30 多年来，CIN: COMPUTERS, INFORMATICS, NURSING 一直处于信息科学和护理艺术的交汇处，发表有关护理信息学、研究、教育和健康信息技术管理最新发展的文章。 CIN 将您与同事联系起来，因为他们分享有关电子健康记录系统实施的知识、设计决策支持系统、将循证医疗保健纳入实践、探索实践和教育中的床旁计算，并在概念上整合护理语言和标准数据集。每期都有继续教育的联系时间。

CIN: COMPUTERS, INFORMATICS, NURSING has been at the intersection of information science and the art of nursing for over 30 years, publishing articles on the latest developments in nursing informatics, research, education, and health information technology management. CIN connects you with colleagues who share knowledge about the implementation of electronic health record systems, designing decision support systems, integrating evidence-based healthcare into practice, exploring bedside computing in practice and education, and conceptually integrating nursing languages and standard datasets. Each issue includes continuing education contact hours.

CIN: COMPUTERS, INFORMATICS, NURSING 期刊已在信息科学与护理艺术的交汇处运作超过 30 年，发表关于护理信息学、研究、教育和健康信息技术管理的最新发展文章。CIN 旨在连接同行，分享有关电子健康记录系统实施的知识、设计决策支持系统、将循证医疗纳入实践、探索实践与教育中的床旁计算，并在概念上整合护理语言和标准数据集。每期均提供继续教育的联系时间。

CIN - Computers Informatics Nursing

With few existing technology-based programs to support cancer pain management, the need for culturally tailored programs to support ethnic minority cancer survivors has been highlighted. The purpose of this study was to explore the preliminary efficacy of the technology-based CAncer Pain management support Program for Asian American survivors of breast cancer, a technology-based cancer pain management program, in improving the cancer pain experience of Asian American breast cancer survivors. This pilot study adopted a randomized repeated-measures pretest/posttest control group design with a sample of 94 Asian American breast cancer survivors. Study measures included the Brief Pain Inventory-Short Form, Support Care Needs Survey-34 Short Form, and Mishel Uncertainty in Illness Scale-Community. Data were analyzed using descriptive and inferential statistics including repeated-measures analysis of covariance. Although there were no significant differences in pain, there were significant changes in perceived isolation (F = 9.937, P < .01), personal resources (F = 6.612, P < .05), support care need (F = 8.299, P < .01), and degree of uncertainty (F = 8.722, P < .01) in the intervention group from pretest to posttest. These findings support the positive effects of CAncer Pain management support Program for Asian American survivors of breast cancer on the cancer pain experience of Asian American breast cancer survivors.

Wonshik Chee

Yaelim Lee

Xiaopeng Ji

Eunice Chee

Eun-Ok Im

CIN Computers Informatics Nursing

The Preliminary Efficacy of a Technology-Based Cancer Pain Management Program Among Asian American Breast Cancer Survivors

基于技术的癌症疼痛管理计划对亚裔美国乳腺癌幸存者的初步疗效

Effective communication skills in nursing are necessary for high-quality nursing care, but given the decline in nursing students' attitudes and their low self-confidence in effective communication with patients, a participatory and experiential training method is needed. Therefore, a virtual counseling application was developed using artificial intelligence and a three-dimensional avatar to facilitate learning of communication skills. This study aimed to evaluate the effectiveness of this theory-based virtual intervention on nursing students' learning attitudes, communication self-efficacy, and clinical performance. A longitudinal quasi-experimental study was conducted. Ninety-three undergraduate nursing students received virtual patient trainings with four clinical scenarios over 2 years. Data were analyzed using McNemar test and analysis of variance. Virtual patient training improved students' learning attitudes toward communication skills for scenarios involving the pregnant woman (20.4%, P = .03) and depressed patient (17.1%, P = .01) and enhanced perceived self-efficacy for scenarios involving the pregnant woman (22.6%, P = .002) and stressed nursing student (18.3%, P = .002). Students received lower clinical communication scores for pediatric, obstetric, and medical practicums compared with a previous cohort who received no training. Overall, this virtual counseling application can provide a valuable and cost-effective communication learning resource for the nursing curriculum.

