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Developing an Online Health Community Platform for Facilitating Empowerment in Chronic Disease Prevention and Health Promotion. 开发在线健康社区平台,促进慢性病预防和健康促进方面的赋权。
IF 1.3 4区 医学 Q2 Nursing Pub Date : 2024-06-01 DOI: 10.1097/01.NCN.0001024536.29791.28
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引用次数: 0
The Effect of Video-Based Simulation Training on Nursing Students' Motivation and Academic Achievement: A Mixed Study. 基于视频的模拟训练对护理专业学生学习动机和学习成绩的影响:混合研究。
IF 1.3 4区 医学 Q2 Nursing Pub Date : 2024-06-01 DOI: 10.1097/CIN.0000000000001117
Sema Koçan, Nurşen Kulakaç, Cemile Aktuğ, Sevgül Demirel

This study was conducted to determine the effect of video-based simulation education on nursing students' motivation and academic achievement. The research was designed in a mixed model. A quasi-experimental method with a pretest-posttest control group was used for the quantitative part, and the descriptive phenomenology approach was used as the qualitative research method. The sample of the study consisted of second-year nursing students in two state universities in eastern Turkey. The data were collected with the Student Information Form, the Academic Achievement Test, and the Motivation Resources and Problems Scale using Google Forms Web application. Qualitative data were collected through online semistructured interview forms and focus group interviews. According to the results, the posttest academic achievement and Motivation Resources and Problems Scale mean scores of the students in the intervention group were significantly higher than those of the control group ( P < .05). In the analysis of the qualitative, three main themes emerged: We felt fortunate that it increased information retention," "We felt like we were in real practice environment," and "It made us feel that we were nurses." The results showed the use of video-based simulation can be suggested as a strategy to promote classroom teaching and engage students.

本研究旨在确定视频模拟教育对护理专业学生学习动机和学业成绩的影响。研究采用混合模式设计。定量研究部分采用了前测-后测对照组的准实验方法,定性研究方法采用了描述性现象学方法。研究样本包括土耳其东部两所国立大学的二年级护理专业学生。数据收集采用谷歌表单网络应用程序,包括学生信息表、学业成就测试和动机资源与问题量表。定性数据通过在线半结构化访谈表和焦点小组访谈收集。结果显示,干预组学生的后测学业成绩和动机资源与问题量表平均分显著高于对照组(P < .05)。在定性分析中,出现了三大主题:我们感到幸运的是,它提高了信息的保留率"、"我们感觉自己置身于真实的实践环境中 "和 "它让我们感觉自己是护士"。结果表明,可以建议将视频模拟作为促进课堂教学和吸引学生的一种策略。
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引用次数: 0
Mobile Health System for Meeting Health Information Needs in Patients With Head and Neck Cancer Undergoing Radiotherapy: Development and Feasibility Study. 满足接受放疗的头颈部癌症患者健康信息需求的移动医疗系统:开发与可行性研究
IF 1.3 4区 医学 Q2 Nursing Pub Date : 2024-06-01 DOI: 10.1097/CIN.0000000000001091
Yu-Mei Dai, Anna Axelin, Zhong-Hua Fu, Yu Zhu, Hong-Wei Wan

Patients with head and neck cancer undergoing radiotherapy encounter physical and psychosocial challenges, indicating unmet needs. Mobile health technology can potentially support patients. This single-armed feasibility study included 30 patients with head and neck cancer undergoing radiotherapy. Patients were asked to use the Health Enjoy System, a mobile health support system that provides a disease-related resource for 1 week. We assessed the usability of the system and its limited efficacy in meeting patients' health information needs. The result showed that the system was well received by patients and effectively met their health information needs. They also reported free comments on the system's content, backend maintenance, and user engagement. This study supplies a foundation for further research to explore the potential benefits of the Health Enjoy System in supporting patients with head and neck cancer.

