Nursing informatics

护理信息学
  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    我们正处于一个蓬勃发展的人工智能时代,特别是随着可以帮助生成内容的技术的可用性增加,比如ChatGPT。医疗机构正在讨论或已经开始在其工作流程中使用这些创新技术。主要的电子健康记录供应商已经开始利用大型语言模型来处理和分析大量的临床自然语言文本,在医疗保健环境中执行广泛的任务,以帮助减轻临床医生的负担。尽管这些技术在患者教育等应用中可能很有帮助,起草对患者问题和电子邮件的答复,病历汇总,和医学研究促进,人们担心这些工具在医疗保健领域的使用准备情况以及当前劳动力的接受程度。本文的目的是为护士提供对当前可用的基础模型和人工智能工具的理解,使他们能够评估对此类工具的需求,并评估它们如何影响当前的临床实践。这将有助于护士有效评估,工具,并评估这些工具,以确保这些技术在道德上有效地集成到医疗保健系统中,同时还严格监测他们的表现和对患者护理的影响。
    We are in a booming era of artificial intelligence, particularly with the increased availability of technologies that can help generate content, such as ChatGPT. Healthcare institutions are discussing or have started utilizing these innovative technologies within their workflow. Major electronic health record vendors have begun to leverage large language models to process and analyze vast amounts of clinical natural language text, performing a wide range of tasks in healthcare settings to help alleviate clinicians\' burden. Although such technologies can be helpful in applications such as patient education, drafting responses to patient questions and emails, medical record summarization, and medical research facilitation, there are concerns about the tools\' readiness for use within the healthcare domain and acceptance by the current workforce. The goal of this article is to provide nurses with an understanding of the currently available foundation models and artificial intelligence tools, enabling them to evaluate the need for such tools and assess how they can impact current clinical practice. This will help nurses efficiently assess, implement, and evaluate these tools to ensure these technologies are ethically and effectively integrated into healthcare systems, while also rigorously monitoring their performance and impact on patient care.
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  • 文章类型: Journal Article
    护士需要适应一个复杂和快速发展的环境,结合新的IT技术。继续,终身学习,特别是在快速发展的护理信息学领域,电子卫生及相关信息和通信技术,对护士的专业精神至关重要。该研究介绍了名为“护理信息学和信息与通信技术(ICT)护士培训”的教育项目的课程开发和实施,该项目已被设计并提供给希腊护士,作为一项持续的终身在线教育计划由国立和雅典卡波迪斯大学的健康信息学实验室。培训材料分为三个模块和29个子模块,考虑到新的进步和建议的能力,对护士来说是必要的,在护理信息学和ICT领域。到目前为止,为1388名护士提供了八个培训周期课程,免费。每门课程都集成了同步和异步远程学习方法,需要在10周内完成70小时的工作量。学员对课程的初步评价,关于其有效性,有用性,创新非常令人鼓舞。
    Nurses are required to adapt to a complex and rapidly evolving environment that incorporates new IT technologies. Continuing, lifelong learning, especially in the fast-growing fields of Nursing Informatics, eHealth and related Information and Communication Technologies, is vital to the professionalism of nurses. The study presents the curriculum development and implementation of the educational project entitled \"Training of Nurses in Nursing Informatics and Information and Communication Technologies (ICT)\" which has been designed and offered to Greek nurses as a continuing - lifelong online educational program by the Health Informatics Laboratory of the National and Kapodistrian University of Athens. The training material was created in three modules and 29 sub-modules, considering the new advancements and recommended competencies, necessary for the nurse, in the fields of Nursing Informatics and ICT. So far, eight training cycle courses have been offered to 1388 nurses, free of charge. Each course integrates synchronous and asynchronous distance learning methods and requires a workload of 70 hours over 10 weeks. The initial evaluation of the course by the participants, concerning its effectiveness, usefulness, and innovation are very encouraging.
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  • 文章类型: Journal Article
    数据驱动的决策可以改善养老院护理人员和居民的状况。然而,较小的设施通常缺乏准备和分析数据所需的技术和人力资源。我们引入了一个概念框架,以在较小的养老院中进行数据转换和分析。我们在一家德国疗养院部署了原型管道,我们证明了我们方法的可行性和有效性。
    Data-driven decision making can improve the situation for caregivers and residents in nursing homes. However, smaller facilities often lack the technical and personnel resources required to prepare and analyze data. We introduce a conceptual framework to enable data transformation and analyzation in smaller nursing homes. We deployed a prototype pipeline at a German nursing home, where we demonstrated the feasibility and effectiveness of our approach.
