Cin-Computers Informatics Nursing最新文献

Bedside Nurse Documentation Practices: At the Patient Bedside or Not? 床边护士记录实践：在病人床边还是不在病人床边？

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2024-09-01 DOI: 10.1097/CIN.0000000000001165

Holly E Gauthier-Wetzel

{"title":"Bedside Nurse Documentation Practices: At the Patient Bedside or Not?","authors":"Holly E Gauthier-Wetzel","doi":"10.1097/CIN.0000000000001165","DOIUrl":"10.1097/CIN.0000000000001165","url":null,"abstract":"High-quality care requires precise and timely provider documentation. Hospitals have used technology to document patient care within both the inpatient and outpatient areas and long-term care facilities. Research has demonstrated, by revealing a reduction in medical errors, that there has been a worldwide improvement in our community health and welfare since the implementation and utilization of documenting patient care electronically. Although electronic documentation has proven to be an improvement in patient record keeping, the most efficient location in which this documentation is to occur remains a question. At the location where this project took place, only the ICU had computers within the patient rooms for documentation purposes. This project evaluated bedside nurses' opinions related to the efficiency of documentation practices compounded by the location where documentation took place. The options were at the patient's bedside, on a workstation on wheels, or at the nursing station. Surveys were provided to bedside nursing staff both before and after computers were installed in patients' rooms in surgical and medical/surgical nursing units at a Veteran Affairs Medical Center located in the Northeastern region of the United States. The results of this project inconclusively answer the question posed: \"Which mode of entry do nurses feel is more efficient to document patient care, on a computer in the patient room, at the nurses' station, or on a workstation on wheels?\" Innovative strategies should be explored to develop a user-friendly design for computers located within the patient rooms for patient documentation.","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hotspots and Global Trends of Nursing Research on Mobile Applications in Nursing From 2012 to 2023: A Bibliometric Analysis. 2012 年至 2023 年有关护理领域移动应用的护理研究热点与全球趋势：文献计量分析》。

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2024-09-01 DOI: 10.1097/CIN.0000000000001163

Tao Li, Tingting Huang, Jing Gao

{"title":"Hotspots and Global Trends of Nursing Research on Mobile Applications in Nursing From 2012 to 2023: A Bibliometric Analysis.","authors":"Tao Li, Tingting Huang, Jing Gao","doi":"10.1097/CIN.0000000000001163","DOIUrl":"10.1097/CIN.0000000000001163","url":null,"abstract":"The rapid integration of mobile applications in healthcare has prompted an evolutionary change in nursing domain. This study aimed to systematically analyze the basic publication characteristics, research priorities, emerging trends, and thematic evolutions concerning mobile applications in nursing, providing an overview of the field's developmental trajectory and future directions. This was a descriptive bibliometric study. Data were collected on July 5, 2023, from the Web of Science database and analyzed by using the Bibliometrix package in R software. The search strategy yielded 417 documents authored by 1969 researchers, cited 12 595 references, and featured 1213 author keywords, spanning from 2012 to 2023. Research on mobile applications in nursing exhibited several key trends: (1) substantial collaboration among authors; (2) significant growth in the number of publications; (3) self-management was the most prominent hot topic; and (4) an evolution of research themes from general topics to a more specific focus on people-centered and problem-centered research. The corpus of literature pertaining to research on mobile applications within the nursing domain is anticipated to expand continually. Future research and practice in the nursing field are expected to benefit significantly from multidisciplinary collaboration and advancements in emerging technologies, including artificial intelligence.","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Codesigning an E-Health Intervention for Surgery Preparation and Recovery. 针对手术准备和恢复的电子健康干预进行代码设计。

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2024-09-01 DOI: 10.1097/CIN.0000000000001137

Cory Williams, Lee Woods, Adam Stott, Jed Duff

{"title":"Codesigning an E-Health Intervention for Surgery Preparation and Recovery.","authors":"Cory Williams, Lee Woods, Adam Stott, Jed Duff","doi":"10.1097/CIN.0000000000001137","DOIUrl":"10.1097/CIN.0000000000001137","url":null,"abstract":"Surgery is a significant part of healthcare, but its demand is increasing, leading to challenges in managing patient care. Inefficient perioperative practices and traditional linear models contribute to adverse outcomes and patient anxiety. E-health interventions show promise in improving surgical care, but more research is needed. The purpose of this study was to involve patients and healthcare workers during the design phase of an e-health intervention that aims to support the perioperative care of elective surgery preparation and recovery. This study used an Information Systems Research Framework to guide collaborative codesign through semistructured interviews and cocreation workshops. Semistructured interviews collected insights on the perioperative journey and e-health needs from healthcare workers and consumers, resulting in the creation of a patient surgery journey map, experience map, and a stakeholder needs table. Collaborative work between consumers and healthcare workers in the cocreation workshops identified priority perioperative journey issues and proposed solutions, as well as prioritizing application software needs, guiding the development of the wireframe. The development of an e-health application aimed at supporting surgery preparation and recovery is a significant step toward improving patient engagement, satisfaction, and postsurgical health outcomes.","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140917410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Optimize and Thrive: An Electronic Health Record Optimization Program Case Study. 优化与发展：电子病历优化计划案例研究。

