JMIR nursing最新文献

{"title":"Implications for Virtual Nursing Role Development in Acute Nursing Care: 24-Hour Time-and-Motion Study.","authors":"Jennifer Sumner, Emily Hwee Hoon Chew, Sin Yee Peck, Janet Lam, Pauline Chong, Mun Kwong Ching, De Sheng Ong, Jacqueline Xiao Xuan Lau, Camille Keck, Abigail Ang, Jaminah Mohamed Ali, Hui Wen Lim, Anjali Bundele, Elya Chen, Carol Yap, Evelyn Ho, Amartya Mukhopadhyay, Alexander Wenjun Yip","doi":"10.2196/87930","DOIUrl":"https://doi.org/10.2196/87930","url":null,"abstract":"<p><strong>Background: </strong>Understanding current nursing workflows is essential to informing future workforce redesign strategies, including virtual nursing roles. However, granular insights into current nursing workflows over a 24-hour period and across different staff grades are lacking.</p><p><strong>Objective: </strong>This study aimed to (1) quantify how registered and enrolled nurses in the general acute medicine wards distribute their time across direct and indirect care tasks over a 24-hour period, (2) identify multitasking burdens and temporal distributions, and (3) identify opportunities for the development of a virtual nursing role.</p><p><strong>Methods: </strong>Using time-and-motion methodology, we observed registered and enrolled nurses in 3 general medicine wards over a 24-hour period between April 2024 and June 2024. We observed 3 task categories (administrative, communication, and bedside tasks), with multiple individual tasks monitored under each category. Multitasking (ie, the occurrence of 2 or more tasks concurrently) was also tracked. The checklist was piloted and refined before data collection.</p><p><strong>Results: </strong>We observed a total of 48 nursing shifts. During the daytime, registered nurses spent 70% (587/834 min) of their time on indirect care tasks compared with 54% (412/764 min) of the time for enrolled nurses. At night, the proportion of time spent on indirect care tasks decreased to 58% (410/705 min) for registered nurses and 39% (274/711 min) for enrolled nurses. During a 24-hour period, registered nurses spent 209 (SD 51.8) minutes multitasking in the day and 117 (SD 41.0) minutes at night, whereas enrolled nurses spent 152 (SD 54.7) minutes multitasking in the day and 110 (SD 75.9) minutes at night.</p><p><strong>Conclusions: </strong>These findings highlight opportunities for virtual nursing roles, which, if thoughtfully designed, may help redistribute indirect care tasks, reduce multitasking burden, and enhance overall efficiency without compromising care quality.</p>","PeriodicalId":73556,"journal":{"name":"JMIR nursing","volume":"9 ","pages":"e87930"},"PeriodicalIF":4.0,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857746","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":"Psychometric Evaluation of the Canadian Nurse Informatics Competency Assessment Scale and the Digital-Technology Self-Efficacy Scale Among Saudi Nursing Students: Cross-Sectional Study.","authors":"Nader Alnomasy, Habib Alrashedi, Sharifah Alsayed, Petelyne Pangket, Ebtsam Abou Hashish, Razan Alsayed, Romeo Jr Mostoles","doi":"10.2196/88075","DOIUrl":"10.2196/88075","url":null,"abstract":"<p><strong>Background: </strong>The integration of digital health technologies into nursing education in Saudi Arabia requires reliable tools to assess nursing informatics competency and digital technology self-efficacy among students.</p><p><strong>Objective: </strong>This study aimed to evaluate the reliability and validity of the Canadian Nursing Informatics Competency Assessment Scale (C-NICAS) and Digital Technology Self-Efficacy (DT-SE) scale among undergraduate nursing students at a Saudi university.</p><p><strong>Methods: </strong>A descriptive cross-sectional survey of 243 undergraduate nursing students at the University of Ha'il was conducted using the C-NICAS and DT-SE. Internal consistency was examined using Cronbach α, and construct validity was assessed using exploratory and confirmatory factor analyses.</p><p><strong>Results: </strong>A total of 243 students participated (mean C-NICAS score 54.0, SD 16.9; mean DT-SE score 2.7, SD 0.56). Both scales showed good internal consistency (C-NICAS total α=0.90; DT-SE α=0.80). C-NICAS demonstrated a multidimensional factor structure with an acceptable model fit (comparative fit index=1.00; root mean square error of approximation=0.081), whereas DT-SE showed a 3-factor structure with a suboptimal confirmatory model fit (comparative fit index=0.76, root mean square error of approximation=0.146).</p><p><strong>Conclusions: </strong>The C-NICAS and the DT-SE are suitable for assessing informatics competency and digital self-efficacy among undergraduate nursing students at this institution, although further refinement of the DT-SE may improve model fit. These validated tools can inform curriculum reform at this and similar institutions in Saudi Arabia and support the digital health goals of Saudi Vision 2030.</p>","PeriodicalId":73556,"journal":{"name":"JMIR nursing","volume":"9 ","pages":"e88075"},"PeriodicalIF":4.0,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846963","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}

