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Computers, Informatics, Nursing: CIN

Gianluca Pucciarelli, Silvio Simeone, Michele Virgolesi, Giuseppe Madonna, Maria Grazia Proietti, Gennaro Rocco, Alessandro Stievano
In this study, we describe smartphone-related activities for nurses' work and nonwork purposes; analyzed the differences between smartphone use and nurses' age, gender, and working environment; and observed the influences that personal digital devices have on nurses' performance. We conducted a cross-sectional and correlational study. A convenience sample of nurses was recruited, composed of 256 nurses, mostly women (74.6%) younger than 30 years of age (59%). This study showed that the most frequent work-related smartphone activity was searching for work-related drug references...
September 7, 2018: Computers, Informatics, Nursing: CIN
Hyojin Son, Eun-Shim Nahm
Patient portals can be beneficial for older adults who manage their own health. However, there is a lack of research on older adults' experience using patient portals in the community. The aim of this study was to assess older adults' perceived usability of patient portals they currently use. This was a secondary data analysis using selected baseline data from an online trial that tested the effects of a 3-week Theory-Based Patient Portal eLearning Program, and included 272 older adults recruited online. Data were analyzed using descriptive statistics and content analysis...
September 4, 2018: Computers, Informatics, Nursing: CIN
Amanda M Kirby, Bradley Kruger, Renuka Jain, Daniel P OʼHair, Bradi B Granger
Clinical decision support systems are used to ensure compliance with guidelines and can assist providers in improving quality of care. This quality improvement initiative was designed to evaluate the use of a clinical decision support system to improve specialist referral rate for patients with severe aortic stenosis. A clinical decision support system for cardiology and primary care providers was implemented to improve diagnosis of severe aortic stenosis. The ordering provider received an electronic medical record in-basket alert providing feedback and recommendations for referral to specialist for evaluation...
August 22, 2018: Computers, Informatics, Nursing: CIN
Bryan A Wilbanks, Susan P McMullan
The To Err Is Human report stated that 98 000 patients die yearly because of medical errors, and that medication errors kill more people than workplace injuries. The inadequate design and utilization of the electronic health record have been identified as major contributing factors to medical errors. Increased cognitive workload of clinicians has consistently been linked to the occurrence of medical errors. The purpose of this article was to synthesize the current state of the science on measuring clinicians' cognitive workload associated with using electronic health records in order to inform evidence-based guidelines...
August 22, 2018: Computers, Informatics, Nursing: CIN
Yushi Yang, Ellen J Bass, Kathryn H Bowles, Paulina S Sockolow
Home care nurses have multiple goals at the patient admission visit. Electronic health records support some of these goals, including high-quality documentation, but nurses may not complete the electronic documentation at the point of care. To characterize admission nurses' practices at the point of care and lay the foundation for design recommendations, this study investigates admission nurses' documentation strategies with respect to entering electronic data and how nursing goals affect them. We conducted 10 observations of home care agency admissions with five admission nurses in rural Pennsylvania...
August 1, 2018: Computers, Informatics, Nursing: CIN
Da Tao, Juan Yuan, Fenglian Shao, Debiao Li, Qi Zhou, Xingda Qu
Despite the proliferation of health and nursing informatics applications in the past decade, factors influencing consumer acceptance of the applications are not well understood. This study was conducted to investigate factors affecting acceptance of a consumer-used nursing informatics application (ie, online health information portal) within the framework of the Technology Acceptance Model. A cross-sectional study was conducted in which 201 Chinese young adults were invited to participate in usability testing with a typical health information portal and to complete a self-report questionnaire measuring the model's constructs and five hypothesized variables drawn from consumer and portal characteristics...
August 1, 2018: Computers, Informatics, Nursing: CIN
Yao-Kuang Sun, Wei-Chu Shih, Kuang-Hua Cheng
Proper clinical transfers of patient care (known as handovers) are important to patient safety. The aim of this study was to investigate the efficacy and satisfaction of an electronic system for clinical transfers of patients with complex surgical procedures. The design was a single-center observational study auditing the handover process. The electronic handover system combined with an electronic health record system was developed to help verbal handover. The system has a checklist to guide the structured handover process and provided information from the health record system...
August 1, 2018: Computers, Informatics, Nursing: CIN
Kai-Yin Lin, Daniel Chia-En Teng
The purpose of this study was to use Quick Response codes to increase engagement in a case-based learning course. A quasi-experiment was conducted, and 103 students enrolled in a pharmacology course participated. The students were divided into high-, medium-, and low-scoring groups, based on their previous semester grades in the pharmacology course. A Chinese-version questionnaire of the Nursing Students' Attitude Toward Quick Response Codes in Case-Based Learning Scale was used. The major findings were as follows: (1) Most participants held positive attitudes toward the use of Quick Response codes in case-based learning courses...
August 1, 2018: Computers, Informatics, Nursing: CIN
Marva Foster
Self-care is vital for the successful management of heart failure. Mobile health can enable patients with heart failure to perform effective self-care. This article describes the theory-guided development and beta testing of a mobile application intervention to support self-care and increase symptom awareness in community-dwelling patients with heart failure. Ten participants entered physiologic data, answered qualitative questions about symptoms, and reviewed heart failure education within the HF App daily...
