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Discrete Heart Rate Values or Continuous Streams? Representation, Variability, and Meaningful Use of Vital Sign Data
Documentation and review of patient heart rate are a fundamental process across a myriad of clinical settings. While historically recorded manually, bedside monitors now provide for the automated collection of such data. Despite the availability of continuous streaming data, patients' charts continue to reflect only a subset of this information as snapshots recorded throughout a hospitalization. Over the past decade, prominent works have explored the implications of such practices and established fundamental differences in the alignment of discrete charted vitals and steaming data captured by monitoring systems. Limited wo...
Source: CIN: Computers, Informatics, Nursing - November 1, 2021 Category: Information Technology Tags: FEATURES Source Type: research

A Comparison of Teaching Methods for a Baccalaureate Nursing Health Assessment Course
New teaching methods are designed and implemented to ensure student success and application of knowledge. One of these designs is the flipped classroom. Nursing programs are also integrating technology, including simulation, into nursing education in order to enhance student engagement. Although several research studies support flipped classroom methodology, no studies have compared traditional and flipped classroom teaching methods, as well as the use of a technology-enhanced classroom, in a baccalaureate nursing health assessment course. The purpose of this study was to compare learning outcomes and student satisfaction ...
Source: CIN: Computers, Informatics, Nursing - November 1, 2021 Category: Information Technology Tags: FEATURES Source Type: research

Effects of a Debriefing Workshop for Simulation Educators in Nursing
This study aimed to identify the effects of a 4-hour debriefing workshop on knowledge, debriefing competency, and satisfaction. A one-group pretest-posttest design was used. The debriefing workshop consisted of a lecture, a practicum for debriefing competency rating (peer evaluation, learner evaluation), a presentation, and a group discussion. A convenience sample of 22 simulation educators completed a self-administered questionnaire. The pretest-posttest difference in knowledge and debriefing competency was analyzed using a paired t test. The results indicated that simulation educators had a higher posttest than pretest k...
Source: CIN: Computers, Informatics, Nursing - November 1, 2021 Category: Information Technology Tags: FEATURES Source Type: research

Inpatient Staffing Dashboard: A Nursing–Information Technology Collaborative Project
Inadequate staffing negatively impacts hospital operations, quality of patient care, and employee engagement. Traditional staffing approaches to address clinical staffing and scheduling are not as effective in a complex healthcare environment. Organizations must leverage innovative strategies and use of technology to improve clinical staffing. To address the staffing challenges, nursing staffing and information technology at Loma Linda University Medical Center developed an inpatient staffing dashboard. A staffing dashboard is a staffing tool comprised of several tabs and staffing measures, which include filled percentage ...
Source: CIN: Computers, Informatics, Nursing - November 1, 2021 Category: Information Technology Tags: FEATURES Source Type: research

Evaluation of a Mobile Application for Heart Failure Telemonitoring
This article presents the development and evaluation of a telemonitoring application for heart failure, through a Web-based interface for clinicians and a mobile application for patients. The application was evaluated through a 6-month pilot observational descriptive study in 20 outpatients with reduced ejection fraction and two nurses, in the context of a heart failure clinic. A technological acceptance questionnaire was applied to all patients and nurses at the end of the study period. In use, the application generated 64 real-time alerts for early decision-making to prevent complications, and 91% of patients did not pre...
Source: CIN: Computers, Informatics, Nursing - November 1, 2021 Category: Information Technology Tags: FEATURES Source Type: research

Mobile Health Applications, Cancer Survivors, and Lifestyle Modification: An Integrative Review
The objectives of this integrative review were to synthesize research findings, critically appraise the scientific literature, examine the use of theory in intervention design, and identify survivors' preferences in using mobile health interventions for lifestyle improvement. Nineteen articles met eligibility requirements. Only two studies used quantitative methods. Study quality was low, and only one study reported the use of theory in app design. Unfortunately, the evidence has not yet sufficiently matured, in quality or in rigor, to make recommendations on how to improve health behaviors or outcomes. However, six themes...
Source: CIN: Computers, Informatics, Nursing - November 1, 2021 Category: Information Technology Tags: FEATURES Source Type: research

Measuring Nurses' Experiences With Unintended Adverse Consequences in EMR Use in Acute Care Settings
This study examined nurses' experiences with unintended adverse consequences associated with EMR implementation. The participants were 155 nurses using the EMR for patient care in three public hospitals. The statistically tested 21-item instrument and the same 21 open-ended questions were used for data collection. The data collected were analyzed using descriptive statistics and two-way analysis of variance, and the descriptions were grouped by meaning. The participants frequently experienced unintended adverse consequences that resulted from EMR use, and their experiences were organized into 11 subgroups under four dimens...
Source: CIN: Computers, Informatics, Nursing - November 1, 2021 Category: Information Technology Tags: FEATURES Source Type: research

