Computers, informatics, nursing : CIN最新文献

{"title":"The Effectiveness of Technology Types in Telenursing for Home Health Care: Systematic Review.","authors":"Minji Mun, Juyeon Kang, Kyungmi Woo","doi":"10.1097/CIN.0000000000001565","DOIUrl":"10.1097/CIN.0000000000001565","url":null,"abstract":"<p><strong>Background: </strong>This systematic review aimed to evaluate the performance of various telenursing technologies in home health care and to compare whether specific telenursing modalities yield superior clinical outcomes compared with nurse-led telephone support.</p><p><strong>Methods: </strong>Following PRISMA 2020 guidelines, we searched PubMed, EMBASE, CINAHL, Cochrane Library, and ProQuest through April 12, 2024. This study was registered with PROSPERO (CRD42023396450). We included randomized controlled trials published in English since 1997 that compared advanced telenursing technologies, such as telemonitoring and videophones, with nurse-led telephone support for adult patients receiving home health care. Quality was appraised using the Cochrane Risk of Bias 2.0. Due to clinical heterogeneity, a qualitative synthesis was performed.</p><p><strong>Results: </strong>Eight studies were ultimately included. Heart failure was the most targeted condition. Telemonitoring showed the most consistent benefits across studies, including reductions in hospitalizations and length of stay, lowered 1-year mortality, and improvement in glycemic control and self-care behaviors. Videophone-based interventions demonstrated improvement trends in the quality of life and self-care behaviors, focusing predominantly on fundamental nursing and interactive approaches.</p><p><strong>Discussion: </strong>This review highlights that telenursing effectiveness varies by technology and that no single telenursing method can address the diverse, complex needs of home care patients. While telemonitoring showed superior clinical impacts, small sample sizes in several studies may limit the precision of findings. A flexible, multimodal strategy that is tailored to patient characteristics, care goals, and available resources appears most appropriate, and integrated models that combine telemonitoring with videophone or telephone support may enhance continuity, access, and personalization of care.</p>","PeriodicalId":520598,"journal":{"name":"Computers, informatics, nursing : CIN","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148207593","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":"Standardized Patient Versus Virtual Patient Simulations in Tracheostomy Care: Effects on Nursing Students' Knowledge, Clinical Reasoning, Competence, and Knowledge Retention.","authors":"Gul Sahin Karaduman, Tulay Basak, Senem Duman","doi":"10.1097/CIN.0000000000001607","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001607","url":null,"abstract":"<p><p>Tracheostomy care is a major skill that requires knowledge, clinical reasoning, and competency. Simulation-based education offers a safe learning environment; however, evidence comparing virtual and standardized patient simulations in tracheostomy care remains limited. The study compared the effects of virtual and standardized patient simulations on nursing students' knowledge, knowledge retention, clinical reasoning, and competency in tracheostomy care. A randomized, 2-arm, parallel-group, pre-test and post-test study was conducted with 68 senior nursing students (virtual patient group:34, standardized patient group: 34). Both groups received identical theoretical training and participated in simulation scenarios. The \"Tracheostomy Care Knowledge Test\", \"Clinical Reasoning Scale\", and \"Nursing Student Competency Scale\" were used for pre-test and post-test. Knowledge retention was assessed 4 weeks after the simulation with the \"Tracheostomy Care Knowledge Test\". No significant differences were found between groups in baseline measurements (P>.05). Both groups demonstrated significant improvements in knowledge, clinical reasoning, and competency (P<.05). Post-test and 4-week retention scores on the \"Tracheostomy Care Knowledge Test\" were significantly higher in the standardized patient group, with large effect sizes. \"Clinical Reasoning Scale\" scores increased significantly in both groups (P<.05). The standardized patient group achieved significantly higher post-test scores on the \"Verification of Clinical Problems\" subscale (P<.05). Regarding \"Nursing Student Competency Scale\", significant improvements across all subscales and total scores were observed only in the standardized patient group (P<.05). Both virtual and standardized patient simulations are efficacious simulation-based education strategies in tracheostomy care. Nevertheless, standardized patient simulation seems to be more efficacious in enhancing knowledge, knowledge retention, clinical reasoning, and competency.