Cin-Computers Informatics Nursing最新文献

Electronic incident reporting is a key quality and a safety process for healthcare organizations that assists in evaluating performance and informing quality improvement initiatives. Although it is mandatory for high-severity incident reports to be investigated, the majority, classified as low severity, are seldom examined due to the large volume of reports, constraints of human cognitive capacity to process such large amounts of data, and the limited resources available in healthcare organizations. The purpose of this study was to investigate low-severity incident reports for suitability of future machine learning to identify actionable interventions for harm prevention. This qualitative descriptive study used a yearlong dataset of low incident severity rating reports to model the incident reporting documentation workflow and explored findings with five nursing and healthcare quality and safety experts. Incident severity reports were reported to have multiple conflicting issues including information duplication, subjective data, too many selection options, and absence of contextual information resulting in a lack of usefulness of information for machine learning. Next steps include analysis of a dataset for machine learning suitability. Recommendations include end-user involvement in system redesign to ensure hospital incident reports are comprised of meaningful data.

The use of electronic health records challenges the nurse-patient relationship. Collaborative documentation could help to change this. The aim of this review was to provide a synthesis of current knowledge on the impacts, as well as barriers and facilitators of collaborative electronic documentation in nursing settings. A mixed-methods systematic review was conducted. The search was conducted in November 2022. The study used thematic analysis for qualitative data and descriptive analysis for quantitative data. Data integration was performed using a convergent integrated approach according to the Joanna Briggs Institute methodology. The methodological quality of the included studies was critically appraised using the Mixed-Methods Appraisal Tool. A total of 17 studies were included. Study types were qualitative (n = 10), quantitative (n = 2), and mixed methods (n = 5). Multiple implementation practices were identified in different types of nursing settings. The facilitators and barriers were related to characteristics of nurses, patients, technology, and organization. Education and organizational support were identified to be essential in successful implementation. Collaborative documentation could be a way to overcome the challenges in nursing process associated with electronic documentation, as it can save nurses' time and improve patient experience. Implementation needs to be carried out with end-user patients and nurses.

Immigrants face barriers to accessing healthcare owing to language and cultural differences. Considering the eHealth literacy of immigrant mother is important, particularly as many rely on online resources for information on childcare. This observational cross-sectional study aimed to identify the factors influencing eHealth literacy among immigrant mothers with young children in South Korea. We hypothesized that factors influencing eHealth literacy include perceived ease of seeking, credibility, positive experiences, and subjective norms for online health information, as conceptualized by the Technology Acceptance Model, including cultural adaptation. The analysis results revealed that perceived ease of seeking (β = .45), positive experiences (β = .14), and subjective norms (β = .15) significantly affected eHealth literacy. Additionally, integrated cultural adaptation (β = .23) and the child's medical history (β = .11) significantly influenced eHealth literacy. To enhance eHealth literacy related to parenting for immigrant mothers, educating them on search strategies for online health information and fostering positive user experiences are crucial. Furthermore, these interventions should adopt a family-focused approach, with integrated cultural adaptation proving more beneficial for effective settlement support of immigrant mothers.

To provide culturally competent care for racial/ethnic minorities, it is important to provide information and coaching/support in the languages that users can understand. However, issues in using multiple languages, especially in culturally tailored technology-based intervention research among racial/ethnic minority cancer survivors, have rarely been discussed. The purpose of this article is to discuss the issues in using four different languages among Asian American breast cancer survivors with depressive symptoms in a culturally tailored technology-based intervention study for cancer pain management and make suggestions for future technology-based intervention research using multiple languages. Research diaries written by the research team members, the recordings of biweekly research team meetings, and postings on Microsoft Teams were analyzed using content analysis. The issues included: (1) difficulties in recruiting eligible translators for multiple languages; (2) differences in selecting words by translators' traits; (3) difficulties in ensuring conceptual equivalence in measurements; (4) necessary contextual translation based on cultural understanding; (5) avoiding words with stigma; and (6) required multiple repeated steps. These methodological and conceptual issues need to be considered in future culturally tailored technology-based intervention research among racial/ethnic minorities, especially Asian American breast cancer survivors.

