1.Generative AI-Based Nursing Diagnosis and Documentation Recommendation Using Virtual Patient Electronic Nursing Record Data
Hongshin JU ; Minsul PARK ; Hyeonsil JEONG ; Youngjin LEE ; Hyeoneui KIM ; Mihyeon SEONG ; Dongkyun LEE
Healthcare Informatics Research 2025;31(2):156-165
Objectives:
Nursing documentation consumes approximately 30% of nurses’ professional time, making improvements in efficiency essential for patient safety and workflow optimization. This study compares traditional nursing documentation methods with a generative artificial intelligence (AI)-based system, evaluating its effectiveness in reducing documentation time and ensuring the accuracy of AI-suggested entries. Furthermore, the study aims to assess the system’s impact on overall documentation efficiency and quality.
Methods:
Forty nurses with a minimum of 6 months of clinical experience participated. In the pre-assessment phase, they documented a nursing scenario using traditional electronic nursing records (ENRs). In the post-assessment phase, they used the SmartENR AI version, developed with OpenAI’s ChatGPT 4.0 API and customized for domestic nursing standards; it supports NANDA, SOAPIE, Focus DAR, and narrative formats. Documentation was evaluated on a 5-point scale for accuracy, comprehensiveness, usability, ease of use, and fluency.
Results:
Participants averaged 64 months of clinical experience. Traditional documentation required 467.18 ± 314.77 seconds, whereas AI-assisted documentation took 182.68 ± 99.71 seconds, reducing documentation time by approximately 40%. AI-generated documentation received scores of 3.62 ± 1.29 for accuracy, 4.13 ± 1.07 for comprehensiveness, 3.50 ± 0.93 for usability, 4.80 ± 0.61 for ease of use, and 4.50 ± 0.88 for fluency.
Conclusions
Generative AI substantially reduces the nursing documentation workload and increases efficiency. Nevertheless, further refinement of AI models is necessary to improve accuracy and ensure seamless integration into clinical practice with minimal manual modifications. This study underscores AI’s potential to improve nursing documentation efficiency and accuracy in future clinical settings.
2.Generative AI-Based Nursing Diagnosis and Documentation Recommendation Using Virtual Patient Electronic Nursing Record Data
Hongshin JU ; Minsul PARK ; Hyeonsil JEONG ; Youngjin LEE ; Hyeoneui KIM ; Mihyeon SEONG ; Dongkyun LEE
Healthcare Informatics Research 2025;31(2):156-165
Objectives:
Nursing documentation consumes approximately 30% of nurses’ professional time, making improvements in efficiency essential for patient safety and workflow optimization. This study compares traditional nursing documentation methods with a generative artificial intelligence (AI)-based system, evaluating its effectiveness in reducing documentation time and ensuring the accuracy of AI-suggested entries. Furthermore, the study aims to assess the system’s impact on overall documentation efficiency and quality.
Methods:
Forty nurses with a minimum of 6 months of clinical experience participated. In the pre-assessment phase, they documented a nursing scenario using traditional electronic nursing records (ENRs). In the post-assessment phase, they used the SmartENR AI version, developed with OpenAI’s ChatGPT 4.0 API and customized for domestic nursing standards; it supports NANDA, SOAPIE, Focus DAR, and narrative formats. Documentation was evaluated on a 5-point scale for accuracy, comprehensiveness, usability, ease of use, and fluency.
Results:
Participants averaged 64 months of clinical experience. Traditional documentation required 467.18 ± 314.77 seconds, whereas AI-assisted documentation took 182.68 ± 99.71 seconds, reducing documentation time by approximately 40%. AI-generated documentation received scores of 3.62 ± 1.29 for accuracy, 4.13 ± 1.07 for comprehensiveness, 3.50 ± 0.93 for usability, 4.80 ± 0.61 for ease of use, and 4.50 ± 0.88 for fluency.
Conclusions
Generative AI substantially reduces the nursing documentation workload and increases efficiency. Nevertheless, further refinement of AI models is necessary to improve accuracy and ensure seamless integration into clinical practice with minimal manual modifications. This study underscores AI’s potential to improve nursing documentation efficiency and accuracy in future clinical settings.
3.Generative AI-Based Nursing Diagnosis and Documentation Recommendation Using Virtual Patient Electronic Nursing Record Data
Hongshin JU ; Minsul PARK ; Hyeonsil JEONG ; Youngjin LEE ; Hyeoneui KIM ; Mihyeon SEONG ; Dongkyun LEE
Healthcare Informatics Research 2025;31(2):156-165
Objectives:
Nursing documentation consumes approximately 30% of nurses’ professional time, making improvements in efficiency essential for patient safety and workflow optimization. This study compares traditional nursing documentation methods with a generative artificial intelligence (AI)-based system, evaluating its effectiveness in reducing documentation time and ensuring the accuracy of AI-suggested entries. Furthermore, the study aims to assess the system’s impact on overall documentation efficiency and quality.
Methods:
Forty nurses with a minimum of 6 months of clinical experience participated. In the pre-assessment phase, they documented a nursing scenario using traditional electronic nursing records (ENRs). In the post-assessment phase, they used the SmartENR AI version, developed with OpenAI’s ChatGPT 4.0 API and customized for domestic nursing standards; it supports NANDA, SOAPIE, Focus DAR, and narrative formats. Documentation was evaluated on a 5-point scale for accuracy, comprehensiveness, usability, ease of use, and fluency.
Results:
Participants averaged 64 months of clinical experience. Traditional documentation required 467.18 ± 314.77 seconds, whereas AI-assisted documentation took 182.68 ± 99.71 seconds, reducing documentation time by approximately 40%. AI-generated documentation received scores of 3.62 ± 1.29 for accuracy, 4.13 ± 1.07 for comprehensiveness, 3.50 ± 0.93 for usability, 4.80 ± 0.61 for ease of use, and 4.50 ± 0.88 for fluency.
Conclusions
Generative AI substantially reduces the nursing documentation workload and increases efficiency. Nevertheless, further refinement of AI models is necessary to improve accuracy and ensure seamless integration into clinical practice with minimal manual modifications. This study underscores AI’s potential to improve nursing documentation efficiency and accuracy in future clinical settings.
4.Development of Online Sex Education Programs Using Interactive Human-Computer Dialogue Technology.
Ju Han KIM ; Kun LEE ; Heeran KIM ; Myung Hwa LEE ; Hyeoneui KIM ; Kun Hoo RHEE ; Young Sook PARK
Journal of Korean Society of Medical Informatics 2002;8(3):27-35
Cyberspace be comes one of the most influential media for the formation of sexual identity, knowledge , and attitude of the adolesc ents. Online sex education program may help the adolescents the sexual development processes e fficiently and confidentially. Most of the online sex education programs are not truly interactive nor adaptive. Didactic education materials may not be sufficient to modify adolescents online sexual activities. Computer-patient dialogue programs can help to develop truly intera ctive online contents that adaptively a ccommoda te the persona lized needs of the adolescents. This paper describes the development and implementation technology of a Web-based dialogue system for the interactive online sex education. A threetiered database-backed Web system with browser-based dialogue editor, automatic script-code generator, automatic relationaldatabase schema genera tor, and integrated program development environment was produced and tested on the online sex education program. The Web dialogue system can also be used for online surveys, clinical trials, and electronic medical records. This approa ch can enhance collabor ation betwe en the consumer-or iented and the provider-oriented informa tion systems.
Adolescent
;
Male
;
Female
;
Humans