Geysa Santos Góis Lopes, Maria José Lumini Landeiro, Maria Rui Miranda Grilo Correia de Sousa
{"title":"Mobile Application Prototype for Foot Self-care Support for Persons With Diabetes: A Human-Centered Design Approach.","authors":"Geysa Santos Góis Lopes, Maria José Lumini Landeiro, Maria Rui Miranda Grilo Correia de Sousa","doi":"10.1097/CIN.0000000000001283","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001283","url":null,"abstract":"<p><p>The human-centered design approach has gained prominence in the development of mobile health solutions. However, its application to support foot self-care for persons with diabetes has not been extensively explored. This study aims to develop a mobile application prototype using a human-centered design approach to support foot self-care for persons with type 2 diabetes. The project used mixed methods, including a scoping review, patient interviews, a Delphi panel, and an acceptability and usability study of an educational booklet. This three-phase approach encompassed defining the context of use, specifying user requirements, and developing design solutions. This article specifically details the third phase of the project: the development of the low-fidelity prototype. Functionalities such as daily reminders for foot care, notifications for medical appointments, communication features with healthcare professionals and peers, and repositories of videos and educational content were integrated into the design. These features were tailored to address user needs, emphasizing knowledge enhancement in self-care practices. The human-centered design approach enabled the creation of a comprehensive prototype with essential functionalities and robust educational content, filling gaps in the digital health market and empowering persons to better manage their foot health.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659615","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}
Eunhee Jo, Hwang Rahyeon, Jeong-Lim Ryu, Chunja Yoo
{"title":"Developing and Evaluating a Mobile Application Self-management Program for Patients with Implantable Cardioverter-Defibrillators: An Experimental Study.","authors":"Eunhee Jo, Hwang Rahyeon, Jeong-Lim Ryu, Chunja Yoo","doi":"10.1097/CIN.0000000000001275","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001275","url":null,"abstract":"<p><p>This study aimed to develop a mobile application self-management program for patients with implantable cardioverter-defibrillators and evaluate its effectiveness. A nonequivalent experimental group pre-post quasi-experimental study was conducted. The experimental group (n = 32) received the mobile application and education for 8 weeks. The control group (n = 32) received a booklet and education. Uncertainty, self-care competence, physical quality of life, mental quality of life, and physiological indicators (ejection fraction, systolic blood pressure, diastolic blood pressure, pulse rate) were assessed. Outcomes were analyzed using the independent t test, Mann-Whitney U test, analysis of covariance, and ranked analysis of covariance. Physical and mental quality of life significantly increased in the experimental group compared with the control group. Physiological indicators were unchanged. The mobile application self-management program may be utilized as a nursing intervention to improve quality of life for patients with implantable cardioverter-defibrillators.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659611","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}
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":"https://doi.org/10.1097/CIN.0000000000001267","url":null,"abstract":"<p><p>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 included 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.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-17","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}
{"title":"Factors Influencing the Quality of Virtual Reality in Nursing Education: A Systematic Review.","authors":"Qin Hu, Heyu Chen, Cong Wang, Simin Li, Hua Cao, Yan Jiang","doi":"10.1097/CIN.0000000000001287","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001287","url":null,"abstract":"<p><p>Technological advancements have fueled the integration of virtual reality into nursing education, presenting innovative teaching modalities. Nonetheless, a conspicuous gap exists in understanding the influencing factors that impact the quality of virtual reality experiences, thereby challenging educators in creating optimal learning ecosystems tailored to nursing curricula. Adopting the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines, a comprehensive search of electronic databases including PubMed, Embase, CINAHL, Web of Science, and the Cochrane Library was performed. Forty-five studies met the inclusion criteria, revealing a broad spectrum of factors affecting virtual reality experience quality. Human-centric factors encompassed cybersickness, accommodation for individuals who wear glasses, and left-handed, elderly, and women users. System-centric issues are mainly limited immersion and inadequate interaction. The synthesis of existing literature underscores the multifaceted nature of factors influencing virtual reality experience quality in nursing education. Recommendations include enhancing immersion and interaction, considering user diversity in design, and fostering international collaborations for content standardization.