bluuebunny/crossref_metadata_2025 huggingface dataset:
Persuasive Technology in Nursing Education About Pain
Authors: Alvarez Ana Graziela  , Dal Sasso Grace T.M.  , Iyengar Sriram
Published: February 2025

Mobile devices, as persuasive technologies, represent an important platform to promote changes in attitudes and behaviors. They are not only understood as tools, but as a learning process that provides different opportunities to learn how to learn. The objectives of the study were to measure the quality of a virtual mobile learning object, to measure the mental workload of the educational intervention, and to evaluate the learning results. This is a technological production study with a mixed method, quasi-experimental approach. Three simulated clinical scenarios comprise the m-OVADor@, allowing for a simulated evaluation of acute pain through interactive tools. The technology met the quality criteria for educational software, with low mental workload, demonstrating a significant strategy for learning about pain among nursing students.
Homecare Nurses' Decision-Making During Admission Care Planning
Authors: Sockolow Paulina  , Bass Ellen J.  , Eberle Carl L.  , Bowles Kathryn H.
Published: February 2025

The re-hospitalization rate of homecare patients within 60 days of hospital discharge is 30%. Enhanced care planning based on better information may reduce this rate. However, very little is known about the homecare admission and care planning processes. The research team collected data during observations of three nursing visits to admit homecare patients in Camden NJ, and conducted thematic content analysis on these data. Human factors methods helped to identify nurse decision-making related to selection of the plan of care problems, non-nursing resources, and the nursing visit pattern. They identified how the electronic health record (EHR) assisted the nurse in visit pattern frequency decisions. Major themes that emerged included reduced efficiency due to use of redundant intra-team communication methods to augment EHR documentation, redundant documentation, and workarounds and reorganization of clinical workflow.
Integrating Informatics Content into the Nursing Curriculum
Authors: Weiner Elizabeth  , Trangenstein Patricia  , Gordon Jeffry  , McNew Ryan
Published: February 2025

Contemporary nursing curricula require that nursing informatics content be integrated across the various levels of the programs that are offered. Many such programs face national accreditation requirements that typically relate more to technology than to informatics. International standards vary in these requirements. How can nursing programs meet these vastly different criteria yet continue to level informatics content that follows quality curriculum standards? This presentation describes one approach across programs that considers already developed competencies in nursing informatics while also taking into consideration the various roles that the graduates will have to assume in advanced practice nursing roles. Levels discussed include the baccalaureate, master's, doctorate in nursing practice, and the traditional Doctor of Philosophy degrees.
Identifying Outliers in Data from Patient Record
Authors: Baumberger Dieter  , Buergin Reto
Published: February 2025

It is important for health services to be able to identify potential outliers with minimal effort as part of their daily evaluation of care data from patient record. This study evaluates the suitability of three statistical methods for identifying nursing outliers. The results show that by using methods implemented in the nursing workload measurement system “LEP” with reference to real data, unusual LEP minute profiles (movement, nutrition and so on) can be identified with little effort and therefore seem promising for application to the health services' daily evaluation process. The lessons learned are used to create requirement criteria for the further development of software solutions. It is recommended that the methods for identifying outliers in the daily evaluation process should be standardized in order to increase the efficiency of secondary use of care data from patient record.
Analysis of the Nursing Documentation in Use in Portugal – Building a Clinical Data Model of Nursing Centered on the Management of Treatment Regimen
Authors: Cruz Inês  , Bastos Fernanda  , Pereira Filipe  , Silva Abel  , Sousa Paulino
Published: February 2025

The use of technology to support information produced by nurses, especially information and communication technologies, is a current reality, but the proliferation of different statements of nursing diagnosis has made it more difficult for the production of indicators, hindering semantic interoperability of data. This study analyzed all statements of diagnosis focused on the management of medication regimen, customized to the Nursing Practice Support System (SAPE®) that was being used in Portugal in 2013. A total of 598 statements of nursing diagnoses about the phenomenon under study were analyzed, through an a priori analysis model – the ISO 18104 standard: 2003. The purpose was to identify terms used by nurses to describe the range of diagnoses, thus avoiding conceptual redundancy. After a content analysis process conducted by researchers and a broader group of experts, and when excluded all conceptual redundancy, 30 statements of nursing diagnosis were identified.
Outcome Calculations Based on Nursing Documentation in the First Generation of Electronic Health Records in the Netherlands
Authors: Paans Wolter  , Müller-Staub Maria  , Krijnen Wim P.
Published: February 2025

Objectives. Previous studies regarding nursing documentation focused primarily on documentation quality, for instance, in terms of the accuracy of the documentation. The combination between accuracy measurements and the quality and frequencies of outcome variables such as the length of the hospital stay were only minimally addressed.
Mobile Apps Providing Tailored Nursing Interventions for Patients with Metabolic Syndrome
Authors: Jeon Eunjoo  , Park Hyeoun-Ae  , Jo Soojung  , Kang Hannah  , Lee Joo Yun
Published: February 2025

