Cin-Computers Informatics Nursing最新文献_第2页

Evaluation of an Outpatient Research Facility Telehealth Program. 门诊研究机构远程医疗项目评估。

IF 1.9 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-12-01 DOI: 10.1097/CIN.0000000000001284

Adrienne Barrett, Susan Alexander, Jeffery Sano

{"title":"Evaluation of an Outpatient Research Facility Telehealth Program.","authors":"Adrienne Barrett, Susan Alexander, Jeffery Sano","doi":"10.1097/CIN.0000000000001284","DOIUrl":"10.1097/CIN.0000000000001284","url":null,"abstract":"Chronic diseases globally contribute to heightened rates of morbidity and mortality. Telehealth is a viable approach to managing chronic illness. In response to the coronavirus pandemic, a research facility implemented telehealth in April 2020 to continue research activities. A telehealth program evaluation was needed to explore the facility's strengths and improvement opportunities. The Centers for Disease Control and Prevention's Framework for Program Evaluation guided the evaluation to determine whether telehealth implementation improved care access, efficiency, and provider experiences. Missed and canceled visits, visit duration, and wait times between April 2020 and June 2023 were analyzed for those 19 years and older with chronic illnesses identified by International Classification of Diseases, 10th Revision codes. Provider experiences were measured with the Telehealth Usability Questionnaire. The facility transitioned from Microsoft Teams® to a telehealth platform in March 2023, offering more robust data. Analyses revealed improved completed visits, decreased patient abandoned visits, and varied canceled and duration percentages. Providers missed visits less frequently than patients. Run charts for telehealth total visits versus chronic visits did not reveal special cause variations. Provider experiences were favorable except for telehealth reliability and interface quality. Recommendations include continued user training, evaluating patients' experiences, exploring telehealth's impact on research participant recruitment, and standardizing evaluation processes through policy development.","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626754","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 Pilot Testing of a Mobile App-Based Chatbot for the Self-management of Physical Activity for Older Adults. 基于移动应用程序的老年人身体活动自我管理聊天机器人的开发与试点测试

IF 1.9 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-12-01 DOI: 10.1097/CIN.0000000000001257

Sooyeon Park, Su Jung Lee

{"title":"Development and Pilot Testing of a Mobile App-Based Chatbot for the Self-management of Physical Activity for Older Adults.","authors":"Sooyeon Park, Su Jung Lee","doi":"10.1097/CIN.0000000000001257","DOIUrl":"10.1097/CIN.0000000000001257","url":null,"abstract":"Chatbots can change health behaviors by generating conversations about health. A well-designed health-related chatbot can encourage people to be physically active by creating a therapeutic relationship. This study aimed to develop and evaluate the feasibility and usability of a chatbot-based physical activity self-management application to promote physical activity among community-dwelling older adults. The physical activity self-management application was designed based on the five stages of the ADDIE model (analysis, design, development, implementation, and evaluation). The mobile application (app) includes a chatbot and physical activity videos as key components to provide support and guidance for physical activity enhancement and self-management. Quantitative pilot testing demonstrated that participants were highly satisfied with the app's usability, convenience, and overall satisfaction across all measures. Qualitative data analysis revealed that participants found it easy to watch and follow the videos as needed throughout the day and reported that the guidance and support from the chatbot helped motivate them to be more physically active. The findings suggest that it may be beneficial to expand the use of the chatbot-based physical activity self-management application to promote physical activity among older adults with chronic diseases and offer promising evidence for the feasibility of increasing mHealth accessibility for lifestyle modification interventions.","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442498","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

Effects of a Modified Nurse Training Program on Completion Rate of Forms and Assessments in the Electronic Medical Record. 修改护士培训计划对电子病历表格和评估完成率的影响。

IF 1.9 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-12-01 DOI: 10.1097/CIN.0000000000001256

