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Effects of Immersive Straight Catheterization Virtual Reality Simulation on Skills, Confidence, and Flow State in Nursing Students. 沉浸式直管导管术虚拟现实模拟对护理专业学生技能、信心和流动状态的影响。
IF 1.3 4区 医学 Q4 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Pub Date : 2024-06-04 DOI: 10.1097/CIN.0000000000001141
Hyeongyeong Yoon

Core nursing procedures are essential for nursing students to master because of their high frequency in nursing practice. However, the experience of performing procedures in actual hospital settings decreased during the coronavirus disease 2019 pandemic, necessitating the development of various contents to supplement procedural training. This study investigated the effects of a straight catheterization program utilizing an immersive virtual reality simulation on nursing students' procedural performance, self-confidence, and immersion. The study employed a nonequivalent control group pretest-posttest design with 29 participants in the experimental group and 25 in the control group. The experimental group received training through a computer-based immersive virtual reality program installed in a virtual reality hospital, with three weekly sessions over 3 weeks. The control group underwent straight catheterization using manikin models. The research findings validated that virtual reality-based straight catheterization education significantly improved students' procedural skills, self-confidence, and flow state. Therefore, limited practical training can be effectively supplemented by immersive virtual reality programs.

核心护理程序在护理实践中使用频率很高,是护生必须掌握的。然而,在 2019 年冠状病毒疾病大流行期间,在实际医院环境中执行程序的经验有所减少,因此有必要开发各种内容来补充程序培训。本研究调查了利用沉浸式虚拟现实模拟的直肠导管术课程对护理学生的程序表现、自信心和沉浸感的影响。研究采用了非等效对照组前测-后测设计,实验组有 29 人,对照组有 25 人。实验组通过安装在虚拟现实医院中的基于计算机的沉浸式虚拟现实程序接受培训,每周进行三次,为期 3 周。对照组则使用人体模型接受直接导管插入术。研究结果证实,基于虚拟现实的直导管术教育能显著提高学生的手术技能、自信心和流程状态。因此,沉浸式虚拟现实项目可以有效补充有限的实践培训。
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引用次数: 0
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 Q4 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Pub Date : 2024-06-01 DOI: 10.1097/CIN.0000000000001070
Myonghwa Park, Linh Khanh Bui, Jahyeon Kim, Jinju Kim, Jihye Jung, Ouckyoung Shin, Junsik Na, Hyunjeong Guk, Joong Shik Jang, Soomin Oh, Da Seul Kim

This study aimed to develop an online health community platform for facilitating the empowerment of people with chronic diseases dwelling in the community regarding disease prevention and health promotion. The user-centered design approach included four main steps: (1) identifying the health problems and needs of target users, (2) developing the content of the platform, (3) constructing the platform, and (4) pilot testing, refinement, and finalization. An online health community platform available both in a mobile application and a Web-enabled application has been launched to facilitate empowerment and self-management by people with chronic conditions. The main components of the application comprised (1) screening for chronic diseases and health problems, (2) setting personal goals for health promotion and action planning to achieve the goals themselves, (3) offering an online health community with shared group goals that help users engage with their peers to attain their goals, and (4) creating one's own online health community and inviting others to participate. The platform has the potential to encourage people with chronic conditions to proactively engage in their own health promotion. Future studies are needed to determine the impact of the application on self-management and empowerment for its users.

本研究旨在开发一个在线健康社区平台,以增强社区慢性病患者预防疾病和促进健康的能力。以用户为中心的设计方法包括四个主要步骤:(1) 确定目标用户的健康问题和需求,(2) 开发平台内容,(3) 构建平台,(4) 试点测试、完善和定稿。为促进慢性病患者的赋权和自我管理,推出了一个在线健康社区平台,包括移动应用程序和网络应用程序。该应用程序的主要内容包括:(1)筛查慢性疾病和健康问题;(2)设定促进健康的个人目标和实现目标的行动规划;(3)提供一个具有共同小组目标的在线健康社区,帮助用户与同伴一起实现目标;以及(4)创建自己的在线健康社区并邀请他人参与。该平台具有鼓励慢性病患者主动参与促进自身健康的潜力。今后还需要开展研究,以确定该应用程序对用户自我管理和赋权的影响。
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引用次数: 0
Microlearning: A Concept Analysis. 微型学习:概念分析。
IF 1.3 4区 医学 Q4 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Pub Date : 2024-06-01 DOI: 10.1097/CIN.0000000000001122
Jessica Cronin, Marianne L Durham