{"title":"Correction: Perceptions and Intentions of Nursing Students Regarding Digital Health: Cross-Sectional Study.","authors":"Alexandre Castonguay, Sandrine Hegg-Deloye, Guy Paré, Faustin Armel Etindele Sosso","doi":"10.2196/98552","DOIUrl":"https://doi.org/10.2196/98552","url":null,"abstract":"","PeriodicalId":73556,"journal":{"name":"JMIR nursing","volume":"9 ","pages":"e98552"},"PeriodicalIF":4.0,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13132490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147824360","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}

{"title":"Nursing Informaticians in Spain: Scoping Review and Expert-Validated Gap Analysis.","authors":"Adrián Marco-Moyano, Patricia Verdú Rodríguez, Manuel Lillo-Crespo","doi":"10.2196/83373","DOIUrl":"https://doi.org/10.2196/83373","url":null,"abstract":"<p><strong>Background: </strong>The role of nursing informaticians is well-established in countries like the United States, Canada, and Australia, supported by competency frameworks and educational programs that enable nurses to lead technological integration in health care. However, in Spain, this role is not formally recognized, and specialized university training is scarce, creating a significant gap in digital health leadership among nurses.</p><p><strong>Objective: </strong>The study aimed to analyze the international landscape of the nursing informatician role, comparatively focusing on the situation in Spain, to subsequently identify the specific gaps for its implementation through experts' views and insights.</p><p><strong>Methods: </strong>First, a scoping review following the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines was conducted in English and Spanish using scientific evidence searched in PubMed, Scopus, CINAHL, and Web of Science from 2018 to the present, as well as gray literature on the topic. A total of 55 published studies were included after screening 1356 records and 10 gray literature documents. Subsequently, findings were validated through a gap analysis comprising a panel of 10 experts selected according to their experience in digital literacy.</p><p><strong>Results: </strong>The review identified 6 core competencies for nursing informaticians: information management, cybersecurity, patient safety, evaluation and development of clinical information systems, leadership and coordination of digital tools, implementation of new technologies and specialized applications, and education and digitalization in health. Internationally, training is delivered via postgraduate programs, certifications, and leadership initiatives. Experts validated the relevance of these competencies for Spain (rated 5/5) and the applicability and desirability of implementing training programs (rated 4.8/5). Key barriers identified were the lack of official recognition, scarce training, and organizational resistance to change.</p><p><strong>Conclusions: </strong>There is a contrast between the established role of nursing informaticians internationally and its absence in Spain. The lack of a formal framework and specific training programs is the primary barrier. Implementing validated competencies and tailored educational strategies is crucial for Spain to advance its digital health transformation and empower nursing leadership in technology.</p>","PeriodicalId":73556,"journal":{"name":"JMIR nursing","volume":"9 ","pages":"e83373"},"PeriodicalIF":4.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13119383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791190","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}

{"title":"Nurses' Evaluation of a Service Robot for Inpatient Care: Technology Acceptance Study.","authors":"Christopher Friese, Robert Klebbe, Anika Heimann-Steinert","doi":"10.2196/86824","DOIUrl":"10.2196/86824","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The integration of robotic systems into nursing practice is increasingly discussed as a potential strategy to alleviate workload and support care processes in response to demographic changes and staffing shortages. However, the acceptance of nursing staff as primary end users remains a critical determinant for successful implementation. Despite technological advances, the practical requirements and perspectives of nursing staff have not been adequately considered in research and development efforts to date.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;Building on the user-centered development approach applied, this study aimed to examine nursing staff's evaluation of a service robot designed to assist with routine tasks in inpatient care, as well as their intention to use it, while accounting for technology-specific and psychological determinants of acceptance.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A total of 30 nurses tested the robot across 3 application scenarios (information service, item delivery, and beverage delivery) in a simulated care setting, alternating between the roles of nurse and care recipient. Acceptance-related constructs, including intention to use, were measured using the Technology Usage Inventory. General attitudes toward robots were assessed via the General Attitudes Towards Robots Scale. Participants' prior experience with robotics was also documented. Spearman rank correlations and Mann-Whitney U tests were used for analysis.