Remote monitoring has been proposed to provide new opportunities to monitor pregnancy in the home environment and reduce the number of follow-up visits to the maternity clinic. Still, the integration of remote monitoring into the pregnancy care process has not been achieved. This descriptive qualitative study aimed to explore pregnant women's and healthcare professionals' perceptions of integrating remote monitoring into pregnancy monitoring process. A convenience sample of 10 pregnant women and 11 healthcare professionals participated in the focus group interviews. The data were analyzed with reflexive thematic analysis. The results comprised a four-step pregnancy monitoring process organizing the issues to consider when integrating remote monitoring into these steps. According to pregnant women and healthcare professionals, remote pregnancy monitoring should allow a holistic assessment to ensure the well-being of the pregnant woman and the fetus. Clear criteria for monitoring should guide the adaptation of monitoring to the identified monitoring needs. Ideally, remote monitoring could enable more personalized maternity care, supporting the monitoring-related decision-making of both pregnant women and healthcare professionals and facilitating the early detection of pregnancy complications. However, integration of remote monitoring would require significant restructuring of current pregnancy care processes.

Empathy is essential in nursing practice and can be taught throughout nursing curriculum using a variety of methods including clinical experiences, in-person simulation, virtual reality, and didactic lecture. Empathy can also change over time, often decreasing the longer nurses practice. A cohort of upper-level nursing students viewed a short immersive virtual reality simulation as part of routine curriculum and completed the Toronto Empathy Questionnaire before viewing (time 1), 2 weeks later (time 2), and, for a small cohort, several months later (time 3). The sample included 110 undergraduate nursing students. There were no improvements in Toronto Empathy Questionnaire scores from time 1 to time 2. There was no improvement from time 1 to time 3 for the cohort who completed the Toronto Empathy Questionnaire three times. There were no significant differences in Toronto Empathy Questionnaire scores between cohorts for any measurement times. Total mean empathy scores were comparatively high in this study and did not decline over time. Although this virtual reality simulation scenario appears to have protected against decline in empathy, it may have been insufficient to foster an increase in empathy scores. Empathic training needs to be immersed throughout their nursing education in both didactic and clinical settings.

This study aimed to identify the end-of-life care provided to patients admitted to a ward using electronic nursing records standardized with SNOMED CT (Systematized Nomenclature of Medicine Clinical Terms) and to analyze changes in end-of-life care before and during the COVID-19 pandemic. The study setting was oncology or hematology-oncology wards in a tertiary care hospital. A total of 161 069 nursing statements for 600 patients before COVID-19, admitted from January 2018 to December 2019, and 110 333 nursing statements for 454 patients during COVID-19, admitted from January 2020 to December 2021, were extracted from the clinical data warehouse of the study hospital. We mapped 427 unique nursing statements to SNOMED CT. The differences in the number of SNOMED CT concepts among the three groups-patients before COVID-19, patients without COVID-19 during COVID-19, and patients with COVID-19 during COVID-19-were analyzed using analysis of variance. "Acute pain," "Patient on oxygen," "Notification of physician," "Oxygenation monitoring," and "Pain assessment" were recorded most frequently. The frequency of nursing statements related to oxygenation was significantly lower in patients without COVID-19 during the COVID-19 pandemic compared with patients before COVID-19. Nursing statements pertaining to emotional or spiritual care appeared to be underrepresented in both the nursing assessment/outcome and nursing intervention domains. Our study showed that the standardized nursing records can be used as a source of information to explore changes in end-of-life care before and during the COVID-19 pandemic.

This study aims to explore the challenges and strategies in creating online communities for individuals with diabetes, emphasizing their role in fostering connections among individuals facing similar health conditions. Using a single-case approach, we investigated the design process of a diabetes online community using the classic waterfall model. Participants were recruited from a diabetes local association, and usability was assessed using the System Usability Scale and the think-aloud method. Subsequently, semistructured interviews were conducted to evaluate functionality and user experience. Data collection was conducted from August until December 2023. The development of the community unveiled significant usability challenges, highlighting the need for user feedback and improvement. Ethical considerations, including anonymity, usage conditions, privacy terms, and health information sharing, emerged as critical areas requiring meticulous attention. Furthermore, healthcare professional moderation was deemed essential to ensure a secure environment. Users expressed strong interest in enhanced interaction features and personalized notifications. Although online diabetes communities hold potential for peer support, addressing usability challenges, ethical considerations, and moderation issues is essential. This study emphasizes the ongoing necessity for research to enhance the development of patient communities, ensuring accessibility, mitigating ethical risks, and leveraging nurses as moderators.