Cin-Computers Informatics Nursing最新文献_第10页

Agency Nurse Usage of Infusion Interoperability: Identifying Barriers and Improving Workflows. 机构护士使用输液互操作性：识别障碍和改进工作流程。

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-02-01 DOI: 10.1097/CIN.0000000000001206

Lindsey Smith, Beth Savage

{"title":"Agency Nurse Usage of Infusion Interoperability: Identifying Barriers and Improving Workflows.","authors":"Lindsey Smith, Beth Savage","doi":"10.1097/CIN.0000000000001206","DOIUrl":"10.1097/CIN.0000000000001206","url":null,"abstract":"Over the past several years, hospitals have utilized agency staffing to combat staffing shortages. Increased use of agency staffing presented an opportunity for implementation of an education project related to the potential variance in practice of permanent staffing, specifically with the use of infusion interoperability in the inpatient setting at the University of Pittsburgh Medical Center St Margaret hospital. Discussion around variables causing agency nurse setbacks with utilizing infusion interoperability while trying to meet the required standard laid the groundwork for this project. Improving agency workflows allowed for process improvement including enhanced quality, documentation, and adherence. Early data analysis revealed variance in adherence between agency and permanent staffing prompting further analysis. Investigational methods included assessment of agency nurse infusion interoperability usage through interviews and observations, review of adherence reports, review of education and onboarding, and interviewing of nurse leaders. Findings suggested lack of experience, inability to troubleshoot, and underutilized resources contributed to lower adherence with agency compared with permanent staff. These findings lead the informaticists to make changes to the curriculum for new hire onboarding, increase rounding and interactions with agency staff, and increase access to resources. These interventions resulted in increased adherence scores and verbalized satisfaction by the agency nurses.","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958336","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

From an Informatics Lens: Dashboards for Hospital Nurse Managers Influencing Unit Patient Outcomes. 从信息学的角度：医院护士管理人员影响单位患者结果的仪表板。

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-02-01 DOI: 10.1097/CIN.0000000000001212

Lisa Young, Alisha H Johnson, Blaine P Reeder, Amy Vogelsmeier

{"title":"From an Informatics Lens: Dashboards for Hospital Nurse Managers Influencing Unit Patient Outcomes.","authors":"Lisa Young, Alisha H Johnson, Blaine P Reeder, Amy Vogelsmeier","doi":"10.1097/CIN.0000000000001212","DOIUrl":"10.1097/CIN.0000000000001212","url":null,"abstract":"Dashboards display hospital quality and patient safety measures aimed to improve patient outcomes. Although literature establishes dashboards aid quality and performance improvement initiatives, research is limited from the frontline nurse manager's perspective. This study characterizes factors influencing hospital nurse managers' use of dashboards for unit-level quality and performance improvement with suggestions for dashboard design. Using a descriptive qualitative design, semistructured interviews were conducted with 11 hospital nurse managers from a health system in the Midwestern United States. Thematic analysis was used to describe four perceived factors influencing dashboard use: external, data, technology features, and personal. External factors included regulatory standards, professional standards of care, organizational expectations, and organizational resources. Data factors included dashboard data quality and usefulness. Technology features included preference for simple, interactive, and customizable visual displays. Personal factors included inherent nurse manager qualities and knowledge. Guidelines for dashboard design involve display of required relevant quality measures that are accurate, timely, useful, and usable. Future research should involve hospital nurse managers in user-centered design to ensure dashboards are favorable for use. Further, opportunities exist for nurse manager informatics training and education on dashboard use in preparation for their role and responsibilities in unit-level quality and performance improvement.","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958360","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

Digital Visits at Intensive Care Units Post-COVID-19: A Mixed-Methods Implementation Evaluation Study. covid -19后重症监护病房的数字就诊：一项混合方法实施评估研究。

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-01-30 DOI: 10.1097/CIN.0000000000001252

