Cin-Computers Informatics Nursing最新文献

{"title":"Health Literacy-Based Heart Failure Self-care (H2Lit) Application: Development and Usability Testing.","authors":"Mia Cajita, Ardith Z Doorenbos, Karen M Vuckovic, Nathan Tintle, Susan L Dunn","doi":"10.1097/CIN.0000000000001169","DOIUrl":"10.1097/CIN.0000000000001169","url":null,"abstract":"<p><p>The purpose of this study was to describe the development of a health literacy-focused heart failure self-care intervention (H2Lit Web-based app) and assess its usability using an online testing platform. We used an iterative approach, wherein participants evaluated more refined versions of H2Lit over four rounds of testing. Healthy participants were recruited for the earlier rounds of testing, and participants with heart failure were recruited for the final round. A total of 44 participants (10 participants with heart failure) were enrolled in the study. The participants had a mean age of 47.6 years, 57% were female, 70% identified as White, 70% were college-educated, and 34% had low health literacy. Using the System Usability Scale (score range of 0 to 100), the participants gave H2Lit a mean usability score of 74.1 in round 1, 54.3 in round 2, 85.3 in round 3, and 82.5 in round 4. H2Lit's usability score did not significantly differ between participants with adequate health literacy and those with low health literacy after controlling for age, sex, education level, and computer use duration. Further research is needed to determine the effect of the H2Lit intervention on heart failure self-care and heart failure-related outcomes.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411430","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}

{"title":"Cross-sectional Analysis of Zoom Fatigue on Clinical Decision-making in Nursing Students.","authors":"Vanesa Gutiérrez-Puertas, Lorena Gutiérrez-Puertas, Gabriel Aguilera-García, Gabriel Aguilera-Manrique, Trinidad Maria Galera-Barbero, Verónica V Márquez-Hernández","doi":"10.1097/CIN.0000000000001278","DOIUrl":"10.1097/CIN.0000000000001278","url":null,"abstract":"<p><p>Zoom fatigue may affect nursing students, as there has been an increase in the use of videoconferencing for academic as well as clinical applications. Fatigue can negatively interfere with clinical decision-making and lead to clinical errors. This study aimed to explore the association between Zoom fatigue and perceived clinical decision-making ability of nursing students. This cross-sectional study assessed self-reported sociodemographic characteristics, Zoom fatigue, and clinical decision-making. Nursing students reported a medium level of Zoom fatigue (2.50 ± 0.78) and moderate effects on clinical decision-making (150.924 ± 12.561). Statistically significant differences were found between Zoom fatigue, the number of videoconferences held in the last month ( rs = 0.065, P = .030), prolonged use of electronic devices ( χ23 = 12.817, P = .005), and sex of the participants ( U = 4043.500, P = .046). In addition, a negative relationship was observed between Zoom fatigue and clinical decision-making ( rs = -0.519, P < .001). Nursing students have shown a moderate level of Zoom fatigue. The number of videoconferences attended as well as the prolonged use of electronic devices could increase students' level of Zoom fatigue. Students' perception of their clinical decision-making is moderate. As the Zoom fatigue levels of nursing students increased, their perception of clinical decision-making ability decreased. In the academic and clinical settings, there is a need to develop strategies to prevent Zoom fatigue in nursing students and improve the quality of care provided to patients.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442485","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}

{"title":"Using Implementation Science to Evaluate a Virtual Nursing Care Model in a Medical and Surgical Acute Care Setting.","authors":"Tajudaullah Bhaloo, Jayashri Prakash, Natalie Dial, Audrey Kobina, Hillary Turney, Jessica Peterson, Christine M Petersen, Gaynelle Lawry, Patricia R DeLucia","doi":"10.1097/CIN.0000000000001318","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001318","url":null,"abstract":"<p><p>Virtual nurses, experienced nurses who use technology to remotely direct patient care, are rapidly being introduced into acute care settings as part of the strategy to mitigate nursing shortages and burnout. We used an implementation science approach to evaluate the implementation outcomes of a pilot virtual nursing model in a 40-bed medical/surgical unit. Using Proctor's implementation outcomes of acceptability, adoption, appropriateness, fidelity, and feasibility, this mixed-methods study included observations, focus groups with virtual nurses, surveys on direct care staff, and additional quantitative analysis. Virtual nurses, who became integral members of the care team, engaged in admissions, discharges, patient education, remote monitoring, and staff mentoring. Virtual nurses reported high satisfaction due to greater patient interaction and supporting colleagues. Bedside care staff reported that the virtual nurse support not only was useful, but also increased time to provide direct patient care. The study highlights the learnings related to implementation outcomes of integrating a team-based virtual care model. The model, which introduced teamwork between bedside and virtual nurses, improved workflow, created a meaningful role for experienced nurses, and supported nursing practice for bedside nurses. Implications for standardizing training and the challenge in creating meaningful teamwork and efficient workflows are discussed.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030623","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}

