Cin-Computers Informatics Nursing最新文献

Mobile applications are effective tools for health education in cardiometabolic diseases, enhancing patient's self-care, self-management, self-efficacy, and treatment adherence. This study describes the development, validation, and evaluation of the usability of a mobile application aimed at health education of individuals with cardiometabolic diseases. This is a methodological study developed using the theoretical-methodological framework of Systematic Instructional Design. The validity of the educational technology was assessed using the content validity index, with a threshold of 80% or higher. The application's usability was evaluated through the System Usability Scale. The Viva+ application was developed using Flutter, with Dart programming language and Firebase database. It comprises 49 screens and features functionalities such as registration, login, usage instructions, quizzes, note-taking, and health guidance pages covering topics such as contextualization of cardiometabolic diseases, risk factors, healthy eating, physical activity, weight control, medication management, treatment adherence, smoking and alcohol consumption, sleep improvement, stress management, and professional follow-up. The application was deemed valid by experts, achieving a global validity index of 0.99. Regarding usability, it obtained a total score of 78.07, being considered excellent. The application was shown to be a valid, suitable, comprehensive, and relevant technology for the education and health promotion of individuals with cardiometabolic diseases.

The purpose of this study was to evaluate the effectiveness of virtual reality meditation compared with standard care on sleep quality and delirium incidence in patients admitted to the ICU. We conducted a randomized controlled trial with 96 patients in an 11-bed surgical ICU at a South Korean university hospital. The control group received usual sleep care, whereas the intervention group received an additional 20-minute virtual reality-based mindfulness and relaxation meditation before bedtime. Using the Verran and Snyder-Halpern Sleep Scale, we found significantly improved subjective sleep quality in the intervention group compared with controls during both the first (47.82 vs 39.75, P = .015) and second nights (50.26 vs 43.65, P = .025) of ICU admission. However, objective sleep measurements using Fitbit devices showed no significant differences in total sleep time between groups for either the first (384.59 vs 358.19 minutes, P = .450) or second night (319.94 vs 310.77 minutes, P = .807). Delirium incidence was similar between groups (12.2% vs 12.8%, P = .938). These findings suggest the need for larger-scale studies with robust experimental designs to definitively establish the impact of virtual reality meditation on sleep quality and delirium in ICU patients.

The concept of self-care is a foundational construct of individual health and wellness. Facilitated self-care is the next logical step in society's uptake of technology for previously high-touch clinical activities, such as patient education and frequent biometric data tracking. This retrospective study aimed to assess whether participation in a digital interactive care plan correlated with an increase in participants' perceived self-efficacy as measured by a change in the Shortened Perceived Medical Condition Self-management Scale score from baseline to end-of-care plan. We included adult patients who were enrolled in at least one of 15 different interactive care plans at our institution between October 21, 2021, and December 30, 2022. Among 3196 patients included, 48.7% of participants did not complete the Shortened Perceived Medical Condition Self-management Scale assessment at baseline, and 73.5% did not complete it at end-of-care plan. For those who completed both assessments (n = 848), 52.2% had no change in their reported self-efficacy on completion of care plan. Similar percentages of patients had increased and decreased scores (25.6% vs 21.9%). The low completion rates were not sufficient to answer the research questions and generalize results. They also underscore the importance of patient engagement for understanding health outcomes associated with implementation of digital health solutions.

Creative solutions are needed to enhance mobility activities in the ICU to combat the sequela of prolonged bed rest. Virtual reality has gained favor for use in outpatient areas, yet the user experience of the ICU patient is relatively unknown. This qualitative study aimed to explore the patient experience of ICU mobility as it relates to the critically ill patient. Human-centered design methodology was used to generate a list of user needs. Analysis revealed the need for a progressive experience that builds on standard rehabilitation practices with dynamic elements that balance stimulation and relaxation that may effectively promote mobility for a challenging at-risk population.

