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Implementing Technology in Practice: Factors Associated with Clinicians’ Satisfaction with an AI Wound Assessment Solution 在实践中实施技术:与临床医生对人工智能伤口评估解决方案满意度相关的因素
Pub Date : 2023-07-28 DOI: 10.29011/2688-9501.101452
Heba Tallah Mohammed, Amy E. Cassata, Robert D. J. Fraser, D. Mannion
Introduction: A digital wound care management application (Swift) leveraging Artificial Intelligence (AI) technology is used by healthcare providers to improve the quality of wound care. Methods: Our observational cross-sectional study invited clinicians using Swift to evaluate wounds at their practice to participate in an online survey to assess their practice patterns, overall satisfaction with the solution, and perspectives on the perceived benefits of using it through a five-point Likert scale and open-ended questions. Results: Overall, our study recorded 81% satisfaction among clinicians. Our findings noted a significantly higher satisfaction (85.5% vs. 76.5%, P=0.034) and agreement on perceived clinical benefits, such as tracking clinical changes in wounds (88.7% vs. 83.6%, P=0.045), saving time in assessing wounds (81.1% vs.71.6%, P=0.023), and effective collaboration (76.1% vs. 70.4%, P=0.044), among those who used the solution for more than nine months compared to those who used the solution for less than nine months. Using the logistic regression model, the likelihood of clinicians’ satisfaction with the technology increased two-fold with the prolonged use of the technology (OR 2.334, 95% CI 1.940-5.792, P = 0.042) and when the solution was seen to enable more efficient collaboration (OR 2.291, 95% CI 2.928-5.656, P = 0.047). Conclusion: Clinician satisfaction with technology changes over time. Therefore, it is essential when implementing a new technology to investigate its ability to meet clinical needs and improve the user experience. A holistic understanding of what drives clinician satisfaction in practice is essential.
简介:利用人工智能(AI)技术的数字伤口护理管理应用程序(Swift)被医疗保健提供者用于提高伤口护理质量。方法:我们的观察性横断面研究邀请临床医生在他们的实践中使用Swift来评估伤口,参与一项在线调查,以评估他们的实践模式,对解决方案的总体满意度,以及通过五点李克特量表和开放式问题来评估使用它的感知益处的观点。结果:总体而言,我们的研究记录了81%的临床医生的满意度。我们的研究结果表明,使用该溶液超过9个月的患者与使用该溶液少于9个月的患者相比,在满意度(85.5%对76.5%,P=0.034)和感知到的临床益处(如跟踪伤口的临床变化(88.7%对83.6%,P=0.045),节省伤口评估时间(81.1%对71.6%,P=0.023)和有效协作(76.1%对70.4%,P=0.044)方面的一致性显著更高。使用逻辑回归模型,临床医生对该技术的满意度随着技术使用时间的延长而增加两倍(OR 2.334, 95% CI 1.940-5.792, P = 0.042),当解决方案被视为能够更有效地协作时(OR 2.291, 95% CI 2.928-5.656, P = 0.047)。结论:临床医师对技术的满意度随时间而变化。因此,在实施一项新技术时,调查其满足临床需求和改善用户体验的能力是至关重要的。一个整体的理解是什么驱动临床医生的满意度在实践中是必不可少的。
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引用次数: 0
A Randomized Control Trial for a Comprehensive Fall Prevention Model for Self-Supporting Older Adults (PMACTIVAS): A Study Protocol 自立型老年人跌倒综合预防模型(PMACTIVAS)的随机对照试验:一项研究方案
Pub Date : 2023-07-17 DOI: 10.29011/2688-9501.101448
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引用次数: 0
Preparing Baccalaureate Nursing Students to Care for Patients in the Primary Care Setting Blanca Miller1*, Norma Martinez Rogers2 准备护理学士学位学生在初级保健环境中护理患者Blanca Miller1*,Norma Martinez Rogers2
Pub Date : 2023-07-13 DOI: 10.29011/2688-9501.101440
B. Miller, N. Rogers
Nursing education must consider different models that incorporate techniques to enhance skills of partnership for nursing graduates’ working with varied healthcare professionals in a multifaceted healthcare system. Methodist College, in partnership with Unity Point Health, recruited, prepared, and educated nursing students to deliver community-based primary care in the areas of chronic disease prevention, mental health, and substance abuse through Nurse Education, Practice, Quality, and Retention (NEPQR)-RNs in Primary Care Project. This project provided continuing education modules designed to enhance and expand on concepts of wellness, patient-centered care, care coordination, data analytics, quality improvement, and COVID-19 in relationship to population and community-based health and established educational and organizational opportunities for registered nurses working in community-based primary care. The registered nurses served as preceptors for students participating in the project. The project prepared prelicensure nursing students for delivering community-based primary care and enhanced the role of the registered nurse in primary care and public health settings.
