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Instructions for Authors

Purposes of the Journal: CIN is designed as a forum for communication among nurses who use computers. As a refereed journal, CIN is a vehicle for the publication of high-quality, relevant, and timely articles on a variety of topics related to the use of computers in, and application of computer technology to, contemporary nursing practice, education, research, and administration. Articles in CIN are selected to reflect the diversity of computer hardware, software, and applications which nurses use in their work to provide current and useful information to a broad audience of readers. CIN Plus is an added feature of the journal 12 times a year. CIN Plus is devoted to in-depth practical information on everyday computing issues, and other topics such as informatics education and career development.

About the Journal: CIN began in 1983 as a newsletter. Founding editor Gary D. Hales guided the journal from this modest beginning to the journal it is today. In January 1995, Leslie H. Nicoll was appointed Editor-in-Chief. CIN is now published online monthly by Lippincott Williams & Wilkins of Philadelphia, PA, a division of Wolters-Kluwer Health, and indexed in CINAHL, the International Nursing Index, MEDLINE, and Social Science Citation Index.

Ethical and Legal Considerations: A submitted manuscript must be an original contribution not previously published (except as an abstract or a preliminary report), must not be under consideration for publication elsewhere, and, if accepted, must not be published elsewhere in similar form, in any language, without the consent of Lippincott Williams & Wilkins. Each person listed as an author is expected to have participated in the work to a significant extent. Although the editors and reviewers make every effort to ensure the validity of published manuscripts, the final responsibility rests with the authors, not with the Journal, its editors, or the publisher.

Conflicts of Interest: Authors must state all possible conflicts of interest in the manuscript, including financial, consultant, institutional and other relationships that might lead to bias or a conflict of interest. If there is no conflict of interest, this should also be explicitly stated as none declared. All sources of funding should be acknowledged in the manuscript. All relevant conflicts of interest and sources of funding should be included on the title page of the manuscript with the heading "Conflicts of Interest and Source of Funding." For example:

Conflicts of Interest and Source of Funding: A has received honoraria from Company Z. B is currently receiving a grant (#12345) from Organization Y, and is on the speaker's bureau for Organization X - the CME organizers for Company A. For the remaining authors none were declared.

Copyright Transfer: Each author must complete and submit the journal's copyright transfer agreement, updated 2011, which includes a section on the disclosure of potential conflicts of interest based on the recommendations of the International Committee of Medical Journal Editors, "Uniform Requirements for Manuscripts Submitted to Biomedical Journals" ( The form is available on CIN Editorial Manager home page ( and can be completed with digital signatures and submitted electronically. For additional information about electronically signing this form, please visit

Please note that as of June 2009 manuscripts will not be sent on to peer review until the signed forms have been received. Blank forms uploaded with manuscripts will be returned to authors for signature.

Open Access: LWW’s hybrid open access option is offered to authors whose articles have been accepted for publication. With this choice, articles are made freely available online immediately upon publication. Authors may take advantage of the open access option at the point of acceptance to ensure that this choice has no influence on the peer review and acceptance process. These articles are subject to the journal’s standard peer-review process and will be accepted or rejected based on their own merit.
Authors of accepted peer-reviewed articles have the choice to pay a fee to allow perpetual unrestricted online access to their published article to readers globally, immediately upon publication. The article processing charge for CIN is $2,000. The article processing charge for authors funded by the Research Councils UK (RCUK) is $2,540. The publication fee is charged on acceptance of the article and should be paid within 30 days by credit card by the author, funding agency or institution. Payment must be received in full for the article to be published open access. Any additional standard publication charges, such as for color images, will also apply.

