{"title":"Generative Artificial Intelligence in Midwifery Workforce Development: A Scoping Review Identifying an Evidence Gap.","authors":"Fiona Gibb, Aurora Constantin, Robin Hill","doi":"10.1097/CIN.0000000000001632","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001632","url":null,"abstract":"<p><p>Generative artificial intelligence (AI) is increasingly explored across health care for clinical decision-making and education. Within digital health, workforce readiness and digital capability are recognized as critical to successful technology implementation. Midwifery faces persistent workforce challenges including limited protected learning time, restricted leadership development opportunities, and unclear career pathways, yet it is unclear whether generative AI has been examined as a tool to support midwifery workforce development. A scoping review was conducted following the framework of Arksey and O'Malley with PRISMA-ScR reporting. EBSCOhost (CINAHL, MEDLINE, ERIC), Google Scholar, and Elicit were searched for English-language studies published between 2015 and 2026 examining AI in midwifery in relation to at least one of the following: post-registration education, workforce, professional development, leadership, and career progression. Findings were synthesized using framework analysis. Eight studies met the inclusion criteria. Research focused predominantly on clinical decision-making, predictive models, and undergraduate education. No studies examined generative AI tools to support practicing midwives' professional development, leadership, or career progression. Attitudes towards AI varied with digital literacy, generational cohort, and ethical concerns. Generative AI in midwifery workforce development is unexamined in the empirical literature. Further research is required to understand acceptability, risks, and value within an ethically governed implementation framework.</p>","PeriodicalId":520598,"journal":{"name":"Computers, informatics, nursing : CIN","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effectiveness of a Stoma Self-Care Mobile App in Enhancing Patients' Ostomy Self-Care Ability: A Development and Usability Study.","authors":"Hsin-Ling Chen, Ming-Hsiang Tu","doi":"10.1097/CIN.0000000000001640","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001640","url":null,"abstract":"<p><p>Patients with colorectal cancer or severe abdominal trauma often require a stoma and must master the self-care necessary to prevent peristomal skin complications. In this study, we developed and evaluated a mobile health (mHealth) app, called The Stoma Self-Care App, to facilitate self-care knowledge and skill acquisition alongside clinical monitoring in patients with ostomy. The app was developed following the 6 stages of the System Development Life Cycle: planning, design, development, testing, deployment, and maintenance. To evaluate usability, the app was tested in 23 patients over 4 weeks, who then completed a self-administered satisfaction questionnaire. The final version of the mHealth app received favorable clinical appraisals, with the average satisfaction score being 4.85/5.0. The findings demonstrated good usability and high user satisfaction among a small sample of patients with ostomy, indicating that the app was well accepted and easy to use. Overall, this study describes a systematic, user-centered approach to developing a mHealth app for ostomy self-care and provides preliminary evidence supporting its usability and acceptability. The app's systematic development and high user acceptance support the feasibility of a user-centered development approach for mHealth applications in ostomy care. Further studies involving larger and more diverse patient populations are warranted to evaluate the app's effectiveness and broader applicability.</p>","PeriodicalId":520598,"journal":{"name":"Computers, informatics, nursing : CIN","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carolyn Sun, Benjamin J Galatzan, Christina Baker, Paula Wolski, Ann M Wieben
{"title":"Must a Nurse Be Human? A Debate on Agentic Artificial Intelligence and the Future of Nursing Practice.","authors":"Carolyn Sun, Benjamin J Galatzan, Christina Baker, Paula Wolski, Ann M Wieben","doi":"10.1097/CIN.0000000000001631","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001631","url":null,"abstract":"","PeriodicalId":520598,"journal":{"name":"Computers, informatics, nursing : CIN","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Integrating Artificial Intelligence Into Nursing Care Planning: A Comparative Evaluation of Psychosocial Care for Patients With a Stoma.","authors":"Nurşen Kulakaç, Metin Tuncer","doi":"10.1097/CIN.0000000000001634","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001634","url":null,"abstract":"<p><p>This methodological study evaluated and compared the content