Cin-Computers Informatics Nursing最新文献

To analyze the effectiveness of mobile application-based interventions on medication adherence among pulmonary tuberculosis patients. Intervention articles involving patients with pulmonary tuberculosis and/or their families, utilizing mobile application-based intervention research designs, assessing patients individually or in groups with or without a control group, using mobile application-based interventions that can be accessed via a browser, utilizing adherence to treatment as the primary outcome, and written in English and Indonesian were included. The articles published from 2012 to 2022 were obtained from EBSCO Host, ProQuest, GARUDA, PubMed, Scopus, and Cochrane Online Library databases. The Critical Assessment Standards Program was used to assess the trustworthiness, relevance, and results of the published articles. The quality of the articles was assessed according to Johns Hopkins Nursing Evidence-Based Practice guidelines. Seven studies reported that mobile application-based interventions can improve medication adherence, including treatment success, number of missed drugs, correct intake of medications, adherence to health programs, timeliness, and frequency of clinic visits. This review only analyzed the impact of mobile application-based interventions on patients, and their effects on the family, social, and health services were not covered.

Physical assessment of obese patients is an essential clinical skill for identifying the numerous health problems of obese patients and monitoring treatment effectiveness. Use of simulation mannequins facilitates teaching and learning of physical assessment. Available bariatric simulation mannequins have poor functional design, unrealistic appearance, and limited assessment functions. We developed a bariatric mannequin simulation system and an associated education curriculum of seven case scenario and debriefing exercises focused on health problems experienced by individuals who are obese. An innovation of our mannequin is inclusion of programmable electronics that can be used with clinical tools that receive the electronic signals; together they provide ability to assess normal and abnormal signs of a wide variety of health problems. Ten nursing faculty and 51 nursing and medical students at a Midwestern university evaluated the features and satisfaction of a prototype bariatric mannequin in separate simulation sessions using Likert-scale questionnaires. Results showed that the majority of faculty (60%) and student participants (70%+) agreed/highly agreed that the bariatric mannequin was innovative, engaging, user-friendly, useful, and likely effective for teaching or learning. Satisfaction ratings of both groups were similar. Feedback from participants was incorporated into a final refined product that improved its realistic appearance.

Technological advancements have fueled the integration of virtual reality into nursing education, presenting innovative teaching modalities. Nonetheless, a conspicuous gap exists in understanding the influencing factors that impact the quality of virtual reality experiences, thereby challenging educators in creating optimal learning ecosystems tailored to nursing curricula. Adopting the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines, a comprehensive search of electronic databases including PubMed, Embase, CINAHL, Web of Science, and the Cochrane Library was performed. Forty-five studies met the inclusion criteria, revealing a broad spectrum of factors affecting virtual reality experience quality. Human-centric factors encompassed cybersickness, accommodation for individuals who wear glasses, and left-handed, elderly, and women users. System-centric issues are mainly limited immersion and inadequate interaction. The synthesis of existing literature underscores the multifaceted nature of factors influencing virtual reality experience quality in nursing education. Recommendations include enhancing immersion and interaction, considering user diversity in design, and fostering international collaborations for content standardization.

Physiologic surveillance systems are intended to notify nurses of patient deterioration but can be rendered ineffective when alarm burden is high. Nurses reported increased alarm burden, loss of confidence that alarms signaled actionable events, and alarm fatigue. Additionally, standard quality assurance tracking indicated a need to evaluate comprehensively the hospital's crucial patient safety system. A systems approach was used to understand changes in the care environment and regain reliable system performance after practice drift. Interventions included decreasing the continuous surveillance pulse rate alarm threshold to 40 beats per minute, restandardizing the peripheral capillary oxygen saturation alarm threshold to 80%, and resetting expectations for alarm response and utilization of alarm escalation pagers. Bedside alarms per patient day decreased by 66.4% (P < .001) for peripheral capillary oxygen saturation low and by 71.2% (P < .001) for pulse rate low. Initial pager notifications per patient day decreased by 84.5% (P < .001) for peripheral capillary oxygen saturation low and by 93% (P < .001) for pulse rate low. Even systems that are stable for long periods are subject to practice drift. This study underscores the importance of clinical process standardization and continuous measurement of system performance with feedback to sustain performance of the patient safety systems nurses rely on.