Objectives: This study developed and evaluated four mobile applications (apps) that provide tailored nursing recommendations for metabolic syndrome management.
Quantifying Eye Tracking Between Skilled Nurses and Nursing Students in Intravenous Injection
Authors: Maekawa Yasuko  , Majima Yukie  , Soga Masato
Published: February 2025

In nursing education, it is important that nursing students acquire the appropriate nursing knowledge and skills which include the empirical tacit knowledge of the skilled nurses. Verbalizing them is difficult. We paid attention to the eye tracking at the time of the skill enforcement of expert nurses and the nursing students. It is said that the sight accounts for 70% higher than of all sense information. For the purpose of the learning support of the tacit nursing skill, we analyzed the difference of both including the gaze from an actual measured value with the eye mark recorder. In the results the nurses particularly address the part related to inserting a needle among the other actions, they should move their eyes safely, surely, and economically along with the purposes of their tasks.
Towards Integrating the Principlist and Casuist Approaches to Ethical Decisions via Multi-Criterial Support
Authors: Kaltoft Mette Kjer  , Nielsen Jesper Bo  , Salkeld Glenn  , Dowie Jack
Published: February 2025

An interactive decision support tool based on Multi-Criteria Decision Analysis (MCDA) can help health professionals integrate the principlist (principle-based) and casuist (case-based) approaches to ethical decision making in both their training and practice. MCDA can incorporate generic ethical principles as criteria; then draw on case-based reasoning as the basis for specifying, in the individual case, the available options, the ratings of each option on each criterion, and the relative weighting of the criteria. This produces a personalised, transparent and decomposable opinion on the merits of each option, as a contribution to enhanced deliberation. As proof of concept and method an exemplar aid adds veracity and confidentiality to beneficence, non-maleficence, autonomy and justice, as the criteria, with case-based reasoning supplying the necessary inputs for the decision of whether a nurse should disclose the poor prognosis of a patient to a close relative of the patient, when asked, on their first encounter.
Development of a Multimedia Dysphagia Assessment Learning System Using Responsive Web Design: From e-Learning to m-Learning
Authors: Huang Hui-Chi  , Guo Sophie Huey-Ming
Published: February 2025

Swallowing problems have significant affect the health outcome of some residents in long-term care facilities. Nursing staff who care these residents should have the ability of assessing dysphagia. However, nursing continued education to improve the performance of dysphagia assessment is still challenged. To enhance nurses' capability of dysphagia assessment, a Multimedia Dysphagia Assessment learning System was developed for nursing staff in long-term care institutions. This system was evaluated by performing a user usability test.
Measuring Nursing Value from the Electronic Health Record
Authors: Welton John M.  , Harper Ellen M.
Published: February 2025

We report the findings of a big data nursing value expert group made up of 14 members of the nursing informatics, leadership, academic and research communities within the United States tasked with 1. Defining nursing value, 2. Developing a common data model and metrics for nursing care value, and 3. Developing nursing business intelligence tools using the nursing value data set. This work is a component of the Big Data and Nursing Knowledge Development conference series sponsored by the University Of Minnesota School Of Nursing. The panel met by conference calls for fourteen 1.5 hour sessions for a total of 21 total hours of interaction from August 2014 through May 2015. Primary deliverables from the bit data expert group were: development and publication of definitions and metrics for nursing value; construction of a common data model to extract key data from electronic health records; and measures of nursing costs and finance to provide a basis for developing nursing business intelligence and analysis systems.
The Development and Evaluation of Delirium Assessment and Nursing Care Decision-Making Assistant Mobile Application for Intensive Care Unit
Authors: Yang Fangyu  , Ji Meihua  , Ding Shu  , Wu Ying  , Chang Polun  , Lin Chiawei  , Yang Xin
Published: February 2025

Delirium is a common complication among patients in ICU settings. Although it has been repeatedly confirmed that Confusion Assessment Model for Intensive Care Unit (CAM-ICU), one of the most commonly used ICU delirium assessment tool, is highly accurate in validation studies, it's sensitivity and specificity is relatively low during routine practice among bedside nurses. The aim of this study is to develop a mobile application (app) to detect delirium and to test its reliability and validity both by research nurses and among ICU bedside nurses. The app was programmed with Java and installed on a mobile device with Android system. After completion of reliability and validity testing, the app will be integrated into the existing Hospital Information System in order to automatically retrieve essential information for risk factor identification and formulation of care plan accordingly to prevent or manage ICU delirium.
Nursing Informatics Competencies: Psychometric Validation, Dissemination, and Maintenance of Self-Assessment Tool for Nurse Leaders
Authors: Collins Sarah
Published: February 2025