quality and appropriateness of nursing care plans developed by nurses and artificial intelligence (AI) for addressing the psychosocial problems of patients with stomas. Two nursing care plans addressing the psychosocial needs of a patient with a stoma were developed: 1 generated by nurses and 1 generated by an AI system. The content quality and appropriateness of the care plans were independently evaluated by 12 experts, including nursing academics and clinical nurses, using the DISCERN measurement tool. Inter-rater reliability was assessed using the intraclass correlation coefficient (ICC). The mean DISCERN score of the nurse-generated care plan was significantly higher than that of the AI-generated care plan (P=.008). Inter-rater agreement demonstrated good agreement. The findings indicate that nurse-generated care plans demonstrate superior content quality and overall integrity compared to AI-generated plans. AI-generated care plans exhibit potential as supportive tools in nursing care planning.</p>","PeriodicalId":520598,"journal":{"name":"Computers, informatics, nursing : CIN","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bridging the Gap: A Needs Assessment of the Chief Nursing Informatics Officer Role Perception and Role Execution in Military Treatment Facilities.","authors":"Shannon L Evans, Mary Anne Reynolds","doi":"10.1097/CIN.0000000000001583","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001583","url":null,"abstract":"<p><p>The role of the Chief Nursing Informatics Officer in Military Treatment Facilities is important to optimizing health care operations and implementing health information technology systems. However, the lack of standardized role definitions often leads to underutilization and inconsistent application of Chief Nursing Informatics Officer expertise. This project explored the perceived role of Chief Nursing Informatics Officers within the United States Military Treatment Facilities. A needs assessment evaluated Chief Nursing Informatics Officers' understanding of their role expectations compared with how they actually allocate their time. The assessment was distributed to Chief Nursing Informatics Officers, health care leaders, and staff nurses across facilities in the United States, Asia, and Europe. Findings revealed disparities between role perception and daily duties, as all Chief Nursing Informatics Officers held additional primary responsibilities. The gap analysis revealed inconsistencies in role alignment, with Chief Nursing Informatics Officers often unable to focus on informatics priorities due to competing duties and differing role perceptions among leaders and nurses. The project resulted in a standardized Chief Nursing Informatics Officer position description for Military Treatment Facilities. Addressing these challenges created an opportunity to enhance the informatics utilization and productivity.</p>","PeriodicalId":520598,"journal":{"name":"Computers, informatics, nursing : CIN","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149149856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Merve Altiner Yas, Robin R Austin, Selda Secginli, Sripriya Rajamani
{"title":"Older Women's Acceptability of a Consumer-facing Mobile Application to Assess Whole-person Health in the United States and Türkiye: A Qualitative Study.","authors":"Merve Altiner Yas, Robin R Austin, Selda Secginli, Sripriya Rajamani","doi":"10.1097/CIN.0000000000001526","DOIUrl":"10.1097/CIN.0000000000001526","url":null,"abstract":"<p><p>Understanding the acceptability of consumer-based technologies is critical for enhancing aged individuals' intention to use them and for designing effective and accessible solutions. This qualitative study aimed to explore the United States and Turkish older women's acceptability of the MyStrengths MyHealth (MSMH) application and their experience of whole-person health assessment. Data were collected through semistructured interviews with women aged 65 and older who assessed their whole-person health using the MSMH application in Türkiye (n = 25) and the United States (n = 25). Thematic analysis was used to analyze data. Four main themes emerged: (1) ease of use, (2) perception of the strength-based assessment, (3) recording strength-based data in electronic health records, and (4) intention to use MSMH in health care. Overall, most older women found MSMH easy to use and appreciated its strengths-based approach for fostering motivation and enhancing personalized care, but a few participants faced challenges related to visual impairments and limited digital familiarity. Many older women expressed willingness to use MSMH before health care visits, believing it would improve self-expression and communication with health care providers. These findings can contribute to the development of age-friendly and equitable consumer health technologies that are better tailored to the needs of older women.