  • Authors retain copyright: Authors retain their copyright for all articles they opt to publish open access. Authors grant LWW a license to publish the article and identify itself as the original publisher.
  • Creative Commons license: Articles opting for open access will be freely available to read, download and share from the time of publication. Articles are published under the terms of the Creative Commons License Attribution-NonCommerical No Derivative 4.0 which allows readers to disseminate and reuse the article, as well as share and reuse of the scientific material. It does not permit commercial exploitation or the creation of derivative works without specific permission. To view a copy of this license visit:
  • Compliance with NIH, RCUK, Wellcome Trust and other research funding agency accessibility requirements: A number of research funding agencies now require or request authors to submit the post-print (the article after peer review and acceptance but not the final published article) to a repository that is accessible online by all without charge. As a service to our authors, LWW identifies to the National Library of Medicine (NLM) articles that require deposit and transmits the post-print of an article based on research funded in whole or in part by the National Institutes of Health, Howard Hughes Medical Institute, or other funding agencies to PubMed Central. The revised Copyright Transfer Agreement provides the mechanism. LWW ensures that authors can fully comply with the public access requirements of major funding bodies worldwide. Additionally, all authors who choose the open access option will have their final published article deposited into PubMed Central.
  • RCUK and Wellcome funded authors can choose to publish their paper as open access with the payment of an article process charge (gold route), or opt for their accepted manuscript to be deposited (green route) into PMC with an embargo.
    With both the gold and green open access options, the author will continue to sign the Copyright Transfer Agreement (CTA) as it provides the mechanism for LWW to ensure that the author is fully compliant with the requirements. After signature of the CTA, the author will then sign a License to Publish where they will then own the copyright. Those authors who wish to publish their article via the gold route will be able to publish under the terms of the Attribution 4.0 (CCBY) License. To view of a copy of this license visit: Those authors who wish to publish their article via the green route will be able to publish under the rights of the Attribution Non-commercial 4.0 (CCBY NC) license (
    It is the responsibility of the author to inform the Editorial Office and/or LWW that they have RCUK funding. LWW will not be held responsible for retroactive deposits to PMC if the author has not completed the proper forms.

Permissions: If previously copyrighted materials are used in original form, or adapted for use, in an article submitted to CIN, the authors must submit written permission from the copyright owner (usually either the publisher or author of the original) allowing use of the material in the CIN article. Complete details about the source (for example, if it is a journal article, book chapter, survey instrument, or diagram of a model) should be included on the page with the reprinted material in the same format as the reference list. The phrase “Reprinted with permission” should follow the reference.

Any permissions fees required by the copyright owner are the responsibility of the authors requesting use of the borrowed material, not the responsibility of Lippincott Williams & Wilkins.

There are two links to permissions requests available through the Files and Resources menu associated with the Information for Authors link at the Web site. The first, LWW Publications Reprint Permission, is for LWW publications. The second, Permissions Requests for Non-LWW Publications, can be filled out as needed and faxed, mailed, or e-mailed to copyright holders other than LWW.

You may also use a letter of permission that you obtain independently. If it is a paper form, scan the signed permission and save as a PDF file, then attach the file as a submission item. If it is an e-mail, copy and paste the text into a Word document and upload as a file. Please select “copyright transfer form” as the item type so that it will not be incorporated into the review copy.

Authors must obtain written permission to adapt or reproduce the following material. Detailed information on requirements for permissions and the terms for “Fair Use” of published works is available in American Medical Association Manual of Style (10th ed., chapter 5).

  • Research instruments (such as surveys)
  • Unpublished communications (oral or written)
  • Any table, figure, or illustration that is reproduced exactly or adapted to fit the needs of the subject
  • Models on which an article is based
  • Digital works such as photographs, slides, radiographs, scans, chromatographs, and audio and video files

Quotations from books or articles must not cover more than a few consecutive paragraphs, or more than 10% of the source material. All quoted text must be cited with a reference and specific page numbers where the quoted text appears in the source, according to AMA Style.

Original works developed by the authors of an article submitted to CIN (such as photographs, artwork, models, or instruments) that have been previously copyrighted and are used in the article may qualify for an “amended to exclude” copyright transfer form. Please contact the editorial office for further information.

