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Virtual Reality as a Method to Cope With Labor Pain: What Do Women Want? 以虚拟现实技术应对分娩疼痛:女性想要什么?
IF 1.3 4区 医学 Q4 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Pub Date : 2024-08-01 DOI: 10.1097/CIN.0000000000001120
Luka Van Leugenhaege, Natacha Van de Craen, Katrien Maes, Leen Vanden Bergh, Kristof Timmerman, Silvia Van Aken, Eveline Mestdagh, Yvonne J Kuipers

This study aimed to determine what childbearing women want when using virtual reality as an intrapartum pain management method. Researchers performed a qualitative exploratory study using content analysis. Two focus groups were organized including pregnant women anticipating a vaginal birth and women who recently had given birth, no longer than 6 months ago. The focus groups included a 30-minute virtual reality demo. In total, 10 women participated. Five themes emerged: (1) "try, test and explore": the need to receive information and to get acquainted with virtual reality during the antenatal period; (2) "variety and diversity in physical and digital options": the preference for a variety in virtual content and view virtual reality as a complementary method to methods for intrapartum pain management; (3) "distraction versus focus": virtual reality as a method to distract from pain, from the clinical context or to help them focus; (4) "comfort both physical and digital": measures to ensure a comfortable physical and virtual experience; and (5) "birthing partner": the potential need to include partners. This study is an essential step informing the development, implementation, and research of labor-specific virtual reality and informing antenatal healthcare providers when offering women virtual reality as intrapartum pain management.

本研究旨在确定育龄妇女在使用虚拟现实作为产前疼痛管理方法时的需求。研究人员采用内容分析法进行了一项定性探索性研究。研究人员组织了两个焦点小组,包括预产期为阴道分娩的孕妇和最近分娩(不超过 6 个月)的妇女。焦点小组包括 30 分钟的虚拟现实演示。共有 10 名妇女参加。讨论产生了五个主题:(1) "尝试、测试和探索":需要在产前接受信息并熟悉虚拟现实;(2) "实体和数字选择的多样性和多元化":偏好虚拟内容的多样性,并将虚拟现实视为产前疼痛管理方法的补充方法;(3) "分散注意力与集中注意力":(4) "物理和数字舒适度":确保物理和虚拟体验舒适的措施;以及 (5) "分娩伴侣":将伴侣包括在内的潜在需求。这项研究是开发、实施和研究分娩专用虚拟现实技术的重要一步,也为产前医疗保健提供者在为产妇提供虚拟现实技术作为产前疼痛治疗时提供了信息。
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引用次数: 0
Information Management in Hospital Unit Daily Operations: A Descriptive Study With Nurses and Physicians. 医院科室日常运作中的信息管理:以护士和医生为对象的描述性研究。
IF 1.3 4区 医学 Q4 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Pub Date : 2024-08-01 DOI: 10.1097/01.NCN.0001028176.34106.fd
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引用次数: 0
Navigating Online Health Information: Assessing the Quality and Readability of Dietary and Herbal Supplements for Chronic Musculoskeletal Pain. 浏览在线健康信息:评估治疗慢性肌肉骨骼疼痛的膳食和草药补充剂的质量和可读性。
IF 1.3 4区 医学 Q4 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Pub Date : 2024-08-01 DOI: 10.1097/CIN.0000000000001138
Robin R Austin, Ratchada Jantraporn, Craig Schulz, Rui Zhang
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引用次数: 0
Exploring the Usage Effectiveness of a Nursing Charge System. 探索护理收费系统的使用效果。
IF 1.3 4区 医学 Q4 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Pub Date : 2024-08-01 DOI: 10.1097/CIN.0000000000001106
Nai-Shin Nian, Ting-Ting Lee, Shu-He Huang, Chieh-Yu Liu, Shin-Shang Chou, Ya-Fen Liu, Mary Etta Mills

The nursing charge system for inpatient accounting has been utilized in healthcare institutions for years. However, the level of its effectiveness in meeting the needs of nursing services, including further development, has not been systematically evaluated. A cross-sectional study based in Delone and McLean's information system success model was applied to explore the level of effective nursing charge system usage across the five dimensions of system quality, information quality, service quality, user satisfaction, and net benefits. We conducted a survey of the inpatient units of a medical center in Taiwan from June 23, 2021, to July 23, 2021. A total of 214 valid questionnaires were collected. Using a 5-point Likert scale, the dimension with the highest score was information quality (3.71), followed by service quality (3.37), user satisfaction (3.36), net benefits (3.31), and system quality (3.23). Older nurses ( r = -0.176) and those with more clinical experience ( r = -0.151) viewed the nursing charge system as having less information quality. The comfort level with using the computer was positively associated with system quality ( r = 0.396), information quality ( r = 0.378), service quality ( r = 0.275), user satisfaction ( r = 0.417), and net benefits ( r = 0.355). The opinions of nurses are vital. User feedback and advice should be investigated regularly to achieve system optimization.