护理教育必须考虑不同的模式,这些模式结合了提高护理毕业生在多方面医疗系统中与不同医疗专业人员合作的合作技能的技术。卫理公会学院与Unity Point Health合作,招募、准备和教育护理学生,通过护士教育、实践、质量和保留(NEPQR)-初级保健项目中的RN,在慢性病预防、心理健康和药物滥用领域提供基于社区的初级保健。该项目提供了继续教育模块,旨在增强和扩展与人口和社区健康相关的健康、以患者为中心的护理、护理协调、数据分析、质量改进和新冠肺炎的概念,并为社区初级护理的注册护士提供了教育和组织机会。注册护士担任参与该项目的学生的导师。该项目为护理专业学生提供基于社区的初级保健做好了准备,并加强了注册护士在初级保健和公共卫生环境中的作用。
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引用次数: 0
Improving Nursing Student’s Confidence with Dosage Calculation After Implantation of a Comprehensive Teaching Strategy 应用综合教学策略提高护生剂量计算的自信心
Pub Date : 2023-07-13 DOI: 10.29011/2688-9501.101447
Deborah Smith, Alice E. Petillo, E. Caufield
Correct calculation of doses is crucial for nursing students to administer medications safely. Studies show students’ prior experience with mathematical calculations and their self-beliefs in their own mathematics abilities correlate with student success on dosage calculation assessments. Few studies have evaluated a pedagogical strategy designed to strengthen math confidence and learning outcomes of those undergraduate nursing students. The purpose of this study was to describe the experience of nursing students acquiring confidence with dosage calculation skills after the implementation of a comprehensive dosage calculation teaching strategy. Participants ( n =12) were recruited from a four-year nursing program to measure student confidence and experience with a comprehensive dosage calculation teaching strategy using a mixed methods exploratory descriptive survey design. Descriptive statistics and measures of central tendency were used to analyze quantitative data. Grounded Theory methods were used to analyze qualitative data. Students reported high levels of confidence post intervention in the majority of dosage calculation skills. Repetition and review of dosage calculations concepts improved student confidence with dosage calculation.
正确计算剂量对于护理专业学生安全用药至关重要。研究表明,学生先前的数学计算经验和他们对自己数学能力的自信与学生在剂量计算评估中的成功相关。很少有研究评估旨在增强护理本科生数学信心和学习成果的教学策略。本研究的目的是描述在实施全面的剂量计算教学策略后,护生对剂量计算技能获得信心的经历。参与者(n=12)来自一个为期四年的护理项目,通过混合方法探索性描述性调查设计,测量学生对全面剂量计算教学策略的信心和经验。使用描述性统计和中心趋势测量来分析定量数据。基础理论方法用于分析定性数据。学生们报告说,干预后对大多数剂量计算技能的信心很高。重复和复习剂量计算概念提高了学生对剂量计算的信心。
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引用次数: 0
The Relationship between Restless Legs Syndrome And Pre-Eclampsia: A Mini-Review 不宁腿综合征和先兆子痫之间的关系:一个小回顾
Pub Date : 2023-07-12 DOI: 10.29011/2688-9501.101446
Adam Jagodziński, Bogusław Pałczyński, M. Murawski
Relationship
关系
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引用次数: 0
Investigating the Correlation between Post-mortem Interval and RIN Values: A Pilot Study 尸检时间间隔与RIN值相关性的初步研究
Pub Date : 2023-07-10 DOI: 10.29011/2688-9501.101444
Megan Szymanski, Dean Hawley, G. Sandusky
Correlation
相关性
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引用次数: 0
Coachable or Uncoachable? A Qualitative Study of A Life Coaching Intervention for Young Adults With Type 1 Diabetes 可教还是不可教?青年1型糖尿病患者生活指导干预的定性研究
Pub Date : 2023-07-05 DOI: 10.29011/2688-9501.101438
Trine A Gregersen, J. Thomsen, Karin Waidtløw, Claus Bogh, J. Ammentorp, P. Kofoed, C. Timmermann
Study of A Life Coaching Intervention for Young Adults With Type 1 Diabetes. Int J
1型糖尿病青年人生活指导干预研究。Int J
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引用次数: 0
An In Vitro Evaluation and Comparison of Commercially Available Needleless Connectors with and Without Anti-Reflux Technology 市售无针连接器与不含抗反流技术的体外评价与比较