Due to rapid advances in technology, HIT competencies for nursing leaders require frequent attention and updating from experts in the field to ensure relevance to nursing leaders' work. This workshop will target nursing informatics researchers and leaders to: 1) learn methods and findings from a study validating a Self-Assessment Scale for Nursing Informatics Competencies for Nurse Leaders, 2) generate awareness of the Self-Assessment scale, 3) discuss strategies for maintenance of competencies overtime and 4) identify strategies to engage nursing leaders in this pursuit.
Accessing Quality Online Health Information: What Is the Solution?
Authors: Boyer Célia
Published: February 2025

The majority of the adult population in both Europe and North America have access to the internet. Over 70% state that they have used the internet to look for health information and the majority started their search at a search engine. Given that search engines list sites according to popularity and not quality, it is imperative that users have a means of discerning trustworthy and honest information from non-reliable health information. The HONcode, a set of eight quality guidelines, ensures access to standardized trustworthy health information which can be used as a tool to guide consumers.
Health Information Technologies for Geriatrics: The Big Picture
Authors: Crawford Vallaurie  , Syed-Abdul Shabbir
Published: February 2025

Nearly five decades ago in 1970, Simone de Beauvoir's “The Coming of Age” painted a broad-strokes picture of urgent issues affecting the welfare of elders in many cultures. Using her agenda and others, this panel will attempt to sketch what specific technological advances and applications offer to older citizens, clients and patients – over these 50 years and into the future. Rapid aging societies warrants the need to transform health systems to be focused on preventions and patient engagement rather than the curative care.
Strategies for Leveraging Interoperable Health Information Exchange Systems Among Healthcare Communities
Authors: Alexander Gregory L.  , Sensmeier Joyce  , McDonald Joe  , Goossen William  , Alexander Mary M.
Published: February 2025

The panel will share international Health Information Exchange (HIE) projects to improve quality and lower costs in healthcare communities (i.e. hospitals, clinician practices, and aged care facilities). HIE allows healthcare professionals and patients to appropriately access and securely share a patient's vital medical information electronically within and across organizations. Intended audience: Researchers, consumers, practitioners, vendors, care providers, and policy makers with interests in technology design, development, implementation, and management, particularly focused on HIE.
Reducing Technology-Induced Errors: Organizational and Health Systems Approaches
Authors: Borycki Elizabeth M.  , Senthriajah Yalini  , Kushniruk Andre W.  , Palojoki Sari  , Saranto Kaija  , Takeda Hiroshi
Published: February 2025

Technology-induced errors are a growing concern for health care organizations. Such errors arise from the interaction between healthcare and information technology deployed in complex settings and contexts. As the number of health information technologies that are used to provide patient care rises so will the need to develop ways to improve the quality and safety of the technology that we use. The objective of the panel is to describe varying approaches to improving software safety from and organizational and health systems perspective. We define what a technology-induced error is. Then, we discuss how software design and testing can be used to improve health information technologies. This discussion is followed by work in the area of monitoring and reporting at a health district and national level. Lastly, we draw on the quality, safety and resilience literature. The target audience for this work are nursing and health informatics researchers, practitioners, administrators, policy makers and students.
Towards Implementing a Global Competency-Based Nursing and Clinical Informatics Curriculum: Applying the TIGER Initiative
Authors: Hübner Ursula  , Ball Marion  , de Fátima Marin Heimar  , Chang Polun  , Wilson Marisa  , Anderson Christel
Published: February 2025

This workshop will review the history of the TIGER initiative in order to set the framework for an understanding of international informatics competencies. We will include a description of clinical nursing informatics programs in 37 countries as well as the results of a recent survey of nursing competencies in order to further discussions of internationally agreed-upon competency definitions. These two surveys will provide the basis for developing a consensus regarding the integration of core competencies into informatics curriculum developments. Expected outcomes include building consensus on core competencies and developing plans toward implementing intra- and inter-professional informatics competencies across disciplines globally.
Evaluating Nurses Acceptance of Hospital Information Systems: A Case Study of a Tertiary Care Hospital
Authors: Khalifa Mohamed
Published: February 2025

This study aims at evaluating hospital information systems (HIS) acceptance factors among nurses, in order to provide suggestions for successful HIS implementation. The study used mainly quantitative survey methods to collect data directly from nurses through a questionnaire. The availability of computers in the hospital was one of the most influential factors, with a special emphasis on the unavailability of laptop computers and computers on wheels to facilitate immediate data entry and retrieval when nurses are at the point of care. Nurses believed that HIS might frequently slow down the process of care delivery and increase the time spent by patients inside the hospital especially during slow performance and responsiveness phases. Recommendations were classified into three main areas; improving system performance and availability of computers in the hospital, increasing organizational support in the form of providing training and protected time for nurses' to learn and enhancing users' feedback by listening to their complaints and considering their suggestions.
Using Hospital Information System Data to Capture Nurse Workload
Authors: Zhao Shangping  , Chen Hong  , Feng Ling
Published: February 2025

Aim Using hospital information system (HIS) data to capture nurse workload.
Clinical Knowledgebase Integration of Nursing Terminology
Authors: Whittenburg Luann
Published: February 2025

