Global Trends and Hotspots in Nursing Research on Decision Support Systems: A Bibliometric Analysis in CiteSpace.

Decision support systems have been widely used in healthcare in recent years; however, there is lack of evidence on global trends and hotspots. This descriptive bibliometric study aimed to analyze bibliometric patterns of decision support systems in nursing. Data were extracted from the Web of Science Core Collection. Published research articles on decision support systems in nursing were identified. Co-occurrence and co-citation analysis was performed using CiteSpace version 6.1.R2. In total, 165 articles were analyzed. A total of 358 authors and 257 institutions from 20 countries contributed to this research field. The most productive authors were Andrew Johnson, Suzanne Bakken, Alessandro Febretti, Eileen S. O'Neill, and Kathryn H. Bowles. The most productive country and institution were the United States and Duke University, respectively. The top 10 keywords were "care," "clinical decision support," "clinical decision support system," "decision support system," "electronic health record," "system," "nursing informatics," "guideline," "decision support," and "outcomes." Common themes on keywords were planning intervention, national health information infrastructure, and methodological challenge. This study will help to find potential partners, countries, and institutions for future researchers, practitioners, and scholars. Additionally, it will contribute to health policy development, evidence-based practice, and further studies for researchers, practitioners, and scholars.

Evaluating Informatics Competencies Requirements for Hospital Nurse Managers in Japan.

This study classifies the nursing informatics competency requirements for nurses and healthcare leaders in the United States according to each of the four levels listed in the "Management Ladder for Hospital Nurse Managers (JNA version)" published by the Japanese Nursing Association. Computer skills were included in Level I. Fifteen informatics knowledge items and four informatic competency items that could not be classified for the levels of the management ladder for nurse managers in Japan. This list of nursing informatics competencies, categorized according to the management levels of hospital nurse managers, can be used to provide nursing informatics training to them.

Nursing Informatics: Competency Challenges for Nursing Faculty.

Nursing is the largest workforce in health care with nurses increasingly required to work with digital health technologies. However, despite the adoption of nursing informatics in Australia in the mid-1980s, nursing graduates are not being adequately equipped to use these technologies in a way that benefits the profession and improves patient care. Using a scoping review approach, this paper presents an analysis of contemporary published literature and describes the barriers to faculty engagement with digital health technologies in undergraduate nursing education. Thirty five articles were included and identified faculty lack of understanding of nursing informatics and resistance to technologies, limited infrastructure and expenditure, and limited educational resources and best practice recommendations as significant barriers to the integration of nursing informatics into undergraduate nursing curricula. Recommendations for faculty development will be explored.

Creating Case Studies for Digital Health and Technology Competency in Nursing.

BACKGROUND: Nursing programs and their faculty must ensure that graduates have the informatics, digital health, and health care technologies competencies needed by health systems. PROBLEM: A gap exists in nursing faculty knowledge, skills, and abilities for incorporating informatics, digital health, and technologies across curricula because of low focus on this area in faculty development initiatives and rapid adoption and evolution of technologies in health care systems. APPROACH: The Nursing Knowledge Big Data Science initiative Education Subgroup used a process to create case studies for including informatics, digital health, and the concomitant clinical reasoning/critical thinking competencies across curricula. OUTCOMES: Three case study examples were created using the process. CONCLUSIONS: The process for creating case studies that incorporate required informatics, digital health, and health care technologies can be used by nursing educators for teaching across their curricula and to assess student competency.

Nursing Informatics' Contribution to One Health.

OBJECTIVES: To summarise contemporary knowledge in nursing informatics related to education, practice, governance and research in advancing One Health. METHODS: This descriptive study combined a theoretical and an empirical approach. Published literature on recent advancements and areas of interest in nursing informatics was explored. In addition, empirical data from International Medical Informatics Association (IMIA) Nursing Informatics (NI) society reports were extracted and categorised into key areas regarding needs, established activities, issues under development and items not current. RESULTS: A total of 1,772 references were identified through bibliographic database searches. After screening and assessment for eligibility, 146 articles were included in the review. Three topics were identified for each key area: 1) education: "building basic nursing informatics competence", "interdisciplinary and interprofessional competence" and "supporting educators competence"; 2) practice: "digital nursing and patient care", "evidence for timely issues in practice" and "patient-centred safe care"; 3) governance: "information systems in healthcare", "standardised documentation in clinical context" and "concepts and interoperability", and 4) research: "informatics literacy and competence", "leadership and management", and "electronic documentation of care". 17 reports from society members were included. The data showed overlap with the literature, but also highlighted needs for further work, including more strategies, methods and competence in nursing informatics to support One Health. CONCLUSIONS: Considering the results of this study, from the literature nursing informatics would appear to have a significant contribution to make to One Health across settings. Future work is needed for international guidelines on roles and policies as well as knowledge sharing.

