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Integrating electronic health record into blood administration simulation for prelicensure nursing students
Journal article   Peer reviewed

Integrating electronic health record into blood administration simulation for prelicensure nursing students

Theresa J. Bechtel, Katie B. Knox and Syeda M. Thomas
Teaching and learning in nursing, Vol.21(2), pp.127-132
04/2026
DOI: 10.1016/j.teln.2025.10.020

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Abstract

Background: Electronic Health Records (EHR) are widely used in clinical practice; however, prelicensure nursing students often lack hands-on experience, particularly with high-risk procedures such as blood administration. Method: This project describes an academic-practice partnership that integrates EHR access into simulation education and explores student confidence across 3 phases of instruction. Students received didactic instruction on blood administration and applied this knowledge during simulation using an EHR. Results: Survey results indicated that student confidence initially declined after the low-fidelity simulation but increased after high-fidelity. Responses highlighted improved skills in barcode scanning and documentation. Students valued the realism of EHR and expressed appreciation for hands-on practice. They also suggested expanding EHR use, such as incorporating lab results. Conclusion: Integrating EHR into simulations fosters students' confidence and clinical readiness. Academic-practice partnerships can reduce resource barriers and provide meaningful learning experiences that prepare students for technology-enriched clinical environments.
Barcode scanning Blood administration Confidence Electronic Health Record (EHR) Prelicensure nursing education Simulation

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