Medicomp Point of Care Clinical Knowledgebase, MEDCIN®is designed to support integrated care documentation and the care planning functions of nurses and allied health professional. In electronic medical records (EMRs) starting with one or more clinical diagnoses and/or patient signs and symptoms, the capabilities of the MEDCIN®knowledgebase are used to prompt nursing terminology concepts following the American Nurses Association (ANA) nursing process [1]. The MEDCIN®diagnostic index dynamically constructs Interactive Plans of Care (PoC) using the six standards of the nursing process and allows aggregated data analysis. MEDCIN®is widely used in the US by EMR clients and health information technology systems around the world.
The Application of an Integrated IHCA Information System to Analysis the Related Indicators
Authors: Yeh Hui-Tzu  , Lee Wen Ray  , Hsu Suh-Meei  , Lai Hsiang-Fen
Published: February 2025

In-Hospital cardiac arrest (IHCA) is a high risk of patient's safety issue in medical institutions, the incidence and patient's outcome of IHCA is an important indicator of ability of medical treatment and emergency medical quality of hospital. By building up the IHCA information system, we can save the time of typing and statistical data, save the consumption of paper and storage space, managers can view immediately data, track progress and confirm the correctness of the information, and Index values can be rendered immediately.
Impact of an Emergency Nurse Coordinator on Work Flow Optimization in an Emergency Department in Delhi, India
Authors: S Preethy  , Xavier Teenu  , N Reghunathan  , Robin Metilda  , Agrawal Deepak
Published: February 2025

The aim of this study was to assess the effect of the emergency nurse coordinator in optimization of workflow of the emergency department. A retrospective analysis of all patient encounters in the emergency department between Aug 1 to Sept 31 of 2014 (n = 6,189) and Aug 1 to September 31 of 2015 (n = 8,626) was conducted. There was a statistically significant decrease in the admission time, length of stay, transfer time, and review time of the patients after the introduction of the emergency nurse coordinator in the emergency department. (p < 0.05).
Chinese Nurses' Acceptance of PDA: A Cross-Sectional Survey Using a Technology Acceptance Model
Authors: Wang Yanling  , Xiao Qian  , Sun Liu  , Wu Ying
Published: February 2025

This study explores Chinese nurses' acceptance of PDA, using a questionnaire based on the framework of Technology Acceptance Model (TAM). 357 nurses were involved in the study. The results reveal the scores of the nurses' acceptance of PDA were means 3.18~3.36 in four dimensions. The younger of nurses, the higher nurses' title, the longer previous usage time, the more experienced using PDA, and the more acceptance of PDA. Therefore, the hospital administrators may change strategies to enhance nurses' acceptance of PDA, and promote the wide application of PDA.
A Serious Game for Teaching Nursing Students Clinical Reasoning and Decision-Making Skills
Authors: Johnsen Hege Mari  , Fossum Mariann  , Vivekananda-Schmidt Pirashanthie  , Fruhling Ann  , Slettebø Åshild
Published: February 2025

The aim of this study was to design and pilot-test a serious game for teaching nursing students clinical reasoning and decision-making skills in caring for patients with chronic obstructive pulmonary disease. A video-based serious game prototype was developed. A purposeful sample of six participants tested and evaluated the prototype. Usability issues were identified regarding functionality and user-computer interface. However, overall the serious game was perceived to be useful, usable and likable to use.
CarerSupport – An Innovative Approach to Informal Carers' Training and Collaboration
Authors: Lunde Lene  , Moen Anne
Published: February 2025

EU and national policies for long-term care acknowledge the role of informal carers. However, there is still little adequate support to prepare or ease informal carers in terms of training to allow them improve their skills, alleviate psychosocial stress and maintain their own health and well-being. In the CarerSupport project, we seek to integrate services, deploy and test an integrated ICT platform enabling participation and collaboration of informal carers, psychologists and health professionals to collaborate, facilitate training and orientation, offer tele-consulting services and psychosocial support to carers. Based on this platform and its content, we will deploy and report on informal carers' experiences with the wide range of offered service. The poster will present the first experiences and suggest potentials for a service like CarerSupport.
Design and Development of Learning Objects for Health Professionals
Authors: Cilene Ferreira Pacheco Katia  , Schenk de Azambuja Marcelo
Published: February 2025

Infectious diseases have been re-emerging in developed and underdeveloped countries. In Brazil, the increasing incidence of communicable diseases is ongoing. This new reality generates the need to update the professionals of the sector, in order to make them capable of dealing with such important problem of public health. Educational actions through the usage of the learning objects can contribute to a review and an adoption of effective and safer public health practices. Thus, this scenario leads to the proposal to disseminate knowledge based on the development of learning objects concerning surveillance and prevention of communicable diseases to primary care providers, specifically community health agents. Learning Objects are interactive tools based on web which support specific learning conceptions enhancing, expanding and guiding the learners cognitive process, and when they are combined with other objects may create an efficient and flexible learning environment.
Large-Scale Reasoning over Functions in Biomedical Ontologies
Authors: Hoehndorf Robert  , Mencel Liam  , Gkoutos Georgios V.  , Schofield Paul N.
Published: February 2025