Information technologies as organizational support for the COVID-19 coping actions: Nurses' discourse / Tecnologias da informação como apoio organizacional das ações de enfrentamento da COVID-19: discurso de enfermeiros / Tecnologías de la información como apoyo organizacional para luchar contra el COVID-19: el discurso de los enfermeros

Abstract Objective: to analyze nurses' discourse about the potentialities in using information technologies as organizational support for the COVID-19 coping actions in Primary Health Care. Method: a qualitative and exploratory study conducted in the Family Health Strategy units from the city of João Pessoa, Paraíba, Brazil. Data collection was carried out from September to November 2021 with 26 nurses selected through the snowball technique, resorting to a semi-structured interview script. The empirical material was organized in the Atlas.ti 9 software and grounded on the theoretical-methodological contribution of Discourse Analysis, French Line. Results: three discursive blocks were evidenced: innovation based on social media; health education actions; resoluteness in organizational actions, presenting the relevance of the WhatsApp®, Instagram® and Facebook® apps as strategic resources, in order to collaborate in the Primary Health Care are with the organization of health actions against COVID-19 by nurses. Conclusion: health units have the potential to strengthen the assistance provided through digital organizational devices; however, they need political support that invests in the structure and strategies to enhance organization of the health actions.

Resumo Objetivo: analisar o discurso de enfermeiros acerca das potencialidades na utilização das tecnologias da informação como apoio organizacional das ações de enfrentamento da COVID-19 na Atenção Primária à Saúde. Método: estudo qualitativo e exploratório, realizado nas unidades da Estratégia Saúde da Família, na cidade de João Pessoa, Paraíba, Brasil. A coleta de dados foi realizada de setembro a novembro de 2021 com 26 enfermeiros selecionados por meio da snowball technique, utilizando-se de roteiro de entrevista semiestruturado. O material empírico foi organizado no software Atlas.ti 9 e fundamentado com base no aporte teórico-metodológico da Análise do Discurso de linha francesa. Resultados: evidenciaram-se três blocos discursivos: inovação a partir das mídias sociais; ações de educação em saúde; resolutividade nas ações organizacionais, apresentando a relevância dos aplicativos WhatsApp®, Instagram® e Facebook® como recursos estratégicos, de forma a colaborar para a área de Atenção Primária à Saúde com a organização das ações de saúde frente à COVID-19 por enfermeiros. Conclusão: as unidades de saúde possuem potencial para fortalecer a assistência por meio dos dispositivos organizacionais digitais, no entanto, necessitam de apoio político que invista na estrutura e em estratégias para potencializar a organização das ações de saúde.

Resumen Objetivo: analizar el discurso de los enfermeros sobre el potencial que tienen las tecnologías de la información como apoyo organizacional a las acciones en la lucha contra el COVID-19 en la Atención Primaria de Salud. Método: estudio cualitativo y exploratorio, realizado en unidades de la Estrategia Salud de la Familia, en la ciudad de João Pessoa, Paraíba, Brasil. La recolección de datos se realizó de septiembre a noviembre de 2021 con 26 enfermeros seleccionados mediante la técnica de bola de nieve, utilizando un formulario de entrevista semiestructurada. El material empírico fue organizado en el software Atlas.ti 9 y se basó en el aporte teórico-metodológico del Análisis del Discurso de la escuela francesa. Resultados: se observaron tres bloques discursivos: innovación desde las redes sociales; acciones de educación para la salud; resolutividad en las acciones organizacionales, que muestran la importancia de las aplicaciones WhatsApp®, Instagram® y Facebook® como recursos estratégicos, que colaboran en el área de Atención Primaria de Salud con la organización de las acciones de salud contra el COVID-19 que llevan a cabo los enfermeros. Conclusión: las unidades de salud tienen potencial para fortalecer la atención a través de dispositivos organizacionales digitales, pero necesitan apoyo político que invierta en la estructura y en estrategias para mejorar la organización de las acciones de salud.