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2024-09-01 DOI: 10.1097/CIN.0000000000001161

Sarah Hathaway, Melinda Earle

{"title":"Optimize and Thrive: An Electronic Health Record Optimization Program Case Study.","authors":"Sarah Hathaway, Melinda Earle","doi":"10.1097/CIN.0000000000001161","DOIUrl":"10.1097/CIN.0000000000001161","url":null,"abstract":"Although electronic health record optimization programs are common in healthcare organizations, a dearth of published evaluations of these programs exists. Little is known about the ability of optimization programs to handle flooding requests for change and achieve their objectives of cost savings, value, quality of care, and efficiency. This program evaluation reviewed one organization's electronic health record clinical optimization program. The evaluation examines the implementation of the insulin dosing calculator project at five hospitals within a large nonprofit healthcare organization using interviews, project documents, reported insulin dosing errors, and workflow observation to determine if the program provides sufficient structure and processes to successfully implement large optimization projects and achieve the project's desired outcomes. This evaluation finds that the optimization program processes support the implementation of large projects. The program can improve the planning of human resources to increase productivity and reduce waste. A clearer definition of meaningful project outcomes at the onset would allow the program to measure and communicate its accomplishments across the organization.","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bedside Nurse Documentation Practices: At the Patient Bedside or Not? 床边护士记录实践：在病人床边还是不在病人床边？

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2024-09-01 DOI: 10.1097/CIN.0000000000001203

引用次数: 0

Construction of an Early Risk Prediction Model for Type 2 Diabetic Peripheral Neuropathy Based on Random Forest. 基于随机森林的 2 型糖尿病周围神经病变早期风险预测模型的构建

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2024-09-01 DOI: 10.1097/CIN.0000000000001157

Zhengang Wei, Xiaohua Wang, Liqin Lu, Su Li, Wenyan Long, Lin Zhang, Shaolin Shen

{"title":"Construction of an Early Risk Prediction Model for Type 2 Diabetic Peripheral Neuropathy Based on Random Forest.","authors":"Zhengang Wei, Xiaohua Wang, Liqin Lu, Su Li, Wenyan Long, Lin Zhang, Shaolin Shen","doi":"10.1097/CIN.0000000000001157","DOIUrl":"10.1097/CIN.0000000000001157","url":null,"abstract":"Diabetic peripheral neuropathy is a major cause of disability and death in the later stages of diabetes. A retrospective chart review was performed using a hospital-based electronic medical record database to identify 1020 patients who met the criteria. The objective of this study was to explore and analyze the early risk factors for peripheral neuropathy in patients with type 2 diabetes, even in the absence of specific clinical symptoms or signs. Finally, the random forest algorithm was used to rank the influencing factors and construct a predictive model, and then the model performance was evaluated. Logistic regression analysis revealed that vitamin D plays a crucial protective role in preventing diabetic peripheral neuropathy. The top three risk factors with significant contributions to the model in the random forest algorithm eigenvalue ranking were glycosylated hemoglobin, disease duration, and vitamin D. The areas under the receiver operating characteristic curve of the model ware 0.90. The accuracy, precision, specificity, and sensitivity were 0.85, 0.83, 0.92, and 0.71, respectively. The predictive model, which is based on the random forest algorithm, is intended to support clinical decision-making by healthcare professionals and help them target timely interventions to key factors in early diabetic peripheral neuropathy.","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Implementation of a Childhood Lead Poisoning Prevention Program Data and Outcomes Management System Based on the Omaha System: A Pre-Post Evaluation. 基于奥马哈系统的儿童铅中毒预防计划数据和结果管理系统的实施：岗前评估。

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2024-09-01 DOI: 10.1097/CIN.0000000000001144

Taffany B Hwang, Noella Tataw, Anshu Mohllajee, Neysa Ernst, Brigit VanGraafeiland, Karen A Monsen

引用次数: 0

Recruitment and Retention Issues in a Technology-Based Intervention Among Korean American Midlife Women With Depressive Symptoms. 在有抑郁症状的美籍韩裔中年妇女中开展的基于技术的干预中的招募和保留问题》。

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2024-09-01 DOI: 10.1097/CIN.0000000000001159

Eun-Ok Im, Wonshik Chee, Seo Yun Kim, Sandra Dunbar, Andrew H Miller, Sudeshna Paul, Moonju Lee, Wooho Jung