Andon M Ware, Donal Murray, Norman W Gill

{"title":"Effects of a Modified Nurse Training Program on Completion Rate of Forms and Assessments in the Electronic Medical Record.","authors":"Andon M Ware, Donal Murray, Norman W Gill","doi":"10.1097/CIN.0000000000001256","DOIUrl":"10.1097/CIN.0000000000001256","url":null,"abstract":"This retrospective study of an electronic medical record database evaluated a modified training program aimed at improving documentation completion percentages in eight skilled nursing facilities across Tennessee, Ohio, Florida, and Wisconsin. The program involved a weeklong curriculum tailored to increase proficiency with the electronic medical record system, focusing on five key documentation forms: Admission Assessment, Morse Fall Risk Assessment, Braden Risk Assessment, Elopement Risk Assessment, and Weekly Skin Check. Data were collected between February 2023 and July 2023. A 3-month preimplementation phase served as the baseline control, representing the period prior to the nurses undergoing the modified training program. Data from the 3-month period after implementation was used for comparison. The sample included 47 nurses. Data analysis consisted of descriptive and inferential statistics, with two-tailed paired t tests showing significant mean improvements ( P < .001) in documentation completion percentages ranging from 42% to 70% across all five forms. Although causality could not be inferred, significant improvements were observed following the training program.","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400501","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

The Effect of Game-Based Technology on Undergraduate Nursing Students' Knowledge and Motivation: Mixed-Methods Study. 基于游戏的技术对护理本科生知识和动机的影响：混合方法研究。

IF 1.9 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-12-01 DOI: 10.1097/CIN.0000000000001251

Aylin Durmaz Edeer, Fatma Vural, Nazife Gamze Özer Özlü

{"title":"The Effect of Game-Based Technology on Undergraduate Nursing Students' Knowledge and Motivation: Mixed-Methods Study.","authors":"Aylin Durmaz Edeer, Fatma Vural, Nazife Gamze Özer Özlü","doi":"10.1097/CIN.0000000000001251","DOIUrl":"10.1097/CIN.0000000000001251","url":null,"abstract":"The study aimed to determine the effects of game-based technology use in a first-aid lesson on knowledge and motivation. The study had a two-stage explanatory mixed-methods design. Quantitative data were collected as a randomized controlled trial. Qualitative data were collected through purposive sampling. A total of 202 nursing students were included and evaluated with a knowledge test and a teaching materials motivation questionnaire. A puzzle was applied to the intervention group before the first-aid lesson, and a Kahoot! was applied after the lesson. Four structured questions were asked to understand the students' thoughts about the game-based technology used. The students' pretest knowledge scores were similar. The mean posttest knowledge scores of the intervention group were significantly higher. However, the mean scores of the teaching materials motivation questionnaire were not high. The qualitative data analysis categorized students' opinions about the teaching materials as effective learning, enjoyable learning, and motivating learning. In conclusion, game-based technology methods in nursing practical lessons can enable students to apply the knowledge they learn in practice.","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442672","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

Embracing a Thoughtful Integration of Artificial Intelligence Into Nursing Education. 拥抱人工智能融入护理教育。

IF 1.9 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-12-01 DOI: 10.1097/CIN.0000000000001315

Brad Phillips

引用次数: 0

Influence of Digital Health Literacy on Blood Pressure and Hemoglobin A 1c 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 1.9 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-12-01 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 A 1c 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":"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 A 1c 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":""},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","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

Electronic Health Record Strategies for Improving Nurse Documentation in the Hospital Setting: A Scoping Review. 电子健康记录策略在医院环境下改善护士文件：范围审查。

IF 1.9 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-12-01 DOI: 10.1097/CIN.0000000000001267

Haustine Patt Panganiban, Alfredo Dela Cruz, Rebecca Jedwab

{"title":"Electronic Health Record Strategies for Improving Nurse Documentation in the Hospital Setting: A Scoping Review.","authors":"Haustine Patt Panganiban, Alfredo Dela Cruz, Rebecca Jedwab","doi":"10.1097/CIN.0000000000001267","DOIUrl":"10.1097/CIN.0000000000001267","url":null,"abstract":"Electronic health record support nurses' work in many ways; however, nursing documentation within the system has also been associated with burden and noncompliance with organizational and regulatory requirements. An increasing number of studies have analyzed nursing documentation burden and noncompliance, but no scoping review has been conducted that focuses on electronic health record-based strategies for improving nursing documentation. This scoping review aimed to identify electronic health record-based strategies for improving nursing documentation in hospital settings. The Preferred Reporting Items for Systematic Review and Meta-Analyses Extension for Scoping Reviews guidelines were used, and databases MEDLINE, Web of Science, and CINAHL were searched on April 1, 2024. A total of 652 studies were retrieved, of which 25 were incoluded at the full-text level. Six documentation issues emerged across the studies, with 44% identifying documentation compliance as the main issue. Three electronic health record-based strategies, such as organizational change, end-user reminder system, and financial incentives, regulation, and policy, were identified. Six documentation improvement outcomes with findings were identified, with 52% of the studies' outcome demonstrating improved documentation compliance. This review identified electronic health record-based and supplemental strategies that concentrate on improving nursing documentation. More research is needed to identify how these strategies may affect other measures, such as patient care outcomes, accuracy and quality of nursing documentation, and costs associated with nursing time spent on documentation activities.","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659612","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. 移动医疗干预对从医院到家庭过渡时期心衰患者与常规护理的影响：系统回顾和meta分析

