{"title":"Perceptions and Attitudes of Registered Nurses and Nursing Students Toward Advanced Technology and Artificial Intelligence: A Review of Literature.","authors":"Omar Abdelaziz, Sohye Lee, Sheri Howard, Leanne Lefler","doi":"10.1097/CIN.0000000000001221","DOIUrl":"10.1097/CIN.0000000000001221","url":null,"abstract":"<p><p>The use of technology in healthcare and healthcare education settings has increased rapidly across the United States and accelerated due to the COVID-19 pandemic. However, perceptions of new technologies in clinical nursing and nursing education are not well understood. Yet, understanding perceptions of registered nurses and nursing students toward advanced technology and artificial intelligence in clinical care and education is crucial if we are to implement these care delivery and educational innovations. This literature review investigates existing literature on registered nurses' and nursing students' attitudes toward advanced technology and artificial intelligence in nursing, including nursing education. Ten peer-reviewed studies published between 2017 and 2022 were reviewed. Findings revealed positive perceptions, such as improved patient care, efficiency, and reduced human error, but also concerns about job displacement, loss of human touch, and ethical/legal issues. Challenges in implementation, adequate training in technologies, and how technologies may reduce the human connection aspect of nursing care were identified. By recognizing the attitudes and perceptions of registered nurses and nursing students toward these advanced technologies, we can better ensure that it is ethically, effectively, and responsibly integrated into nursing practice and education.</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":"142958302","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}
Tonya Judson, Bela Patel, Alison Hernandez, Michele Talley
{"title":"Implementation of Diabetic Remote Patient Monitor for Underserved Population.","authors":"Tonya Judson, Bela Patel, Alison Hernandez, Michele Talley","doi":"10.1097/CIN.0000000000001236","DOIUrl":"10.1097/CIN.0000000000001236","url":null,"abstract":"<p><p>A nurse-led interprofessional clinic adopted the use of remote patient monitoring (RPM) for glucose monitoring to better serve their patient population of uninsured patients with uncontrolled diabetes. The adoption of the RPM system required an infrastructure design to connect multiple data points and adapt to the needs of the clinic's unique patient population for a seamless provider and patient experience. Implementation requirements were addressed in three phases: protocol adaptation, enrollment workflow, and clinic management of RPM patients.</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":"142803035","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}
Saif Khairat, Jennifer Morelli, Barbara S Edson, Julia Aucoin, Cheryl B Jones
{"title":"Needs Assessment of Virtual Nursing Implementation Using the Donabedian Framework.","authors":"Saif Khairat, Jennifer Morelli, Barbara S Edson, Julia Aucoin, Cheryl B Jones","doi":"10.1097/CIN.0000000000001229","DOIUrl":"10.1097/CIN.0000000000001229","url":null,"abstract":"<p><p>Nursing shortages are a significant problem that affects healthcare access, outcomes, and costs and challenges the delivery of care in hospitals. The virtual nursing delivery model enables the provision of expert nursing care from a remote location, using technology such as audio/video communication, remote monitoring devices, and access to the electronic health record. However, little is known about the structure and processes supporting the implementation of virtual nursing in healthcare systems. This study examined the requirements for implementing a virtual nursing care team by characterizing the structure and processes of virtual nursing, using the Donabedian framework. The study conducted an observational and qualitative evaluation of a virtual nursing care team at a major Southeastern health center in the United States. The study found that key aspects for implementing a virtual nursing program include the number of available virtual nurses per shift, the availability of appropriate virtual nursing equipment, the physical layout of the virtual nursing center, the training of virtual nursing nurses on best practices of virtual encounters, simultaneous use of electronic health record, creation, and training of nurses on policies and procedures such as escalation of technical issues, and available support resources for problem resolution. The study provides valuable insights into the structure and processes of virtual nursing care that can be used to improve healthcare delivery and address nursing shortages.