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The robot was rated positively across all dimensions. Usability was high (median 20, IQR 18-21; scale range 3-21), as was perceived usefulness (median 21, IQR 16-24; range 4-28). Skepticism was low (median 10.5, IQR 7-12; scale range 4-28), and accessibility was moderate (median 10, IQR 8-13; scale range: 3-21). Intention to use was strong (median 224.5, IQR 157-248; scale range 0-300) and correlated positively with usability (rs(28)=0.505; P=.004), perceived usefulness (rs(28)=0.74; P&lt;.001), and accessibility (rs(28)=0.628; P&lt;.001), and negatively with skepticism (rs(28)=-0.516; P=.004). More positive personal attitudes toward robots were also associated with higher perceived usefulness (rs(28)=0.549; P=.002) and greater intention to use (rs(28)=0.483; P=.007). No significant differences in intention to use were found between participants with and without prior robotics experience (U=83.5; P=.62).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The findings indicate a high level of acceptance among the participating nursing staff for the developed service robot within the tested scenarios. Considering the chosen user-centered development approach, they further underscore the need for strategies that combine participatory design, transparent communication of system capabilities and limitations, and structured opportunities for hands-on experience. Such measures, together with proactive knowledge transfer and skills development, are essential to sustainably leverage","PeriodicalId":73556,"journal":{"name":"JMIR nursing","volume":"9 ","pages":"e86824"},"PeriodicalIF":4.0,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693972","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}

{"title":"Application of the Technology Acceptance Model to Predict Nursing Students' Intention to Use Informatics: Cross-Sectional Study.","authors":"Habib Alrashedi, Nader Alnomasy, Romeo Jr Mostoles","doi":"10.2196/85385","DOIUrl":"10.2196/85385","url":null,"abstract":"<p><strong>Background: </strong>Nursing informatics is essential for digital health transformation; however, the technology acceptance of undergraduate nursing students in Saudi Arabia remains underexplored.</p><p><strong>Objective: </strong>This study examined factors influencing nursing students' intention to use informatics technologies using the technology acceptance model.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted with 132 undergraduate nursing students. Data were analyzed using descriptive, correlational, and hierarchical regression analyses.</p><p><strong>Results: </strong>Perceived usefulness (mean 3.68, SD 1.22) and perceived ease of use (mean 3.64, SD 1.32) were the strongest predictors of acceptance, together explaining 87% of the variance (R²=0.87; β=0.323 for usefulness, P<.001; β=0.195 for ease of use, P=.032). Only 25.8% (n=34) of the students often used electronic health records, while 31.8% (n=42) had no electronic health record experience, indicating a clear gap in practical informatics exposure.</p><p><strong>Conclusions: </strong>Nursing students' acceptance of informatics is primarily driven by its perceived usefulness and perceived ease of use. These findings highlight the urgent need to integrate practical, user-centered informatics training and clinical simulation into undergraduate nursing curricula to better prepare students for technology-based practice.</p>","PeriodicalId":73556,"journal":{"name":"JMIR nursing","volume":"9 ","pages":"e85385"},"PeriodicalIF":4.0,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13075631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147679198","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}

{"title":"360° Contextual Simulation Video for Undergraduate Nursing Students: An Electroencephalography-Based Quasi-Experimental Study.","authors":"Yi-Chang Chen, Chen-Jung Chen","doi":"10.2196/84720","DOIUrl":"https://doi.org/10.2196/84720","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Unstructured: &lt;/strong&gt;Background: Screen-based 360° contextual simulation videos are being increasingly used in nursing education; however, evidence regarding their effects on learning outcomes and neural Electroencephalography (EEG) patterns remains limited. Objectives: To evaluate whether integrating 360° contextual simulation videos with traditional classroom instruction influences nursing students' perceptions of simulation design and educational practices, their levels of satisfaction and self-confidence in learning, and EEG-based neural correlates of action observation. Methods: In a quasi-experiment, 55 third-year nursing students (experimental n=28; control n=27) were assigned to 360° contextual simulation video learning (laptop; no head-mounted display) or traditional classroom-based instruction (didactic instruction, guided discussion, and 2D instructional videos). The primary outcomes were Simulation Design Scale (SDS) and Educational Practices Questionnaire (EPQ) scores. Secondary outcomes included Student Satisfaction and Self-Confidence in Learning Scale (SCLS) scores satisfaction and self-confidence) and EEG indices (power at C3, Cz, and C4; μ-rhythm suppression scores). Group differences were tested with t tests and ANCOVA adjusted for baseline values. Results: Between-group analyses (ANCOVA adjusted for baseline values) revealed higher posttest scores on the Simulation Design Scale (SDS; F(1,35)=7.80, P=.008; η²=.182), Educational Practices Questionnaire (EPQ; F(1,35)=6.00, P=.019; η²=.146), and Student Satisfaction and Self-Confidence in