Shefaly Shorey

Emily N. K. Ang

Esperanza Debby Ng

John Yap

Lydia S. T. Lau

Chee Kong Chui

Yiong Huak Chan

Evaluation of a Theory-Based Virtual Counseling Application in Nursing Education

基于理论的虚拟咨询应用在护理教育中的评估

This descriptive study aims to investigate the content, quality, and reliability of YouTube videos containing content related to endotracheal tube aspiration. The study was scanned using the keywords “endotracheal aspiration” and “endotracheal tube aspiration,” and 22 videos were included in the study. The contents of the selected videos were measured using the Endotracheal Tube Aspiration Skill Form, their reliability was measured using the DISCERN Survey, and their quality was measured using the Global Quality Scale. Of the 22 videos that met the inclusion criteria, 18 (81.8%) were educational, and four (18.2%) were product promotional videos. When pairwise comparisons were made, the coverage score of open aspiration videos was higher for educational videos than for product promotion videos ( P &lt; .005). Useful videos had higher reliability and quality scores than misleading videos ( P &lt; .05). In addition, the reliability and quality scores of videos uploaded by official institutions were significantly higher than those of videos uploaded by individual users ( P &lt; .05). This study found that the majority of endotracheal tube aspiration training videos reviewed in the study were published by individual users, and a significant proportion of these videos had low levels of reliability and quality.

Yasemin Kalkan Ugurlu

Hanife Durgun

Dilek Kucuk Alemdar

Analysis of YouTube Videos on Endotracheal Tube Aspiration Training in Terms of Content, Reliability, and Quality

气管内导管吸引训练相关YouTube视频的内容、可靠性和质量分析

Critical care nurses, who are at the frontline of recognizing and answering alarms, face various challenges while undertaking this task. The purpose of this qualitative study is to gain more insight into the experiences of critical care nurses working with medical equipment alarms. A qualitative, descriptive design was used to explore this area. Fifteen critical care nurses, recruited using purposive sampling, participated in semistructured interviews. These were recorded and coded, and data were analyzed using content analysis. Four themes and fifteen related subthemes emerged, including: (1) emotional experience (sub: anxiety/dysphoria, helplessness, worry, ambivalence); (2) physical symptoms (sub: hearing disorder, sleep disturbances, exhaustion, inattention); (3) new challenges (sub: multiple nursing roles, inconsistent practice guidelines, unsatisfactory human-machine interaction, nurse attribute); and (4) coping strategies (sub: positive alarm culture, effective teamwork, development of technology). Healthcare administrators should focus not only on the nurses themselves, but also on objective factors such as organization and technology, which contribute to the empowerment of ICU nurses and can encourage them to participate in clinical alarm management.

Mingzhen Li

Shaohua He

Meihua Peng

Huan Liu

Cheng Chen

Xiaofang Liu

Liming Tan

Experiences and Challenges for Critical Care Nurses in Work Related to Medical Device Alarms

重症监护护士在医疗设备报警相关工作中的经验和挑战

The use of technology in healthcare and healthcare education settings has increased rapidly across the United States and accelerated due to the COVID-19 pandemic. However, perceptions of new technologies in clinical nursing and nursing education are not well understood. Yet, understanding perceptions of registered nurses and nursing students toward advanced technology and artificial intelligence in clinical care and education is crucial if we are to implement these care delivery and educational innovations. This literature review investigates existing literature on registered nurses' and nursing students' attitudes toward advanced technology and artificial intelligence in nursing, including nursing education. Ten peer-reviewed studies published between 2017 and 2022 were reviewed. Findings revealed positive perceptions, such as improved patient care, efficiency, and reduced human error, but also concerns about job displacement, loss of human touch, and ethical/legal issues. Challenges in implementation, adequate training in technologies, and how technologies may reduce the human connection aspect of nursing care were identified. By recognizing the attitudes and perceptions of registered nurses and nursing students toward these advanced technologies, we can better ensure that it is ethically, effectively, and responsibly integrated into nursing practice and education.