Foundational domains and competencies for baccalaureate health informatics education.

BACKGROUND: Foundational domains are the building blocks of educational programs. The lack of foundational domains in undergraduate health informatics (HI) education can adversely affect the development of rigorous curricula and may impede the attainment of CAHIIM accreditation of academic programs. OBJECTIVE: This White Paper presents foundational domains developed by AMIA's Academic Forum Baccalaureate Education Committee (BEC) which include corresponding competencies (knowledge, skills, and attitudes) that are intended for curriculum development and CAHIIM accreditation quality assessment for undergraduate education in applied health informatics. METHODS: The AMIA BEC used the previously published master's foundational domains as a guide to creating a set of competencies for health informatics at the undergraduate level to assess graduates from undergraduate health informatics programs for competence at graduation. A consensus method was used to adapt the domains for undergraduate level course work and harmonize the foundational domains with the currently adapted domains for HI master's education. RESULTS: Ten foundational domains were developed to support the development and evaluation of baccalaureate health informatics education. DISCUSSION: This article will inform future work towards building CAHIIM accreditation standards to ensure that higher education institutions meet acceptable levels of quality for undergraduate health informatics education.

[Pathway Analysis on the Effects of Nursing Informatics Competency, Nursing Care Left Undone, and Nurse Reported Quality of Care on Nursing Productivity among Clinical Nurses].

PURPOSE: Nursing informatics competency is used to manage and improve the delivery of safe, high-quality, and efficient healthcare services in accordance with best practices and professional and regulatory standards. This study examined the relationship between nursing informatics competency (NIC), nursing care left undone, and nurse reported quality of care (NQoC) and nursing productivity. A path model for their effects on nursing productivity among clinical nurses was also established. METHODS: Data were collected using structured questionnaires answered by 192 nurses working in a tertiary hospital located in J city, Korea, and analyzed using SPSS/WIN 23.0 and AMOS 21.0 program. RESULTS: The fit indices of the alternative path model satisfied recommended levels χ² = .11 (p = .741), normed χ² (χ²/df) = .11, SRMR = .01, RMSEA = .00, GFI = 1.00, NFI = 1.00, AIC = 18.11. Among the variables, NIC (ß = .44, p < .001), NQoC (ß = .35, p < .001) had a direct effect on nursing productivity. Due to the mediating effect of NQoC on the relationship between NIC and nursing productivity, the effect size was .14 (95% CI .08~.24). Meanwhile, nursing care left undone through NQoC in the relationship between NIC and nursing productivity, has a significant mediation effect (estimate .01, 95% CI .00~.03). The explanatory power of variables was 44.0%. CONCLUSION: Education and training for enhancing NIC should be provided to improve nursing productivity, quality of care and to reduce missed nursing care. Furthermore, monitoring the quality of nursing care and using it as a productivity index is essential.

Utilizing an Informatics Engagement Strategy as an Approach to Sustain and Retain the Nursing Workforce.

The purpose of this paper is to describe a nursing informatics engagement strategy at an academic teaching hospital in Canada aimed at sustaining and retaining the nursing workforce by (1) enhancing nursing engagement and leadership in informatics decision making; (2) improving nurses' experiences using the electronic health record (EHR) by creating a process of rapid handling of technology issues; (3) leveraging data about nurses' EHR system use to identify opportunities to further streamline documentation; and (4) enhancing and optimizing informatics education/training and communication strategies. The nursing informatics strategy aims to improve engagement among nursing staff, as well as decrease the burden of using the EHR as a way of addressing possible causes of burnout.

Nursing Informatics.

These nurses leverage technology to improve health.

Nursing informatics competence profiles and perceptions of health information system usefulness among registered nurses: A latent profile analysis.