All disciplines, including nursing, may be experiencing significant changes with the advent of free, publicly available generative artificial intelligence tools. Recent research has shown the difficulty in distinguishing artificial intelligence-generated text from content that is written by humans, thereby increasing the probability for unverified information shared in scholarly works. The purpose of this study was to determine the extent of generative artificial intelligence usage in published nursing articles. The Dimensions database was used to collect articles with at least one appearance of words and phrases associated with generative artificial intelligence. These articles were then searched for words or phrases known to be disproportionately associated with large language model-based generative artificial intelligence. Several nouns, verbs, adverbs, and phrases had remarkable increases in appearance starting in 2023, suggesting use of generative artificial intelligence. Nurses, authors, reviewers, and editors will likely encounter generative artificial intelligence in their work. Although these sophisticated and emerging tools are promising, we must continue to work toward developing ways to verify accuracy of their content, develop policies that insist on transparent use, and safeguard consumers of the evidence they generate.

Using human factors approaches such as usability and usefulness in the evaluation of computerized information systems is key to the successful adoption for end users. Usability is associated with measuring the ease of use of a system, whereas usefulness is concerned with the accuracy and currency of the system content. At the British Columbia College of Nurses and Midwives, the nurse practitioner peer review incorporates the use of an online platform as part of the assessment process. The technology within this system has experienced challenges since its original deployment in 2012, particularly from an end user perspective. As such, it was important to conduct an evaluation in order to clearly identify the issues and develop recommendations and requirements for enhancements and improvements. A recognized usability evaluation methodology was selected including usability inspection as well as usability testing to ensure a thorough and comprehensive approach to this work. This approach proved highly effective in uncovering system issues within the regulatory health professions domain. Overall, usability evaluation methods were integral to meeting the objectives of this article and in demonstrating the value of applying human factors approaches in this context.

The aim of this study was to develop an electronic patient follow-up system of data collected from patients with a stoma and to measure user satisfaction. Electronic health records are a source of information for the management and interpretation of information and for the development of institutional policies. Prospective, descriptive, and methodological research was planned in three stages. The first stage consisted of literature research, nursing care plans, the management of complications for healthcare personnel, and information packs for patients. In the second stage, lists were prepared of the information required in the electronic patient follow-up system according to the type of stoma in accordance with international recommendations. In the third stage, the software of the electronic patient follow-up system was implemented, and user satisfaction was evaluated. SQUIRE 2.0 Checklist was used. The Stoma Records System is a 10-step Web-based system. The 100 users who agreed to participate in the research comprised 75% nurses and 25% physicians. The Stoma Records System was evaluated by the users with respect to facilitating their work, understanding the information provided, ease of use, understanding the system functions, not creating data loss, ease of navigation within the system, and as a whole. The points given for the responses to the evaluation items had a mean minimum of 4.36 ± 0.785 and a mean maximum of 4.64 ± 0.542. The user evaluation results were positive. Stoma Records System is effective in the management of stoma care and improvement of patient care outcomes. The patient follow-up system ensures that the stoma care process is effectively maintained.

This study aimed to determine the relationship between nurses' levels of lifelong learning and their Web-based information search and interpretation strategies and digital literacy. This descriptive correlational study was conducted at a training and research hospital in Istanbul province. Data were obtained from 302 nurses who consented to participate in the study between April 17 and June 23, 2023. The data were collected using a questionnaire, the Lifelong Learning Scale, the Digital Literacy Scale, and the Web-Based Information Search and Interpretation Strategies Scale. The mean age of the nurses was 31.52 ± 7.4 years. A positive correlation was found between nurses' lifelong learning levels and digital literacy levels. In addition, nurses' lifelong learning levels positively affect Web-based information search and interpretation strategies. It was determined that the mean scores of the subdimensions of the Scale of Information Search and Interpretation Strategies in the Web Environment were high. Nurses with an average age of 31 years and above have a high level of lifelong learning and level of digital literacy. Nurses' willingness to learn throughout their lives has positively affected their digital literacy levels. Nurses use different sources and professional Web sites more frequently when seeking information than other strategies.