接受放射治疗的头颈部癌症患者会遇到生理和心理挑战,这表明他们的需求尚未得到满足。移动医疗技术有可能为患者提供支持。这项单兵可行性研究包括 30 名正在接受放疗的头颈部癌症患者。患者被要求使用 "健康畅享系统",这是一个提供疾病相关资源的移动健康支持系统,为期一周。我们评估了该系统的可用性及其在满足患者健康信息需求方面的有限功效。结果显示,该系统深受患者欢迎,有效满足了他们的健康信息需求。他们还对系统的内容、后台维护和用户参与度提出了免费意见。这项研究为进一步研究探索 "健康享受系统 "在支持头颈部癌症患者方面的潜在益处奠定了基础。
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引用次数: 0
Exploring the Effectiveness of Nurses' Usage of a Wound-Photography System. 探索护士使用伤口照相系统的效果。
IF 1.3 4区 医学 Q2 Nursing Pub Date : 2024-06-01 DOI: 10.1097/CIN.0000000000001095
Pin-Hsien Hsin, Ting-Ting Lee, Chieh-Yu Liu, Shin-Shang Chou, Mary Etta Mills

As a result of rapid advancements in health information technology, uploading health-related information and records onto an electronic health record system has become a common practice. Photographs of patients' wounds have been uploaded electronically, but widespread acceptance by nurses has been prevented owing to issues such as file size and equipment. This research explores the attitude and satisfaction toward using an electronic health record for uploading wound photos. Through the integration of the Technology Acceptance Model, Information System Success Model, and other study results, this research aims to explore the impact of the following variables: system quality, information quality, perceived usefulness, perceived ease of use, user attitude, user satisfaction, and net benefits. We also tested nurses' understanding regarding the process of taking photographs and explored the photograph quality and the photography uploading rates. The results revealed that users were satisfied with the wound-photography system, but some believed that the system stability, processing time, and image resolution should be improved. In addition, more than 80% of the nurses correctly answered photo-taking questions, the study photos reached 70% of the quality standards, and the average uploading rate was 74%. The results could serve as guidelines for system design in the future.

随着医疗信息技术的飞速发展,将与健康相关的信息和记录上传到电子健康记录系统已成为一种普遍做法。病人伤口的照片也可以通过电子方式上传,但由于文件大小和设备等问题,护士们一直无法广泛接受。本研究探讨了使用电子病历上传伤口照片的态度和满意度。通过整合技术接受模型、信息系统成功模型和其他研究成果,本研究旨在探讨以下变量的影响:系统质量、信息质量、感知有用性、感知易用性、用户态度、用户满意度和净收益。我们还测试了护士对拍照过程的理解,并探讨了照片质量和照片上传率。结果显示,用户对伤口照相系统表示满意,但部分用户认为系统稳定性、处理时间和图像分辨率有待提高。此外,超过 80% 的护士正确回答了拍照问题,研究照片的质量达标率为 70%,平均上传率为 74%。这些结果可作为今后系统设计的指导。
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引用次数: 0
An Innovative International Telehealth Clinical Experience for Nurse Practitioner Students. 为执业护士学生提供创新的国际远程医疗临床经验。
IF 1.3 4区 医学 Q2 Nursing Pub Date : 2024-06-01 DOI: 10.1097/CIN.0000000000001135
Emily Barnes, Tanya Rogers, Billie S Vance
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引用次数: 0
Predictive Modeling of COVID-19 Intensive Care Unit Patient Flows and Nursing Complexity: A Monte Carlo Simulation Study. COVID-19 重症监护室患者流量和护理复杂性的预测建模:蒙特卡罗模拟研究。
IF 1.3 4区 医学 Q2 Nursing Pub Date : 2024-06-01 DOI: 10.1097/CIN.0000000000001100
Elsa Simoncini, Angélique Jarry, Aurélie Moussion, Aude Marcheschi, Pascale Giordanino, Chantal Lusenti, Nicolas Bruder, Lionel Velly, Salah Boussen

This study aimed to develop a Monte Carlo simulation model to forecast the number of ICU beds needed for COVID-19 patients and the subsequent nursing complexity in a French teaching hospital during the first and second pandemic outbreaks. The model used patient data from March 2020 to September 2021, including age, sex, ICU length of stay, and number of patients on mechanical ventilation or extracorporeal membrane oxygenation. Nursing complexity was assessed using a simple scale with three levels based on patient status. The simulation was performed 1000 times to generate a scenario, and the mean outcome was compared with the observed outcome. The model also allowed for a 7-day forecast of ICU occupancy. The simulation output had a good fit with the actual data, with an R2 of 0.998 and a root mean square error of 0.22. The study demonstrated the usefulness of the Monte Carlo simulation model for predicting the demand for ICU beds and could help optimize resource allocation during a pandemic. The model's extrinsic validity was confirmed using open data from the French Public Health Authority. This study provides a valuable tool for healthcare systems to anticipate and manage surges in ICU demand during pandemics.