IF 1.9 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-12-01 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":"10.1097/CIN.0000000000001290","url":null,"abstract":"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.","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","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

Issues in Using Four Languages in a Culturally Tailored Technology-Based Intervention Study: Asian American Breast Cancer Survivors With Depressive Symptoms. 在一项文化定制的基于技术的干预研究中使用四种语言的问题：有抑郁症状的亚裔美国乳腺癌幸存者

IF 1.9 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-12-01 DOI: 10.1097/CIN.0000000000001240

Eun-Ok Im, Dongmi Kim, Jianing Quan, Wonshik Chee

{"title":"Issues in Using Four Languages in a Culturally Tailored Technology-Based Intervention Study: Asian American Breast Cancer Survivors With Depressive Symptoms.","authors":"Eun-Ok Im, Dongmi Kim, Jianing Quan, Wonshik Chee","doi":"10.1097/CIN.0000000000001240","DOIUrl":"10.1097/CIN.0000000000001240","url":null,"abstract":"To provide culturally competent care for racial/ethnic minorities, it is important to provide information and coaching/support in the languages that users can understand. However, issues in using multiple languages, especially in culturally tailored technology-based intervention research among racial/ethnic minority cancer survivors, have rarely been discussed. The purpose of this article is to discuss the issues in using four different languages among Asian American breast cancer survivors with depressive symptoms in a culturally tailored technology-based intervention study for cancer pain management and make suggestions for future technology-based intervention research using multiple languages. Research diaries written by the research team members, the recordings of biweekly research team meetings, and postings on Microsoft Teams were analyzed using content analysis. The issues included: (1) difficulties in recruiting eligible translators for multiple languages; (2) differences in selecting words by translators' traits; (3) difficulties in ensuring conceptual equivalence in measurements; (4) necessary contextual translation based on cultural understanding; (5) avoiding words with stigma; and (6) required multiple repeated steps. These methodological and conceptual issues need to be considered in future culturally tailored technology-based intervention research among racial/ethnic minorities, especially Asian American breast cancer survivors.","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12704666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257319","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

A Mixed-Methods Systematic Review on the Impacts and Implementation of Collaborative Electronic Documentation on Nurse-Patient Relationship. 协同电子文档对护患关系的影响及实施的混合方法系统评价。

IF 1.9 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-12-01 DOI: 10.1097/CIN.0000000000001263

Gift Iwuchukwu, Minna Anttila, Tella Lantta, Jaakko Varpula, Maria Ameel

{"title":"A Mixed-Methods Systematic Review on the Impacts and Implementation of Collaborative Electronic Documentation on Nurse-Patient Relationship.","authors":"Gift Iwuchukwu, Minna Anttila, Tella Lantta, Jaakko Varpula, Maria Ameel","doi":"10.1097/CIN.0000000000001263","DOIUrl":"10.1097/CIN.0000000000001263","url":null,"abstract":"The use of electronic health records challenges the nurse-patient relationship. Collaborative documentation could help to change this. The aim of this review was to provide a synthesis of current knowledge on the impacts, as well as barriers and facilitators of collaborative electronic documentation in nursing settings. A mixed-methods systematic review was conducted. The search was conducted in November 2022. The study used thematic analysis for qualitative data and descriptive analysis for quantitative data. Data integration was performed using a convergent integrated approach according to the Joanna Briggs Institute methodology. The methodological quality of the included studies was critically appraised using the Mixed-Methods Appraisal Tool. A total of 17 studies were included. Study types were qualitative (n = 10), quantitative (n = 2), and mixed methods (n = 5). Multiple implementation practices were identified in different types of nursing settings. The facilitators and barriers were related to characteristics of nurses, patients, technology, and organization. Education and organizational support were identified to be essential in successful implementation. Collaborative documentation could be a way to overcome the challenges in nursing process associated with electronic documentation, as it can save nurses' time and improve patient experience. Implementation needs to be carried out with end-user patients and nurses.","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12704668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411428","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