A large number of biomedical resources have been developed to represent the functions of biological entities, and these resources are widely used for data integration and analysis. Expressing functions in biomedical ontologies currently uses formal representation patterns that renders basic reasoning tasks to fall in complexity classes beyond polynomial time, thereby limiting the potential of using knowledge-based methods for data integration, querying or quality control. Here, we propose an alternative representation pattern for expressing knowledge about biological functions, together with a biological and ontological justification, which can be expressed using the description logic EL++ and implemented using the OWL 2 EL profile. To demonstrate the utility of our account of biological functions, we apply it to all proteins contained in the SwissProt database and evaluate its utility with respect to answering complex queries as well with respect to the classification and query times.
The e-Learning Effectiveness Versus Traditional Learning on a Health Informatics Laboratory Course
Authors: Zogas Spyros  , Kolokathi Aikaterini  , Birbas Konstantinos  , Chondrocoukis Gregory  , Mantas John
Published: February 2025

This paper presents a comparison between e-Learning and traditional learning methods of a University course on Health Informatics domain. A pilot research took place among University students who divided on two learning groups, the e-learners and the traditional learners. A comparison of the examinations' marks for the two groups of students was conducted in order to find differences on students' performance. The study results reveal that the students scored almost the same marks independently of the learning procedure. Based on that, it can be assumed that the e-learning courses have the same effectiveness as the in-classroom learning sessions.
Wellbeing Understanding in High Quality Healthcare Informatics and Telepractice
Authors: Fiorini Rodolfo A.  , De Giacomo Piero  , L'Abate Luciano
Published: February 2025

The proper use of healthcare informatics technology and multidimensional conceptual clarity are fundamental to create and boost outstanding clinical and telepractice results. Avoiding even terminology ambiguities is mandatory for high quality of care service. For instance, well-being or wellbeing is a different way to write the same concept only, or there is a good deal of ambiguity around the meanings of these terms the way they are written. In personal health, healthcare and healthcare informatics, this kind of ambiguity and lack of conceptual clarity has been called out repeatedly over the past 50 years. It is time to get the right, terse scenario. We present a brief review to develop and achieve ultimate wellbeing understanding for practical high quality healthcare informatics and telepractice application. This article presents an innovative point of view on deeper wellbeing understanding towards its increased clinical effective application.
A Health Informatics Approach to Understanding the Discharge Process
Authors: Robbins Timothy David  , Arvanitis Theodoros N.  , Stein Andrew
Published: February 2025

This study characterises the inpatient discharge process for medical patients. Inpatient discharge represents a highly complex, distinct process at the point of transition to community care. It is poorly understood. Data were collected to assess the discharge patterns of 3386 patients admitted to a tertiary referral centre over a 9 day period. Individual patient parameters were extracted from an Electronic Patient Record and analysed for a random stratified sample of (n=150) with 12 months follow-up. Medical discharges represent 37% of non-elective discharges. 36% fewer medical discharges occurred at weekends (p<0.01), patients discharged at weekends were less complex. 63% of discharges had follow up plans. GP follow up was planned for 61% of single admissions compared to 32% of patients who subsequently were readmitted. Health informatics approaches are critical to improving understanding, quality and efficiency of the discharge process.
Evaluation of mHealth Applications Quality Based on User Ratings
Authors: Pustozerov Evgenii  , von Jan Ute  , Albrecht Urs-Vito
Published: February 2025

The presented study covers the evaluation of ratings of a sample set of 46,430 medical applications available on Google's Play Store. It was discovered that the distribution of user ratings given to applications has a log-normal form and has a correlation with many application characteristics one would not expect to be directly related, among others the time of the last update of the app, the app vocabulary as well as descriptions. Popular applications with a large number of downloads and reviews tend to have average ratings, while the ratings of rarely downloaded apps tend to be either highly positive or negative. Despite the huge diversity and number of applications available in the market, it is highly dominated by just a few apps: 90.7% of the overall number of user ratings assigned to the apps in our sample is distributed among just 1,601 apps, corresponding to 4.1% of all apps provided within the “Medical” and “Health and fitness” categories at the time of our evaluation.
Mobile Technologies in Healthcare and Electronic Health Records
Authors: Tsirintani Maria
Published: February 2025

Mobile Health (mHealth) is an emerging and rapidly developing field. It seems to play a significant role in the transformation of healthcare and increase its quality and efficiency as a sub-segment of Electronic Health (eHealth). In this article, we did a literature review about the potentials for this transformation and the crucial organizational issues for developing Electronic Health Record's applications with mHealth technologies in healthcare organizations.
‘Schizophrenia’ on Twitter: Content Analysis of Greek Language Tweets
Authors: Athanasopoulou Christina  , Sakellari Evanthia
Published: February 2025