</p>","PeriodicalId":520598,"journal":{"name":"Computers, informatics, nursing : CIN","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148612148","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":"The Effect of Progressive Relaxation Exercises Administered via Telenursing on Sleep Quality of Nursing Students After the Earthquake in Turkey.","authors":"Seher Cevik Aktura, Gül Şevval Özer","doi":"10.1097/CIN.0000000000001590","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001590","url":null,"abstract":"<p><p>The study aims to examine the effect of progressive relaxation exercises administered to nursing students through telenursing on sleep quality after the February 6 earthquake in Turkey. The randomized controlled study included 86 nursing students from 2 universities in eastern Turkey, residing in one of the 11 cities affected by the February 6 earthquake. Experimental group received progressive relaxation exercises for 20 minutes every night for 4 weeks by making a video call with the student. Data were collected using a personal information form and the Pittsburgh Sleep Quality Scale. Although there was no significant difference between the pre-test PSQI mean scores of the experimental group and the control group (P>.05), a significant difference was observed between their post-test mean scores (P<.005). The research results showed that progressive relaxation exercises can be an effective intervention in improving sleep quality after an earthquake. In addition, conducting these exercises through telenursing contributed significantly to the sustainability and control of the intervention.</p>","PeriodicalId":520598,"journal":{"name":"Computers, informatics, nursing : CIN","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148612231","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":"Learning by Creating: A Qualitative Study of Nursing Students' Experiences in Collaborative Technology-based Assignments.","authors":"Fatma Dursun Ergezen, Ayşe Yacan Kök, Şule Şenol","doi":"10.1097/CIN.0000000000001600","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001600","url":null,"abstract":"<p><p>Changes and transformations in the field of technology significantly affect nursing education. Nursing students are expected to actively engage with a variety of advanced technological tools throughout their education to develop technological competence. This exploratory qualitative study aimed to explore nursing students' experiences and perspectives regarding collaborative technology-based assignments included in the \"technology use in nursing\" course, as well as their perceived contributions to personal and academic development. The study was conducted with 22 nursing students selected using purposive sampling. The findings revealed 3 main themes reflecting students' experiences: \"Personal and academic development through technology-supported learning,\" \"Enhanced awareness and integration of technology into nursing education and practice,\" and \"Opportunities and challenges of AI use.\" In addition, a total of 10 subthemes were identified. Participants perceived that collaborative technology-based assignments supported their active engagement, experiential learning, technological awareness, and personal and academic development.</p>","PeriodicalId":520598,"journal":{"name":"Computers, informatics, nursing : CIN","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148612177","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":"Escape Room Simulation for Neonatal Seizure Management: Nursing Students' Experiences of Gamified Educational Technology.","authors":"Sunyeob Choi, Sungwon Lim","doi":"10.1097/CIN.0000000000001602","DOIUrl":"https://doi.org/10.1097/CIN.0000000000001602","url":null,"abstract":"<p><p>Neonatal seizures are high-risk clinical events that require rapid recognition but present subtle symptoms. Although simulation-based education supports clinical competence, the use of escape-room-based approaches in neonatal nursing education remains underexplored. The aim of the study was to explore the experiences of nursing students regarding escape room-based simulation for managing neonatal seizure scenarios. This descriptive qualitative study involved 8 undergraduate nursing students engaged in a 5-stage escape-room simulation using a high-fidelity neonatal simulator (Super Tory S2220, Gaumard Scientific), which included seizure assessment, cause identification, intervention selection, information interpretation, and communication. Data were collected through semistructured focus group interviews and researcher observations. Qualitative data were analyzed using Giorgi's descriptive phenomenological