Electronic Health Record Knowledge, Skills, and Attitudes Among Newly Graduated Nurses: A Scoping Review

Background. This scoping review aimed to identify key characteristics related to electronic health record (EHR) end-user system optimization levels among graduating/newly graduated nurses. Method. Using a systematic approach to conducting a scoping review, 11 articles were identified from three databases. Articles were reviewed for nursing level status, type of EHR used for research, type of assessment, and which EHR knowledge, skills, or attitudes were studied. Re-sults. The majority of the studies used a reported by evaluator approach that examined the accuracy of EHR documentation (e.g., skills). EHR knowledge was examined in two studies. No study examined EHR atti-tudes. Studies that reflected self-reported data mainly focused on EHR skills related to navigating, finding, utilizing, and showing and EHR knowledge gains. Conclusion. Graduating/newly graduated nurses have gaps in EHR skills, knowledge, and attitudes. Simulation and EHR education are viable pedagogical approaches to building EHR end-user system optimi-zation. [J Contin Educ Nurs. 2022;53(11):505-512.].