For Translation Rights & Licensing queries, contact Silvia Serra, Translation Rights, Licensing & Permissions Manager, Wotlers Kluwer Health (Medical Research) Ltd, 250 Waterloo Road, London SE1 8RD, UK. PHone: +44 (0) 207 981 0600. E-mail: For Special Projects and Reprints (US/Canada), contact Alan Moore, Director of Sales, Lippincott Williams & Wilkins, Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103. Phone: 215-521-8638. E-mail: For Special Projects and Reprints (non-US/Canada), contact Silvia Serra, Translation Rights, Licensing & Permissions Manager, Wotlers Kluwer Health (Medical Research) Ltd, 250 Waterloo Road, London SE1 8RD, UK. PHone: +44 (0) 207 981 0600. E-mail:

Anonymous Review: Manuscripts are reviewed anonymously by peer reviewers with expertise in the manuscript topic area. Authors should not identify themselves or their institutions other than on the title page. The title page will not be seen by reviewers, and reviewers’ identities will not be revealed to authors.

Manuscript Preparation: Manuscripts must be formatted according to the following instructions or they will be returned for corrections before undergoing peer review.

Abstract: The Abstract should appear in two places: (1) typed or copied and pasted into the designated window on the Web page during the submission process; and (2) in the body of the manuscript on a separate page just after the title page. Abstracts will be sent to reviewers with the invitation to review. Limit the abstract to 200 words. Do not cite references or define abbreviations or acronyms (for example, “personal digital assistant (PDA)”) in the abstract. The abstract should briefly summarize the major issue, problem, or topic being addressed, and the findings and/or conclusions of the manuscript. Please do not submit a structured abstract; CIN employs a narrative abstract form. Structured abstracts can be converted to narrative form by removing subheadings and allowing text to flow in a single paragraph.

Key words: Like the abstract, key words should be provided twice: (1) typed or copied and pasted into a designated box on the Web page during the submission process; and (2) in the body of the manuscript on the same page as the abstract. Provide three to five key words, separated by semicolons, to describe the contents of the manuscript. Terms that appear in Cumulative Index to Nursing & Allied Health Literature (CINAHL) or The National Library of Medicine's Medical Subject Headings (MeSH) are the most helpful. The key words are used in indexing your manuscript when it is published.

Title page: The title page will be submitted as a separate file when you are instructed to attach files to your submission. This allows Editorial Manager to generate a reviewer copy that contains no author identification. Compose your title page using your word processor, then attach this file when you reach the "attach files" step in the submission process. Include on the title page (a) complete manuscript title; (b) authors’ full names, highest academic degrees, and affiliations; (c) name and address for correspondence, including fax number, telephone number, and e-mail address; and (d) any acknowledgements, credits or disclaimers.

Please note that CIN will not publish degree candidacies such as PhD(c). Only the highest awarded degree will be included in author credentials on published manuscripts.

Disclosure: All sources of funding and possible conflicts of interest must be disclosed on the title page, including consultant, institutional, and other relationships that might lead to bias or a conflict of interest. If there is no conflict of interest, this should also be explicitly stated as none declared.

Please list this information with the heading “Conflicts of Interest and Source of Funding.” For example:

Conflicts of Interest and Source of Funding: A has received honoraria from Company Z. B is currently receiving a grant (#12345) from Organization Y, and is on the speaker’s bureau for Organization X – the CME organizers for Company A. For the remaining authors none were declared.

Please be sure to note funding from any of the following organizations: National Institutes of Health (NIH); Wellcome Trust; Howard Hughes Medical Institute (HHMI); and other(s) who may require open public access to the article after publication.

Manuscript: The manuscript will be submitted as a separate file when you are instructed to attach files to your submission. Compose your manuscript using your word processor, then attach this file when you reach the "attach files" step in the submission process.