Twitter is an online space whose users can create and share ideas and information instantly. The term schizophrenia is frequently used in a stigmatizing way in Greek language. In Greece, Twitter is the tenth most popular website. Tweets related to schizophrenia in Greek language, have not been investigated. We aimed to examine schizophrenia Tweets in comparison with other illness (diabetes). Deductive content analysis was applied. Schizophrenia Tweets (n=239), tended to be more negative, medically inappropriate, sarcastic, and used non-medically than diabetes Tweets (n=205). Our findings confirm the frequent, non-medical misuse of the term ‘schizophrenia’ in online sources written in Greek language. These results show that mental health education interventions are needed to raise awareness among the general population, in order to eliminate stigmatizing behaviors. Future anti-stigma actions, could also raise awareness among Internet users about the importance of, avoiding using medical terms in negative or sarcastic ways, and eliminate any potential stigmatizing content.
Virtual Reality in the Rehabilitation of Patients with Neurological Disorders
Authors: Kefaliakos Antonios  , Pliakos Ioannis  , Kiekkas Panagiotis  , Charalampidou Martha  , Diomidous Marianna
Published: February 2025

Neurological disorders affect the lifestyle and the living conditions of a patient. Virtual Reality is a technology that may be used to simulate various types of tasks in a computerized environment guiding the patient and help on rehabilitation. This review try to answer how Virtual Reality technologies can effect on the patients rehabilitation's results. Treatments which involves Virtual Reality applications offer new ways to make the patients more committed to their program and keeps them motivated. Another characteristic of a Virtual Reality treatment is that both patients and therapists can observe the mistakes made during a physiotherapy session. The insert of VR sessions in traditional rehabilitation therapy of patients with neurological disorders have produced positive results.
Play and Learn: Developing a Social Game for Children with Diabetes
Authors: Chomutare Taridzo  , Johansen Svein-Gunnar  , Årsand Eirik  , Hartvigsen Gunnar
Published: February 2025

While serious games in healthcare have gained much attention in recent years, the pedagogical, social or behavioural frameworks tied to the game elements are still poorly understood. We report the prototyping effort as work-in-progress for a serious social gaming framework for children with diabetes. Motivation theories were combined with child education literature to evaluate potential elements of the framework. Based on the evaluation, we designed cooperation, social comparison and focus on positive achievements as core game elements, and limited the extent of competition. Examining the theoretical foundations that underpin different elements of serious games promises a greater understanding of effective gaming techniques for healthcare.
Two Studies on Twitter Networks and Tweet Content in Relation to Amyotrophic Lateral Sclerosis (ALS): Conversation, Information, and ‘Diary of a Daily Life’
Authors: Hemsley Bronwyn  , Palmer Stuart
Published: February 2025

To date, there is no research examining how adults with Amyotrophic Lateral Sclerosis (ALS) or Motor Neurone Disease (MND) and severe communication disability use Twitter, nor the use of Twitter in relation to ALS/MND beyond its use for fundraising and raising awareness. In this paper we (a) outline a rationale for the use of Twitter as a method of communication and information exchange for adults with ALS/MND, (b) detail multiple qualitative and quantitative methods used to analyse Twitter networks and tweet content in the our studies, and (c) present the results of two studies designed to provide insights on the use of Twitter by an adult with ALS/MND and by #ALS and #MND hashtag communities in Twitter. We will also discuss findings across the studies, implications for health service providers in Twitter, and directions for future Twitter research in relation to ALS/MND.
Addressing the Complexity of Mobile App Design in Hospital Setting with a Tailored Software Development Life Cycle Model
Authors: Ehrler Frederic  , Lovis Christian  , Blondon Katherine
Published: February 2025

Recent studies on workflow processes in hospital settings have shown that, since the introduction of EHRs, care-providers spend an increasing amount of their time on documentation rather than on bedside patient care. In order to improve the bedside work process and facilitate bedside documentation, we are developing an evidence-based mobile app for healthcare providers. In this paper, we present a tailored software development life cycle model that we created and validated during the design and development of this smartphone application.
A Mobile ECG System for the Evaluation of Cardiovascular Risk
Authors: Villamil César A.  , Landínez Sebastián F.  , López Diego M.  , Blobel Bernd
Published: February 2025

Problem: Cardiovascular diseases (CVD) are the number one cause of death globally. The World Health Organization estimated that 80% of the deaths caused by CVD take place in low and middle-income countries (LMIC).
Managing Quality and Safety in Real Time? Evidence from an Interview Study
Authors: Randell Rebecca  , Keen Justin  , Gates Cara  , Ferguson Emma  , Long Andrew  , Ginn Claire  , McGinnis Elizabeth  , Whittle Jackie
Published: February 2025

