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Development of Order Sets to Improve the Rate of Obesity Counseling by Healthcare Providers in a Women's Health Clinic.
IF 1.3 4区 医学
Cin-Computers Informatics Nursing Pub Date : 2025-04-01 DOI: 10.1097/CIN.0000000000001235
Erin M Wax, Debra A Hrelic, Kellie M Griggs
{"title":"Development of Order Sets to Improve the Rate of Obesity Counseling by Healthcare Providers in a Women's Health Clinic.","authors":"Erin M Wax, Debra A Hrelic, Kellie M Griggs","doi":"10.1097/CIN.0000000000001235","DOIUrl":"10.1097/CIN.0000000000001235","url":null,"abstract":"<p><p>Obesity is health epidemic associated with health conditions specific to women's health. Healthcare providers must identify and develop a follow-up plan for patients with a body mass index of greater than 30 kg/m 2 to meet the Merit-Based Incentive Payment System Quality Program rate for body mass index screening and follow-up. Barriers to addressing obesity in this population by healthcare providers include time available for counseling and knowledge about appropriate diagnosis and treatment options. This is a quality improvement project that implements a clinical template within an existing electronic health record platform that includes a treatment order set and prepopulated counseling prompts to improve the rate of which healthcare providers address obesity within the women's health clinic. After 12 weeks, 27 patients started a weight management plan, and the Merit-Based Incentive Payment System rate increased from 59% to 67%. Implementation of order set templates into electronic health record platforms with counseling guidance provides a framework for providers to develop a plan to address obesity to meet their patient's health goals and reduce health disparities related to obesity in women.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665110","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
Nurse Experiences in an Electronic Health Record Transition: A Mixed Methods Analysis. 电子健康档案转型中的护士经验:混合方法分析。
IF 1.3 4区 医学
Cin-Computers Informatics Nursing Pub Date : 2025-04-01 DOI: 10.1097/CIN.0000000000001239
Julian Brunner, Alexis Amano, Jessica Davila, Sarah Krein, Sheila C Sullivan, Victoria Church, George Sayre, Seppo T Rinne
{"title":"Nurse Experiences in an Electronic Health Record Transition: A Mixed Methods Analysis.","authors":"Julian Brunner, Alexis Amano, Jessica Davila, Sarah Krein, Sheila C Sullivan, Victoria Church, George Sayre, Seppo T Rinne","doi":"10.1097/CIN.0000000000001239","DOIUrl":"10.1097/CIN.0000000000001239","url":null,"abstract":"<p><p>Transitions from one EHR to another can be enormously disruptive to care. Nurses are the largest group of EHR users, but nurse experiences with EHR transitions have not been well documented. We sought to understand nurse experiences with an EHR transition at the US Department of Veterans Affairs. We used a mixed methods design, combining a cumulative 26 longitudinal interviews with 317 survey free-text responses and quantitative measures from a repeated cross-sectional survey, all from nurses at one of the first facilities to transition from the Department of Veterans Affairs' homegrown EHR to a commercial system. We conducted inductive/deductive content analysis of qualitative data and paired qualitative findings with descriptive statistics of survey questions. Analyses yielded insights about three key aspects of the transition: (1) EHR functionality: diverse perceived causes of challenges using the new EHR; (2) transition process: barriers and facilitators of nurses' EHR training and technical support; and (3) outcomes: nurse-perceived impacts on safety, quality, nurse satisfaction, and efficiency. Alongside improvements to EHR functionality, findings underscore the need for organizationally informed training and careful alignment between the new EHR and the organization's nursing practices-all of which have been undertaken by Department of Veterans Affairs nurses informed by this and other studies.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142962516","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
Determining E-Health Literacy, Cyberchondria, and Affecting Factors in Cancer Patients: A Cross-sectional Study.