Please note the following guidelines for preparing your manuscript:

  • Prepare the manuscript double spaced in Microsoft Word. Leave a 1-inch margin on all sides. Allow a ragged right margin for text --- not justified.
  • Type all headings on a separate line. Do not number headings.
  • Number all manuscript pages consecutively in the upper right-hand corner (text and references, followed by illustrations on separate pages).
  • All legends for Tables and Figures are to be included at the end of manuscript after the list of references. Tables and Figures are attached as separate files when you reach "attach files" in the submission process. Further instructions for preparing figures are given below.
  • Although CIN does not specify a font or point size, in general a 12-point serif or 11-point sans serif font will result in the preferred manuscript length.
  • Manuscript length (not including references, tables, and figures) should be no more than 15-18 pages (standard 8.5 x 11 inch page size). As a general rule, an 18-page paper should have no more than 4 figures or tables.
  • Please refer to the American Medical Association Manual of Style, 10th edition, copyright 2007, for citations and references. See examples for citations and references below.
  • No identifying information (authors' names) should be included on the manuscript. However, if you cite your own works, please list them just as you would any other reference.

Text: Nonresearch papers should begin with a brief introduction followed by the body of the paper. Use headings and subheadings as appropriate to divide the text.

Research papers should be provided in standard format. Research reports must include information about the institutional review process and adherence to guidelines for the ethical conduct of research. For qualitative research reports, do not prepare a table listing participants and their demographic characteristics line by line. It is a threat to anonymity, and will not be published. Describe participants as group data. For similar reasons, do not "tag" each quotation by participant, thereby linking the quotations throughout the article to a particular participant.

In both cases use the American Medical Association (AMA) Manual of Style, 10th edition, for reference formatting.

Abbreviations and acronyms: Write out the full term for each abbreviation or acronym at its first use unless it is a standard unit of measure. Include the acronym in parentheses after the full term; thereafter, please use the acronym consistently.

References: The authors are responsible for the accuracy of the references. Key the references (double-spaced) at the end of the manuscript. Limit the number of references to 50.

In accordance with AMA Style, cite the references in text in the order of appearance. Cite unpublished data—such as papers submitted but not yet accepted for publication and personal communications, including e-mail communications—in parentheses in the text. Personal communications may require written permission; please specify whether the communication is oral or written.

Citation generators available online may be helpful if you are unfamiliar with AMA style or if the references are already in another style such as APA. Papers submitted in APA style will be returned to the author for reformatting before peer reviewers are invited.

For equipment and software used in the process of research, list the manufacturer’s name and location (city and state or city and country if not in the US) after the first mention of the software or device in the text of the article.

Do Not cite equipment or software as a reference. Do Not include manufacturer information in the reference list.

PowerPoint (Microsoft, Redmond, WA) was used to prepare slides for the presentation.

The citations and reference list are to be styled according to the American Medical Association Manual of Style, 10th edition, copyright 2007. Examples of citations within the text and reference list style are as follows:


Citation: Reliability has been established previously,1,2-8,19

Citation following a quote: Jacobsen concluded that "the consequences of muscle strength..."5(pp3,4)

Reference list: Books
1. Lewinsohn P. Depression in adolescents. In: Gottlib IH, Hammen CL, eds. Handbook of Depression. New York, NY: Guilford Press; 2002:541-553.
2. Brender, J. Handbook of Evaluation Methods for Health Informatics. Massachusetts: Elsevier Academic Press; 2006.

Reference list: Journal articles (with abbreviated journal names)
3. Im EO, Chee W, Tsai HM, Lim HJ, Guevara E, Liu Y. Evaluation criteria for internet cancer support groups. Comput Inform Nurs. 2010 May-Jun;28(3):183-8.

Reference list: unpublished material
4. Sieger M. The nature and limits of clinical medicine. In: Cassell EJ, Siegler M., eds. Changing Values in Medicine. Chicago: University of Chicago Press. In press.

Reference list: dissertation and thesis
5. Fenster SD. Cloning and Characterization of Piccolo, a Novel Component of the Presynaptic Cytoskeletal Matrix [dissertation]. Birmingham: University of Alabama; 2000.

Reference list: World Wide Web
6. Cohen, EP (2009). Nephrotic syndrome. Available at Accessed February 22, 2010.

Reference list: Journal using DOI numbers

8. Kitajima TS, Kawashima SA, Watanabe Y. The conserved kinetochore protein shugoshin protects centromeric cohesion during meiosis. Nature. 2004;427(6974):510-517. Doi:10.1039/nature02312.