Linea Høyer, Anna Holm, Pia Dreyer, Anette Bjerregaard Alrø, Erika Spaich

引用次数: 0

Effect of a Nurse-Led Omaha System-Based Mobile Health Application in Managing Symptoms and Enhancing Quality of Life in Patients With a Communicable Disease: A Randomized Controlled Trial. 护士主导的基于Omaha系统的移动医疗应用程序在管理传染性疾病患者症状和提高生活质量方面的效果：一项随机对照试验

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-01-29 DOI: 10.1097/CIN.0000000000001264

Gizemnur Torun, Selda Seçginli

{"title":"Effect of a Nurse-Led Omaha System-Based Mobile Health Application in Managing Symptoms and Enhancing Quality of Life in Patients With a Communicable Disease: A Randomized Controlled Trial.","authors":"Gizemnur Torun, Selda Seçginli","doi":"10.1097/CIN.0000000000001264","DOIUrl":"10.1097/CIN.0000000000001264","url":null,"abstract":"This study investigated the effects of a nurse-led Omaha System-based mobile health application on physical, psychosocial, and cognitive symptoms and quality of life in patients with COVID-19 followed at home. This randomized control trial was conducted on 60 patients followed at home (30 in each intervention and control group). The intervention group received a nurse-led Omaha System-based mobile health application named COVOS, and the control group received usual care. Compared with the control group, the physical symptoms of the intervention group were significantly reduced at all follow-ups (first, second, and third months; P < .05). Psychosocial symptoms (depression, anxiety, stress) were significantly reduced, respectively, in the intervention group at all follow-ups: first and third months and second and third months ( P < .05). Cognitive symptoms were significantly reduced in the first month in the intervention group ( P = .014). Similarly, the physical component score of quality of life significantly improved in the first month, and the mental component score of quality of life significantly improved in the second and third months ( P < .05) in the intervention group. Results suggest that the COVOS had the potential to reduce effectively the physical, psychosocial, and cognitive symptoms of patients with COVID-19 and improve the quality of life of patients with COVID-19 followed at home.","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061426","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

Acceptance of Virtual Reality Training for Chemotherapy Administration Among Nursing Students. 护生接受虚拟实境训练进行化疗管理。

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-01-24 DOI: 10.1097/CIN.0000000000001246

Chia-Lun Chang, Shu-Chun Tsai, Chi-Yu Lu, Chia-Jung Chan, Tsai-Wei Huang, Made Satya Nugraha Gautama

{"title":"Acceptance of Virtual Reality Training for Chemotherapy Administration Among Nursing Students.","authors":"Chia-Lun Chang, Shu-Chun Tsai, Chi-Yu Lu, Chia-Jung Chan, Tsai-Wei Huang, Made Satya Nugraha Gautama","doi":"10.1097/CIN.0000000000001246","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001246","url":null,"abstract":"Virtual reality technology offers an extended and repeatable environment for delivering digital learning and training. This study investigated the acceptance of a smartphone virtual reality training program among nursing students for chemotherapy administration using a modified Technology Acceptance Model. The teaching materials for the chemotherapy administration process were designed using smartphone virtual reality to provide prelicensure students with an opportunity to learn procedural steps in a controlled, risk-free environment. A total of 56 nursing students, both undergraduate and postbaccalaureate, participated in the virtual reality training and completed questionnaires assessing their perceptions of usefulness, ease of use, and intention to use the technology. Three factors of the modified Technology Acceptance Model had positive correlations with the overall complexity of chemotherapy (skill complexity): perceived usefulness (r = 0.27, P = .04), perceived ease of use (r = 0.27, P = .04), and intention to use (r = 0.38, P = .004). No significant correlation was observed between attitude toward use and skill complexity. In subsequent path analysis, the model explained 63.4% of the variance in the intention to use virtual reality. Positive correlations were found for five hypotheses: perceived usefulness (γ = 0.586) and age (γ = 0.244) with attitude toward use, perceived ease of use with perceived usefulness (γ = 0.749), and perceived usefulness (γ = 0.595) and skill complexity (γ = 0.176) with intention to use. Nursing students showed a high willingness to learn and practice through virtual reality, particularly when techniques and skills were inherently difficult or dangerous. This suggests that virtual reality can be an effective teaching medium for complex and high-risk procedures in nursing education.","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034651","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