Health systems around the world are investing increasing effort in monitoring care quality and safety. Dashboards can support this process, providing summary data on processes and outcomes of care, making use of data visualization techniques such as graphs. As part of a study exploring development and use of dashboards in English hospitals, we interviewed senior managers across 15 healthcare providers. Findings revealed substantial variation in sophistication of the dashboards in place, largely presenting retrospective data items determined by national bodies and dependent on manual collation from a number of systems. Where real time systems were in place, they supported staff in proactively managing quality and safety.
Clinical Cancer Registries – Are They Up for Health Services Research?
Authors: Pobiruchin Monika  , Bochum Sylvia  , Martens Uwe M.  , Schramm Wendelin
Published: February 2025

Clinical cancer registries are a valuable data source for health services research (HSR). HSR is in need of high quality routine care data for its evaluations. However, the secondary use of routine data – such as documented cancer cases in a disease registry – poses new challenges in terms of data quality, IT-management, documentation processes and data privacy. In the clinical cancer registry Heilbronn-Franken, real-world data from the Giessen Tumor Documentation System (GTDS) was utilized for analyses of patients' disease processes and guideline adherence in follow-up care. A process was developed to map disease state definitions to fields of the GTDS database and extract patients' disease progress information. Thus, the disease process of sub-cohorts could be compared to each other, e.g., comparison of disease free survival of HER2 (human epidermal growth factor receptor 2)-positive and -negative women who were treated with Trastuzumab, a targeted therapy applied in breast cancer. In principle, such comparisons are feasible and of great value for HSR as they depict a routine care setting of a diverse patient cohort. Yet, local documentation practice, missing flow of information from external health care providers or small sub-cohorts impede the analyses of clinical cancer registries data bases and usage for HSR.
Collection of Medical Original Data with Search Engine for Decision Support
Authors: Orthuber Wolfgang
Published: February 2025

Medicine is becoming more and more complex and humans can capture total medical knowledge only partially. For specific access a high resolution search engine is demonstrated, which allows besides conventional text search also search of precise quantitative data of medical findings, therapies and results. Users can define metric spaces (“Domain Spaces”, DSs) with all searchable quantitative data (“Domain Vectors”, DSs). An implementation of the search engine is online in http://numericsearch.com. In future medicine the doctor could make first a rough diagnosis and check which fine diagnostics (quantitative data) colleagues had collected in such a case. Then the doctor decides about fine diagnostics and results are sent (half automatically) to the search engine which filters a group of patients which best fits to these data. In this specific group variable therapies can be checked with associated therapeutic results, like in an individual scientific study for the current patient. The statistical (anonymous) results could be used for specific decision support. Reversely the therapeutic decision (in the best case with later results) could be used to enhance the collection of precise pseudonymous medical original data which is used for better and better statistical (anonymous) search results.
A Practical Method for Data Handling in Multi-Method Usability Research Studies
Authors: Georgsson Mattias  , Staggers Nancy
Published: February 2025

Background: Analyses of large, complex data sets are common in health informatics and usability research. Researchers need feasible ways of streamlining data handling and analyses. We offer a useful approach across qualitative and digitalized data.
Service Bundle Recommendation for Person-Centered Care Planning in Cities
Authors: Kotoulas Spyros  , Daly Elizabeth  , Tommasi Pierpaolo  , Kishimoto Akihiro  , Lopez Vanessa  , Stephenson Martin  , Botea Adi  , Sbodio Marco  , Marinescu Radu  , Rooney Ronan
Published: February 2025

Providing appropriate support for the most vulnerable individuals carries enormous societal significance and economic burden. Yet, finding the right balance between costs, estimated effectiveness and the experience of the care recipient is a daunting task that requires considering vast amount of information. We present a system that helps care teams choose the optimal combination of providers for a set of services. We draw from techniques in Open Data processing, semantic processing, faceted exploration, visual analytics, transportation analytics and multi-objective optimization. We present an implementation of the system using data from New York City and illustrate the feasibility these technologies to guide care workers in care planning.
How to Work with Vocabulary Correctly, Exemplified with Gender Coding?
Authors: Oemig Frank  , Blobel Bernd  , Geibel Peter
Published: February 2025

Popular data exchange standards facilitate the use of vocabulary in different ways. Quite often, the usage is based on, and in favor of, simple implementations not considering reality. In most cases the vocabulary is assembled in form of simple code lists. Well-known bad practice is neither to define proper concept descriptions for the individual codes leaving their interpretation to the developer nor to identify the underlying vocabulary domain resulting in a mixture of something. This paper takes the gender use case and analyses the use of codes within some data exchange standards and makes recommendations for improvements in handling and managing code systems correctly.
Conceptual Considerations on the Integration of Quality Indicators into Clinical Pathways
Authors: Richter Peggy  , Burwitz Martin  , Esswein Werner
Published: February 2025

Health care systems need to cope with continuous changes such as with the current trends towards pay-for-performance and value-based health care. In this context, the article aims at analysing the potentials of the integration and utilisation of quality indicators in clinical pathways. It comprises the first steps of a design-oriented research process, i.e. problem motivation and objective definition. Therefore, a conceptual framework for pathway-integrated quality indicators is proposed. Potentials of the approach are outlined in three use case scenarios. The analysis points out great potentials for quality management on institutional and network level and for bridging the gap between medical research and practice. Further research topics are derived and summarised in an agenda.
Preliminary Analysis of Difficulty of Importing Pattern-Based Concepts into the National Cancer Institute Thesaurus
Authors: He Zhe  , Geller James
Published: February 2025

