Cin-Computers Informatics Nursing最新文献_第7页

Health Literacy-Based Heart Failure Self-care (H2Lit) Application: Development and Usability Testing.

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-02-13 DOI: 10.1097/CIN.0000000000001169

Mia Cajita, Ardith Z Doorenbos, Karen M Vuckovic, Nathan Tintle, Susan L Dunn

{"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":"https://doi.org/10.1097/CIN.0000000000001169","url":null,"abstract":"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.","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-02-13","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}

引用次数: 0

Effects of a Modified Nurse Training Program on Completion Rate of Forms and Assessments in the Electronic Medical Record.

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-02-12 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":"https://doi.org/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":1.3,"publicationDate":"2025-02-12","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

Exploring Suitability of Low-Severity Rating Hospital Incident Reports for Machine Learning.

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-02-12 DOI: 10.1097/CIN.0000000000001249

Rebecca Miriam Jedwab, Leonard Hoon, Caroline Luu, Bernice Redley

{"title":"Exploring Suitability of Low-Severity Rating Hospital Incident Reports for Machine Learning.","authors":"Rebecca Miriam Jedwab, Leonard Hoon, Caroline Luu, Bernice Redley","doi":"10.1097/CIN.0000000000001249","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001249","url":null,"abstract":"Electronic incident reporting is a key quality and a safety process for healthcare organizations that assists in evaluating performance and informing quality improvement initiatives. Although it is mandatory for high-severity incident reports to be investigated, the majority, classified as low severity, are seldom examined due to the large volume of reports, constraints of human cognitive capacity to process such large amounts of data, and the limited resources available in healthcare organizations. The purpose of this study was to investigate low-severity incident reports for suitability of future machine learning to identify actionable interventions for harm prevention. This qualitative descriptive study used a yearlong dataset of low incident severity rating reports to model the incident reporting documentation workflow and explored findings with five nursing and healthcare quality and safety experts. Incident severity reports were reported to have multiple conflicting issues including information duplication, subjective data, too many selection options, and absence of contextual information resulting in a lack of usefulness of information for machine learning. Next steps include analysis of a dataset for machine learning suitability. Recommendations include end-user involvement in system redesign to ensure hospital incident reports are comprised of meaningful data.","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411429","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 Mixed-Methods Systematic Review on the Impacts and Implementation of Collaborative Electronic Documentation on Nurse-Patient Relationship.

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-02-12 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":"https://doi.org/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":1.3,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors Influencing eHealth Literacy Related to Parenting Among Asian Immigrant Mothers in South Korea.

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-02-07 DOI: 10.1097/CIN.0000000000001253

Hyunmi Son, Young-Sil Sohn, Jung-Hee Jeon

{"title":"Factors Influencing eHealth Literacy Related to Parenting Among Asian Immigrant Mothers in South Korea.","authors":"Hyunmi Son, Young-Sil Sohn, Jung-Hee Jeon","doi":"10.1097/CIN.0000000000001253","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001253","url":null,"abstract":"Immigrants face barriers to accessing healthcare owing to language and cultural differences. Considering the eHealth literacy of immigrant mother is important, particularly as many rely on online resources for information on childcare. This observational cross-sectional study aimed to identify the factors influencing eHealth literacy among immigrant mothers with young children in South Korea. We hypothesized that factors influencing eHealth literacy include perceived ease of seeking, credibility, positive experiences, and subjective norms for online health information, as conceptualized by the Technology Acceptance Model, including cultural adaptation. The analysis results revealed that perceived ease of seeking (β = .45), positive experiences (β = .14), and subjective norms (β = .15) significantly affected eHealth literacy. Additionally, integrated cultural adaptation (β = .23) and the child's medical history (β = .11) significantly influenced eHealth literacy. To enhance eHealth literacy related to parenting for immigrant mothers, educating them on search strategies for online health information and fostering positive user experiences are crucial. Furthermore, these interventions should adopt a family-focused approach, with integrated cultural adaptation proving more beneficial for effective settlement support of immigrant mothers.","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366663","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.

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-02-06 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":"https://doi.org/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":1.3,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Integrating Remote Monitoring Into the Pregnancy Care: Perspectives of Pregnant Women and Healthcare Professionals. 将远程监控纳入孕期保健：孕妇和医护人员的观点。

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-02-05 DOI: 10.1097/CIN.0000000000001255

