Mollie R Cummins, Seneca Perri Moore, Katherine A Sward
{"title":"Inflection Point: Artificial Intelligence, Digital Health, and the Evolution of Pre-Licensure Nursing Informatics Competencies.","authors":"Mollie R Cummins, Seneca Perri Moore, Katherine A Sward","doi":"10.1097/CIN.0000000000001506","DOIUrl":"10.1097/CIN.0000000000001506","url":null,"abstract":"<p><p>Recent advancements in artificial intelligence, telehealth, and sensor technologies have fundamentally transformed health care, creating an urgent need to update and revise nursing informatics competencies for pre-licensure education. The purpose of this narrative, non-systematic review is to (1) describe and characterize the evolution of pre-licensure nursing informatics competencies; (2) discuss the central phenomena driving current digital transformation in health care; and (3) discuss future directions to evolve pre-licensure nursing informatics competency frameworks in an era of digital health. We conducted multiple literature searches in support of the narrative review. Current pre-licensure nursing informatics competency frameworks require evolution, given the new knowledge and skills needed for nurses to engage with rapidly advancing digital health technologies. The review reveals the need for a fifth wave of competency development that prepares nurses as informed users, contributors, evaluators, and stewards of digital health tools. We must advance nursing informatics education to meet the workforce needs of the digital health era by building on a robust foundation of past competency development efforts.</p>","PeriodicalId":520598,"journal":{"name":"Computers, informatics, nursing : CIN","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147477118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marshall K Muehlbauer, Nancy Husson, Kathleen Morouse, Elizabeth V Weinfurter, Tracia Forman
{"title":"Educating the Digital Nurse: A Scoping Review of Nursing Informatics in Pre-licensure Programs.","authors":"Marshall K Muehlbauer, Nancy Husson, Kathleen Morouse, Elizabeth V Weinfurter, Tracia Forman","doi":"10.1097/CIN.0000000000001505","DOIUrl":"10.1097/CIN.0000000000001505","url":null,"abstract":"<p><strong>Background: </strong>This scoping review examined how nursing informatics has been integrated into pre-licensure nursing education programs and how informatics competency has been assessed from 2017 to 2024.</p><p><strong>Methods: </strong>Searches were conducted in MEDLINE and CINAHL in May 2024 for English language, peer-reviewed studies involving pre-licensure nursing students. Eligibility criteria included original research focused on informatics instruction or assessment. Two reviewers independently screened records; disagreements were resolved by a third reviewer. Methodological quality was assessed using the Joanna Briggs Institute tools. Data were extracted into a structured matrix and synthesized thematically.</p><p><strong>Results: </strong>Twenty-three studies met inclusion criteria, featuring diverse designs and instructional strategies such as simulation-based learning (n=10), academic EHR integration (n=4), and peer-led instruction (n=3). Most studies used researcher-developed assessment tools (n=14), whereas standardized instruments were infrequently applied. Few studies explicitly aligned informatics instruction with clinical judgment frameworks.</p><p><strong>Conclusions: </strong>Findings indicate increasing, although inconsistent, integration of nursing informatics. Assessment practices lack standardization, and theoretical grounding is limited.</p>","PeriodicalId":520598,"journal":{"name":"Computers, informatics, nursing : CIN","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147629616","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":"Inflection Point: AI, Digital Health, and the Evolution of Pre-licensure Nursing Informatics Competencies.","authors":"","doi":"10.1097/CIN.0000000000001520","DOIUrl":"10.1097/CIN.0000000000001520","url":null,"abstract":"","PeriodicalId":520598,"journal":{"name":"Computers, informatics, nursing : CIN","volume":"44 5","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147849085","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}
Connie White Delaney, Jane Carrington, Karen Dunn Lopez