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659613","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":"Gap Analysis of Encoding the Guidelines on Non-Opioid Approaches for Pain Management Using the Omaha System.","authors":"Jiwon Kang","doi":"10.1097/CIN.0000000000001282","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001282","url":null,"abstract":"<p><p>This study analyzed the gaps in clinical guidelines for the Institute for Clinical Systems Improvement by using the Omaha System. Clinicians use various Non-Opioid approaches for pain management, leading to diverse coding requirements when inputting data into EHRs. Consequently, the lack of standardized coding for Non-Opioid pain management data leads to inconsistencies, hindering effective information transfer and reuse between care settings, impacting continuity of care. By encoding guidelines within the Omaha System, this study aims to create a standardized framework that enhances data integration and promotes seamless communication across healthcare environments. To address this, pain management guidelines for Non-Opioid approaches were mapped using the Omaha System, with a focus on content feasibility, linguistic validity, and term granularity. The analysis revealed three problems, three categories, and 11 targets in the coding of Non-Opioid approaches for pain management. By integrating guidelines encoded within EHRs, the development of improved guidelines is facilitated, enhancing their efficient utilization and thereby improving nursing records and information delivery systems. In conclusion, this approach addresses the need for standardized coding, advancing both guideline development and continuity of care through improved information systems.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659614","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}
Krystal M McGovern, Susan P McGrath, Irina M Perreard, George T Blike
{"title":"Regaining Reliable Patient Physiologic Surveillance System Performance After Nursing Practice Drift: An Example of Continuous Quality Improvement.","authors":"Krystal M McGovern, Susan P McGrath, Irina M Perreard, George T Blike","doi":"10.1097/CIN.0000000000001281","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001281","url":null,"abstract":"<p><p>Physiologic surveillance systems are intended to notify nurses of patient deterioration but can be rendered ineffective when alarm burden is high. Nurses reported increased alarm burden, loss of confidence that alarms signaled actionable events, and alarm fatigue. Additionally, standard quality assurance tracking indicated a need to evaluate comprehensively the hospital's crucial patient safety system. A systems approach was used to understand changes in the care environment and regain reliable system performance after practice drift. Interventions included decreasing the continuous surveillance pulse rate alarm threshold to 40 beats per minute, restandardizing the peripheral capillary oxygen saturation alarm threshold to 80%, and resetting expectations for alarm response and utilization of alarm escalation pagers. Bedside alarms per patient day decreased by 66.4% (P < .001) for peripheral capillary oxygen saturation low and by 71.2% (P < .001) for pulse rate low. Initial pager notifications per patient day decreased by 84.5% (P < .001) for peripheral capillary oxygen saturation low and by 93% (P < .001) for pulse rate low. Even systems that are stable for long periods are subject to practice drift. This study underscores the importance of clinical process standardization and continuous measurement of system performance with feedback to sustain performance of the patient safety systems nurses rely on.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659616","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":"Evaluation of an Outpatient Research Facility Telehealth Program.","authors":"Adrienne Barrett, Susan Alexander, Jeffery Sano","doi":"10.1097/CIN.0000000000001284","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001284","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-14","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}
{"title":"Using a Mobile Application Disease Self-management Program to Promote Blood Pressure Control and Quality of Life in Patients With Hypertension.","authors":"Chih-Wen Chen, Yu-Ying Lu, Li-Ju Lin, Ju-Han Liu, Mei-Chen Lee, Shu-Fang Vivienne Wu","doi":"10.1097/CIN.0000000000001296","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001296","url":null,"abstract":"<p><p>The study aims to assess the effectiveness of a mobile application disease self-management program regarding blood pressure control and quality of life for patients with hypertension. A single-blind randomized controlled trial. Participants in the control group (n = 51) received routine care, whereas those in the experimental group (n = 51) participated in a home-based intervention. They accessed the program on a mobile device, watching disease self-management content at least once every other day. Posttests were conducted upon return visit to the clinic after 3 months. The measuring outcomes included demographics, disease characteristics, and quality of life. After the intervention, significant results were observed in the experimental group regarding the control of systolic blood pressure and diastolic blood pressure. Furthermore, significant effects were observed in the overall improvement, as well as the physical and mental component summary of quality of life, compared with the control group. The primary outcomes can help control blood pressure and mitigate complications in patients with hypertension. Secondary outcomes include promoting overall quality of life and its physical and mental component summary while providing nursing staff with an alternative method of health education other than conventional methods.