The study aims to assess the effectiveness of a mobile application disease self-management program regarding blood pressure control and quality of life for patients with hypertension. A single-blind randomized controlled trial. Participants in the control group (n = 51) received routine care, whereas those in the experimental group (n = 51) participated in a home-based intervention. They accessed the program on a mobile device, watching disease self-management content at least once every other day. Posttests were conducted upon return visit to the clinic after 3 months. The measuring outcomes included demographics, disease characteristics, and quality of life. After the intervention, significant results were observed in the experimental group regarding the control of systolic blood pressure and diastolic blood pressure. Furthermore, significant effects were observed in the overall improvement, as well as the physical and mental component summary of quality of life, compared with the control group. The primary outcomes can help control blood pressure and mitigate complications in patients with hypertension. Secondary outcomes include promoting overall quality of life and its physical and mental component summary while providing nursing staff with an alternative method of health education other than conventional methods.

In today's rapidly advancing world of science and technology, evidence-based practice has become a critical requirement to satisfy patients' needs and improve the nursing profession. However, little is known about the factors impacting evidence-based practice. This study uses a cross-sectional, correlational design to explore the factors influencing nurses' attitudes toward evidence-based practice. A convenience sample of 272 RNs was recruited to complete the online survey. The results revealed that staff nurses reported relatively positive attitudes toward evidence-based practice. Multiple linear regression analysis identified six factors that could predict RNs' attitudes toward evidence-based practice: information literacy, nursing informatics competency, organizational support, evidence-based practice barriers, leadership style, and the nursing care model. These factors were responsible for approximately 53% of the variance. To improve nurses' attitudes toward evidence-based practice, managers are advised to adopt flexible leadership styles, create a supportive environment, and encourage staff development through different training programs for evidence-based practice and nursing informatics.

Online learning has transitioned from being optional to a mandatory experience in nursing education. Consequently, it is crucial to understand nursing students' satisfaction and the factors influencing it to create and implement a successful online learning environment. This study aimed to examine the roles of system acceptance and community feeling in predicting nursing students' online learning satisfaction. The sample of the relational and cross-sectional study consisted of 451 nursing students studying online in the two universities in Western Turkey. Data were collected using the Personal Information Form, Online Learning Systems Acceptance, Community Feeling Scale, and Satisfaction Scale. A positive correlation was found between the perceived ease and benefit variables and satisfaction levels of nursing students in the study within the scope of online learning systems acceptance. A positive correlation was found between the actional and affective components of community feeling and satisfaction levels of nursing students in the study. Besides, the affective component was found to be the most significant factor in explaining satisfaction with online learning. The learning environment can be improved by increasing the diversity and interaction of nursing students with methods or instruments such as online collaborative learning approaches and online community building.

This study aims to investigate healthcare students' intention to use virtual reality simulations. By using the Technology Acceptance Model, the research delves into the factors influencing students' acceptance and adoption of virtual reality simulations. Following a cross-sectional design, this article adheres to the STROBE Statement guidelines. The study included 632 undergraduate healthcare students from three universities in China. Data were collected through online questionnaires administered at three comprehensive universities in China between June 19, 2023, and January 15, 2024. Self-reported measurements were used, and hypotheses were analyzed using Amos software to construct a structural equation model. The study reveals positive correlations, indicating that habits are positively associated with perceived ease of use and perceived usefulness. Furthermore, system quality is positively correlated with perceived ease of use and perceived usefulness. Notably, perceived ease of use positively influences perceived usefulness, and both perceived ease of use and perceived usefulness are positively linked to intention to use. The findings suggest that educational institutions and educators should prioritize students' habits, platform system quality, perceived usefulness, and perceived ease of use to enhance healthcare students' intention to engage with virtual reality simulations.