住院会计的护理收费制度在医疗机构已使用多年。然而,该系统在满足护理服务需求(包括进一步发展)方面的有效性水平尚未得到系统评估。我们根据 Delone 和 McLean 的信息系统成功模型进行了一项横向研究,从系统质量、信息质量、服务质量、用户满意度和净效益五个方面探讨了护理收费系统的有效使用水平。我们于 2021 年 6 月 23 日至 2021 年 7 月 23 日对台湾某医疗中心的住院部进行了调查。共收集到 214 份有效问卷。采用李克特五点量表,得分最高的维度是信息质量(3.71),其次是服务质量(3.37)、用户满意度(3.36)、净收益(3.31)和系统质量(3.23)。年龄较大(r = -0.176)和临床经验较丰富(r = -0.151)的护士认为护理收费系统的信息质量较低。使用计算机的舒适度与系统质量(r = 0.396)、信息质量(r = 0.378)、服务质量(r = 0.275)、用户满意度(r = 0.417)和净效益(r = 0.355)呈正相关。护士的意见至关重要。应定期调查用户反馈和建议,以实现系统优化。
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引用次数: 0
User Needs and Factors Associated With the Acceptability of Audiovisual Feedback Devices for Chest Compression Monitoring in Cardiopulmonary Resuscitation. 心肺复苏中胸外按压监测视听反馈设备的用户需求及可接受性相关因素。
IF 1.3 4区 医学 Q4 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Pub Date : 2024-08-01 DOI: 10.1097/CIN.0000000000001126
Desale Tewelde Kahsay, Sanna Salanterä, Miretta Tommila, Tanja Liukas, Riitta Rosio, Abigail Kusi-Amponsah Diji, Laura-Maria Peltonen

The use of audiovisual feedback devices to guide the quality of chest compressions during cardiopulmonary resuscitation has increased in recent years. Audiovisual feedback devices can be classified as integrated (eg, Zoll AED Plus defibrillator) or standalone (eg, CPRmeter). This study aimed to explore users' needs and factors affecting the acceptability of audiovisual feedback devices. Semistructured interviews were conducted with healthcare professionals involved in lifesaving activities. The Unified Theory of Acceptance and Use of Technology was used as a theoretical framework for the study. The Unified Theory of Acceptance and Use of Technology model has four constructs: performance expectancy, effort expectancy, social influence, and facilitating factors. Ten themes were identified under the four constructs. The performance expectancy constructs include three themes: perceived usefulness, outcome expectation, and applicability in diverse situations. The effort expectancy construct encompasses two themes: user-friendliness and complexity. The social influence construct has two themes: social and organizational factors. Lastly, the facilitating factors construct includes three themes: staff competence, perceived cost, and compatibility of devices. Exploring the needs and factors influencing the acceptability of audiovisual feedback devices used during cardiopulmonary resuscitation will inform healthcare providers, managers, manufacturers, and procurers on how to improve the efficiency and use of these devices.

近年来,使用视听反馈设备指导心肺复苏期间胸外按压质量的情况越来越多。视听反馈设备可分为集成式(如 Zoll AED Plus 除颤器)和独立式(如 CPRmeter)。本研究旨在探讨用户的需求以及影响视听反馈设备可接受性的因素。研究人员对参与救生活动的医护人员进行了结构化访谈。研究采用了 "技术接受与使用统一理论 "作为理论框架。接受和使用技术统一理论模型有四个结构:绩效预期、努力预期、社会影响和促进因素。在这四个构架下确定了十个主题。绩效预期建构包括三个主题:感知有用性、结果预期和在不同情况下的适用性。努力预期结构包括两个主题:用户友好性和复杂性。社会影响结构包括两个主题:社会因素和组织因素。最后,促进因素结构包括三个主题:员工能力、感知成本和设备兼容性。探索心肺复苏过程中使用的视听反馈设备的需求和影响其可接受性的因素,将为医疗服务提供者、管理者、制造商和采购人员提供如何提高这些设备的效率和使用率的信息。
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引用次数: 0
Effect of Infection Control Simulation Based on a Negative Pressure Isolation Room Using Mixed Reality. 使用混合现实技术模拟负压隔离室的感染控制效果。
IF 1.3 4区 医学 Q4 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Pub Date : 2024-08-01 DOI: 10.1097/CIN.0000000000001162
Kyeng-Jin Kim, Joonyoung Lee, Moon-Ji Choi