{"title":"Artificial Intelligence in Nursing: American Association of Colleges of Nursing Addresses Opportunities, Risks, and the Ethical Compass.","authors":"Connie White Delaney, Jane Carrington, Karen Dunn Lopez","doi":"10.1097/CIN.0000000000001553","DOIUrl":"10.1097/CIN.0000000000001553","url":null,"abstract":"","PeriodicalId":520598,"journal":{"name":"Computers, informatics, nursing : CIN","volume":"44 5","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147849101","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":"Predicting Somatization Risk Among Infectious Disease Disaster Frontline Nurses Using Machine Learning.","authors":"Sung-Hee Shin, Eun Kyoung Yun","doi":"10.1097/CIN.0000000000001542","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001542","url":null,"abstract":"<p><p>This study aimed to identify key risk factors associated with high-somatization risk among frontline nurses responding to infectious diseases, utilizing a robust machine learning approach. Data were collected from 222 nurses in South Korea, including sociodemographic factors, work-related conditions, job stress, and somatic symptoms. Of the participants, 13.1% had high levels of somatization. Machine learning models, including Logistic regression, XGBoost, and the Random Forest algorithm, were developed to predict high-somatization risk. The models were evaluated based on their mean performance across ten CV folds. While XGBoost demonstrated the highest mean AUC (0.734), the Logistic Regression model was prioritized for interpretation due to its superior performance in identifying the high-risk group. Cross-model feature importance analysis revealed that Infection Anxiety and Delayed Staffing Assignment were the 2 most consistent and influential predictors across both models, followed by factors like satisfaction with salary/bonus and daily PPE hours. These findings suggest that integrating machine learning into occupational health assessments can facilitate the early identification of frontline nurses at high risk of somatization, enabling targeted workplace interventions. This study highlights the potential for proactive support strategies to enhance nurse well-being and maintain health care system resilience during future infectious disease responses.</p>","PeriodicalId":520598,"journal":{"name":"Computers, informatics, nursing : CIN","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147794954","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":"e-Health in Occupational Accident Management: Insights From Nursing Practice Using the Digitalized Omaha System.","authors":"Nur Sena Kayacan, Emine Aktas","doi":"10.1097/CIN.0000000000001534","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001534","url":null,"abstract":"<p><p>Occupational accidents remain a critical public health concern globally and are especially prevalent in Türkiye. Integrating standardized nursing classification systems into electronic health records presents an opportunity to improve data quality, care coordination, and evidence-based decision-making. This study aimed to evaluate the clinical and informatics utility of the Omaha System, integrated into a digital electronic health records platform, for assessing and monitoring the health problems of workers hospitalized due to occupational accidents. A descriptive-longitudinal study was conducted with 45 workers admitted to an orthopedics and traumatology service in Türkiye following occupational accidents. Data were collected using a Personal Information Form and the Nightingale Notes platform, a digital electronic health records system structured around the Omaha System. The Problem Classification Scheme, Intervention Scheme, and Problem Rating Scale for Outcomes were used to identify problems, guide nursing interventions, and evaluate outcomes. The mean age of workers was 39.82±11.40 years. Hand and finger injuries were most common, affecting 75.6% of workers. Across the Problem Classification Scheme, 1274 problem entries were documented, including Neighborhood/Workplace Safety, Skin, Personal Care, Neuro-Musculoskeletal Function, Pain, and Role Change. A total of 2167 interventions were implemented, predominantly in the Teaching, Guidance, and Counseling category. Postintervention of the Problem Rating Scale for Outcomes evaluations showed statistically significant improvements in knowledge, behavior, and status (P<.05). The Omaha System-based electronic health records demonstrated clinical effectiveness in occupational health nursing by enabling systematic assessment, targeted interventions, and structured outcome monitoring. These findings support its broader applicability in occupational health surveillance, acute care services, and the development of data-driven, precision nursing practice.</p>","PeriodicalId":520598,"journal":{"name":"Computers, informatics, nursing : CIN","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147795029","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}
Tamara Moya-Ruiz, Marta Lima-Serrano, María Dolores Guerra-Martín, María Dolores Mateos-García
{"title":"Integration of Nursing Data in Clinical Coding: Impact on Hospital Management and Optimization.","authors":"Tamara Moya-Ruiz, Marta Lima-Serrano, María Dolores Guerra-Martín, María Dolores Mateos-García","doi":"10.1097/CIN.0000000000001533","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001533","url":null,"abstract":"","PeriodicalId":520598,"journal":{"name":"Computers, informatics, nursing : CIN","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147731198","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}