Nursing Informatics Competency Relevant to APN: Nursing Documentation

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Advanced practice nurses (APNs) should be competent health information technology users to ensure efficient, high-quality care. One nursing informatics competency relevant to APNs is nursing documentation. Healthcare professionals, including APNs, are leading in technology implementation in everyday practice. In the contemporary nursing practice context, the burden of electronic health records (EHR) documentation falls on APNs, physicians, as well as other ancillary clinicians. As part of the documentation team, APNs must be highly skilled and analytic medical documentation specialists who can deliver risk management support in capturing healthcare experiences. The APN also ensures that documentation is well-formatted to augment coordinated care and clinical clarity (McBride & Tietze, 2022).
Nursing documentation competency allows the APN to leverage EHR features and capabilities to achieve customized documentation, including the capacity to use smart phrases and templates. The APN can also use EHR software ap...