approach to identify essential themes. Five themes and 12 subthemes were organized across 5 experiential dimensions- environmental, cognitive, behavioral, relational, and value. These included authentic immersion within a high-stakes environment (environmental), practical expansion of theoretical knowledge (cognitive), strengthening clinical competence and enhancing self-efficacy (behavioral), collaborative team dynamics and multifaceted communication competence (relational), and professional self-reflection and formation of responsibility (value). As a promising gamified educational modality, escape-room-based simulations provide valuable insights into how students experience the enhancement of technical proficiency, clinical judgment, and teamwork, offering a valuable framework that prepares nursing students for complex, real-world neonatal emergency challenges.</p>","PeriodicalId":520598,"journal":{"name":"Computers, informatics, nursing : CIN","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148552094","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":"Classification of ICD-10-CM Z Codes for Social Determinants of Health From the 2018 Nationwide Readmissions Database Into the Healthy People 2030 Framework.","authors":"Reba A Umberger, Annapoorna Mary, Robin Womeodu, Yu Jiang","doi":"10.1097/CIN.0000000000001594","DOIUrl":"10.1097/CIN.0000000000001594","url":null,"abstract":"<p><p>Social determinants of health (SDOH) may influence hospital readmissions. The purpose of this project was to apply provider-assigned International Classification of Diseases-10-CM codes to the Healthy People 2030 SDOH Framework for use in future research focused on hospital readmissions using the 2018 Nationwide Readmissions Database (NRD). We classified all subcodes codes ranging from Z55 to Z65 that were captured within the 2018 NRD. Three researchers independently categorized 80 unique codes into the 5 Healthy People 2030 domains. Inter-rater reliability was 0.664 and the Kappa statistic was 0.54 for initial classifications. The Kappa statistic shows moderate agreement between the raters. After robust discussion, we adjusted 33 classifications to reach classification consensus. Among the 80 codes classified, 8 (10%) were classified into Economic Stability, 6 (7.5%) into Education Access and Quality, 0 into Healthcare Access and Quality, and 13 (16.3%) into Neighborhood and Built Environment, and 53 (66.3%) into Social and Community Context. Classification challenges were due to overlapping and related features of the descriptions that could be applied to more than one domain. Clear coding practice will support researchers, case managers, social workers, and providers in partnering with patients and their family to negotiate a safe evidence-based discharge transition plan.</p>","PeriodicalId":520598,"journal":{"name":"Computers, informatics, nursing : CIN","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148475731","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":"AI-SOFA: An EMR-integrated Nursing Informatics-driven Decision Support System for Mortality Risk-informed ICU Clinical Decision-making.","authors":"Su-Jin Jeong, Shin-Jeong Kim","doi":"10.1097/CIN.0000000000001592","DOIUrl":"10.1097/CIN.0000000000001592","url":null,"abstract":"<p><p>Accurate and timely mortality prediction is essential for nursing clinical decision-making in intensive care units (ICUs). Although the Sequential Organ Failure Assessment (SOFA) score is widely used to evaluate organ dysfunction, its manual calculation limits routine application in fast-paced clinical environments. This study aimed to enhance ICU system-level safety and workflow efficiency by refining and evaluating an automated Electronic Medical Record (EMR)-integrated SOFA scoring system (AI-SOFA) to evaluate: (1) its predictive performance for mortality compared to traditional manual scoring; and (2) its clinical utility as a nursing informatics initiative. A retrospective cohort study was conducted using EMR data from 2559 ICU admissions at a tertiary hospital in South Korea. Automated SOFA scores were generated using 11 routinely collected clinical parameters. Logistic regression, random forest, and XGBoost models were trained, and model performance was evaluated using the area under the receiver operating characteristic curve (AUROC), sensitivity, specificity, accuracy, and F1 score. ICU mortality increased markedly with higher SOFA scores, exceeding 50% at scores ≥13. Among the machine learning (ML) models, XGBoost demonstrated the highest predictive performance (AUROC=0.9005), outperforming random forest (0.8975) and logistic regression (0.8722). In contrast, mortality prediction based on manual SOFA scoring showed substantially lower accuracy (AUROC=0.64). The AI-SOFA system serves as a nursing informatics tool that supports nursing workflows by enabling real-time risk stratification, reducing documentation burden, and facilitating timely clinical decision-making in ICU settings.