本研究旨在开发一种蒙特卡洛模拟模型,以预测 COVID-19 患者所需的重症监护病房床位数以及法国一家教学医院在第一次和第二次大流行爆发期间的护理复杂性。该模型使用了 2020 年 3 月至 2021 年 9 月期间的患者数据,包括年龄、性别、重症监护室住院时间以及接受机械通气或体外膜氧合的患者人数。护理复杂度采用简单的量表进行评估,根据患者状态分为三个等级。模拟运行 1000 次以生成情景,并将平均结果与观察结果进行比较。该模型还可对重症监护室的入住率进行 7 天预测。模拟输出与实际数据拟合良好,R2 为 0.998,均方根误差为 0.22。研究表明,蒙特卡洛模拟模型在预测重症监护病房床位需求方面非常有用,有助于在大流行期间优化资源分配。法国公共卫生局的公开数据证实了该模型的外部有效性。这项研究为医疗保健系统预测和管理大流行期间 ICU 需求激增提供了宝贵的工具。
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引用次数: 0
Child Health Nurses' Acceptance and Use of a Novel Telehealth Platform: A Mixed-Method Study. 儿童保健护士对新型远程保健平台的接受和使用:混合方法研究。
IF 1.3 4区 医学 Q2 Nursing Pub Date : 2024-06-01 DOI: 10.1097/CIN.0000000000001116
Liselot Goudswaard, Robyn Penny, Janet Edmunds, Urska Arnautovska

Telehealth appointments in the healthcare sector have increased since the COVID-19 pandemic, increasing patients' access to services. However, research exploring nurse perceptions of implemented telehealth services in the community sector is limited. Within the context of quality improvement, the current study aimed to understand child health nurses' acceptance and use of a novel telehealth platform using mixed methods. A total of 38 child health nurses completed an online survey that included multiple-choice questions based on an expanded Technology Acceptance Model and open-ended questions exploring barriers and facilitators to use. Results demonstrated that despite 70% of nurse users having completed less than three sessions with parents, perception and acceptance scores were high. Overall, 85% of variance in satisfaction with the platform and 46% of variance in intention to use the platform were predicted by perception scores. Three consistent themes generated from data were facilitators for use and five as barriers, which provided further understanding to findings. To ensure telehealth is adapted into routine clinical care, facilitators and barriers for implementation need to be identified and addressed. Nurses need to be engaged in implementation and ongoing maintenance to ensure the uptake and optimal use of technology within nursing care.

自 COVID-19 大流行以来,医疗保健部门的远程保健预约有所增加,从而增加了患者获得服务的机会。然而,探索护士对社区部门实施的远程保健服务看法的研究却很有限。在提高质量的背景下,本研究旨在采用混合方法了解儿童保健护士对新型远程保健平台的接受和使用情况。共有 38 名儿童保健护士完成了一项在线调查,其中包括基于扩展技术接受模型的多项选择题,以及探讨使用障碍和促进因素的开放式问题。结果表明,尽管有 70% 的护士用户与家长一起完成的疗程少于三次,但感知和接受度得分很高。总体而言,85% 的平台满意度差异和 46% 的平台使用意向差异是由感知得分预测的。从数据中得出的三个一致的主题是使用的促进因素,五个是使用的障碍,这为研究结果提供了进一步的理解。为确保远程医疗适应常规临床护理,需要确定并解决实施的促进因素和障碍。护士需要参与实施和持续维护,以确保在护理工作中吸收和优化使用技术。
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引用次数: 0
Generative Artificial Intelligence Detectors and Accuracy: Implications for Nurses. 生成式人工智能检测器和准确性:对护士的影响。
IF 1.3 4区 医学 Q4 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Pub Date : 2024-05-01 DOI: 10.1097/CIN.0000000000001134
Theda Jody Hostetler, Jacqueline K Owens, Julee Waldrop, Marilyn H Oermann, Heather Carter-Templeton
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引用次数: 0
A Scoping Review of Studies Using Artificial Intelligence Identifying Optimal Practice Patterns for Inpatients With Type 2 Diabetes That Lead to Positive Healthcare Outcomes. 使用人工智能识别 2 型糖尿病住院患者最佳实践模式以实现积极医疗结果的研究范围综述。
IF 1.3 4区 医学 Q4 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Pub Date : 2024-05-01 DOI: 10.1097/CIN.0000000000001143
Pankaj K Vyas, Krista Brandon, Sheila M Gephart