This study aimed to examine the effectiveness of an infection control simulation using mixed reality, comparing simulation fidelity with a high-fidelity mannequin (MN) group and problem-based learning with written cases group. This study used a three-group pretest-posttest quasi-experimental design. Two universities with similar curricula were conveniently selected, and a total of 72 nursing students were recruited. Participants were randomly assigned to three groups of 24 each. In the final analysis, there were 22 participants in the mixed reality groups, 21 in the mannequin groups, and 23 in the problem-based learning with written cases groups. Data were analyzed using descriptive statistics and the χ 2 , Kruskal-Wallis, and Wilcoxon signed rank tests. The mixed reality groups had a significantly positive effect on clinical reasoning ability and clinical competence than the problem-based learning with written cases groups, whereas the mannequin groups had a significantly positive effect on clinical competence than the problem-based learning with written cases groups. Mixed reality simulation is an appropriate simulation method that enhances learning immersion, satisfaction, and self-confidence in simulation. Additionally, it can substitute for mannequin simulation in terms of clinical reasoning ability and clinical competence. This study suggests that it is important to the various approaches in simulation fidelity to diversely enhance the competency of nursing students in simulation outcomes.

本研究旨在考察使用混合现实技术的感染控制模拟的有效性,比较模拟逼真度与高仿真人体模型(MN)组和基于问题的学习与书面案例组。本研究采用了三组前测-后测的准实验设计。研究选取了两所课程相似的大学,共招募了 72 名护理专业学生。参与者被随机分配到三组,每组 24 人。在最终分析中,混合现实组有 22 名参与者,人体模型组有 21 名参与者,基于问题的书面案例学习组有 23 名参与者。数据分析采用了描述性统计、χ2、Kruskal-Wallis 和 Wilcoxon 符号秩检验。结果显示,混合现实模拟组对临床推理能力和临床能力的影响明显优于基于问题学习的书面病例组,而人体模型组对临床能力的影响明显优于基于问题学习的书面病例组。混合现实模拟是一种合适的模拟方法,能增强模拟学习的沉浸感、满意度和自信心。此外,在临床推理能力和临床能力方面,它可以替代人体模型模拟。本研究表明,模拟保真度的各种方法对于多样化地提高护理学生的模拟结果能力非常重要。
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引用次数: 0
Nomophobia and Phubbing Levels of Nursing Students: A Multicenter Study. 护理专业学生的恋母情结和幻觉水平:一项多中心研究。
IF 1.3 4区 医学 Q4 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Pub Date : 2024-08-01 DOI: 10.1097/CIN.0000000000001154
Gul Sahin Karaduman, Tulay Basak, Maria Margarida Santana Fialho Sim-Sim, Vicki Aaberg, Maria José Bule

Today, with the enhancement in the usage of smartphones, the concepts of nomophobia and phubbing have emerged. Nomophobia refers to the fear of being deprived of smartphones/smart devices. Phubbing is the use of a person's smartphone in situations that are not appropriate for the situation, time, and place. Therefore, the study purposed to evaluate nursing students' nomophobia and phubbing scores in Turkey, Portugal, and the United States. The data were collected with the Personal Information Questionnaire, Nomophobia Scale, and Phubbing Scale from N = 446 nursing students. The mean age of the students was 22.04 ± 4.08 years, and 86.5% were women. It was found that the total nomophobia scores of the nursing students were 80.15 ± 21.96, 72.29 ± 28.09, and 99.65 ± 6.11, respectively in Turkey, Portugal, and the United States. When the countries' Nomophobia Scale total scores, "giving up convenience," "not being able to communicate," and "losing connectedness" scores were compared with each other, they were found to be statistically significant ( P < .05). When the countries' Phubbing Scale total scores and all subscale scores were compared with each other were found to be statistically significant ( P < .05). It is seen that nomophobia scores were moderate (60 ≤ NMP-Q nomophobia ≤ 99) and phubbing scores (<40) were below the level indicating addiction in all countries.

