Cin-Computers Informatics Nursing最新文献

{"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}

{"title":"Revisiting NANDA International-Nursing Interventions Classification-Nursing Outcomes Classifications Linkages of Nursing Home Residents in Korea.","authors":"Juh Hyun Shin, Chung Hyuk Park, Suhyun Park, Myungeun Lee, Jisoo Kim","doi":"10.1097/CIN.0000000000001261","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001261","url":null,"abstract":"<p><p>Standardized nursing languages help nurses articulate issues with patients, forming the groundwork for the selection of nursing interventions aimed at achieving outcomes. However, the application of standardized nursing linkages on nursing processes and nursing home residents' outcomes, as well as the identification of facility and resident factors, remains unexplored. The purpose of this study was to examine nursing home facility and resident factors on the use of NANDA, Nursing Interventions Classification, and Nursing Outcomes Classification (NNN) and frequently occurring NNN linkages surrounding nursing home residents in Korea. Data were collected from 53 nurses of 273 residents in 19 nursing homes in Korea using a newly developed smartphone application. Descriptive statistics, analysis of variance, and analysis of covariance were used for the data analysis. Nine NNN linkages were identified in this study, mostly centered on fall prevention. We also identified that residents' factors (including acuity, age, and admission period) and organizational factors (including year of facility establishment and facility ownership status), were related to the use of NNN. Nursing home nurses' clinical and critical judgment and the utilization of standardized nursing languages to select proper nursing interventions and outcomes should be based on both resident and organizational factors.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574433","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":"The Impact of Nursing Information Literacy and Nursing Informatics Competency on Attitudes Toward Evidence-Based Practice.","authors":"Rola H Mudallal, Hanan M Al-Modallal, Nahid F Al Hassan","doi":"10.1097/CIN.0000000000001272","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001272","url":null,"abstract":"<p><p>In today's rapidly advancing world of science and technology, evidence-based practice has become a critical requirement to satisfy patients' needs and improve the nursing profession. However, little is known about the factors impacting evidence-based practice. This study uses a cross-sectional, correlational design to explore the factors influencing nurses' attitudes toward evidence-based practice. A convenience sample of 272 RNs was recruited to complete the online survey. The results revealed that staff nurses reported relatively positive attitudes toward evidence-based practice. Multiple linear regression analysis identified six factors that could predict RNs' attitudes toward evidence-based practice: information literacy, nursing informatics competency, organizational support, evidence-based practice barriers, leadership style, and the nursing care model. These factors were responsible for approximately 53% of the variance. To improve nurses' attitudes toward evidence-based practice, managers are advised to adopt flexible leadership styles, create a supportive environment, and encourage staff development through different training programs for evidence-based practice and nursing informatics.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568741","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":"Examining the Role of System Acceptance and Community Feeling in Predicting Nursing Students' Online Learning Satisfaction.","authors":"Nesrin Çunkuş Köktaş, Gülseren Keskin, Gülay Taşdemir","doi":"10.1097/CIN.0000000000001228","DOIUrl":"10.1097/CIN.0000000000001228","url":null,"abstract":"<p><p>Online learning has transitioned from being optional to a mandatory experience in nursing education. Consequently, it is crucial to understand nursing students' satisfaction and the factors influencing it to create and implement a successful online learning environment. This study aimed to examine the roles of system acceptance and community feeling in predicting nursing students' online learning satisfaction. The sample of the relational and cross-sectional study consisted of 451 nursing students studying online in the two universities in Western Turkey. Data were collected using the Personal Information Form, Online Learning Systems Acceptance, Community Feeling Scale, and Satisfaction Scale. A positive correlation was found between the perceived ease and benefit variables and satisfaction levels of nursing students in the study within the scope of online learning systems acceptance. A positive correlation was found between the actional and affective components of community feeling and satisfaction levels of nursing students in the study. Besides, the affective component was found to be the most significant factor in explaining satisfaction with online learning. The learning environment can be improved by increasing the diversity and interaction of nursing students with methods or instruments such as online collaborative learning approaches and online community building.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803028","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":"Exploring Healthcare Students' Intention to Use Virtual Reality Simulations in China: A Cross-sectional Study Applying the Technology Acceptance Model.","authors":"Quan Yuan, Fenghua Yang, Maoling Fu, Xueru Liu, Kaiqi Chen, Qianwen Zeng, Mengwan Liu, Cuihuan Hu","doi":"10.1097/CIN.0000000000001224","DOIUrl":"10.1097/CIN.0000000000001224","url":null,"abstract":"<p><p>This study aims to investigate healthcare students' intention to use virtual reality simulations. By using the Technology Acceptance Model, the research delves into the factors influencing students' acceptance and adoption of virtual reality simulations. Following a cross-sectional design, this article adheres to the STROBE Statement guidelines. The study included 632 undergraduate healthcare students from three universities in China. Data were collected through online questionnaires administered at three comprehensive universities in China between June 19, 2023, and January 15, 2024. Self-reported measurements were used, and hypotheses were analyzed using Amos software to construct a structural equation model. The study reveals positive correlations, indicating that habits are positively associated with perceived ease of use and perceived usefulness. Furthermore, system quality is positively correlated with perceived ease of use and perceived usefulness. Notably, perceived ease of use positively influences perceived usefulness, and both perceived ease of use and perceived usefulness are positively linked to intention to use. The findings suggest that educational institutions and educators should prioritize students' habits, platform system quality, perceived usefulness, and perceived ease of use to enhance healthcare students' intention to engage with virtual reality simulations.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958349","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":"Experiences and Challenges for Critical Care Nurses in Work Related to Medical Device Alarms: A Qualitative Study.","authors":"","doi":"10.1097/CIN.0000000000001288","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001288","url":null,"abstract":"","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":"43 3","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605585","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}