Pub Date : 2023-07-05 DOI: 10.29011/2688-9501.101439
Joshua K. Hughey, S. Gibson, N. Moureau, B. Buzas
Needleless Connectors with
无针连接器
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引用次数: 0
The Clinical and Economic Burdens of Infiltration and Extravasation with Peripheral Intravenous Catheters: A Contemporary Narrative Review 外周静脉导管浸润和外渗的临床和经济负担:当代叙事回顾
Pub Date : 2023-07-03 DOI: 10.29011/2688-9501.101436
A. Bahl, Labib Haddad, K. Hoerauf, Alicia Mares, K. Alsbrooks
Infiltration and extravasation are complications of peripheral intravenous catheter (PIVC) use, and some of the most common causes of catheter failure. The objective of this contemporary review is to characterize the incidence, risk factors, and clinical and economic consequences of PIVC-related infiltration and extravasation, as well as strategies for prevention. Recent evidence demonstrates that infiltration incidence ranges from 13% to 20%. Extravasation is less frequent, with a reported incidence of up to 4.5%. There are numerous patient and procedure-related factors that increase the risk of infiltration and extravasation, which are caused by
浸润和外渗是外周静脉导管(PIVC)使用的并发症,也是导管失效的一些最常见原因。这篇当代综述的目的是描述PIVC相关浸润和外渗的发生率、风险因素、临床和经济后果,以及预防策略。最近的证据表明,渗透发生率在13%到20%之间。外渗的发生率较低,据报道高达4.5%。有许多与患者和手术相关的因素会增加浸润和外渗的风险,这些因素是由
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引用次数: 1
Collective Responsibility for Indigenous Health: A Philosophical Inquiry 土著居民健康的集体责任:哲学探究
Pub Date : 2023-07-03 DOI: 10.29011/2688-9501.101437
X. Hou, R. Bainbridge
The improvement of Indigenous people’s health and the closing of the gap with non-Indigenous peoples is a collective responsibility of a society, drawing from various philosophical perspectives. Bentham’s utilitarianism will prioritise actions that maximise overall health outcomes via allocating resources and interventions in a way that produces the greatest overall benefit for the largest number of people, which could be at the expense of minority groups, such as Indigenous people. Kant’s philosophy of moral duty and categorical imperative recognise the inherent worth and dignity of every individual. The principle is treating people as ends in themselves, rather than mere means to an end. It calls for respecting Indigenous autonomy, cultural values, and right to self-determination in healthcare decision-making. Aristotle’s virtue ethics focuses on the cultivation of virtuous character and the pursuit of the common good. The society’s virtues include social justice, compassion and solidarity. Michael Sandel’s moral reasoning reinforces the idea of collective responsibility for Indigenous health by highlighting the importance of social justice. A just society, according to Sandel, ensures fair distribution of goods and services, including healthcare, and actively works to rectify inequities.
从各种哲学角度来看,改善土著人民的健康和缩小与非土著人民的差距是一个社会的集体责任。边沁的功利主义将优先采取行动,通过分配资源和干预措施,为最多的人带来最大的整体利益,从而最大限度地提高整体健康结果,这可能会以牺牲土著等少数群体为代价。康德的道德责任和绝对命令哲学认识到每个人固有的价值和尊严。原则是将人视为目的,而不仅仅是达到目的的手段。它呼吁在医疗决策中尊重土著自治、文化价值观和自决权。亚里士多德的美德伦理学注重道德品质的培养和对共同利益的追求。社会的美德包括社会正义、同情和团结。迈克尔·桑德尔的道德推理通过强调社会正义的重要性,强化了对土著健康的集体责任理念。桑德尔表示,一个公正的社会确保商品和服务的公平分配,包括医疗保健,并积极努力纠正不公平现象。
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International journal of nursing and health care research
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