Influence of Digital Health Literacy on Blood Pressure and Hemoglobin A1c in Patients With Comorbid Type 2 Diabetes and Hypertension. 数字健康素养对2型糖尿病合并高血压患者血压和血红蛋白A1c的影响

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-01-09 DOI: 10.1097/CIN.0000000000001243

Donghwan Lee, Susan G Silva, Qing Yang, Matthew J Crowley, Daniel Hatch, Gina Pennington, Doreen Matters, Diana Urlichich, Ryan J Shaw

{"title":"Influence of Digital Health Literacy on Blood Pressure and Hemoglobin A1c in Patients With Comorbid Type 2 Diabetes and Hypertension.","authors":"Donghwan Lee, Susan G Silva, Qing Yang, Matthew J Crowley, Daniel Hatch, Gina Pennington, Doreen Matters, Diana Urlichich, Ryan J Shaw","doi":"10.1097/CIN.0000000000001243","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001243","url":null,"abstract":"Digital health literacy is emerging as an important element in chronic illness management, yet its relationship with clinical outcomes remains unclear. Utilizing data from the ongoing EXpanding Technology-Enabled, Nurse-Delivered Chronic Disease Care trial, this cross-sectional, correlational study explored the association between digital health literacy, health literacy, and patient outcomes, specifically blood pressure and hemoglobin A1c levels in 76 patients managing comorbid type 2 diabetes and hypertension. Results indicate patients had moderate digital health literacy, which was not significantly correlated with health literacy (r = 0.16, P = .169). Both bivariate and covariate-adjusted regression models indicated that digital health literacy was not significantly associated with patient outcomes (all P > .05, small effects). These findings suggest that although patients from diverse sociodemographic backgrounds may possess the digital health literacy to engage with digital health tools, this alone may not improve clinical outcomes. Although digital health literacy may not be directly related to improved clinical outcomes, future research should explore how digital health tools can be optimized to enhance patient engagement and address complex challenges in diverse populations managing chronic conditions.","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":"i"},"PeriodicalIF":1.3,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142962513","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

Using Virtual Reality in Mental Health Nursing to Improve Behavioral Health Equity. 在心理健康护理中使用虚拟现实技术改善行为健康平等。

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-01-01 DOI: 10.1097/CIN.0000000000001195

Sheri Howard, Meghan Meadows-Taylor

{"title":"Using Virtual Reality in Mental Health Nursing to Improve Behavioral Health Equity.","authors":"Sheri Howard, Meghan Meadows-Taylor","doi":"10.1097/CIN.0000000000001195","DOIUrl":"10.1097/CIN.0000000000001195","url":null,"abstract":"Nursing students often experience anxiety, stress, and fear during a clinical rotation in a mental health setting due to stressors and biases toward the setting as well as lack experience in caring for patients with mental health conditions. One in four people worldwide suffers from a mental disorder; therefore, it is critical that nurses feel confident interacting with these patients to provide equitable care. Undergraduate training is a critical period for changing students' attitudes toward this population. This study's goal was twofold. First, we offered students' exposure to common behaviors and symptoms displayed by a patient with mental illness through an engaging and immersive virtual reality simulation experience before taking care of patients in a clinical setting. Second, we aimed to determine if a virtual reality simulation will change students' attitude and stigma, favorably, toward patients with mental health conditions. We used a mixed-method comparative analysis to collect information and identify themes on undergraduate students' attitudes and stigma toward patients with mental health conditions. Our findings demonstrate that virtual reality simulations enhance awareness and sensitivity to the situations of others (empathy) while improving their communication skills. The use of virtual reality in a baccalaureate curriculum deepens the understanding of health equity in behavioral health for nursing students.","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548741","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

Association Between Korean Adults' Electronic Health Literacy and Active Participation in Health Decision-Making. 韩国成年人的电子健康素养与积极参与健康决策之间的关系。