Susanna Likitalo, Anni Pakarinen, Anna Axelin

{"title":"Integrating Remote Monitoring Into the Pregnancy Care: Perspectives of Pregnant Women and Healthcare Professionals.","authors":"Susanna Likitalo, Anni Pakarinen, Anna Axelin","doi":"10.1097/CIN.0000000000001255","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001255","url":null,"abstract":"Remote monitoring has been proposed to provide new opportunities to monitor pregnancy in the home environment and reduce the number of follow-up visits to the maternity clinic. Still, the integration of remote monitoring into the pregnancy care process has not been achieved. This descriptive qualitative study aimed to explore pregnant women's and healthcare professionals' perceptions of integrating remote monitoring into pregnancy monitoring process. A convenience sample of 10 pregnant women and 11 healthcare professionals participated in the focus group interviews. The data were analyzed with reflexive thematic analysis. The results comprised a four-step pregnancy monitoring process organizing the issues to consider when integrating remote monitoring into these steps. According to pregnant women and healthcare professionals, remote pregnancy monitoring should allow a holistic assessment to ensure the well-being of the pregnant woman and the fetus. Clear criteria for monitoring should guide the adaptation of monitoring to the identified monitoring needs. Ideally, remote monitoring could enable more personalized maternity care, supporting the monitoring-related decision-making of both pregnant women and healthcare professionals and facilitating the early detection of pregnancy complications. However, integration of remote monitoring would require significant restructuring of current pregnancy care processes.","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191262","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

An Immersive Virtual Reality Simulation Scenario to Improve Empathy in Nursing Students.

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-02-03 DOI: 10.1097/CIN.0000000000001259

Rosemary Collier, Rosa Darling, Karen Browne

{"title":"An Immersive Virtual Reality Simulation Scenario to Improve Empathy in Nursing Students.","authors":"Rosemary Collier, Rosa Darling, Karen Browne","doi":"10.1097/CIN.0000000000001259","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001259","url":null,"abstract":"Empathy is essential in nursing practice and can be taught throughout nursing curriculum using a variety of methods including clinical experiences, in-person simulation, virtual reality, and didactic lecture. Empathy can also change over time, often decreasing the longer nurses practice. A cohort of upper-level nursing students viewed a short immersive virtual reality simulation as part of routine curriculum and completed the Toronto Empathy Questionnaire before viewing (time 1), 2 weeks later (time 2), and, for a small cohort, several months later (time 3). The sample included 110 undergraduate nursing students. There were no improvements in Toronto Empathy Questionnaire scores from time 1 to time 2. There was no improvement from time 1 to time 3 for the cohort who completed the Toronto Empathy Questionnaire three times. There were no significant differences in Toronto Empathy Questionnaire scores between cohorts for any measurement times. Total mean empathy scores were comparatively high in this study and did not decline over time. Although this virtual reality simulation scenario appears to have protected against decline in empathy, it may have been insufficient to foster an increase in empathy scores. Empathic training needs to be immersed throughout their nursing education in both didactic and clinical settings.","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081952","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 Comparative Study of End-of-Life Care Before and During the COVID-19 Pandemic Using Electronic Nursing Records.

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-02-03 DOI: 10.1097/CIN.0000000000001258

Seul Ki Park, Sumi Sung, Yul Ha Min

{"title":"A Comparative Study of End-of-Life Care Before and During the COVID-19 Pandemic Using Electronic Nursing Records.","authors":"Seul Ki Park, Sumi Sung, Yul Ha Min","doi":"10.1097/CIN.0000000000001258","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001258","url":null,"abstract":"This study aimed to identify the end-of-life care provided to patients admitted to a ward using electronic nursing records standardized with SNOMED CT (Systematized Nomenclature of Medicine Clinical Terms) and to analyze changes in end-of-life care before and during the COVID-19 pandemic. The study setting was oncology or hematology-oncology wards in a tertiary care hospital. A total of 161 069 nursing statements for 600 patients before COVID-19, admitted from January 2018 to December 2019, and 110 333 nursing statements for 454 patients during COVID-19, admitted from January 2020 to December 2021, were extracted from the clinical data warehouse of the study hospital. We mapped 427 unique nursing statements to SNOMED CT. The differences in the number of SNOMED CT concepts among the three groups-patients before COVID-19, patients without COVID-19 during COVID-19, and patients with COVID-19 during COVID-19-were analyzed using analysis of variance. \"Acute pain,\" \"Patient on oxygen,\" \"Notification of physician,\" \"Oxygenation monitoring,\" and \"Pain assessment\" were recorded most frequently. The frequency of nursing statements related to oxygenation was significantly lower in patients without COVID-19 during the COVID-19 pandemic compared with patients before COVID-19. Nursing statements pertaining to emotional or spiritual care appeared to be underrepresented in both the nursing assessment/outcome and nursing intervention domains. Our study showed that the standardized nursing records can be used as a source of information to explore changes in end-of-life care before and during the COVID-19 pandemic.","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081951","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

Frequency and Characteristics of Flowsheet Documentation Recorded Utilizing Documentation Efficiency Tools. 利用文件效率工具记录流程文件的频率和特征。

IF 1.3 4区医学

Cin-Computers Informatics Nursing Pub Date : 2025-02-01 DOI: 10.1097/CIN.0000000000001232

John Will, Deborah Jacques, Denise Dauterman, Lisa Groom, Glenn Doty, Kerry O'Brien

引用次数: 0