Cin-Computers Informatics Nursing最新文献

This study investigated the effects of a nurse-led Omaha System-based mobile health application on physical, psychosocial, and cognitive symptoms and quality of life in patients with COVID-19 followed at home. This randomized control trial was conducted on 60 patients followed at home (30 in each intervention and control group). The intervention group received a nurse-led Omaha System-based mobile health application named COVOS, and the control group received usual care. Compared with the control group, the physical symptoms of the intervention group were significantly reduced at all follow-ups (first, second, and third months; P  < .05). Psychosocial symptoms (depression, anxiety, stress) were significantly reduced, respectively, in the intervention group at all follow-ups: first and third months and second and third months ( P  < .05). Cognitive symptoms were significantly reduced in the first month in the intervention group ( P  = .014). Similarly, the physical component score of quality of life significantly improved in the first month, and the mental component score of quality of life significantly improved in the second and third months ( P  < .05) in the intervention group. Results suggest that the COVOS had the potential to reduce effectively the physical, psychosocial, and cognitive symptoms of patients with COVID-19 and improve the quality of life of patients with COVID-19 followed at home.

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.

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.

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.

Standardized nursing languages help nurses articulate issues with patients, forming the groundwork for the selection of nursing interventions aimed at achieving outcomes. However, the application of standardized nursing linkages on nursing processes and nursing home residents' outcomes, as well as the identification of facility and resident factors, remains unexplored. The purpose of this study was to examine nursing home facility and resident factors on the use of NANDA, Nursing Interventions Classification, and Nursing Outcomes Classification (NNN) and frequently occurring NNN linkages surrounding nursing home residents in Korea. Data were collected from 53 nurses of 273 residents in 19 nursing homes in Korea using a newly developed smartphone application. Descriptive statistics, analysis of variance, and analysis of covariance were used for the data analysis. Nine NNN linkages were identified in this study, mostly centered on fall prevention. We also identified that residents' factors (including acuity, age, and admission period) and organizational factors (including year of facility establishment and facility ownership status), were related to the use of NNN. Nursing home nurses' clinical and critical judgment and the utilization of standardized nursing languages to select proper nursing interventions and outcomes should be based on both resident and organizational factors.

Menopause is a significant health event that affects a large portion of the global female population, necessitating greater awareness and research to enhance women's health and quality of life during this stage. The purpose of this study was to identify validated menopause symptom checklists and map those to the Omaha System signs/symptoms terms. The authors used a consensus approach to identify menopause symptoms from six evidence-based checklists and map them to Omaha System signs and symptoms. The team mapped each symptom if it matched exactly (full match) with the Omaha System term or had a similar, although not identical, meaning (partial match). The mapping included more than 293 source text menopause symptoms to the Omaha System problems and signs/symptoms resulting in a standardized list of 72 signs/symptoms for 21 problems. Of these 72, 70 (97.2%) signs/symptoms were a full match at the problem level, and 67 (93.1%) signs/symptoms were a full or partial match at the signs/symptoms level. This study lays the groundwork for creating a more standardized, data-driven approach, for tracking menopause symptoms. Clinicians and researchers can use this checklist to assess, track, and evaluate symptoms, enabling the development of personalized treatment approaches for menopause.

Nurse staffing decisions are often made without input from high-quality, reliable patient acuity measures, especially in medical-surgical settings. Staffing decisions not aligned with patient care needs can contribute to inadequate patient-to-nurse ratios and nurse burnout, potentially resulting in preventable patient harm and death. We conducted a proof-of-concept study to explore the feasibility of adapting an evidence-based patient acuity tool for use in the EHR. A retrospective cohort of pediatric medical-surgical inpatients was used to map electronic patient data variables. We developed an algorithm to calculate the score for one domain of the tool and validated it by comparing it with a score based on a manual chart review. Through multiple rounds of testing and refinement of the variables and algorithm, we achieved 100% concordance between scores generated by the algorithm and the manual chart review. Our proof-of-concept study demonstrates the feasibility and challenges of adapting an evidence-based patient acuity score for automation in the EHR. Further collaboration with data scientists is warranted to operationalize the tool in the EHR and achieve an automated acuity score that can improve staffing decisions, support nursing practice, and enhance team collaboration.

A quasi-experimental one-group pretest-posttest research design was used in this study. For the purpose of the research, a computer-based and interactive virtual reality simulation for applying oral care on an unconscious patient was developed to be integrated into the existing nursing curriculum. It was concluded that the computer-based, interactive virtual reality simulation design developed for teaching oral care application on an unconscious patient had a high impact on education and the sense of presence. It was further determined that the virtual reality simulation, developed herein, improved the students' knowledge level on the subject ( P < .05). It was concluded that the computer-based, interactive virtual reality simulation prepared for applying oral care on an unconscious patient is an effective and usable method in nursing education.