International Journal of Nursing Information

Digital Transformation in Nursing Practice: Leveraging Technology for Patient Education and Clinical Decision Support

Ani Susiani — 2025-12-31

The digital transformation in healthcare has driven the emergence of nursing technologies as strategic innovations that bridge the gap between the limitations of conventional service methods and the demands of modern nursing care. However, the effectiveness of these technologies largely depends on how they are leveraged for patient education and clinical decision support to improve service quality. This study aims to analyze the impact of digital transformation in nursing practice with a focus on three key dimensions: technology utilization, patient education, and clinical decision support. A quantitative approach with a cross-sectional survey design was employed, involving 300 nursing participants from Indonesia and Nigeria selected through purposive sampling. Data were collected via an online questionnaire and analyzed using multiple linear regression. The findings reveal that technology utilization exerts a significant effect on the effectiveness of patient education, and patient education acts as a strong predictor of accurate clinical decision support. Furthermore, increased technology integration is consistently predicted to enhance nurses' decision-making capacity and quality of care, whereas technological barriers may potentially diminish both. In conclusion, digital transformation in nursing has demonstrated clear advantages over conventional methods in terms of information efficiency, education accessibility, and clinical decision accuracy. This study contributes by integrating patient education and clinical decision support into digital health adoption literature, while also offering practical guidance for system developers and policymakers to create more efficient and evidence-based nursing practice environments in developing countries.

Feasibility and Acceptability of PcyCare: A Self-Directed Digital Platform for Maternal Health Literacy and Emotional Support

Nurul Jannah — 2025-12-31

The digital transformation in healthcare has driven the emergence of maternal health platforms as strategic innovations that bridge the gap between the limitations of conventional educational methods and the demands of modern emotional support. This study aims to evaluate the feasibility and acceptability of PcyCare (Pregnancy Care), a self-directed digital platform designed to integrate maternal health literacy and emotional support. A quantitative approach with a descriptive feasibility study design was employed, involving 123 participants (comprising 110 pregnant women, 8 maternal health experts, and 5 IT specialists) selected through purposive sampling from Malaysia and Indonesia. Theoretically grounded in the Technology Acceptance Model (TAM), data were collected via structured questionnaires and analyzed using descriptive statistics and Scale-Content Validity Indices (S-CVI). Findings reveal that PcyCare achieved high consensus across all domains; technical feasibility received the highest rating (M=4.82,SD=0.06), followed by user experience (M=4.70,SD=0.48) and content quality (M=4.68,SD=0.11). Expert validation yielded an S-CVI of 0.94 for content relevance and 0.96 for technical stability. Integrating literacy and emotional support features significantly enhances user satisfaction and maternal self-management capacity. In conclusion, PcyCare demonstrates clear advantages over conventional methods in terms of accessibility, information clarity, and real-time psychological reassurance. This study contributes to mHealth literature by pioneering the integration of health literacy and emotional support into a single evidence-based digital intervention, offering theory-driven practical guidance for developers and policymakers to create more inclusive and sustainable maternal healthcare systems.

Health Workers’ Perceptions of Communication and Interprofessional Collaboration in Digital Primary Healthcare: A Cross-Sectional Study

Mera Delima — 2025-12-31

Interprofessional collaboration is a pivotal strategy for delivering high quality health services during the current global digital transformation. Despite its critical importance, barriers such as professional dominance and frequent miscommunication continue to undermine collaborative efforts in clinical settings. This study analyzed the relationship and association between healthcare workers’ perceptions of effective communication and the actual implementation of interprofessional collaboration within digital health practices. A descriptive analytic cross sectional design was employed using total population sampling of 152 healthcare professionals at a Primary Healthcare Center. Data were gathered through validated questionnaires focusing on digital adaptation and analyzed using Chi-Square tests and Odds Ratio analysis. Findings revealed that 55.3 percent of respondents perceived communication as effective and rated collaboration as good. A significant association was identified (p=0.011) with an Odds Ratio of 7.680. This indicates that healthcare workers with positive communication perceptions are 7.68 times more likely to engage in high quality collaboration. Key challenges identified include hierarchical dominance, instruction miscommunication, and limited team based digital discussion platforms. Effectively, communication serves as the fundamental pillar of coordination in digital health environments. While digital tools such as telemedicine and internal messaging expedite information exchange, success depends on professional communication standards and nursing leadership as care coordinators. Finally, this research contributes a comprehensive and strategic framework emphasizing that nursing leadership as digital mediators is essential for bridging communication gaps, reducing potential clinical errors, and ensuring patient safety in the global Health 5.0 era.

Development and Content Validation of a Manga-Based Educational Technology on Child Sexual Abuse: A Nursing Tool for Health Literacy in Brazil

Ana Darla Da Silva Ferreira — 2025-12-31

As child sexual abuse remains a pervasive and silent crime, there is an urgent need for innovative nursing tools that enhance health literacy to empower young populations. The objective of this study was to develop and validate a manga-based nursing educational technology aimed at child sexual abuse prevention and health literacy in Brazil. Regarding the method, a methodological study with a quantitative approach was conducted to validate the content of the manga , which was designed as a nursing information tool using ibisPaint software. The material was evaluated by 12 experts in child health, protection networks, and information technology who met Jasper’s criteria with validation analyzed using the Content Validity Index (CVI) at an acceptable agreement rate of 90%. Additionally, Gwet’s AC2 was used for intra-expert agreement evaluation. The results revealed a CVI of 1.00 for objectives and relevance, while the structure of the manga achieved a CVI of 0.97 with a clarity rating of 0.92. Gwet’s AC2 indicated almost perfect agreement, yielding values of 0.92 for objectives, 0.84 for structure, and 0.93 for relevance. In conclusion, this validated manga serves as an effective nursing educational technology that facilitates health literacy by providing children and adolescents with the necessary autonomy to recognize abuse and access protection networks. This research contributes a rigorous technological framework to nursing informatics, offering a culturally relevant instrument for promoting social justice and child protection in the Brazilian context.

Development and Psychometric Evaluation of the Pediatric Nurse Professional Competence Scale (P-NPCS) for Private Hospitals

Gurpreet Kaur — 2025-12-31

Pediatric nurses require specialized competencies to meet the unique physiological and psychosocial needs of children, yet context-specific assessment tools remain limited in India, particularly for the private healthcare sector. This study aimed to develop and psychometrically validate the Pediatric Nurse Professional Competence Scale (P-NPCS) among nurses in private hospitals in selected districts of Punjab, India. A methodological research design was adopted, involving 385 pediatric nurses recruited through a non-probability, total enumerative sampling method from nine private hospitals. The development process followed a three-phase approach, including item generation based on a literature review, content validation using a three-round Delphi technique with a panel of 20 nursing experts, and scale evaluation through a pilot study and final data collection. The results of the psychometric evaluation using Confirmatory Factor Analysis supported a refined 51-item, ten-factor model with satisfactory fit indices (χ²/df = 2.93, CFI = 0.93, GFI = 0.92, RMSEA = 0.068). The findings further demonstrated high internal consistency, with composite reliability ranging from 0.78 to 0.86 and Average Variance Extracted exceeding 0.50. While 87% of the nurses demonstrated high overall competence, lower scores were identified in the domains of collaboration and professional development. In conclusion, the P-NPCS stands as a robust and reliable instrument for evaluating pediatric nursing competencies within specialized clinical environments. By offering a culturally and contextually validated tool, this study significantly contributes to the field by enabling structured performance evaluations and targeted professional development strategies, ultimately enhancing the quality of pediatric care in the private healthcare sector.