Learning Scale (SCLS; F(1,35)=7.01, P=.012; η²=.167) in the experimental group than the control group. Within-group analyses (paired t tests) indicated significant increases in SDS and EPQ scores for the experimental group (P&lt;.001 and P=.005), whereas the control group showed a decrease in the SDS score (P=.001) and no significant change in the EPQ score (P=.106). The SCLS score did not significantly change in the experimental group (P=.212) and increased in the control group (P=.043). EEG analyses revealed significant postexposure reductions in power at C3, Cz, and C4 for the experimental group (all P&lt;.001), with between-group effects at Cz (F(1,35)=425.29, P&lt;.001; η²=.926) and C4 (F(1,35)=5.45, P=.026; η²=.138). μ-Suppression, which is an indirect EEG correlate that is often reported during action observation, was greater in the experimental group at Cz (P=.028) and C4 (P=.033) but not at C3 (P=.125). No adverse events were reported. Conclusions: Integrating 360° contextual simulation videos into undergraduate nursing education was associated with higher SDS and EPQ scores and improved self-reported satisfaction and self-confidence, in addition to EEG-based findings that may reflect neural EEG patterns associated with action observation. Larger multisite randomized trials are warranted to confirm efficacy and cost-effectiveness. This study was registered at the Chinese Clinical Tri","PeriodicalId":73556,"journal":{"name":"JMIR nursing","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635228","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":"Exploring Nursing Students' Experiences in a Brief Virtual Reality-Enhanced Workshop: Cross-Sectional Exploratory Study.","authors":"Niklas Ferdinand Carlsson, Leonie Klompstra, Mats Westas","doi":"10.2196/85780","DOIUrl":"10.2196/85780","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;There is limited evidence on how brief, optional virtual reality (VR) experiences can be used with first-semester nursing students as experiential learning strategies to support understanding of foundational nursing concepts, outside of mandatory coursework or full-scale simulations. Additionally, little is known about students' and teachers' perceptions of VR as a low-stakes, supplemental learning strategy introduced early in nursing education. Examining these experiences can provide insight into the pedagogical value and scalability of VR-enhanced learning within the formal nursing curriculum.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study explored students' and teachers' experiences of a brief, optional, VR-enhanced workshop offered outside mandatory coursework in first-semester nursing education and described students' perceptions of cognitive, social, and teaching presence.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This was a cross-sectional evaluation at a Swedish public university. A single-session workshop, co-designed by nursing teachers and the university library makerspace (implementation context), combined brief headset exposures (sympathetic arousal via a short roller coaster experience and parasympathetic engagement via a short guided meditation), peer vital-sign practice (instructional aid), small-group synthesis, and a guided debrief aligned with the community of inquiry (CoI) framework. Immediately after the session, students completed a demographics questionnaire, a 7-item workshop-specific VR-perception set, and the 34-item CoI instrument, plus 2 open-ended items; teachers provided short reflections. Analyses were descriptive for quantitative data and summative content analysis of open-ended responses. Participants included 11.9% (16/134) of the invited first-semester students (mean age 25 years, SD 5.1; 15/16, 93.8% women; 6/16, 37.5% with prior VR exposure) and 3 teachers.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Most students agreed or strongly agreed that VR enhanced analysis and observation (12/16, 75%), exploration of phenomena (14/16, 87.5%), conceptual understanding and engagement (13/16, 81.3%), teacher support (13/16, 81.3%), and relevance to the session (14/16, 87.5%). CoI ratings indicated moderately positive perceptions (total mean 3.36, SD 0.44 on a 5-point scale), with cognitive presence rated the highest (mean 3.48, SD 0.41) and exploration being the top subdomain (mean 4.48, SD 0.49); design and organization and facilitation were similar (mean 3.42, SD 0.55 each), whereas direct instruction was rated lower (mean 2.88, SD 0.92). Open-ended remarks described links between theory and embodied experience and noted practical challenges.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This study used an early, optional format; the results showed that brief, contrastive VR exposures paired with scaffolded inquiry and a guided debrief were perceived as pedagogically valuable for exploring foundational physiological conc","PeriodicalId":73556,"journal":{"name":"JMIR nursing","volume":"9 ","pages":"e85780"},"PeriodicalIF":4.0,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13046217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610853","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}