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-01-01 DOI: 10.1097/CIN.0000000000001175

Seonah Lee

{"title":"Association Between Korean Adults' Electronic Health Literacy and Active Participation in Health Decision-Making.","authors":"Seonah Lee","doi":"10.1097/CIN.0000000000001175","DOIUrl":"10.1097/CIN.0000000000001175","url":null,"abstract":"This study aimed to investigate the association between Korean adults' electronic health literacy and active participation in health decision-making while communicating with healthcare providers. A total of 421 adults 18 years and older were recruited from a survey panel developed by a survey company and completed an online survey asking about individual characteristics and electronic health literacy. Data were analyzed using descriptive statistics, independent-samples t tests, analysis of variance, and binomial logistic regression analysis. In results, for every one-unit increase in electronic health literacy, the rate of active participation in health decision-making was likely to increase by 3.62 times compared with the rate of passive participation in health decision-making. It was also likely to increase in those with a college degree or higher, those who used both Web sites and YouTube, those who perceived online health information to be useful, those who actively participated as a patient, and those with a desire to actively participate as a patient. To encourage active participation in health-related situations or decision-making processes, educational programs or interventions to improve individuals' electronic health literacy are needed. Healthcare providers must ensure that individuals feel comfortable expressing their preferences, needs, and values.","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898845","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

Use of the Electronic Health Record to Improve Nursing Chart Preparation. 使用电子健康记录改进护理病历的准备工作。

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-01-01 DOI: 10.1097/CIN.0000000000001196

Laura M Sherburne, Jessica M Runge, Abby L Larson

引用次数: 0

The Impact of a Digital Cancer Survivorship Patient Engagement Toolkit on Older Cancer Survivors' Health Outcomes. 数字癌症幸存者患者参与工具包对老年癌症幸存者健康结果的影响》（The Impact of a Digital Cancer Survivorship Patient Engagement Toolkit on Older Cancer Survivors' Health Outcomes.

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-01-01 DOI: 10.1097/CIN.0000000000001199

Eun-Shim Nahm, Mary McQuaige, Katarina Steacy, Shijun Zhu, Hohyun Seong

{"title":"The Impact of a Digital Cancer Survivorship Patient Engagement Toolkit on Older Cancer Survivors' Health Outcomes.","authors":"Eun-Shim Nahm, Mary McQuaige, Katarina Steacy, Shijun Zhu, Hohyun Seong","doi":"10.1097/CIN.0000000000001199","DOIUrl":"10.1097/CIN.0000000000001199","url":null,"abstract":"Cancer predominantly affects older adults. An estimated 62% of the 15.5 million American cancer survivors are 65 years or older. Provision of supportive care is critical to this group; however, limited resources are available to them. As older survivors increasingly adopt technology, digital health programs have significant potential to provide them with longitudinal supportive care. Previously, we developed/tested a digital Cancer Survivorship Patient Engagement Toolkit for older adults, Cancer Survivorship Patient Engagement Toolkit Silver. The study examined the preliminary impact of the Cancer Survivorship Patient Engagement Toolkit Silver on older survivors' health outcomes. This was a 2-arm randomized controlled trial with two observations (baseline, 8 weeks) on a sample of 60 older cancer survivors (mean age, 70.1 ± 3.8 years). Outcomes included health-related quality of life, self-efficacy for coping with cancer, symptom burden, health behaviors, and patient-provider communication. Data were analyzed using descriptive statistics, linear mixed models, and content analysis. At 8 weeks, the Cancer Survivorship Patient Engagement Toolkit Silver group showed more improved physical health-related quality of life ( P < .001, effect size = 0.64) and symptom burden ( P = .053, effect size = -0.41) than the control group. Self-efficacy (effect size = 0.56), mental health-related quality of life (effect size = 0.26), and communication (effect size = 0.40) showed clinically meaningful effect sizes of improvement. Most participants reported benefits on health management (mean, 19.41 ± 2.6 [3-21]). Further research is needed with larger and more diverse older cancer populations.","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373470","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