Maintenance of biomedical ontologies is difficult. We have developed a pattern-based method for dealing with the problem of identifying missing concepts in the National Cancer Institute thesaurus (NCIt). Specifically, we are mining patterns connecting NCIt concepts with concepts in other ontologies to identify candidate missing concepts. However, the final decision about a concept insertion is always up to a human ontology curator. In this paper, we are estimating the difficulty of this task for a domain expert by counting possible choices for a pattern-based insertion. We conclude that even with support of our mining algorithm, the insertion task is challenging.
Modelling of Operative Report Documents for Data Integration into an openEHR-Based Enterprise Data Warehouse
Authors: Haarbrandt Birger  , Wilschko Andreas  , Marschollek Michael
Published: February 2025

In order to integrate operative report documents from two operating room management systems into a data warehouse, we investigated the application of the two-level modelling approach of openEHR to create a shared data model. Based on the systems' analyses, a template consisting of 13 archetypes has been developed. Of these 13 archetypes, 3 have been obtained from the international archetype repository of the openEHR foundation. The remaining 10 archetypes have been newly created. The template was evaluated by an application system expert and through conducting a first test mapping of real-world data from one of the systems. The evaluation showed that by using the two-level modelling approach of openEHR, we succeeded to represent an integrated and shared information model for operative report documents. More research is needed to learn about the limitations of this approach in other data integration scenarios.
Identifying the Basis for Clinical Decisions – A Feasibility Study
Authors: Hurlen Petter  , Ofstad Eirik  , Gulbrandsen Pål
Published: February 2025

This study explored the possibility of defining a set of terms to describe and identify the basis for clinical decisions in a set of transcriptions from clinical encounters with previously identified decisions. The paper presents the considerations behind the exploratory study and considerations for further work.
Probability Statements Extraction with Constrained Conditional Random Fields
Authors: Deleris Léa A.  , Jochim Charles
Published: February 2025

This paper investigates how to extract probability statements from academic medical papers. In previous work we have explored traditional classification methods which led to numerous false negatives. This current work focuses on constraining classification output obtained from a Conditional Random Field (CRF) model to allow for domain knowledge constraints. Our experimental results indicate constraining leads to a significant improvement in performance.
Constructing a Pre-Emptive System Based on a Multidimentional Matrix and Autocompletion to Improve Diagnostic Coding in Acute Care Hospitals
Authors: Noussa-Yao Joseph  , Heudes Didier  , Escudie Jean-Baptiste  , Degoulet Patrice
Published: February 2025

Short-stay MSO (Medicine, Surgery, Obstetrics) hospitalization activities in public and private hospitals providing public services are funded through charges for the services provided (T2A in French). Coding must be well matched to the severity of the patient's condition, to ensure that appropriate funding is provided to the hospital. We propose the use of an autocompletion process and multidimensional matrix, to help physicians to improve the expression of information and to optimize clinical coding. With this approach, physicians without knowledge of the encoding rules begin from a rough concept, which is gradually refined through semantic proximity and uses information on the associated codes stemming of optimized knowledge bases of diagnosis code.
European Interoperability Assets Register and Quality Framework Implementation
Authors: Moreno-Conde Alberto  , Thienpont Geert  , Lamote Inge  , Coorevits Pascal  , Parra Carlos  , Kalra Dipak
Published: February 2025

Interoperability assets is the term applied to refer to any resource that can support the design, implementation and successful adoption of eHealth services that can exchange data meaningfully. Some examples may include functional requirements, specifications, standards, clinical models and term lists, guidance on how standards may be used concurrently, implementation guides, educational resources, and other resources. Unfortunately, these are largely accessible in ad hoc ways and result in scattered fragments of a solution space that urgently need to be brought together. At present, it is well known that new initiatives and projects will reinvent assets of which they were unaware, while those assets which were potentially of great value are forgotten, not maintained and eventually fall into disuse. This research has defined a quality in use model and assessed the suitability of this quality framework based on the feedback and opinion of a representative sample of potential end users. This quality framework covers the following domains of asset development and adoption: (i) Development process, (ii) Maturity level, (iii) Trustworthiness, (iv) Support & skills, (v) Sustainability, (vi) Semantic interoperability, (vii) Cost & effort of adoption (viii) Maintenance. When participants were requested to evaluate how the overall quality in use framework, 70% would recommend using the register to their colleagues, 70% felt that it could provide relevant benefits for discovering new assets, and 50% responded that it would support their decision making about the recommended asset to adopt or implement in their organisation. Several European projects have expressed interest in using the register, which will now be sustained and promoted by the the European Institute for Innovation through Health Data.