</p>","PeriodicalId":520598,"journal":{"name":"Computers, informatics, nursing : CIN","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147523879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Nursing Students' Experiences of Electronic Medical Records During Placements: A Mixed-Method Sequential Explanatory Design.","authors":"Danni He, Hongxia Liang, Hui Zhu, Qiong Zhang","doi":"10.1097/CIN.0000000000001629","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001629","url":null,"abstract":"<p><p>As the adoption of electronic medical records has become a global trend, the need to integrate electronic medical records education into undergraduate nursing curricula has been internationally recognized. There are very few nursing colleges in China put an emphasis on the skills required to properly use nursing informatics. This study explored Chinese nursing students' experiences with Electronic Medical Records during clinical placements. This research used a sequential explanatory mixed-methods design. First, a survey of 355 participants assessed electronic medical records exposure, attitudes, and confidence levels. Descriptive analysis indicated that although most students recognized the value of Electronic Medical Records for improving patient care and learning, nearly one-third reported low confidence and uncertainty in their skills. In the qualitative phase, semi-structured interviews were undertaken with 12 students. Four main categories emerged: inadequate preparation, marginalization from Electronic Medical Records workflows, benefits of students using electronic medical records, and students' adaptation strategies. Interview data revealed that although students valued EMR engagement for enhancing accountability and clinical reasoning, structural and educational barriers constrained meaningful participation. Integrating authentic Electronic Medical Records training into undergraduate curricula and improving clinical access may strengthen students' digital competence and professional readiness in increasingly technology-driven health care environments.</p>","PeriodicalId":520598,"journal":{"name":"Computers, informatics, nursing : CIN","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tiffany T Gallagher, Robin R Austin, Carrie E Neerland, Michelle A Mathiason, Ellen W Demerath, Wendy S Looman, Anne C McKechnie
{"title":"Systematic Preparation of Electronic Health Record Flowsheet Data to Develop Measures of Breastfeeding Intensity and Support During the Postpartum Hospital Stay.","authors":"Tiffany T Gallagher, Robin R Austin, Carrie E Neerland, Michelle A Mathiason, Ellen W Demerath, Wendy S Looman, Anne C McKechnie","doi":"10.1097/CIN.0000000000001487","DOIUrl":"10.1097/CIN.0000000000001487","url":null,"abstract":"<p><p>Electronic health records (EHR) provide high-volume data about postpartum breastfeeding care. Despite the importance of exclusive breastfeeding as a quality indicator, there is no standardized method for analyzing this data. Following a systematic approach, we applied an EHR preparation framework to flowsheet documentation to evaluate data quality and create indicators of breastfeeding support (number of documented support interactions/expected number of interactions = support ratio) and breastfeeding intensity (number of breastmilk feedings/total feedings). A stepwise framework of (1) data extraction, (2) cohort development, (3) variable compilation, and (4) analysis was applied to data from a single hospital system in Minnesota available through a clinical data repository. In all, 33,285 dyads were included in the analysis. The overall mean support ratio was 2.33; 1.0 indicates the minimum support goal was met. Mean breastfeeding intensity by hospital ranged from 0.62 to 0.90 (0.84 overall). Over 50% of dyads were missing documentation for lactation care indicators, and none had complete data for all indicators. The selected indicators may be used in future research as a standardized method of evaluating breastfeeding support and outcomes during the postpartum hospital stay, and may be adapted for other research where repeated flowsheet measures are used.</p>","PeriodicalId":520598,"journal":{"name":"Computers, informatics, nursing : CIN","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146101260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Legacy to Leadership in a Time of Transformation: Honoring the Past, Shaping the Future of Nursing Informatics.","authors":"Charlotte Seckman","doi":"10.1097/CIN.0000000000001622","DOIUrl":"10.1097/CIN.0000000000001622","url":null,"abstract":"","PeriodicalId":520598,"journal":{"name":"Computers, informatics, nursing : CIN","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148922196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}