</p>","PeriodicalId":520598,"journal":{"name":"Computers, informatics, nursing : CIN","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148475752","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":"Photoplethysmography-derived Heart Rate Variability as a Marker of Physiological Stress in Korean American Home Care Workers Providing Dementia Care.","authors":"Hyejin Kim, Eunbee Liu, Manasi Parmar, Jaehyuk Song, Olimpia Paun, Myunghee Kim","doi":"10.1097/CIN.0000000000001599","DOIUrl":"10.1097/CIN.0000000000001599","url":null,"abstract":"<p><p>This pilot study explored the longitudinal relationship between daily dementia caregiving and physiological stress, assessed through heart rate variability (HRV) measured using a wearable device, among Korean American home care workers (HCWs). Fifteen HCWs wore the Ōura ring for 21 days, providing 14 days of valid nocturnal HRV data after baseline calibration. HRV was quantified as the root mean square of successive differences (RMSSD) derived from photoplethysmography (PPG)-based interbeat intervals. To minimize interindividual variability, HRV values were standardized within participants. Multilevel linear models examined within- and between-person associations of dementia caregiving (yes or no and total hours) with HRV, adjusting for covariates. All were women, and the majority of HCWs (86.96%) were unsure about the type of dementia their care recipients had. Of 210 potential daily observations, 198 (94.3%) were valid. HRV displayed substantial within-person day-to-day fluctuations (intraclass correlation = 0.20) despite relatively low baseline self-reported stress. Although dementia caregiving was not significantly associated with HRV, the estimated coefficients suggested small-to-moderate within-person effect sizes. These findings highlight the dynamic nature of physiological stress and underscore both the feasibility and limitations of nocturnal PPG-derived HRV for real-world stress assessment. The study provides preliminary methodological guidance for wearable-based HRV research in understudied caregiver populations.</p>","PeriodicalId":520598,"journal":{"name":"Computers, informatics, nursing : CIN","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148475742","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":"Teaching Critical Appraisal in the Age of Generative Artificial Intelligence: A Structured Framework for Nursing Education.","authors":"Raymond Zakhari","doi":"10.1097/CIN.0000000000001603","DOIUrl":"10.1097/CIN.0000000000001603","url":null,"abstract":"","PeriodicalId":520598,"journal":{"name":"Computers, informatics, nursing : CIN","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148475718","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":"Research and Development of a Social Cognitive Theory-based Mobile Application to Enhance Physical Activity in Aging Workforce With Hypertension.","authors":"Oranuch Chu-Sri, Wachira Suriyawong, Manida Dechakul, Panawat Sanprakhon","doi":"10.1097/CIN.0000000000001604","DOIUrl":"10.1097/CIN.0000000000001604","url":null,"abstract":"<p><p>This study addressed the unique challenges of promoting physical activity among older adults with chronic diseases in the informal workforce, who often face physical limitations and lack structured schedules or access to workplace wellness programs. To address this gap, a mobile application based on Social Cognitive Theory was developed to encourage physical activity among older adults with hypertension. Guided by the ADDIE model, the app's development included a needs assessment involving a survey of 90 individuals and a literature review. This informed the design of key features, such as educational content, a physical activity calendar, exercise location identification, a ranking and rewards system, and a discussion forum. Rigorous testing was conducted, including pilot testing (n=6), usability testing (n=90), and content validation by experts (n=5). The app was well-received by older adults with hypertension (n=90, mean age=66.7 y, 82% female), who particularly valued features promoting self-care and information on the benefits of physical activity. This theoretically driven app offers a promising solution to promote physical activity in this vulnerable population. Further research will evaluate its effectiveness and explore its wider applicability.</p>","PeriodicalId":520598,"journal":{"name":"Computers, informatics, nursing : CIN","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148475745","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}