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  • 文章类型: Journal Article
    医疗保健中的人工智能(AI)项目,特别是在护理方面,目前获得相关性,但在用户接受度方面遇到挑战。最终用户积极参与AI的开发和实施可以提高接受度。这项研究提出了一个量表,用于衡量最终用户在项目级别上参与护理AI开发和实施的程度,由项目经理评定。它采用定性分析COARSE方法进行量表开发和评估。该文书包括两个分尺度的11个项目:最终用户积极参与的活动和赋权活动。它强调了测量的目的和结果对于解释评估的最终用户参与程度的结果的重要性。这项研究指出了未来的研究机会,强调了心理测量验证的必要性,如信度和效度。
    Artificial Intelligence (AI) projects in healthcare, particularly in nursing, currently gain relevance but encounter challenges in user acceptance. Active participation of end-users in the development and implementation of AI can enhance acceptance. This study proposes a scale to measure the degree of end-user participation in AI development and implementation for nursing on the project level, rated by project managers. It employs the qualitative-analytical COARSE method for scale development and evaluation. The instrument includes 11 items across two sub-scales: activities for active participation of end-users and empowerment activities. It highlights the importance of the measurement\'s purpose and consequences for interpreting the results of the evaluated degree of end-user participation. The study points to future research opportunities, underscored by the need for psychometric validation, such as reliability and validity.
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  • 文章类型: Journal Article
    目的:我们的目的是评估使用ChatGPT作为程序支持的可行性,为护理博士研究生使用AllofUsResearchcherWorkbench进行分析。
    方法:将9名博士级护理课程的学生前瞻性随机分为2组,他们使用ChatGPT对工作台中的交替作业进行编程支持。学生报告完成时间,信心,以及对障碍的定性思考,使用的资源,和学习过程。
    结果:使用ChatGPT的新手和某些作业的中位完成时间较短。在定性反思中,学生报告说,ChatGPT帮助生成和排除代码,并促进学习,但有时不准确。
    结论:ChatGPT提供了认知支架,使学生能够使用AllofUsResearcherWorkbench进行复杂的编程任务,但应与其他资源结合使用。
    结论:我们的研究结果支持使用ChatGPT来帮助博士护理学生使用AllofUsResearchcherWorkbench追求新的研究方向的可行性。
    OBJECTIVE: We aimed to evaluate the feasibility of using ChatGPT as programming support for nursing PhD students conducting analyses using the All of Us Researcher Workbench.
    METHODS: 9 students in a PhD-level nursing course were prospectively randomized into 2 groups who used ChatGPT for programming support on alternating assignments in the workbench. Students reported completion time, confidence, and qualitative reflections on barriers, resources used, and the learning process.
    RESULTS: The median completion time was shorter for novices and certain assignments using ChatGPT. In qualitative reflections, students reported ChatGPT helped generate and troubleshoot code and facilitated learning but was occasionally inaccurate.
    CONCLUSIONS: ChatGPT provided cognitive scaffolding that enabled students to move toward complex programming tasks using the All of Us Researcher Workbench but should be used in combination with other resources.
    CONCLUSIONS: Our findings support the feasibility of using ChatGPT to help PhD nursing students use the All of Us Researcher Workbench to pursue novel research directions.
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  • 文章类型: Journal Article
    背景:数字健康在医疗保健服务中起着至关重要的作用。许多国家的政府,包括中国,越来越多地倡导适当使用数字技术来应对重大的卫生系统挑战。将数字健康教育纳入课程对未来护士适应数字医疗系统的变化至关重要。本研究旨在评估中国在线数字健康和信息学课程对关键数字健康和信息学主题的知识和理解的影响。护理信息学能力的自我评估,护理本科生的满意度。这项研究的结果为未来数字健康教育的设计和实施提供了建议。
    方法:这项研究采用了一组,具有前评估和后评估的准实验混合方法设计。参与者在六个互动的日子里通过六个三个小时的在线课程接受了数字健康和信息学教育,之间有在线自学材料。课程前后的在线测验和焦点小组讨论旨在评估关键数字健康和信息学主题的知识和理解。此外,在课程前和课程后进行了经过验证的中文版《护理信息学能力自我评估量表》,以评估护理信息学能力自我评估.此外,所有学生都被邀请参加在线调查,并使用以表现为重点的课程评估表以及焦点小组讨论,以收集他们对学习经验和课程评估的反馈。
    结果:共有24名本科护理学生参加了该课程。所有学生都完成了本课程的所有课程,导致100%的出勤率。此外,所有学生都完成了评估前和评估后。在关键数字健康和信息学主题的知识和理解方面,知识评估测验的分数从测试前[平均测试前分数:78.33(SD6.005)]提高到课程完成后的测试后[平均测试后分数:83.17(SD4.86)](P<0.001)。此外,学生们承认,该课程提高了他们对信息学和数字健康的认识和理解,(护理)信息学在临床实践中的好处,以及医疗保健专业人员在信息学和数字健康中的作用。在护理信息学能力的自我评估方面,护理信息学态度得分显着改善(P<0.001)。此外,学生对这门课程的各个方面都非常满意,包括为未来的职业探索信息学广阔视野的机会,参与小组讨论,并分析了在临床实践中使用信息学和数字健康的案例研究。
    结论:这种在线数字健康和信息学教育有效地提高了本科护理学生对关键数字健康和信息学主题的知识和理解,护理信息学态度在护理信息学能力自我评估中具有较高的满意度。为了确保护理学生未来的数字健康和信息学教育与临床环境中的技术进步相一致,有必要促进医学院培训和临床实践之间的合作。这种合作应涉及使用临床实例来说明先进的数字健康应用,并包括在临床环境中使用数字健康技术的实践练习。