Reference list: Online Journal with parallel print presence
9. Duchin JS. Can preparedness for biological terrorism save us from pertussis? Arch Pediatr Adolesc Med. 2004:158(2):106-107. Accessed June 1, 2004.

Reference list: Online-only Journal (no page numbers, no DOI)
10. e-Health Ethics Initiative. E-Health Code of Ethics. J Med Internet Res. 2000;2(2):e9. Published May 24, 2000. Accessed April 29, 2004.

Reference formatting is covered fully in Chapter 3 of the AMA Manual of Style, 10th edition.



A) Creating Digital Artwork

  1. Learn about the publication requirements for Digital Artwork:
  2. Create, Scan and Save your artwork  and compare your final figure to the Digital Artwork Guideline Checklist (below).
  3. Upload each figure to Editorial Manager in conjunction with your manuscript text and tables.

B)  Digital Artwork Guideline Checklist

Here are the basics to have in place before submitting your digital artwork:

  • Artwork  should be saved as TIFF, EPS, or MS Office (DOC, PPT, XLS) files. High resolution PDF files are also acceptable.
  • Crop out any white or black space surrounding the image.
  • Diagrams, drawings, graphs, and other line art must be vector or saved at a resolution of at least 1200 dpi. If created in an MS Office program, send the native (DOC, PPT, XLS)  file.
  • Photographs, radiographs and other halftone images must be saved at a resolution of at least 300 dpi.
  • Photographs and radiographs with text must be saved as postscript or at a resolution of at least 600 dpi.
  • Each figure must be saved  and submitted as a separate file. Figures should not be embedded in the manuscript text file.


  • Cite figures consecutively in your manuscript.
  • Number figures in the figure legend in the order in which they are discussed.
  • Upload figures consecutively to the Editorial Manager web site and enter figure numbers consecutively in the Description field when uploading the files.


Tables: Create tables using the table creation and editing feature of your word processing software; do not use Excel or comparable spreadsheet programs. Cite tables consecutively in the text, and number them in that order. Each table should appear on a separate page and should include the table title, appropriate column heads, and explanatory legends (including definitions of any abbreviations used). Do not embed tables within the body of the manuscript. They should be self-explanatory and should supplement, rather than duplicate, the material in the text.


Supplemental Digital Content

Authors may submit certain types of Supplemental Digital Content (SDC) via Editorial Manager to CIN to be considered for online posting.  SDC is subject to editorial approval and, if approved, will be included with the manuscript when it undergoes peer review. Materials may include text documents, graphs, audio, or video files that meet formatting requirements.  For a list of all available file types and detailed instructions, please visit

On the Attach Files page of the submission process, please select Supplemental Audio, Video, or Data as appropriate before uploading the file as the Submission Item.  If an article with SDC is accepted, production staff will create a live URL in the article linking to the SDC file.  The URL will be placed in a call-out within the article.  SDC files are not copy-edited by LWW staff and will be presented digitally as submitted and approved by editorial staff.

SDC Call-outs

Supplemental Digital Content must be cited consecutively in the text of the submitted manuscript.  Citations should include the type of material submitted (Audio, Figure, Table, etc.), be clearly labeled as “Supplemental Digital Content,” include the sequential list number, and provide a description of the supplemental content.  All descriptive text should be included in the call-out as it will not appear elsewhere in the article.


We performed many tests on the degrees of flexibility in the elbow (see Video, Supplemental Digital Content 1, which demonstrates elbow flexibility) and found our results inconclusive.

List of Supplemental Digital Content

A listing of Supplemental Digital Content must be submitted at the end of the manuscript file.  Include the SDC number and file type of the Supplemental Digital Content. This text will be used by production staff and removed from the article before publication.