</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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11984657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Data Trauma: A Concept Analysis.","authors":"Erica Smith, Darryl Somayaji","doi":"10.1097/CIN.0000000000001218","DOIUrl":"10.1097/CIN.0000000000001218","url":null,"abstract":"<p><p>Today's healthcare landscape is becoming increasingly data-centric, with artificial intelligence and advanced computer algorithms becoming inextricably embedded in patient care. Although these technologies promise to make care more efficient and effective, they heighten the risk for unintended consequences. Using Walker and Avant's framework for concept analysis, we propose and explicate the emerging concept of iatrogenic data trauma, or ways in which the collection, storage, and use of sensitive and potentially stigmatizing patient data can cause harm. We conducted a careful and exhaustive review of traditional academic publications, as well as nontraditional digital sources to generate a rich and intersectional corpus of information pertaining to data justice, digital rights, and potential risks associated with the \"datafication\" of individuals. Using evidence synthesis and practical examples, we discuss how flawed data processes in healthcare settings can lead to data trauma among patients and explore how its presence can perpetuate health disparities, marginalization, loss of privacy, and breach of trust in patient-provider relationships. We discuss how this phenomenon arises and manifests across the healthcare continuum and is an important issue for professionals in multiple disciplines. We conclude by suggesting future opportunities for research through a trauma-informed lens.</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":"142814959","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":"Mingzhen Li, Shaohua He, Meihua Peng, Huan Liu, Cheng Chen, Xiaofang Liu, Liming Tan","doi":"10.1097/CIN.0000000000001214","DOIUrl":"10.1097/CIN.0000000000001214","url":null,"abstract":"<p><p>Critical care nurses, who are at the frontline of recognizing and answering alarms, face various challenges while undertaking this task. The purpose of this qualitative study is to gain more insight into the experiences of critical care nurses working with medical equipment alarms. A qualitative, descriptive design was used to explore this area. Fifteen critical care nurses, recruited using purposive sampling, participated in semistructured interviews. These were recorded and coded, and data were analyzed using content analysis. Four themes and fifteen related subthemes emerged, including: (1) emotional experience (sub: anxiety/dysphoria, helplessness, worry, ambivalence); (2) physical symptoms (sub: hearing disorder, sleep disturbances, exhaustion, inattention); (3) new challenges (sub: multiple nursing roles, inconsistent practice guidelines, unsatisfactory human-machine interaction, nurse attribute); and (4) coping strategies (sub: positive alarm culture, effective teamwork, development of technology). Healthcare administrators should focus not only on the nurses themselves, but also on objective factors such as organization and technology, which contribute to the empowerment of ICU nurses and can encourage them to participate in clinical alarm management.</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":"142958347","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 Effect of the Flipped Classroom in a Nursing Informatics Course on Nursing Students' Knowledge and Readiness Levels, System Usability.","authors":"Yasemin Demir Avcı, Deniz Özel, Zeynep Özer","doi":"10.1097/CIN.0000000000001226","DOIUrl":"10.1097/CIN.0000000000001226","url":null,"abstract":"<p><p>The flipped classroom method to be used in the nursing informatics course can increase nursing students' engagement and learning outcomes. This study aimed to evaluate the effect of flipped classroom education on nursing students' readiness for the flipped classroom model of education, as well as the usability of the flipped classroom and how this model impacts the level of students' knowledge in a nurse informatics course. The nursing students received 6 weeks of classic education and 6 weeks of flipped classroom education in the nursing informatics course. A personal information form, the System Usability Scale, and the Flipped Learning Readiness Scale were used. The study was conducted with 84 students; the students were at an average age of 21.26 years with an average background of 7 years of using technology. An increase in the students' technology self-efficacy and readiness was observed after the implementation of the flipped classrooms. Students who received flipped classroom education rated system usability and technology self-efficacy more positively. The students' engagement in the course had a positive effect on their readiness scores. It was discovered that the factors influencing student achievement include motivation, engagement in the course, and home Internet connection. Flipped classrooms can be used to increase students' ability to use technology both in courses and in hospital clinics.