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Clinical System for Mood Disorder Care in Córdoba, Colombia: Participatory Design and Scenario-Based Usability Evaluation Study

Clinical System for Mood Disorder Care in Córdoba, Colombia: Participatory Design and Scenario-Based Usability Evaluation Study

A total of 223 individual task evaluations were carried out, where the workload was measured (112 and 111, respectively, in cycles 1 and 2); 165 (74%) were the patient role, 40 (17.9%) clinical staff, and 18 (8.1%) administrative personnel. Multimedia Appendix 1 contains the comparative changes between test cycles 1 and 2 for the scenarios evaluated for all types of users. Multimedia Appendix 1 shows the comparative summary of workload (NASA-TLX) by cycles, functionalities, and types of users.

Ever Augusto Torres-Silva, Juan José Gaviria-Jiménez, Eider Pereira-Montiel, David Andrés Montoya-Arenas, José Fernando Flórez-Arango

JMIR Form Res 2025;9:e58909


Development of a Data-Based Method for Predicting Nursing Workload in an Acute Care Hospital: Methodological Study

Development of a Data-Based Method for Predicting Nursing Workload in an Acute Care Hospital: Methodological Study

In the context of nursing workload estimation, there are initial publications on experiences with the use of historical workload data for workload estimation tools, but while initial studies indicate potential to address the shortcomings of traditional methods, evidence remains inconclusive [10,12].

Mark McMahon, Sylvie Plate, Tobias Herz, Gabi Brenner, Michael Kleinknecht-Dolf, Michael Krauthammer

J Med Internet Res 2025;27:e66667


Estimating Nurse Workload Using a Predictive Model From Routine Hospital Data: Algorithm Development and Validation

Estimating Nurse Workload Using a Predictive Model From Routine Hospital Data: Algorithm Development and Validation

Nursing workload management is complex and involves the processes of forecasting, scheduling, staffing, and monitoring [1]. Monitoring a ward’s nursing workload in real time or near time is difficult because of patient movements and because of changes in patient acuity and care needs. This is important because there is a body of evidence that shows nurse understaffing is associated with adverse outcomes for patients and for staff [2,3].

Paul Meredith, Christina Saville, Chiara Dall’Ora, Tom Weeks, Sue Wierzbicki, Peter Griffiths

JMIR Med Inform 2025;13:e71666


Remote Monitoring by ViQtor Upon Implementation on a Surgical Department (REQUEST-Trial): Protocol for a Prospective Implementation Study

Remote Monitoring by ViQtor Upon Implementation on a Surgical Department (REQUEST-Trial): Protocol for a Prospective Implementation Study

In doing so, the study aims to assess the device’s usability, its impact on nursing workload, and how effectively it can be embedded in standard clinical practice. This prospective implementation study with retrospective data analysis (the REQUEST [Remote Monitoring by vi Qtor Upon Implementation on a Surgical Department] trial) will be conducted at a large teaching hospital.

Ephrahim E Jerry, Arthur R Bouwman, Simon W Nienhuijs

JMIR Res Protoc 2025;14:e70707


Correlation Between Diagnosis-Related Group Weights and Nursing Time in the Cardiology Department: Cross-Sectional Study

Correlation Between Diagnosis-Related Group Weights and Nursing Time in the Cardiology Department: Cross-Sectional Study

Kang et al [21] performed nursing time statistics based on the hospital information platform, and despite the slightly improved efficiency, the statistical workload was still a lot due to the extraction of data from multiple systems. Meanwhile, Zhang et al [22] calculated nursing time using the load weighting method. The assignment of load weights mainly depended on the subjective assessment of experts, with a large influence from human factors.

Chen Lv, Yi-Hong Gong, Xiu-Hua Wang, Jun An, Qian Wang, Jing Han, Xiao-Feng Chen

JMIR Med Inform 2025;13:e65549


Nurses’ Perspectives and Experiences of Using a Bed-Exit Information System in an Acute Hospital Setting: Mixed Methods Study

Nurses’ Perspectives and Experiences of Using a Bed-Exit Information System in an Acute Hospital Setting: Mixed Methods Study

We refer to such behaviors as adverse events (AEs) in the context of nursing care when they affect the health or well-being of patients or increase the workload of nurses (see the Adverse Events in the Context of Nursing Care section). A particular challenge for nurses in hospitals is motor agitation in and around the bed, as well as related incidents such as falls or the disconnection of catheters or vascular access [6].

Stefan Walzer, Isabel Schön, Johanna Pfeil, Sam Klemm, Sven Ziegler, Claudia Schmoor, Christophe Kunze

JMIR Form Res 2025;9:e64444


Digital Information Ecosystems in Modern Care Coordination and Patient Care Pathways and the Challenges and Opportunities for AI Solutions

Digital Information Ecosystems in Modern Care Coordination and Patient Care Pathways and the Challenges and Opportunities for AI Solutions

The figure highlights several key challenges that hinder the efficient management of the digital information ecosystem, such as interoperability issues, information silos, increased workload and clinician burden, coordination and communication gaps, patient care journey mapping, and the complexities of complying with privacy regulations.

You Chen, Christoph U Lehmann, Bradley Malin

J Med Internet Res 2024;26:e60258


Calculating Optimal Patient to Nursing Capacity: Comparative Analysis of Traditional and New Methods

Calculating Optimal Patient to Nursing Capacity: Comparative Analysis of Traditional and New Methods

Additionally, the calculation includes minutes of care required for admissions and discharges, ensuring that the dynamic bed count reflects the unit’s actual workload every hour. A more detailed description and example of the dynamic bed count calculation is available in Multimedia Appendix 1.

Anna Ware, Terri Blumke, Peter Hoover, David Arreola

JMIR Nursing 2024;7:e59619


Improving the Care of Severe, Open Fractures and Postoperative Infections of the Lower Extremities: Protocol for an Interdisciplinary Treatment Approach

Improving the Care of Severe, Open Fractures and Postoperative Infections of the Lower Extremities: Protocol for an Interdisciplinary Treatment Approach

Above- or below-average resources are recorded with the median of differences (pretest-posttest estimates of resources), leading to other hypotheses: (1) above-average resources are associated with lower workload, and below-average resources are associated with higher workload (hypothesis 2); (2) above-average resources are associated with higher work engagement (hypothesis 3a); (3) when resources increase, work engagement increases (hypothesis 3b); (4) if resources increase (exclusion of technical competence

Steffen Rosslenbroich, Marion Laumann, Joachim Hasebrook, Sibyll Rodde, John Grosser, Wolfgang Greiner, Tobias Hirsch, Stefan Windrich, Michael J Raschke

JMIR Res Protoc 2024;13:e57820


Validating the Effectiveness of the Patient-Centered Cancer Care Framework by Assessing the Impact of Work System Factors on Patient-Centered Care and Quality of Care: Interview Study With Newly Diagnosed Cancer Patients

Validating the Effectiveness of the Patient-Centered Cancer Care Framework by Assessing the Impact of Work System Factors on Patient-Centered Care and Quality of Care: Interview Study With Newly Diagnosed Cancer Patients

In addition, although many studies have focused on the workload of physicians and staff, no study has focused on the workload of patients with cancer. In this qualitative study, we explored the impact of work system factors on newly diagnosed patients with cancer’s perceptions of PCC and QOC and the impact of PCC on the QOC outcomes among newly diagnosed patients with cancer following a suggested conceptual framework.

Safa Elkefi, Onur Asan

JMIR Hum Factors 2024;11:e53053