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626756","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":"Perspectives of Therapeutic Alliance Using Telemental Health for Adolescents: A Scoping Review.","authors":"Alison Ercole, Danielle Morgan, Kimberly Shea","doi":"10.1097/CIN.0000000000001276","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001276","url":null,"abstract":"<p><p>The purpose of this article is to conduct a scoping review, which examines research evidence on therapeutic alliance development in adolescents while using telehealth during mental health encounters (telemental health). Thirty-seven percent of all high school students in the United States reported poor mental health during the pandemic, and 44% reported sadness and/or hopelessness in the past year. Therapeutic alliance is a collaborative relationship between patient and provider with a strong affective bond and agreement on treatment tasks and goals. Telehealth may facilitate access, but preliminary research demonstrates provider challenges for building therapeutic alliance during telehealth visits in adolescents. CINAHL, Embase, PsycINFO, PubMed, Google Scholar, and ProQuest were searched through June 2023. Inclusion studies examined therapeutic alliance in mental health patients with a mean age of 14 to 18 years and synchronous telehealth use. Articles published in English; publication dates and geographic location were not excluded. A total of 1091 articles were obtained after duplications were discarded. Three reviewers, working in pairs, independently reviewed each citation against predetermined criteria. Joanna Briggs Scoping Review Methodology, the Preferred Reporting Items for Systematic reviews and Meta-Analyses-Scoping Review process organized the findings. The 9 articles that met the criteria were case reports, descriptive, qualitative, mixed methods, and a partially randomized patient preference pilot study. There were 416 adolescent participants (mean age = 15.74 years). Five themes synthesized the findings: \"established relationship prior to telemental health,\" \"diagnoses best suited for telemental health,\" \"role of technology,\" \"therapeutic space and privacy,\" and \"appointment attendance.\" A recommendation emerged in offering a hybrid approach. However, many barriers still exist in the complex, high-risk, and geographically challenged patient. Telemental health can bridge the divide between those who traditionally cannot access treatment, but providers must learn how to develop relationships virtually. Another recommendation is to allow adolescents alone time and privacy with the provider. Further research is needed to assess therapeutic alliance using telehealth between adolescents and clinicians in the postpandemic era, particularly from the adolescents' perspective. Limitations included that three studies occurred before March 2020, when the SARS-CoV-2 (COVID-19) pandemic started, and the remaining articles occurred during the pandemic when social distancing measures were in place. Therefore, this limited study methods to single-group designs, and many of the participants already established a relationship with their provider before shifting to telehealth, so there was less focus on the initiation of therapeutic alliance via telehealth.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626755","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":"Usability Test for a Smart Glass-Based Application to Support Nurses' Hospital Admission Tasks.","authors":"Shota Kagawa, Sachiko Iijima","doi":"10.1097/CIN.0000000000001295","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001295","url":null,"abstract":"<p><p>The shortage of nurses, which harms both patients and nurses, is a global issue. Healthcare providers are actively introducing information and communication technology and artificial intelligence to improve the efficiency of their nursing work. Electronic devices in healthcare often face challenges such as poor accessibility, complex documentation processes, and interference with patient care. Therefore, this study focuses on smart glasses as alternative devices and develops a hospital-work support application to test its usability. The usability test involved nurses who perform hospital-admission tasks in a simulated hospital-room environment at a general hospital in Japan as part of a performance measurement, followed by interviews and questionnaires (System Usability Scale) with nurses. The smart glasses used in this study were AR100 and DE100 from Dynabook. The tests yielded results from five nurses, including System Usability Scale scores ranging from 37.5 to 70, reduced documentation time, and a nearly 100% task-completion rate. However, we found usability issues related to the input method and distraction risks owing to the presence of the display, and the required application functionalities may vary depending on the nurses' capabilities. Although smart glasses can potentially improve the efficiency of nurses' hospital duties, further enhancements in usability are necessary.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574436","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}