{"title":"Recruitment and Retention Issues in a Technology-Based Intervention Among Korean American Midlife Women With Depressive Symptoms.","authors":"Eun-Ok Im, Wonshik Chee, Seo Yun Kim, Sandra Dunbar, Andrew H Miller, Sudeshna Paul, Moonju Lee, Wooho Jung","doi":"10.1097/CIN.0000000000001159","DOIUrl":"10.1097/CIN.0000000000001159","url":null,"abstract":"The number of health technology-based intervention studies has grown significantly. However, issues in the recruitment and retention for such studies, especially of Asian Americans, have rarely been discussed. The purpose of this paper was to discuss issues in the recruitment and retention of a specific group of Asian Americans-Korean American midlife women with depressive symptoms-into a technology-based intervention study using computers and mobile devices with a measurement device and to provide directions for future participant recruitment and retention in technology-based intervention studies. The written memos of research team members and the written records of research team meetings were analyzed using a content analysis. The issues in the recruitment and retention process included (1) low recruitment and retention rates; (2) the perceived long intervention period; (3) strict inclusion/exclusion criteria; (4) concerns related to the use of a measurement device; and (5) the perceived adequacy of monetary incentives. Based on the issues identified in the study, several suggestions are made for future recruitment and retention of racial/ethnic minorities in technology-based intervention studies (eg, appropriate intervention period, innovative and creative motivation strategies, acceptable measurement scales and devices, and adequate monetary reimbursement).","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11377170/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Toward Reliable Symptom Coding in Electronic Health Records for Symptom Assessment and Research: Identification and Categorization of International Classification of Diseases, Ninth Revision, Clinical Modification Symptom Codes. 在电子健康记录中为症状评估和研究进行可靠的症状编码：国际疾病分类，第九修订版，临床修改症状代码的识别和分类》（International Classification of Diseases, Ninth Revision, Clinical Modification Symptom Codes）。

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2024-09-01 DOI: 10.1097/CIN.0000000000001146

Tru Cao, Veronica Brady, Meagan Whisenant, Xueying Wang, Yuxuan Gu, Hulin Wu

{"title":"Toward Reliable Symptom Coding in Electronic Health Records for Symptom Assessment and Research: Identification and Categorization of International Classification of Diseases, Ninth Revision, Clinical Modification Symptom Codes.","authors":"Tru Cao, Veronica Brady, Meagan Whisenant, Xueying Wang, Yuxuan Gu, Hulin Wu","doi":"10.1097/CIN.0000000000001146","DOIUrl":"10.1097/CIN.0000000000001146","url":null,"abstract":"To date, symptom documentation has mostly relied on clinical notes in electronic health records or patient-reported outcomes using disease-specific symptom inventories. To provide a common and precise language for symptom recording, assessment, and research, a comprehensive list of symptom codes is needed. The International Classification of Diseases, Ninth Revision or its clinical modification ( International Classification of Diseases, Ninth Revision, Clinical Modification ) has a range of codes designated for symptoms, but it does not contain codes for all possible symptoms, and not all codes in that range are symptom related. This study aimed to identify and categorize the first list of International Classification of Diseases, Ninth Revision, Clinical Modification symptom codes for a general population and demonstrate their use to characterize symptoms of patients with type 2 diabetes mellitus in the Cerner database. A list of potential symptom codes was automatically extracted from the Unified Medical Language System Metathesaurus. Two clinical experts in symptom science and diabetes manually reviewed this list to identify and categorize codes as symptoms. A total of 1888 International Classification of Diseases, Ninth Revision, Clinical Modification symptom codes were identified and categorized into 65 categories. The symptom characterization using the newly obtained symptom codes and categories was found to be more reasonable than that using the previous symptom codes and categories on the same Cerner diabetes cohort.","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11377150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141538880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Using a Mobile Application to Promote Patient Education for Patients With Liver Cirrhosis. 使用移动应用程序促进肝硬化患者教育。

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2024-08-28 DOI: 10.1097/CIN.0000000000001189

Wen-Ying Lee, Ting-Ting Lee, I-Ching Hou, Chao-Yu Guo, Ming-Yao Chen, Mary Etta Mills

{"title":"Using a Mobile Application to Promote Patient Education for Patients With Liver Cirrhosis.","authors":"Wen-Ying Lee, Ting-Ting Lee, I-Ching Hou, Chao-Yu Guo, Ming-Yao Chen, Mary Etta Mills","doi":"10.1097/CIN.0000000000001189","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001189","url":null,"abstract":"Patient education and self-management are essential for patients with liver cirrhosis. Based on Fisher and Fisher's Information-Motivation-Behavior Skills model, a Cirrhosis Care App was developed to support the education and self-management of these patients. To evaluate the effectiveness of the application, a randomized controlled trial was conducted with patients having liver cirrhosis who were being followed up in the outpatient area of a medical center in Taiwan. The experimental group used the app for 1 month, whereas a control group continued to receive conventional patient education. A pretest and posttest questionnaire was used to evaluate the app's effectiveness in improving the knowledge and practice of self-care. In addition, a questionnaire was developed based on the Technology Acceptance Model to understand satisfaction with the app. Results showed that following the implementation of the Cirrhosis Care App, patients' self-care knowledge and ability to promote self-care practice improved. User satisfaction with the app was measured and reflected in its frequency of use. This study confirmed that the Cirrhosis Care App, based on the Information-Motivation-Behavior Skills model, can improve patient knowledge and self-care practice and be actively promoted to benefit patients with cirrhosis.","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0