IF 1.3 4区 医学
Cin-Computers Informatics Nursing Pub Date : 2025-04-01 DOI: 10.1097/CIN.0000000000001303
Zeynep Erdoğan, Ufuk Demirel, Güray Ceylan
{"title":"Determining E-Health Literacy, Cyberchondria, and Affecting Factors in Cancer Patients: A Cross-sectional Study.","authors":"Zeynep Erdoğan, Ufuk Demirel, Güray Ceylan","doi":"10.1097/CIN.0000000000001303","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001303","url":null,"abstract":"<p><p>The majority of patients with cancer tend to seek health-related information via the Internet. This descriptive and cross-sectional study aims to determine e-health literacy, cyberchondria levels, and affecting factors in patients with cancer. The population of the study consisted of 113 patients who were older than 18 years, with no sensory loss that could hinder their communication, literate in Turkish language, who were conscious, actively used the Internet, and visited a university hospital's oncology and hematology polyclinic. In the multiple regression analysis examining the E-Health Literacy Scale total score according to sociodemographic and other characteristics, it was found that solitary complementary and alternative medicine explained 40.8% of the variance in the E-Health Literacy Scale score (adjusted R2 = 0.408, P < .001). Additionally, it was determined that medication use without a doctor's recommendation and the duration of daily Internet use together explained 22.3% of the variance in the score on the Cyberchondria Scale (adjusted R2 = 0.223, P < .001). Patients with cancer who develop better health literacy skills will be better equipped to navigate healthcare systems and alleviate their health-related worries.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755860","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
Development and Evaluation of a Bariatric Mannequin Simulation System. 减肥人体仿真系统的开发与评价。
IF 1.3 4区 医学
Cin-Computers Informatics Nursing Pub Date : 2025-04-01 DOI: 10.1097/CIN.0000000000001231
Donna Z Bliss, Erica Timko Olson, Carol Flaten, Cynthia S Bradley, Olga V Gurvich, Ratchada Jantraporn, Molly Conway, Alexandra Weinberger, Casey Kirchschlager, Ann Hayden, Laurie Sund, Ashlee Garcia, Nate Mullen, John Condon, Adam Becker
{"title":"Development and Evaluation of a Bariatric Mannequin Simulation System.","authors":"Donna Z Bliss, Erica Timko Olson, Carol Flaten, Cynthia S Bradley, Olga V Gurvich, Ratchada Jantraporn, Molly Conway, Alexandra Weinberger, Casey Kirchschlager, Ann Hayden, Laurie Sund, Ashlee Garcia, Nate Mullen, John Condon, Adam Becker","doi":"10.1097/CIN.0000000000001231","DOIUrl":"10.1097/CIN.0000000000001231","url":null,"abstract":"<p><p>Physical assessment of obese patients is an essential clinical skill for identifying the numerous health problems of obese patients and monitoring treatment effectiveness. Use of simulation mannequins facilitates teaching and learning of physical assessment. Available bariatric simulation mannequins have poor functional design, unrealistic appearance, and limited assessment functions. We developed a bariatric mannequin simulation system and an associated education curriculum of seven case scenario and debriefing exercises focused on health problems experienced by individuals who are obese. An innovation of our mannequin is inclusion of programmable electronics that can be used with clinical tools that receive the electronic signals; together they provide ability to assess normal and abnormal signs of a wide variety of health problems. Ten nursing faculty and 51 nursing and medical students at a Midwestern university evaluated the features and satisfaction of a prototype bariatric mannequin in separate simulation sessions using Likert-scale questionnaires. Results showed that the majority of faculty (60%) and student participants (70%+) agreed/highly agreed that the bariatric mannequin was innovative, engaging, user-friendly, useful, and likely effective for teaching or learning. Satisfaction ratings of both groups were similar. Feedback from participants was incorporated into a final refined product that improved its realistic appearance.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958343","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