AIMS: To identify different nursing informatics competence (NIC) profiles in nurses, examine the factors associated with profile memberships and examine the associations of the derived profiles with the nurses' perception of the usefulness of a health information system (HIS). DESIGN: A cross-sectional study. METHODS: A sample of 3610 registered nurses responded to a nationwide survey in March 2020. A latent profile analysis was performed to identify NIC profiles based on three competence areas: nursing documentation, working in digital environment, and ethics and data protection. A multinomial logistic regression was carried out to examine the associations of demographic and background variables with the profile membership. Linear regression analyses were carried out to examine the association between the profile membership and perceived HIS usefulness. RESULTS: Three NIC profiles were identified and labelled as low, moderate and high competence groups. A younger age, recent graduation year, sufficient orientation and high-rated proficiency as an HIS user were associated with nurses belonging to a high or moderate competence group relative to a low competence group. Competence group membership was associated with perceived HIS usefulness. The high competence group consistently expressed the highest usefulness of the HIS and the low competence group the lowest. CONCLUSION: Tailored training and support should be provided for nurses with different levels of informatics competence, thereby facilitating their ability to respond to increasingly digitalized work. This could contribute to higher usefulness of the HIS in terms of supporting the nurses' work tasks and promoting the quality of care. IMPACT: This was the first study exploring latent profiles of informatics competence in nurses. Insights from this study are useful for nursing management to identify different competence profiles of their employees, provide support and training to meet their needs, and promote the successful use of an HIS.

On the Effective Dissemination and Use of Learning Objectives Catalogs for Health Information Curricula Development.

Catalogs of competency-based learning objectives (CLO) were introduced and promoted as a prerequisite for high-quality, systematic curriculum development. While this is common in medicine, the consistent use of CLO is not yet well established in epidemiology, biometry, medical informatics, biomedical informatics, and nursing informatics especially in Germany. This paper aims to identify underlying obstacles and give recommendations in order to promote the dissemination of CLO for curricular development in health data and information sciences. To determine these obstacles and recommendations a public online expert workshop was organized. This paper summarizes the findings.

Aplicativos para dispositivos móveis utilizados na enfermagem: uma revisão integrativa / Aplicaciones para dispositivos móviles utilizados en enfermería: una revisión integradora / Applications for mobile devices used in nursing: an integrative review

Objetivo: conhecer as publicações produzidas pela comunidade científica sobre aplicativos para dispositivos móveis utilizados na enfermagem. Método: revisão integrativa que buscou conhecer as publicações de 2014 a 2019, em três bases de dados.Após a leitura, os artigos selecionados, foram classificados em um instrumento próprio contendo, título, autores, ano, idioma, método, nível de evidência e conteúdo. Resultados:foram identificados 20 artigos que relatavam sobre aplicativos para dispositivos móveis utilizados na enfermagem para o cuidado, sendo com a finalidade de assessorar profissionais no seu processo de trabalho, de auxiliar acadêmicos em relação às dúvidas nos campos práticos, e contribuir na prevenção e promoção da saúde, incentivando a autonomia do usuário no seu cuidado à saúde. Conclusão: os estudos encontrados evidenciaram a importância dos aplicativos para dispositivos móveis no cotidiano de trabalho dos enfermeiros.

Objective: knowing the publications produced by the scientific community about applications for mobile devices used in nursing.Methods:integrative review that aimed to know the publications from 2014 to 2019, in three databases. After reading, the selected articles were classified in a specific instrument containing title, authors, year, language, method, level of evidence, and content. Results:20articles were identified reporting on applications for mobile devicesused in nursing for care, being for the purpose of advising professionals in their work process, assisting academics in relation to doubts in the practical fields, and contributing to prevention and health promotion encouraging the user's autonomy in their health care. Conclusions:the studies found showed the importance of applications for mobile devices in the daily work of nurses.

Objetivo: conocer las publicaciones producidas por la comunidad científica sobre aplicaciones para dispositivos móviles utilizados en enfermería. Método: revisión integradora que buscó conocer las publicaciones de 2014 a 2019, en tres bases de datos. Después de la lectura, los artículos seleccionados fueron clasificados en un instrumento específico que contiene, título, autores, año, idioma, método, nivel de evidencia y contenido. Resultados: se identificaron 20 artículos que informaron sobre aplicaciones para dispositivos móviles utilizados en enfermería para el cuidado, con el propósito de asesorar a los profesionales en su proceso de trabajo, asistir a los académicos en relación con las dudas en los campos prácticos, y contribuir a la prevención y promoción de la salud, alentando la autonomía del usuario en el cuidado de su salud. Conclusión: los estudios encontrados evidenciaron la importancia de las aplicaciones para dispositivos móviles en el trabajo diario del enfermero.