</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":"142958309","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 Effect of a Mobile-Supported Venous Thromboembolism Training Program on Surgical Nurses' Knowledge and Practices.","authors":"Nilgün Özbaş","doi":"10.1097/CIN.0000000000001271","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001271","url":null,"abstract":"<p><p>Providing effective training for surgical nurses is important to prevent venous thromboembolism (VTE). This study was conducted to evaluate the effect of a mobile-supported venous thromboembolism training program on the knowledge and practices of surgical nurses. A total of 147 surgical nurses were given mobile-supported venous thromboembolism training. The data were collected using an Information and Practices Form. It was determined that the nurses' knowledge and practice scores increased significantly over time, from baseline (T0) to immediately after training (T1) and 1 month after training (T2) (P < .0005). All nurses were satisfied with the mobile-based VTE training. A moderate and positive correlation was found between the satisfaction scores of the nurses and their knowledge and practice scores immediately after training (P < .05). A weak and positive correlation was found between knowledge and practice scores immediately after training and 1 month later (P < .05). One month before VTE training, two patients were readmitted to the hospital with postoperative VTE. No patients who were given care by the same nurses were readmitted with postoperative VTE 1 month after training. In conclusion, mobile-supported training provided improvement and ensured the sustainability of nurses' knowledge and practices regarding VTE, was a satisfactory and acceptable training strategy, positively affected patient outcomes, and prevented repeated hospitalizations.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605583","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 Effect of Game-Based Technology on Undergraduate Nursing Students' Knowledge and Motivation: Mixed-Methods Study.","authors":"Aylin Durmaz Edeer, Fatma Vural, Nazife Gamze Özer Özlü","doi":"10.1097/CIN.0000000000001251","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001251","url":null,"abstract":"<p><p>The study aimed to determine the effects of game-based technology use in a first-aid lesson on knowledge and motivation. The study had a two-stage explanatory mixed-methods design. Quantitative data were collected as a randomized controlled trial. Qualitative data were collected through purposive sampling. A total of 202 nursing students were included and evaluated with a knowledge test and a teaching materials motivation questionnaire. A puzzle was applied to the intervention group before the first-aid lesson, and a Kahoot! was applied after the lesson. Four structured questions were asked to understand the students' thoughts about the game-based technology used. The students' pretest knowledge scores were similar. The mean posttest knowledge scores of the intervention group were significantly higher. However, the mean scores of the teaching materials motivation questionnaire were not high. The qualitative data analysis categorized students' opinions about the teaching materials as effective learning, enjoyable learning, and motivating learning. In conclusion, game-based technology methods in nursing practical lessons can enable students to apply the knowledge they learn in practice.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Development and Pilot Testing of a Mobile App-Based Chatbot for the Self-management of Physical Activity for Older Adults.","authors":"Sooyeon Park, Su Jung Lee","doi":"10.1097/CIN.0000000000001257","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001257","url":null,"abstract":"<p><p>Chatbots can change health behaviors by generating conversations about health. A well-designed health-related chatbot can encourage people to be physically active by creating a therapeutic relationship. This study aimed to develop and evaluate the feasibility and usability of a chatbot-based physical activity self-management application to promote physical activity among community-dwelling older adults. The physical activity self-management application was designed based on the five stages of the ADDIE model (analysis, design, development, implementation, and evaluation). The mobile application (app) includes a chatbot and physical activity videos as key components to provide support and guidance for physical activity enhancement and self-management. Quantitative pilot testing demonstrated that participants were highly satisfied with the app's usability, convenience, and overall satisfaction across all measures. Qualitative data analysis revealed that participants found it easy to watch and follow the videos as needed throughout the day and reported that the guidance and support from the chatbot helped motivate them to be more physically active. The findings suggest that it may be beneficial to expand the use of the chatbot-based physical activity self-management application to promote physical activity among older adults with chronic diseases and offer promising evidence for the feasibility of increasing mHealth accessibility for lifestyle modification interventions.</p>","PeriodicalId":50694,"journal":{"name":"Cin-Computers Informatics Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}