{"title":"Toward Solving the Menopause Data Gap: An Evidence-Based Standardized Mapping Study Using the Omaha System.","authors":"Robin R Austin, Susan Alexander, Sarah Tupper, Jeana M Holt","doi":"10.1097/CIN.0000000000001289","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001289","url":null,"abstract":"<p><p>Menopause is a significant health event that affects a large portion of the global female population, necessitating greater awareness and research to enhance women's health and quality of life during this stage. The purpose of this study was to identify validated menopause symptom checklists and map those to the Omaha System signs/symptoms terms. The authors used a consensus approach to identify menopause symptoms from six evidence-based checklists and map them to Omaha System signs and symptoms. The team mapped each symptom if it matched exactly (full match) with the Omaha System term or had a similar, although not identical, meaning (partial match). The mapping included more than 293 source text menopause symptoms to the Omaha System problems and signs/symptoms resulting in a standardized list of 72 signs/symptoms for 21 problems. Of these 72, 70 (97.2%) signs/symptoms were a full match at the problem level, and 67 (93.1%) signs/symptoms were a full or partial match at the signs/symptoms level. This study lays the groundwork for creating a more standardized, data-driven approach, for tracking menopause symptoms. Clinicians and researchers can use this checklist to assess, track, and evaluate symptoms, enabling the development of personalized treatment approaches for menopause.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059946","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}

{"title":"Perceptions of an Electronic Patient Symptom Reporting Tool by Clinicians.","authors":"Jennifer Mallow, Andrea Bailey, Laura Tasker, Hannah Hazard, Michael Hassett, Christine Cronin, Roshan Paudel, Jessica Bian, Don S Dizon, Raymond U Osarogiagbon, Deborah Schrag, Sandra L Wong","doi":"10.1097/CIN.0000000000001313","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001313","url":null,"abstract":"<p><p>Prior to implementing an electronic health record-integrated patient-reported outcomes system, eSyM, the perceived facilitators and barriers to implementation from multiple stakeholder perspectives were sought. The purpose is to report the findings of the perceived facilitators and barriers to implementation of eSyM from multiple clinician stakeholder perspectives. Stakeholders included administrators, clerical staff, information technology professionals, support staff, physicians, providers, and nurses from six Symptom Management Implementation of Patient-Reported Outcomes in Oncology health systems, a diverse mix of academic/community, rural/metropolitan, and Northeastern and Southern community-based cancer centers. Site information, participant information, perceived effectiveness, and perceived patient barriers to use were collected from 173 stakeholders. RNs were the most represented participants, followed by physicians, physician assistants, and nurse practitioners. Stakeholders felt that eSyM would be effective in improving patient symptom management, keeping patients out of the hospital and emergency department, and improving clinic efficiency. Clinician stakeholders perceived eSyM as necessary and effective for improving symptom management. Most stakeholders felt that their colleagues would be supportive of using eSyM. Stakeholders perceived minor patient barriers were access to technology, distrust of technology, and English language proficiency. Computer literacy was perceived as a major barrier. Future longitudinal mixed-methods design that combines quantitative findings with qualitative observations is needed. Understanding the contextual factors that influence the facilitation or barriers of implementing eSyM is needed to scale and spread the intervention to other institutions. As a nursing intervention, the assessment of the perceptions of improvement of eSyM workflow would be especially useful.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062405","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}

{"title":"Associations of eHealth Literacy With Cervical Cancer and Human Papillomavirus Awareness Among Women in Türkiye: A Cross-sectional Study.","authors":"Gülbahar Korkmaz Aslan, Eda Kılınç İşleyen, Asiye Kartal","doi":"10.1097/CIN.0000000000001314","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001314","url":null,"abstract":"<p><p>Internet is women's primary source of information about cervical cancer and human papillomavirus. The aim of this study was to determine the associations of electronic health literacy with cervical cancer and human papillomavirus awareness among women of reproductive age. This is a cross-sectional study. The research sample consisted of 330 women of reproductive age (15-49 years), who were admitted to family health centers. The data were collected between July and August 2023 using eHealth Literacy Scale and the Cervical Cancer and Human Papillomavirus Awareness Questionnaire. Multiple linear regression analysis was performed to explore the predictors of cervical cancer and human papillomavirus awareness. In this study, the mean score of women's knowledge about cervical cancer and human papillomavirus was found to be low (4.54 ± 3.94), and the mean score of threat perception was found to be moderate (45.60 ± 6.54). eHealth literacy was found to be a predictor of women's knowledge about cervical cancer and human papillomavirus and threat perception. This result suggests that eHealth literacy should be considered for interventions to increase knowledge and awareness of women about cervical cancer and human papillomavirus.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023337","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}