Uso de tecnologias para o processo de enfermagem: revisão integrativa / Uso de tecnologías para el proceso de enfermería: revisión integrativa / Use of technologies for the nursing process: integrative review

Objetivo: avaliar as evidências sobre o que tem sido produzido cientificamente a respeito do uso de tecnologias para implementação do processo de enfermagem. Método: revisão integrativa da literatura com busca nas bases de dados Web of Science, SCOPUS e Medical Literature Analysis and Retrieval System Online, com os descritores: "Nursing Process" e "Technology ". Incluídos artigos publicados na íntegra entre 2015 e 2020, em português, inglês ou espanhol, e que respondessem à questão norteadora. Resultados: incluídos 20 artigos, publicados a partir de 2015, com maior concentração em 2019. As análises foram divididas em três eixos temáticos: Taxonomias empregadas para a implementação do Processo de Enfermagem; Tecnologias como ferramentas de educação para implementação; Desenvolvimento e análise do uso de tecnologias no contexto da Sistematização da Assistência de Enfermagem. Conclusão: necessidade de aproximação entre as áreas de tecnologia e saúde para implementar e manter a execução do processo de enfermagem.

Objective: evaluate evidence on what has been scientifically produced regarding the use of technologies to implement the nursing process. Method: integrative literature review with search in the Web of Science, SCOPUS and Medical Literature Analysis and Retrieval System Online databases, with the descriptors: "Nursing Process" and "Technology". Articles published in full between 2015 and 2020, in Portuguese, English or Spanish, and that answered the guiding question, were included. Results: 20 articles were included, published from 2015, with the highest concentration in 2019. The analyzes were divided into three thematic axes: Taxonomies used to implement the Nursing Process; Technologies as educational tools for implementation; Development and analysis of the use of technologies in the context of Systematization of Nursing Care. Conclusion: need for closer ties between the areas of technology and health to implement and maintain the execution of the nursing process.

Objetivo: evaluar evidencias sobre lo producido científicamente sobre el uso de tecnologías para implementar el proceso de enfermería. Método: revisión integrativa de la literatura con búsqueda en las bases de datos Web of Science, SCOPUS y Medical Literature Analysis and Retrieval System Online, con los descriptores: "Proceso de enfermería" y "Tecnología". Se incluyeron artículos publicados íntegramente entre 2015 y 2020, en portugués, inglés o español, y que respondieran a la pregunta orientadora. Resultados: se incluyeron 20 artículos, publicados desde 2015, con mayor concentración en 2019. Los análisis se dividieron en tres ejes temáticos: Taxonomías utilizadas para implementar el Proceso de Enfermería; Tecnologías como herramientas educativas para la implementación; Desarrollo y análisis del uso de tecnologías en el contexto de la Sistematización de la Atención de Enfermería. Conclusión: existe la necesidad de estrechar lazos entre las áreas de tecnología y salud para implementar y mantener la ejecución del proceso de enfermería.

Digital nursing practice theory: A scoping review and thematic analysis.

AIMS: This scoping review aims to identify existing theories associated with digital nursing practice to add a lens on the future use of digital technologies by nurses. DESIGN: A review of theories related to digital technology in nursing practice was conducted following the framework described by Arksey and O'Malley. All published literature until 12th May 2022 was included. DATA SOURCES: Seven databases were utilized including Medline, Scopus, CINAHL, ACM Digital Library, IEEE Xplore, BNI and Web of Science. A Google Scholar search was also performed. REVIEW METHODS: The search terms included (nurs* AND [digital OR technol* OR e-health or ehealth or digital health or telemedicine or telehealth] AND theory). RESULTS: The database searches yielded 282 citations. After screening, nine articles were included in the review. These described eight distinct nursing theories. CONCLUSION: The focuses of the theories included the role of technology in society and nursing. How technology should be developed to support nursing practice, health consumers' use of nursing informatics, the use of technology as an expression of caring and the preservation of humanness and the relationship between human persons and non-human actants and the creation of nursing technologies as caring in addition to existing technologies. Three themes were identified including the role of technology as an agent within the patient environment; nurse interactions with technology to achieve 'knowing' of patients and the necessity of technological competence among nurses. Then, using Actor Network Theory (ANT), a zoom-out lens to map the concepts was proposed (The Lens for Digital Nursing [LDN]). This study is the first to add a new theoretical lens on digital nursing. IMPACT: This study provides the first synthesis of key concepts of nursing theories to add a theoretical lens to digital nursing practice. This can be used in a functional capacity to zoom-in different entities. No patient or public contribution was made in this study due to it being an early scoping study on a currently understudied area of nursing theory.