如今,随着智能手机使用率的提高,出现了 "Nomophobia "和 "phubbing "的概念。恐名症指的是对被剥夺智能手机/智能设备的恐惧。而 "窥屏 "则是指在不适合的情况、时间和地点下使用智能手机。因此,本研究旨在评估土耳其、葡萄牙和美国护理专业学生的Nomophobia和Phubbing得分。研究使用个人信息调查表、恋母情结量表和嗜睡量表收集了 446 名护理专业学生的数据。学生的平均年龄为 22.04±4.08 岁,86.5% 为女性。研究发现,土耳其、葡萄牙和美国护理专业学生的恐名症总分分别为(80.15 ± 21.96)、(72.29 ± 28.09)和(99.65 ± 6.11)分。将各国的厌学量表总分、"放弃便利"、"无法沟通 "和 "失去联系 "得分进行比较,发现它们之间有统计学意义(P < .05)。将各国的 "幻觉量表 "总分和所有分量表得分进行比较,发现它们之间有统计学意义(P < .05)。可以看出,恐名症得分处于中等水平(60≤NMP-Q 恐名症≤99),而幽闭症得分(60≤NMP-Q 幽闭症≤99)则处于中等水平(60≤NMP-Q 幽闭症≤99)。
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引用次数: 0
Use and Effectiveness of Innovative Virtual Reality Application in Teaching Fetal Development: A Randomized Controlled Trial. 创新虚拟现实应用在胎儿发育教学中的使用和效果:随机对照试验
IF 1.3 4区 医学 Q4 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Pub Date : 2024-07-01 DOI: 10.1097/CIN.0000000000001036
Reyhan Aydın Doğan, Saadet Yazıcı

Virtual reality-based training is effective. It is increasingly used by multiple disciplines to develop observation and critical skills, including engineering, education, arts, and health. This study was conducted to determine the effectiveness of the application created with Fetal Development Application Created by Virtual Reality Technology, which was developed to teach fetal development. The study was conducted in a single-blind, randomized fashion. Undergraduate midwifery students who took normal pregnancy lessons and learned fetal development were included. Eighty-four students were included in the experimental (n = 42) and control (n = 42) groups. Before the training, a personal information form and a pretest were applied to both groups. After the pretest, the experimental group received Fetal Development Application Created by Virtual Reality Technology, and the control group received 2 hours of theory training. Posttest was applied to both groups 6 weeks after the application. Preintervention scores were similar for the two groups. The posttest score of the experimental group was statistically significant compared with that of the control group ( P < .05). The mean cognitive load score of the experimental group was 1.09 ± 0.29, and the application did not create a cognitive load. The innovative application of Fetal Development Application Created by Virtual Reality Technology is an effective and applicable method in teaching fetal development in midwifery education.

基于虚拟现实的培训非常有效。它越来越多地被多个学科用于培养观察和关键技能,包括工程、教育、艺术和健康。本研究旨在确定利用虚拟现实技术创建的胎儿发育应用程序的有效性,该应用程序是为胎儿发育教学而开发的。研究以单盲、随机的方式进行。研究对象包括学习正常妊娠课程和胎儿发育课程的助产专业本科生。实验组(n = 42)和对照组(n = 42)各有 84 名学生。培训前,两组学生都填写了个人信息表并进行了前测。前测结束后,实验组接受了虚拟现实技术创建的胎儿发育应用程序,对照组接受了 2 小时的理论培训。应用 6 周后,两组均进行了后测。两组的干预前得分相似。实验组的后测得分与对照组相比具有统计学意义(P < .05)。实验组的平均认知负荷分数为 1.09 ± 0.29,该应用没有造成认知负荷。虚拟现实技术胎儿发育应用程序的创新应用是助产教育中胎儿发育教学的一种有效且适用的方法。
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引用次数: 0
Academic Electronic Health Record in Mental Health Clinical: A Quality Review. 心理健康临床中的学术电子病历:质量审查。
IF 1.3 4区 医学 Q4 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Pub Date : 2024-07-01 DOI: 10.1097/CIN.0000000000001118
Carel Mountain, Rachel Hill

