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The Impact of School Nurse Access to Medical Records in an Electronic Health Record [Enduring]

Release Date: 11/10/2022
Expiration Date: 11/10/2024
Originally presented at Virtual NASN2021.

Cost: $20.00/Free for NASN members!

Upon successful completion of this offering,
participants will be awarded 1.0 Nursing Continuing Professional Development (NCPD) contact hour.

Instructions to Complete This NCPD Program
To receive a Certificate of Completion and be awarded NCPD contact hours for this program, follow the steps below, and complete and view the full content of the program including the program evaluation. If an assessment is included in the content, you will need to have 75% of the answers correct in order to pass the assessment. You will also have unlimited retakes on the assessment.

NASN will conduct an outcome assessment of a sample of participants at a later date. Please be advised that, if you complete this program, you may be asked to participate in this outcome assessment.

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Step 2: Complete and view the full content of the program. Content items are indexed at the bottom of this screen. After you enroll, you will return to this screen. The first content item will be “unlocked” so that you can begin completing the course. Subsequent items will “unlock” as you complete previous items.

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Program Overview
This research session will include a presentation of the results from an IRB-approved quasi-experimental pre/post study evaluating school nurse access to a hospital-based electronic health record. The purpose of this research was to determine the impact of school nurse access to protected health information (PHI) in an electronic health record (EHR) on school nurse and clinic nurse satisfaction with care coordination for children in the schools with chronic medical conditions. Information from the data analysis and findings show that school nurses did not feel that they were considered part of the health care team and had multiple barriers to obtaining accurate and timely medical information when trying to coordinate care for children with chronic medical conditions.

Findings suggest a significant improvement for school nurses 6-10 months after initial access to a hospital-based EHR. The areas of improvement were: feeling informed about individual care and treatment, having access to all the health information they need to deliver high-quality nursing care, spending time trying to get necessary medical treatment information, and ease of getting medical treatment information. Hospital-based clinic nurses were also surveyed and reported a decrease in time spent on communication about forms and notes post access for the school nurses. Both school nurses and clinic nurses reported in the post-access surveys increases in feeling like they were part of a coordinated health care team. Students that school nurses accessed information on were more complex. The background, methods, results, school nurse implications, and conclusion will be presented.

Learning Outcomes
As a result of participating in this educational program, learners will be able to: 

  • Describe two barriers to communication and care coordination between hospitals and school nurses.
  • Describe one way school nurses can develop partnerships with hospitals through the use of EHRs.
  • Demonstrate knowledge of the benefits of allowing school nurses access to a hospital-based EHR.

Intended Audience
This continuing education program is a practice, skill, and knowledge NCPD program developed to meet the educational needs of registered nurses who are interested in child, adolescent health, community/public health, and school nursing.

Christina Baker, MS, NCSN, RN-BC
PhD Student
University of Colorado, Anschutz Medical Campus, College of Nursing

Faculty and Nurse Planner(s) Disclosures
NASN must ensure that all educational program content is free of commercial interest, bias, influence, and that the integrity of the content is uncompromised. The intent of this disclosure is to provide learners with information on which they can make their own judgments.

The nurse planner(s), faculty, and reviewers disclose there are no relevant financial relationships with ineligible companies for those involved with the ability to control the content of this program.

Accreditation Statement
The National Association of School Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

Accredited status does not imply endorsement by NASN or ANCC of any commercial products discussed in this learning program.

Commercial Support or Grant Funding
This program did not receive commercial support or grant funding.