July 24, 2018: Computers, Informatics, Nursing: CIN
Benjamin J Galatzan, Jane M Carrington
Miscommunication that occurs during the exchange of information between healthcare providers accounts for approximately 80% of adverse events in the healthcare setting. Nurses devote 10% to 15% of the workday to the nurse-to-nurse hand-off communication. The hand-off itself has remained virtually unchanged for the past 20 years, although the process is prone to errors. The introduction of the electronic health record and mandates to decrease errors and improve patient outcomes has led to an influx of research on the nurse-to-nurse hand-off communication...
July 24, 2018: Computers, Informatics, Nursing: CIN
Ming-Hsiang Tu, Polun Chang, Ying-Li Lee
This study examined staff perceptions of planned obsolescence during a transition from old to new handheld devices for long-term mobile healthcare. Questionnaires based on the technology acceptance model were used to evaluate perceived ease of use and usefulness. This study recruited 120 staff from 26 long-term care facilities who used the old device and 86 staff from nine of the 26 original facilities who used the new device. Although the new devices with advanced features scored significantly higher in acceptance ratings, users still expressed high acceptance of, satisfaction with, and willingness to use the old device, which featured an effective and carefully designed user interface...
July 24, 2018: Computers, Informatics, Nursing: CIN
Jen-Chun Lin, Ting-Ting Lee, Mary Etta Mills
When a medication administration error occurs, patient safety is endangered. Barcode medication administration system usage has been implemented to reduce medication errors. The purpose of this study was to evaluate barcode medication administration system usage outcomes. A survey based on DeLone and McLean's model of information systems success was utilized. The questionnaire, composed of 27 items, explored system quality, information quality, service quality, user satisfaction, and usage benefits. It was completed by 232 nurses...
July 14, 2018: Computers, Informatics, Nursing: CIN
Dijle Ayar, Gülçin Özalp Gerçeker, Emine Zahide Özdemir, Murat Bektaş
This study examined the effect of problematic Internet use, social appearance anxiety, and social media use on nursing students' nomophobia levels. This study was conducted with 755 undergraduate nursing students. Sociodemographic data were evaluated using percentages and means. The effect of problematic Internet use, social appearance anxiety, and social media use on nomophobia levels was assessed by simple linear regression analysis. The mean age of participants was 21.4 ± 1.3; 82.5% were female, and 59...
July 12, 2018: Computers, Informatics, Nursing: CIN
Marianne Ota, Blake Peck, Joanne Porter
In Australia, the emerging use of technology in higher education has brought about significant change in the delivery of undergraduate nursing programs. Universities are now tasked with delivering a blend of online and face-to-face education, while students face new and sometimes challenging online learning environments with little technical support. This article explores the attitudes held by Bachelor of Nursing students toward the blended educational mode at a rural university in Victoria, Australia. A total of 109 participants constituted a convenience sample from a Bachelor of Nursing program across all 3-year levels...
July 6, 2018: Computers, Informatics, Nursing: CIN
Megha Kalsy, Jau-Huei Lin, Bruce E Bray, Katherine A Sward
Core measures are standard metrics to reflect the processes of care provided by hospitals. Hospitals in the United States are expected to extract data from electronic health records, automated computation of core measures, and electronic submission of the quality measures data. Traditional manual calculation processes are time intensive and susceptible to error. Automated calculation has the potential to provide timely, accurate information, which could guide quality-of-care decisions, but this vision has yet to be achieved...
June 21, 2018: Computers, Informatics, Nursing: CIN
Beth A Evans, Claudia J Beverly, Pao-Feng Tsai, Mallikarjuna Rettiganti, Leanne L Lefler, Rachida F Parks
Adoption of electronic personal health records by older adults offers multiple advantages to healthcare and is being encouraged by federal agencies and health associations. However, obstacles have limited older adults' rates of adoption to approximately 10%. This study examined the initial proficiency of older adults at entering 21 standard health elements into an electronic personal health record. Entry completeness, accuracy, elapsed time, and help requests were measured. A combination of standard technology adoption model and older adult characteristics accounted for 52% of variability in proficiency at entering electronic personal health record data...
June 21, 2018: Computers, Informatics, Nursing: CIN
(no author information available yet)
No abstract text is available yet for this article.
September 2018: Computers, Informatics, Nursing: CIN
Diane J Skiba, Judy Murphy
No abstract text is available yet for this article.
September 2018: Computers, Informatics, Nursing: CIN
Megan M Keenan, Mark Firchau, Robert Kimura, Louis Fogg, Jennifer Rousseau
No abstract text is available yet for this article.
September 2018: Computers, Informatics, Nursing: CIN
Donna Badowski, Trisha Leann Horsley, Kelly L Rossler, Bette Mariani, Laura Gonzalez
Informatics is a core competency for nursing students recognized by several national organizations in healthcare and nursing education. Nurses must be able to use information and technology to communicate and manage knowledge in support of clinical decisions. Many hospitals either limit or deny nursing students' access to the electronic health record during traditional clinical learning. Simulation-based learning experiences are an alternative to traditional clinical experiences. What remains unclear is how nursing programs are incorporating electronic health record platforms within simulation...
September 2018: Computers, Informatics, Nursing: CIN
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