    BACKGROUND: Digital health plays a vital role in healthcare services. Governments in many countries, including China, are increasingly advocating for the appropriate use of digital technologies to address significant health system challenges. It is crucial to incorporate digital health education into the curriculum for future nurses to adapt to the changes in the digital medical system. This study aimed to evaluate the impact of an online Digital Health and Informatics Course in China on the knowledge and comprehension of key digital health and informatics topics, self-assessment of nursing informatics competencies, and satisfaction among undergraduate nursing students. The findings of this study provide recommendations for the design and implementation of future digital health education.
    METHODS: This study employed a one-group, quasi-experimental mixed-methods design with pre- and post-assessments. The participants received digital health and informatics education through six three-hour online sessions in six interactive days, with online self-learning materials in between. An online quiz and focus group discussions pre- and post the course were designed to evaluate the knowledge and comprehension of key digital health and informatics topics. Also, a validated Chinese version of the Self-assessment of Nursing Informatics Competencies Scale was conducted pre- and post-course to assess self-assessment of nursing informatics competencies. Additionally, all students were invited to participate in an online survey with a performance-focused course evaluation form as well as focus group discussions to gather their feedback on the learning experience and their evaluations of the course.
    RESULTS: A total of 24 undergraduate nursing students were enrolled in the course. All students completed all sessions of this course, resulting in an attendance rate of 100%. Additionally, all students completed both pre- and post-assessments. In terms of the knowledge and comprehension of key digital health and informatics topics, scores of the quiz on knowledge assessment improved from the pre-test [mean pretest score: 78.33 (SD 6.005)] to the post-test [mean post-test score: 83.17 (SD 4.86)] upon completion of the course (P < 0.001). Also, students acknowledged that the course enhanced their knowledge and comprehension of informatics and digital health, the benefits of (nursing) informatics in clinical practice, and the role of health care professionals in informatics and digital health. In terms of self-assessment of nursing informatics competencies, scores on nursing informatics attitudes demonstrated significant improvement (P < 0.001). Furthermore, students reported high satisfaction with various aspects of this course, including the opportunity to explore broad horizons in informatics for future careers, engaging in group discussions, and analyzing case studies on the use of informatics and digital health in clinical practice.
    CONCLUSIONS: This Online Digital Health and Informatics education effectively improved undergraduate nursing students\' knowledge and comprehension of the key digital health and informatics topics, nursing informatics attitudes in the self-assessment of nursing informatics competency with high levels of satisfaction. In order to ensure that future education in digital health and informatics for nursing students is in line with the technological advancements in clinical settings, it is necessary to foster collaboration between medical school training and clinical practice. This collaboration should involve the use of clinical examples to illustrate advanced digital health applications and the inclusion of practical exercises on the use of digital health technology in clinical settings.
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  • 文章类型: Journal Article
    在这项研究中,我们探讨了护士情绪疲惫与三个EHR兼容性子维度(护士首选的工作作风,现有临床实践,和值)。我们发现,对于首选的工作方式和现有的临床实践,情绪耗竭较高,EHR兼容性较低。但情绪疲惫与护士价值观之间没有关系。建议努力提高EHR兼容性,以减轻护士的倦怠。
    In this study we explored the relationship between nurses\' emotional exhaustion and three EHR compatibility subdimensions (nurses\' preferred work style, existing clinical practice, and values). We found higher emotional exhaustion with lower EHR compatibility for both preferred work style and existing clinical practice, but no relationship between emotional exhaustion and nurses\' values. Efforts to improve EHR compatibility are recommended to mitigate nurses\' burnout.
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