Omar Abdelaziz

Sohye Lee

Sheri Howard

Leanne Lefler

Perceptions and Attitudes of Registered Nurses and Nursing Students Toward Advanced Technology and Artificial Intelligence

注册护士和护理学生对先进技术和人工智能的看法和态度

Over the past several years, hospitals have utilized agency staffing to combat staffing shortages. Increased use of agency staffing presented an opportunity for implementation of an education project related to the potential variance in practice of permanent staffing, specifically with the use of infusion interoperability in the inpatient setting at the University of Pittsburgh Medical Center St Margaret hospital. Discussion around variables causing agency nurse setbacks with utilizing infusion interoperability while trying to meet the required standard laid the groundwork for this project. Improving agency workflows allowed for process improvement including enhanced quality, documentation, and adherence. Early data analysis revealed variance in adherence between agency and permanent staffing prompting further analysis. Investigational methods included assessment of agency nurse infusion interoperability usage through interviews and observations, review of adherence reports, review of education and onboarding, and interviewing of nurse leaders. Findings suggested lack of experience, inability to troubleshoot, and underutilized resources contributed to lower adherence with agency compared with permanent staff. These findings lead the informaticists to make changes to the curriculum for new hire onboarding, increase rounding and interactions with agency staff, and increase access to resources. These interventions resulted in increased adherence scores and verbalized satisfaction by the agency nurses.

Lindsey Smith

Beth Savage

Agency Nurse Usage of Infusion Interoperability

机构护士对输液互操作性的使用

A quasi-experimental one-group pretest-posttest research design was used in this study. For the purpose of the research, a computer-based and interactive virtual reality simulation for applying oral care on an unconscious patient was developed to be integrated into the existing nursing curriculum. It was concluded that the computer-based, interactive virtual reality simulation design developed for teaching oral care application on an unconscious patient had a high impact on education and the sense of presence. It was further determined that the virtual reality simulation, developed herein, improved the students’ knowledge level on the subject ( P &lt; .05). It was concluded that the computer-based, interactive virtual reality simulation prepared for applying oral care on an unconscious patient is an effective and usable method in nursing education.

Asuman Çobanoğlu

Tarık İçten

An Interactive Virtual Reality Simulation Developed to Teach Oral Care Application Skills on Unconscious Patients: Effect on the Knowledge Level of Nursing Students

开发用于教授对无意识患者口腔护理应用技能的互动虚拟现实模拟：对护理学生知识水平的影响

The flipped classroom method to be used in the nursing informatics course can increase nursing students’ engagement and learning outcomes. This study aimed to evaluate the effect of flipped classroom education on nursing students’ readiness for the flipped classroom model of education, as well as the usability of the flipped classroom and how this model impacts the level of students’ knowledge in a nurse informatics course. The nursing students received 6 weeks of classic education and 6 weeks of flipped classroom education in the nursing informatics course. A personal information form, the System Usability Scale, and the Flipped Learning Readiness Scale were used. The study was conducted with 84 students; the students were at an average age of 21.26 years with an average background of 7 years of using technology. An increase in the students’ technology self-efficacy and readiness was observed after the implementation of the flipped classrooms. Students who received flipped classroom education rated system usability and technology self-efficacy more positively. The students’ engagement in the course had a positive effect on their readiness scores. It was discovered that the factors influencing student achievement include motivation, engagement in the course, and home Internet connection. Flipped classrooms can be used to increase students’ ability to use technology both in courses and in hospital clinics.

Yasemin Demir Avcı

Deniz Özel

Zeynep Özer

The Effect of the Flipped Classroom in a Nursing Informatics Course on Nursing Students’ Knowledge and Readiness Levels, System Usability

翻转课堂对护理信息学课程中护理学生知识水平和准备程度及系统可用性的影响

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.

Quan Yuan

Fenghua Yang

Maoling Fu

Xueru Liu

Kaiqi Chen

Qianwen Zeng

Mengwan Liu

Cuihuan Hu

Exploring Healthcare Students’ Intention to Use Virtual Reality Simulations in China

探究中国医学生使用虚拟现实模拟的意愿

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.

Abbreviation	Comput. Inform. Nurs.
Journal Impact	1.36
Quartiles(Global)	NURSING(Q3)

ISSN	1538-2931, 1538-9774
h-index	52

Publication Information	Publisher: Lippincott Williams and Wilkins Ltd.，Publishing cycle: Bimonthly，Journal Type: journal，Open Access Journals: No
Basic data	Year of publication: 2002，Proportion of original research papers: 94.85%，Self Citation Rate:15.40%， Gold OA Rate: 9.42%
Average review cycle	网友分享经验：较慢,6-12周
Average recruitment ratio	网友分享经验：容易

CIN - Computers Informatics Nursing

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