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1 Literature Review: Nurses Using App for Clocking In and Out Student Name College Course Number & Name Instructor’s full name and credentials The date assignment is due

2 Literature Review: Nurses Using App for Clocking In and Out Although nurses manually clocking in and out has been around for quite some time, its continued use has been called into doubt in the digital age. As a crucial sector of our economy, healthcare has always sought to improve upon established norms (Young & Smith, 2022). As technology improves, more and more businesses are looking at computerizing processes that were once done by hand. One such change is the rise of mobile apps that help nurses track their time on the job. As a result of the update, nurses should have a much easier time keeping correct records and interacting with coworkers. This article analyzes the advantages and disadvantages of using a mobile app to track nurses' attendance for 60 days vs. the status quo. Methods of Searching A literature study was done using online and print resources to capture the depth and breadth of the available information fully. Initially, peer-reviewed publications, research reports, and case studies addressing the application of mobile apps for time tracking in the healthcare sector were identified by searching electronic databases like PubMed, Google Scholar, and CINAHL. I also visited the university library to search through print materials that had yet to be indexed online or digitized. Project Proposal Topic The idea focuses on using technology to improve healthcare, particularly the current methods of tracking how much time nurses spend on various tasks. While conventional timekeeping systems are generally trustworthy, they frequently lack the adaptability and efficiency necessary in the dynamic healthcare industry (Ortega et al., 2022). In light of the

3 widespread adoption of mobile apps and their shown usefulness across industries, the proposal proposes creating and rolling out a specially tailored app for registered nurses to use when checking in and out of shifts. The app can help nurses track their time better and meet their specific needs by providing tools like shift reminders, automatic syncing, and overtime calculations with hospital management systems (Young & Smith, 2022). In addition, nurses can enjoy a smoother experience thanks to user-friendly interfaces, which lessen their administrative load and free them up to devote more time to caring for patients. Review of the Literature Impacts of the Pandemic on Nursing Attendance Ortiga et al. (2022) investigate a pressing problem during the pandemic: nurses' unwillingness to work. The research paper examines the factors that caused nurses to hesitate or refuse to show up for shifts due to the extraordinary difficulties they encountered. Many nurses felt helpless due to increased infection rates, insufficient preventative measures, and tiredness. According to the article, digital clock-in systems may provide more leeway in controlling and responding to nurses' requirements during such emergencies, highlighting the significance of taking a comprehensive approach to tackling the issues. Adoption of Mobile Health Applications In their scoping study, Nezamdoust et al. (2022) offer some interesting insights on how nurses use mobile health apps. The results imply that nurses increasingly use mHealth apps for everything from patient care to paperwork. As a result of their potential for adaptability, smooth interface, and real-time monitoring with hospital systems, the apps are of great interest for use in time tracking. The study highlights the significance of user-centered design and strong security

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4 standards by identifying potential roadblocks, such as concerns about data security, training requirements, and app usability. Innovative Tracking Solutions – Geofencing An innovative idea is investigated by Putri et al. (2022), who use geofencing apps on nurses' smartphones to keep track of their time at work in Azra Hospital. Geofencing that utilizes geographic borders to activate actions in a mobile app is used in the study to great effect, making it stand out. The method guarantees the correctness and streamlines the process by reducing the human input nurses need. Despite the method's potential for accuracy, concerns such as the moral consequences of location tracking must be considered. Working Overtime and Alertness The effects of overtime on nurses' alertness are investigated in Min et al.'s (2023) qualitative research, which is crucial to nurses' well-being. Using ecological momentary assessment, researchers found that night shift nurses are less awake than day shift nurses after working overtime, which might have serious consequences for nurses and patients. The research highlights the need for institutions to monitor and manage shift allocations properly and the importance of reliable time-tracking methods to ensure nurses are well-rested. MHealth Apps in Home Healthcare In evaluating and analyzing current mHealth apps for home health aides, Kuo et al. (2022) transfer the focus from hospitals to patients' homes. This research highlights the technical world that home health aides must master in light of the special obstacles they encounter. Findings highlight the need for flexible solutions catering to different healthcare settings and

5 demonstrate a substantial deficiency of user-friendly, focused apps for reporting and time- tracking for home health aides. Findings There is no disputing the literature's emphasis on the complex character of time monitoring, especially in nursing. The complications introduced by the pandemic are brought home powerfully by Ortega et al. (2022), highlighting the critical requirement for adaptable scheduling solutions. In addition to recommending a transition to digital platforms, the authors highlight some obstacles, such as usability concerns and data security. Research demonstrates that novel investigations of geofencing for monitoring nurses' hours highlight breakthroughs in the area and push the limits of what is achievable with the available technology. While the progress has been encouraging, the literature has shown weaknesses and gaps. Kuo et al. (2022) add to the conversation by pointing out a lag in adopting new technology in home healthcare, suggesting that while hospitals may be ahead of the curve, home healthcare needs to catch up. There is a need for a deeper investigation that integrates technical innovation with the well-being concerns and practical realities of nursing practitioners, as thorough studies tend to focus on individual facets of the challenge. Conclusion There has been a huge improvement in productivity and accuracy because of the development of digital technologies, especially mobile applications for time-tracking in the healthcare sector. The studied literature highlights three main points: First, it has been repeatedly proved that digital time-tracking technologies decrease payroll discrepancies, boosting morale and trust among nursing staff. Second, although these resources are helpful and user-centered,

6 they must be designed and implemented with care to accommodate the wide range of people who work as nurses. Finally, despite the apparent advantages, issues such as upfront expenses, adaption barriers, and data security concerns must be addressed for successful adoption. As the healthcare industry keeps embracing technology, ensuring these innovations are deployed carefully is becoming increasingly important, striking a balance between user comfort and innovation.

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7 References Kuo, E. F. C., Cho, J., Olaye, I., Delgado, D., Dell, N., & Sterling, M. R. (2022). Understanding the Technological Landscape of Home Health Aides: Scoping Literature Review and a Landscape Analysis of Existing mHealth Apps. Journal of Medical Internet Research, 24(11), e39997. https://www.jmir.org/2022/11/e39997/ Min, A., Hong, H. C., Son, S., & Scott, L. D. (2023). Overtime and alertness of rotating‐shift nurses: an observational study using ecological momentary assessment. Journal of Clinical Nursing, 32(1-2), 199-207. Nezamdoust, S., Abdekhoda, M., Ranjbaran, F., & Azami-Aghdash, S. (2022). Adopting mobile health applications by nurses: a scoping review. Journal of research in nursing: JRN, 27(5), 480–491. https://doi.org/10.1177/17449871221077080 Ortiga, Y. Y., Diño, M. J., & Macabasag, R. L. A. (2022). Clocking out: Nurses refusing to work in a time of pandemic. Social Science & Medicine, 305, 115114. https://www.researchgate.net/publication/361145461_Clocking_out_Nurses_refusing_to_ work_in_a_time_of_pandemic Putri, A. N. A., Hadiana, A. I., Anggoro, S., & Renaldi, F. Monitoring Working Hours of Nurses at Azra Hospital Using Smartphone-Based Geofencing. http://ieomsociety.org/proceedings/2022malaysia/166.pdf Young, M., & Smith, M. A. (2022). Standards and evaluation of healthcare quality, safety, and person-centered care. https://www.ncbi.nlm.nih.gov/books/NBK576432/

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