With an overall rise in technology adoption, the information-seeking behaviors of today have become instant and single-focused, and demand convenience for learning and the acquisition of knowledge. Digital technologies expand the reach of learning and allow for the development of innovative and creative methods of teaching. The use of microlearning has been gaining popularity in academic and professional development settings and corporate training. Currently, there is no standardized definition of microlearning. Using Walker and Avant's method of concept analysis, a comprehensive overview of microlearning is provided through identifying the concept and describing its uses, attributes, exemplary cases, antecedents, consequences, and empirical referents. Seven attributes associated with microlearning are single focus, bite-sized, asynchronistic, accessibility, flexibility, interactivity, and multimodal delivery. A proposed definition is a self-directed, on-demand, teaching strategy where small single-focused interactive content is presented to learners asynchronously, using technologies that accommodate multimodal delivery, and access where and when convenient for the learner. This analysis will assist informatics and nursing educators in understanding how microlearning, as a strategy, fits into the electronic learning landscape, is supported by digital technologies, and adds portability to leverage in an on-demand asynchronous way providing targeted learning for use in all areas of clinical practice.

随着技术应用的全面提升,当今的信息搜索行为变得即时而单一,并要求学习和获取知识的便利性。数字技术扩大了学习的范围,并允许开发创新和创造性的教学方法。微学习在学术和专业发展环境以及企业培训中的应用越来越受欢迎。目前,微型学习还没有统一的定义。本文采用沃克和阿凡特的概念分析方法,通过确定微学习概念并描述其用途、属性、典范案例、前因、后果和经验参照物,对微学习进行了全面概述。与微型学习相关的七个属性是:单一重点、一口式、异步性、可及性、灵活性、互动性和多模式交付。所提出的定义是一种自主、按需的教学策略,在这种策略中,使用适应多模式交付的技术,以异步的方式向学习者展示小块的单重点互动内容,并在学习者方便的时间和地点进行访问。这项分析将帮助信息学和护理教育工作者了解微学习作为一种策略,如何融入电子学习环境,如何得到数字技术的支持,以及如何增加便携性,以按需异步的方式提供有针对性的学习,供临床实践的各个领域使用。
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引用次数: 0
Preimplementation of Critical Care Early Mobility Clinical Decision Support: A Content Validation Study. 重症监护早期移动临床决策支持的预实施:内容验证研究。
IF 1.3 4区 医学 Q4 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Pub Date : 2024-06-01 DOI: 10.1097/CIN.0000000000001121
Heather Dunn, Natany da Costa Ferreira Oberfrank, Anna Krupp

Early mobility is a form of critical care rehabilitation ranging from in-bed exercise to ambulation and is known to limit post-intensive-care functional decline. Multiple barriers prevent widespread early mobility implementation. Clinical decision support systems can optimize the decision-making process and overcome barriers to care. However, critical care early mobility clinical decision support does not exist. Our objective was to develop and establish the content validation of the operational definitions for a novel critical care early mobility assessment instrument. Content validation was conducted in two steps: (1) development of operational definitions by the research team and (2) content validation with 10 nurse experts. Quality assessment and suitability of the operational definitions for 30 items, across four safety domains, were assessed using a 7 point-Likert scale. Item content validity index scores ranged from 0.6 to 0.1 after the first validation round. Domains containing items with item content validity index scores less than the lower limit of 0.78 were modified for clarity of language. Item content validity index scores ranged from 0.8 to 1.0, and the scale-level content validity index was 0.93 after the second content validation round. Excellent content validity of the operational definitions was achieved. This is the first methodological step in a larger project to develop clinical decision support for critical care early mobility.

早期移动是重症监护康复的一种形式,包括从床内运动到步行,已知可以限制重症监护后的功能衰退。多重障碍阻碍了早期移动能力的广泛实施。临床决策支持系统可以优化决策过程并克服护理障碍。然而,重症监护早期移动的临床决策支持系统并不存在。我们的目标是为一种新型重症监护早期行动能力评估工具开发并建立操作定义的内容验证。内容验证分两步进行:(1)由研究小组制定操作定义;(2)由 10 名护士专家进行内容验证。采用 7 点李克特量表对四个安全领域 30 个项目的操作定义的质量评估和适用性进行了评估。第一轮验证后,项目内容效度指数从 0.6 到 0.1 不等。对于项目内容效度指数得分低于 0.78 下限的领域,我们对其进行了修改,使语言更加清晰。项目内容效度指数从 0.8 到 1.0 不等,经过第二轮内容验证后,量表级内容效度指数为 0.93。操作定义的内容效度非常高。这是为重症监护早期移动性开发临床决策支持的大型项目的第一步。
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引用次数: 0
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 Q4 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS 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 Q4 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS 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 Q4 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS 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
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 Q4 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS 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
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 Q4 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS 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
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 Q4 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS 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
期刊
Cin-Computers Informatics Nursing
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