Developing competency in the use of EHRs is essential for entry-level professional nurses. Although nursing education has been encouraged to integrate this technology into nursing curriculum, many students still graduate feeling unprepared in this area. As a result, nursing graduates lack the skills necessary to effectively use EHRs, which may have negative consequences for safe patient care. Use of academic EMRs provides students the opportunity to integrate informatics education, develop critical thinking, and incorporate problem-solving skills in the clinical area. An academic EMR was introduced to students in the second semester of a baccalaureate degree nursing program. Students completed documentation on one patient from the mental health clinical rotation. A retrospective chart review was conducted, using a rubric to determine charting efficacy. Data analysis indicated that students struggled with documentation of the mental health assessment, care plan development, and nursing notes. Student documentation was strongest in vital signs and basic information. Students need practice documenting on the critical aspects of nursing care. Utilization of an academic EMR for clinical charting provides an opportunity for students to practice documentation and develop necessary skills for clinical practice.

培养使用电子病历的能力对于初级专业护士来说至关重要。尽管已鼓励护理教育将这项技术纳入护理课程,但许多学生在毕业时仍感到在这方面毫无准备。因此,护理专业毕业生缺乏有效使用电子病历的必要技能,这可能会对病人的安全护理造成负面影响。学术性电子病历的使用为学生提供了整合信息学教育、发展批判性思维和将解决问题的技能融入临床领域的机会。在护理学士学位课程的第二学期,我们向学生介绍了学术性 EMR。学生们完成了一名心理健康临床轮转病人的文档记录。我们使用评分标准对病历进行了回顾性审查,以确定病历的有效性。数据分析显示,学生在记录心理健康评估、护理计划制定和护理笔记方面存在困难。学生在生命体征和基本信息方面的记录能力最强。学生需要练习记录护理的关键方面。利用学术电子病历系统进行临床病历记录为学生提供了一个练习记录和发展临床实践所需技能的机会。
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引用次数: 0
Efficacy of a Telemonitoring System as a Complementary Strategy in the Treatment of Patients With Heart Failure: Randomized Clinical Trial. 远程监控系统作为心力衰竭患者辅助治疗策略的疗效:随机临床试验。
IF 1.3 4区 医学 Q4 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Pub Date : 2024-07-01 DOI: 10.1097/CIN.0000000000001115
Diana M Achury-Saldaña, Rafael A Gonzalez, Angel Garcia, Alejandro Mariño, Wilson R Bohorquez

Episodes of decompensation are the main cause of hospital admissions in patients with heart failure. For this reason, the use of mobile apps emerges as an excellent strategy to improve coverage, real-time monitoring, and timeliness of care. ControlVit is an electronic application for early detection of complications studied within the context of a tertiary university hospital. Patients were randomized to the use of ControlVit versus placebo, during a 6-month follow-up. The primary outcome was the difference in numbers of readmissions and deaths for heart failure between both groups. One hundred forty patients were included (intervention = 71, placebo = 69), with an average age of 66 years old; 71% were men. The main etiology of heart failure was ischemic (60%), whereas the main comorbidities were arterial hypertension (44%), dyslipidemia (42%), hypothyroidism (38%), chronic kidney disease (38%), and diabetes mellitus (27%). The primary outcome occurred more frequently in the control group: readmission due to decompensation for heart failure (control group n = 14 vs intervention group n = 3; P = .0081), and death (control group n = 11 vs intervention group n = 3; P = .024). In heart failure patients, ControlVit is a useful and supplementary tool, which reduces hospital admissions due to episodes of decompensation.

失代偿发作是心力衰竭患者入院的主要原因。因此,使用移动应用程序成为提高覆盖率、实时监控和及时护理的绝佳策略。ControlVit 是一款用于早期发现并发症的电子应用程序,在一家三级大学医院进行了研究。在为期 6 个月的随访中,患者被随机分配使用 ControlVit 和安慰剂。主要结果是两组患者因心力衰竭而再次入院和死亡的人数差异。140 名患者(干预组 71 人,安慰剂组 69 人)的平均年龄为 66 岁,71% 为男性。心衰的主要病因是缺血性(60%),而主要合并症是动脉高血压(44%)、血脂异常(42%)、甲状腺功能减退(38%)、慢性肾病(38%)和糖尿病(27%)。对照组的主要结局发生率更高:因心衰失代偿而再次入院(对照组 n = 14 vs 干预组 n = 3;P = .0081)和死亡(对照组 n = 11 vs 干预组 n = 3;P = .024)。对于心力衰竭患者来说,ControlVit 是一种有用的辅助工具,可以减少因失代偿而入院的情况。
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引用次数: 0
期刊
Cin-Computers Informatics Nursing
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