{"title":"From Concept to Practice: Lessons from the BNuT Balanced Nursing Teams Decision-Support System-A Viewpoint Paper.","authors":"Senne Vleminckx, Peter Van Bogaert, Wim De Keyser, Filip Haegdorens","doi":"10.2196/92417","DOIUrl":"https://doi.org/10.2196/92417","url":null,"abstract":"<p><strong>Unstructured: </strong>The global nursing workforce crisis demands a shift from reactive staffing to strategic workforce optimization through data-driven decision-support systems. This viewpoint paper reflects on the development and attempted implementation of the Balanced Nursing Teams (BNuT) system-a decision-support tool integrating approximately 250 data points - of which roughly 150 are extracted from existing organizational systems (HR, scheduling, EHR, quality registries) through flexible import mechanisms, and the remainder collected through a built-in 360-degree staff survey with automated analysis - across ten domains to evaluate nursing team balance between capacity, performance and outcomes. Following crowdfunding by 18 Belgian healthcare organizations, BNuT was implemented across eight diverse settings (home healthcare, general hospitals, academic centers) between 2019 and 2023. Using the Human-Organization-Technology fit (HOT-fit) framework, we analyze why evidence-informed, organization-endorsed digital innovations struggle to achieve adoption. Our analysis reveals three interdependent barrier categories: technological fragmentation (vendor lock-in, legacy systems, prohibitive integration costs), organizational siloing (Chief Nursing Officers lacking budgetary authority, nursing framed as peripheral to strategic priorities), and managerial hesitance (fear of punitive data use, cognitive overload from staffing crises). These barriers were worsened by the substantial data-integration burden that the system's breadth imposed on organizations with limited digital maturity. Critically, only one site (i.e., a nurse-led home healthcare organization where leadership held both strategic authority and resource control) achieved sustained implementation. This contrast demonstrates that workforce optimization through data depends not on software maturity alone but on achieving simultaneous fit across human, organizational, and technological domains. We argue that the persistent marginalization of nursing leadership within hospital governance structures represents the fundamental barrier to digital transformation in nursing workforce management. The urgency paradox is striking: while nursing represents healthcare organizations' largest operational cost and most direct patient interface, workforce optimization tools are consistently deprioritized in favor of regulatory compliance systems and billing infrastructure. Bridging this gap requires systemic investment in nursing leadership authority, data interoperability standards, and recognition that data-driven workforce decisions are strategic imperatives rather than operational luxuries.</p>","PeriodicalId":73556,"journal":{"name":"JMIR nursing","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596738","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":"Patients' Perceptions of the Role of Nursing in Substance Use Disorder Treatment Programs: Qualitative Study.","authors":"Clara Lucas Guerra, Marina Gómez de Quero Córdoba, Bruno García Tardón, Guadalupe González Naranjo, Noemí Mayoral Gonzalo","doi":"10.2196/82401","DOIUrl":"10.2196/82401","url":null,"abstract":"<p><strong>Background: </strong>Substance use disorders are chronic conditions with significant personal and social consequences. Nursing care plays a key role in outpatient and community-based rehabilitation programs, yet patients' perspectives on this role remain underexplored.</p><p><strong>Objective: </strong>This study aimed to explore how patients with substance use disorders perceive and interpret nursing care in community addiction treatment centers operated by the Spanish Red Cross in Madrid, Spain. Specifically, it sought to describe the organizational and care-related roles attributed to community addiction treatment centers and analyze patients' perceptions of nurses' technical and relational functions.</p><p><strong>Methods: </strong>A phenomenological qualitative design was used. Fourteen in-depth, semistructured interviews were conducted with patients undergoing treatment at Red Cross centers. Participants were selected through purposive sampling to ensure diversity in age, gender, substance use, and treatment experiences. The data were analyzed using systematic text condensation and supported by the ATLAS.ti software.</p><p><strong>Results: </strong>The center is perceived as a significant space not only for offering healthy leisure activities outside the context of substance use but also as a supportive environment that fosters a sense of belonging to a community. Patients valued the emotional support, empathy, and relational care provided by nurses, often highlighting their role in building trust and offering personalized attention. However, there was limited awareness of nurses' technical competencies.</p><p><strong>Conclusions: </strong>These findings underscore the importance of holistic, patient-centered care and the need to enhance the visibility and recognition of nursing roles in addiction treatment settings.</p>","PeriodicalId":73556,"journal":{"name":"JMIR nursing","volume":"9 ","pages":"e82401"},"PeriodicalIF":4.0,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13038182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596723","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}