The objective of this scoping review was to survey the literature on the use of AI/ML applications in analyzing inpatient EHR data to identify bundles of care (groupings of interventions). If evidence suggested AI/ML models could determine bundles, the review aimed to explore whether implementing these interventions as bundles reduced practice pattern variance and positively impacted patient care outcomes for inpatients with T2DM. Six databases were searched for articles published from January 1, 2000, to January 1, 2024. Nine studies met criteria and were summarized by aims, outcome measures, clinical or practice implications, AI/ML model types, study variables, and AI/ML model outcomes. A variety of AI/ML models were used. Multiple data sources were leveraged to train the models, resulting in varying impacts on practice patterns and outcomes. Studies included aims across 4 thematic areas to address: therapeutic patterns of care, analysis of treatment pathways and their constraints, dashboard development for clinical decision support, and medication optimization and prescription pattern mining. Multiple disparate data sources (i.e., prescription payment data) were leveraged outside of those traditionally available within EHR databases. Notably missing was the use of holistic multidisciplinary data (i.e., nursing and ancillary) to train AI/ML models. AI/ML can assist in identifying the appropriateness of specific interventions to manage diabetic care and support adherence to efficacious treatment pathways if the appropriate data are incorporated into AI/ML design. Additional data sources beyond the EHR are needed to provide more complete data to develop AI/ML models that effectively discern meaningful clinical patterns. Further study is needed to better address nursing care using AI/ML to support effective inpatient diabetes management.

本次范围界定综述的目的是调查有关使用人工智能/ML 应用程序分析住院患者电子病历数据以确定护理捆绑(干预分组)的文献。如果有证据表明 AI/ML 模型可以确定捆绑护理,那么该综述旨在探讨将这些干预措施作为捆绑护理实施是否会减少实践模式差异,并对 T2DM 住院患者的护理效果产生积极影响。研究人员在六个数据库中检索了 2000 年 1 月 1 日至 2024 年 1 月 1 日期间发表的文章。九项研究符合标准,并按目的、结果测量、临床或实践影响、人工智能/移动医疗模型类型、研究变量和人工智能/移动医疗模型结果进行了总结。研究中使用了多种人工智能/ML 模型。利用多种数据源来训练模型,从而对实践模式和结果产生了不同的影响。研究包括 4 个专题领域的目标:治疗护理模式、治疗路径及其制约因素分析、临床决策支持仪表板开发以及药物优化和处方模式挖掘。除传统的电子病历数据库外,还利用了多种不同的数据源(如处方支付数据)。值得注意的是,缺乏使用多学科综合数据(即护理和辅助数据)来训练人工智能/ML 模型。如果将适当的数据纳入人工智能/ML 的设计中,人工智能/ML 就能帮助识别特定干预措施的适当性,以管理糖尿病护理并支持坚持有效的治疗途径。除电子病历外,还需要更多的数据源来提供更完整的数据,以开发能有效辨别有意义的临床模式的人工智能/ML 模型。还需要进一步研究如何更好地利用人工智能/ML 解决护理问题,以支持有效的住院糖尿病管理。
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引用次数: 0
Data-Centric Machine Learning in Nursing: A Concept Clarification. 护理学中以数据为中心的机器学习:概念澄清。
IF 1.3 4区 医学 Q4 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Pub Date : 2024-05-01 DOI: 10.1097/01.NCN.0001017896.46561.ed
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引用次数: 0
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Cin-Computers Informatics Nursing
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