Supplemental Digital Content 1.  wmv

SDC File Requirements

All acceptable file types are permissible up to 10 MBs.  For audio or video files greater than 10 MBs, authors should first query the journal office for approval.  For a list of all available file types and detailed instructions, please visit


Online Manuscript Submission

All manuscripts must be submitted on-line through the CIN Editorial Manager Web site at:

First-time users: Click the "Register" button from the main menu (on the upper banner) and enter the requested information. On successful registration, you will be sent an e-mail indicating your user name and password. Save a copy of this information for future reference. Then log into the system as an author.

Return users: If you have received an e-mail from us with an assigned user ID and password as an author or as a reviewer, do not register again. Simply log in as an author. If you have forgotten your password, click on the “Forgot Your Password?” link, fill in the fields with your name and e-mail address, and click “submit.” Your password will be e-mailed to the address you provide regardless of the information in your contact record. Once you have an assigned ID and password, you do not have to re-register, even if your status changes (that is, author, reviewer, or editor). CIN user IDs and passwords are not shared; if you are registered at another journal’s EM site, you must register again for CIN.

After you log in as an author, you can submit your manuscript according to the step-by-step instructions on the Web page. You will receive an e-mail confirmation after the manuscript is submitted; the e-mail will contain instructions on how to track the progress of your manuscript through the system. If you experience any problems, please refer to the detailed "Author Tutorial" guide available on the Editorial Manager Web site. If you still need assistance, contact the Editorial Office by e-mail at

CIN editorial staff does everything in its power to ensure timely peer review and editorial decision cycles. Manuscript status is posted at the Web site and updates when the following milestones are reached:

  • After successful submission, status is “submitted to journal.” If the status is “incomplete,” then you may need to return to the site to review and approve the final PDF, or a required item was omitted from the submission.
  • After the manuscript undergoes technical review and is assigned to an editor, status is “With Editor.”
  • When reviewers are invited, status changes to “Reviewer invited.”
  • When reviewers accept invitations, status changes to “under review.” In some cases, if a reviewer is unable to complete an assignment, status may change back to “reviewer invited” as subsequent invitations are issued.
  • When reviews are complete, status changes to “Required reviews complete.”
  • If a revised manuscript is submitted to the journal for an editorial decision, the status may remain “with editor” for a period of time as the article is queued for an editorial review.

Editorial Manager menus are role- and context-sensitive and will serve up the current manuscript status immediately when you log in to the site. If you have questions about status terms, or if a period in the review cycle seems to take longer than expected, please contact the editorial office.

Please be aware that multiple status queries may slow the review and editorial cycles as staff take the time to research and answer questions individually.

After Acceptance

As of 2011, CIN has made the transition to article-based publishing. Manuscripts will be published in electronic format as they are accepted, rather than waiting for an issue assignment. This “publish ahead of print” (PAP) model provides more timely publication and indexing for articles accepted by the journal.

Page proofs and corrections: Corresponding authors will receive electronic page proofs to check the copyedited and typeset article before publication. An e-mail containing a link to a portable document format (PDF) file of the typeset pages and support documents (eg, reprint order form) will be sent to the corresponding author by production staff. The PDF is generated so that authors can make comments directly on the electronic version with no need to print pages and fax corrections back to the production editor.

It is the author’s responsibility to ensure that there are no errors in the proofs. Changes that have been made to conform to journal style will stand if they do not alter the authors' meaning. Only the most critical changes to the accuracy of the content will be made. Changes that are stylistic or are a reworking of previously accepted material will be disallowed. The publisher reserves the right to deny any changes that do not affect the accuracy of the content.

The corrected proofs will be posted to the journal’s PAP Web site and are considered “published ahead of print” at this point. The author will receive a DOI number that will be used to index the article before it is assigned to a volume and issue, and can also be used to reference the article when it assumes final form.

When the online issue to which the article has been assigned is posted at the journal’s Web site, the pre-print version of the article will be withdrawn from the journal PAP site.

Complimentary copies: After publication of an article in an issue of CIN, the corresponding author will receive a PDF copy of the typeset article as an e-mail attachment. The PDF is provided as a courtesy, for personal use, and may not be copied or distributed (other than to coauthors on the article) for any purpose, without direct permission from the publisher.