Data from the 3-month period after implementation was used for comparison. The sample included 47 nurses. Data analysis consisted of descriptive and inferential statistics, with two-tailed paired t tests showing significant mean improvements ( P < .001) in documentation completion percentages ranging from 42% to 70% across all five forms. Although causality could not be inferred, significant improvements were observed following the training program.

CIN Computers Informatics NursingVol. 43(12)
Apple (Israel) (IL), George Washington University (US)
Quality Education
Openalex Percentile: Top 96%
Nursing Diagnosis and Documentation
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