Effectiveness of Mobile Application-Based Intervention on Medication Adherence Among Pulmonary Tuberculosis Patients: A Systematic Review. 基于移动应用程序的干预对肺结核患者坚持服药的效果:系统回顾
IF 1.3 4区 医学
Cin-Computers Informatics Nursing Pub Date : 2025-04-01 DOI: 10.1097/CIN.0000000000001213
Syahrul Syahrul, Andi Masyitha Irwan, Ariyanti Saleh, Yuliana Syam, Andi Muhammad Fiqri, St Nurfatul Jannah
{"title":"Effectiveness of Mobile Application-Based Intervention on Medication Adherence Among Pulmonary Tuberculosis Patients: A Systematic Review.","authors":"Syahrul Syahrul, Andi Masyitha Irwan, Ariyanti Saleh, Yuliana Syam, Andi Muhammad Fiqri, St Nurfatul Jannah","doi":"10.1097/CIN.0000000000001213","DOIUrl":"10.1097/CIN.0000000000001213","url":null,"abstract":"<p><p>To analyze the effectiveness of mobile application-based interventions on medication adherence among pulmonary tuberculosis patients. Intervention articles involving patients with pulmonary tuberculosis and/or their families, utilizing mobile application-based intervention research designs, assessing patients individually or in groups with or without a control group, using mobile application-based interventions that can be accessed via a browser, utilizing adherence to treatment as the primary outcome, and written in English and Indonesian were included. The articles published from 2012 to 2022 were obtained from EBSCO Host, ProQuest, GARUDA, PubMed, Scopus, and Cochrane Online Library databases. The Critical Assessment Standards Program was used to assess the trustworthiness, relevance, and results of the published articles. The quality of the articles was assessed according to Johns Hopkins Nursing Evidence-Based Practice guidelines. Seven studies reported that mobile application-based interventions can improve medication adherence, including treatment success, number of missed drugs, correct intake of medications, adherence to health programs, timeliness, and frequency of clinic visits. This review only analyzed the impact of mobile application-based interventions on patients, and their effects on the family, social, and health services were not covered.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512362","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
A New Methodological Approach to Cultural Adaptation of a Mobile Application for Teaching the Nursing Process.
IF 1.3 4区 医学
Cin-Computers Informatics Nursing Pub Date : 2025-03-31 DOI: 10.1097/CIN.0000000000001306
Patricia de Oliveira Salgado, Gail M Keenan, Tânia Couto Machado Chianca, Tamara G R Macieira
{"title":"A New Methodological Approach to Cultural Adaptation of a Mobile Application for Teaching the Nursing Process.","authors":"Patricia de Oliveira Salgado, Gail M Keenan, Tânia Couto Machado Chianca, Tamara G R Macieira","doi":"10.1097/CIN.0000000000001306","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001306","url":null,"abstract":"","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755857","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
Improving Electronic Health Record Navigation Skills With Electronic Health Record System On-Demand Brief Video Tutorials.
IF 1.3 4区 医学
Cin-Computers Informatics Nursing Pub Date : 2025-03-31 DOI: 10.1097/CIN.0000000000001308
Blair Hebner, Jill P Massengale, Jean W Davis
{"title":"Improving Electronic Health Record Navigation Skills With Electronic Health Record System On-Demand Brief Video Tutorials.","authors":"Blair Hebner, Jill P Massengale, Jean W Davis","doi":"10.1097/CIN.0000000000001308","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001308","url":null,"abstract":"","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755864","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
Effect of Mobile Health Interventions in the Heart Failure Patient During the Hospital-to-Home Transition Period Versus Usual Care: Systematic Review and Meta-analysis.