Perception of Nurses in a Federal and State-Owned Hospital in Nigeria Toward Electronic Health Record Integration
This study assesses the perceptions and plausible barriers to the proper integration of the electronic health record among nurses in University College Hospital and Adeoyo Maternity Teaching Hospital, both located in Ibadan, Oyo State, in the Western part of Nigeria. The level of association between variables (age, level of academic qualification, and work experience) and nurses' perceptions of electronic health record was also tested. This was a descriptive cross-sectional study that used a simple random sampling technique to recruit 384 nurses, who completed a well-structured questionnaire. Approximately 57.0% of the res...
Source: CIN: Computers, Informatics, Nursing - November 1, 2021 Category: Information Technology Tags: FEATURES Source Type: research

Integrating an Innovative, Cost-Effective Electronic Documentation System for Undergraduate Nursing Students
Over the past 15 years, the use of electronic medical record systems in the healthcare setting has grown exponentially. Accurate input of patient data is critical to facilitate safe care and effective communication among all members of the healthcare team. To keep pace with the practice environment, nursing students must have the opportunity to document health-related information in an electronic medical record early in the educational program. The purpose of this project was to create a cost-effective electronic medical record system for undergraduate nursing students to learn appropriate documentation of patient-related ...
Source: CIN: Computers, Informatics, Nursing - November 1, 2021 Category: Information Technology Tags: FEATURES Source Type: research

The Effects of Computer-Based Simulation Game and Virtual Reality Simulation in Nursing Students' Self-evaluated Clinical Reasoning Skills
Research has shown that nursing students can learn clinical reasoning skills by engaging in simulation games. However, there has been no research regarding the effects of simulation games on clinical reasoning skills when nursing students also engage in virtual reality simulations. Furthermore, by engaging in simulation games, neither game metrics nor their impact on students' self-evaluated clinical reasoning skills has been studied. The purpose of this study was to evaluate the effects of these two kinds of simulation games using a one-group pretest-posttest design. Forty nursing students self-evaluated their clinical re...
Source: CIN: Computers, Informatics, Nursing - November 1, 2021 Category: Information Technology Tags: FEATURES Source Type: research

A Preference-Sensitive Online Instrument to Support Shared Decision Making for Patients With Pelvic Organ Prolapse: A Pilot Multicenter Randomized Controlled Trial
This study aimed to assess the feasibility of a randomized controlled trial to measure the effectiveness of the instrument. A pilot randomized controlled trial was conducted at three Danish gynecological clinics to assess feasibility through recruitment rates, per-protocol use and women's perception of (1) support for decision-making, (2) shared decision-making (Shared Decision-Making Questionnaire), and (3) satisfaction with their decisions. In addition, a focus group interview with participating gynecologists (five gynecologists) was conducted. We invited 226 women and recruited 46 (20%). The most common reason (45%) for...
Source: CIN: Computers, Informatics, Nursing - November 1, 2021 Category: Information Technology Tags: FEATURES Source Type: research

Nurses and Nursing Students' Attitudes and Beliefs Regarding the Use of Technology in Patient Care: A Mixed-Method Systematic Review
Advancements in information technology and computer science have resulted in the development of computerized healthcare information systems. Information technology can optimize patient care through providing immediate electronic education. The purpose of this mixed-methods systematic review was to synthesize evidence from studies exploring nurses and nursing students' attitudes and beliefs regarding the use of technology in patient care. Electronic databases Academic Search Complete, CINAHL, MEDLINE, Education Full Text, PsycARTICLES, Psychology and Behavioral Sciences Collection, PsycINFO, and ERIC were searched. The meth...
Source: CIN: Computers, Informatics, Nursing - November 1, 2021 Category: Information Technology Tags: FEATURES Source Type: research

Using Newly Developed Software to Enhance the Efficiency of the Nursing Process in Patient Care: A Randomized Clinical Trial
This study aimed to determine the effectiveness of applying newly developed nursing process software on the efficiency of the nursing process in patient care. In this randomized clinical trial, 80 nursing students were randomly allocated into intervention (n = 40) and control (n = 40) groups. The student in the intervention group used the software to care for patients for two semesters. Students in the control group used routine hospital protocol to care for their patients. Modified Brooking nursing process measuring scale was used to evaluate the effectiveness of software before and after the intervention. The results sho...
Source: CIN: Computers, Informatics, Nursing - November 1, 2021 Category: Information Technology Tags: FEATURES Source Type: research

Evolution of Nursing Workload Indicators Since the Implementation of the Electronic Health Record at a Tertiary Hospital in Spain
In conclusion, since the implementation of the EHR, an increase in the workload of nursing professionals—estimated through indirect indicators—has been observed due to greater documentation. (Source: CIN: Computers, Informatics, Nursing)
Source: CIN: Computers, Informatics, Nursing - November 1, 2021 Category: Information Technology Tags: FEATURES Source Type: research

Reducing Hospital Visit Rates in Hospice Patients Using Telemedicine
In conclusion, a telemedicine hospice care application may benefit a palliative and hospice organization by enhancing patient clinical outcomes and decreasing emergency department visit rates. (Source: CIN: Computers, Informatics, Nursing)
Source: CIN: Computers, Informatics, Nursing - November 1, 2021 Category: Information Technology Tags: FEATURES Source Type: research