{"title":"Embracing a Thoughtful Integration of Artificial Intelligence Into Nursing Education.","authors":"Brad Phillips","doi":"10.1097/CIN.0000000000001315","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001315","url":null,"abstract":"","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994417","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}

{"title":"Effect of Patient Portal Utilization on Patient Experience Among Hospitalized Adult Patients on an Orthopedic Surgical Unit.","authors":"Sivani Alla, Rahul Kukreja, Georgia Harrison, Sandia Royal, Minnette Markus-Rodden","doi":"10.1097/CIN.0000000000001311","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001311","url":null,"abstract":"<p><p>This project aimed to evaluate the effect of patient portal utilization on patient experience and communication with care teams among hospitalized inpatients. Patients (n = 33) from an adult, 16-bed inpatient floor at an academic, level I trauma center completed a Web-based survey regarding their experience with a patient portal following training by medical students. Survey responses indicated a favorable perception of the portal. Most patients reported improved communication with healthcare providers and enhanced understanding of medications. The majority found the portal easy to navigate and expressed user satisfaction. The patient portal facilitated improved communication with care teams and a better understanding of medical management among patients. The study highlighted the importance of raising awareness about patient portal usage for inpatients. Health providers can foster improved communication, engagement, and medication education among hospitalized patients by promoting health information technology adoption.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057637","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}

{"title":"Development, Validation, and Usability Evaluation of an Application for Health Education in Individuals With Cardiometabolic Diseases.","authors":"Mágila Maria Feijão da Costa, Francisco Marcelo Leandro Cavalcante, Kaio Givanilson Marques de Oliveira, Angelina Germana Jones, Antonio Aglailton Oliveira Silva, Maria Girlane Sousa Albuquerque Brandão, Nelson Miguel Galindo Neto, Lívia Moreira Barros","doi":"10.1097/CIN.0000000000001304","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001304","url":null,"abstract":"<p><p>Mobile applications are effective tools for health education in cardiometabolic diseases, enhancing patient's self-care, self-management, self-efficacy, and treatment adherence. This study describes the development, validation, and evaluation of the usability of a mobile application aimed at health education of individuals with cardiometabolic diseases. This is a methodological study developed using the theoretical-methodological framework of Systematic Instructional Design. The validity of the educational technology was assessed using the content validity index, with a threshold of 80% or higher. The application's usability was evaluated through the System Usability Scale. The Viva+ application was developed using Flutter, with Dart programming language and Firebase database. It comprises 49 screens and features functionalities such as registration, login, usage instructions, quizzes, note-taking, and health guidance pages covering topics such as contextualization of cardiometabolic diseases, risk factors, healthy eating, physical activity, weight control, medication management, treatment adherence, smoking and alcohol consumption, sleep improvement, stress management, and professional follow-up. The application was deemed valid by experts, achieving a global validity index of 0.99. Regarding usability, it obtained a total score of 78.07, being considered excellent. The application was shown to be a valid, suitable, comprehensive, and relevant technology for the education and health promotion of individuals with cardiometabolic diseases.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774823","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}

{"title":"Effects of Virtual Reality Meditation on Sleep and Delirium in ICU Patients: A Randomized Controlled Trial.","authors":"Soogyeong Kim, Jiyeon Kang","doi":"10.1097/CIN.0000000000001307","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001307","url":null,"abstract":"<p><p>The purpose of this study was to evaluate the effectiveness of virtual reality meditation compared with standard care on sleep quality and delirium incidence in patients admitted to the ICU. We conducted a randomized controlled trial with 96 patients in an 11-bed surgical ICU at a South Korean university hospital. The control group received usual sleep care, whereas the intervention group received an additional 20-minute virtual reality-based mindfulness and relaxation meditation before bedtime. Using the Verran and Snyder-Halpern Sleep Scale, we found significantly improved subjective sleep quality in the intervention group compared with controls during both the first (47.82 vs 39.75, P = .015) and second nights (50.26 vs 43.65, P = .025) of ICU admission. However, objective sleep measurements using Fitbit devices showed no significant differences in total sleep time between groups for either the first (384.59 vs 358.19 minutes, P = .450) or second night (319.94 vs 310.77 minutes, P = .807). Delirium incidence was similar between groups (12.2% vs 12.8%, P = .938). These findings suggest the need for larger-scale studies with robust experimental designs to definitively establish the impact of virtual reality meditation on sleep quality and delirium in ICU patients.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804718","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}