IF 1.3 4区 医学
Cin-Computers Informatics Nursing Pub Date : 2025-03-31 DOI: 10.1097/CIN.0000000000001290
Diana Marcela Achury Saldaña, David Andrade-Fonseca, Andrés Daniel Gallego-Ardila, María Elisa Moreno Fergusson, Esperanza Peña Torres, Martin Rondón Sepúlveda
{"title":"Effect of Mobile Health Interventions in the Heart Failure Patient During the Hospital-to-Home Transition Period Versus Usual Care: Systematic Review and Meta-analysis.","authors":"Diana Marcela Achury Saldaña, David Andrade-Fonseca, Andrés Daniel Gallego-Ardila, María Elisa Moreno Fergusson, Esperanza Peña Torres, Martin Rondón Sepúlveda","doi":"10.1097/CIN.0000000000001290","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001290","url":null,"abstract":"<p><p>Maintaining adherence to a long-term lifestyle in heart failure patients is challenging, highlighting the importance of mobile health educational interventions from hospitalization to discharge. This study assessed the effects of mobile health interventions on heart failure patients during the transition from hospital to home through a systematic review and meta-analysis of randomized controlled trials using PubMed, EMBASE, and Scopus. Studies with mobile health interventions starting postdischarge were excluded. The Cochrane Risk of Bias Tool 2 and Grading of Recommendations, Assessment, Development, and Evaluations strategy were used to assess bias. The results indicated that mobile health interventions were not effective in reducing readmissions compared with conventional management after 30 days (relative risk, 1.04; 95% confidence interval, 0.87-1.24). No improvements were found in quality of life or self-care. However, a reduction in mortality was observed (relative risk, 0.64; 95% confidence interval, 0.42-0.9). The study showed that mobile health interventions can reduce mortality in heart failure patients and may reduce late readmissions and improve quality of life over a period longer than 6 months. Longer follow-up studies are necessary.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755862","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
Building an Effective and Sustainable Alert Reduction Program.
IF 1.3 4区 医学
Cin-Computers Informatics Nursing Pub Date : 2025-03-31 DOI: 10.1097/CIN.0000000000001299
Karen L Bolen, Marci Denn, Kathleen Duckworth, James Woodward, Christopher R Dennis
{"title":"Building an Effective and Sustainable Alert Reduction Program.","authors":"Karen L Bolen, Marci Denn, Kathleen Duckworth, James Woodward, Christopher R Dennis","doi":"10.1097/CIN.0000000000001299","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001299","url":null,"abstract":"","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755858","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
Mapping the Landscape of Scenario-Based Simulation Teaching in Nursing: Insights From a Visual Bibliometric Analysis.
IF 1.3 4区 医学
Cin-Computers Informatics Nursing Pub Date : 2025-03-31 DOI: 10.1097/CIN.0000000000001291
Yanting Liu, Yan Chen, Min Fu, Li Chen, Yuan Wang
{"title":"Mapping the Landscape of Scenario-Based Simulation Teaching in Nursing: Insights From a Visual Bibliometric Analysis.","authors":"Yanting Liu, Yan Chen, Min Fu, Li Chen, Yuan Wang","doi":"10.1097/CIN.0000000000001291","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001291","url":null,"abstract":"<p><strong>Objective: </strong>As scenario-based simulation teaching gains traction in nursing education, a thorough bibliometric analysis is essential to uncover the breadth and depth of existing research, highlight key trends, and address gaps in multicenter studies.</p><p><strong>Methods: </strong>This study systematically reviewed articles on scenario-based simulation teaching in nursing published from January 2010 to January 2024, sourced from the Web of Science core collection and Scopus databases. Employing CiteSpace and R language, we analyzed publication patterns, journal distributions, and keyword frequencies to map the field's evolution and collaborative networks.</p><p><strong>Results: </strong>Our findings reveal a steady increase in publications over the study period, with significant growth noted between 2015 and 2019. Higher education institutions, predominantly from the United States, China, the United Kingdom, and Germany, are at the forefront of research in this area. These nations also exhibit robust international collaborations. Key research hotspots include advancements in medical education methodologies and the integration of modern technologies.</p><p><strong>Conclusion: </strong>This bibliometric analysis provides a comprehensive overview of nursing education's scenario-based simulation teaching landscape. It identifies enduring trends and emerging hotspots, offering a valuable foundation for future research and the development of innovative educational practices.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755866","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
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